The URL can be used to link to this page

B-2016-1477 CITY OF C ERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1477 10497 MANZANITA CT CUPERTINO,CA 95014-6565(342 61 016) JON ANDERSON BUILDS LOS GATOS,CA 95032- 0101 OWNER'S NAME: Mr&Mrs CHRISTOPHER C AND CAROL TRUSTEE LIOU DATE ISSUED:05/11/2016 OWNER'S PHONE: PHONE NO:(408)300-1231 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class]I Lie.#889592 Contractor JON ANDERSON BUILDS Date 01/31/2017 X BLDG X ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code nd that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT DETACHED COVERED PATIO(460 SQ FT);(6)GFCI I hereby affirm under penalty of perjury one of the following two declarations: WEATHERPROOF OUTLETS;(8)LIGHTS;(2)LIGHTS AT SFD;AND 1. I have and will maintain a certificate of consent to self-insure for Worker's GAS LINE FOR FIREPIT. Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. d-a sj. I have and will maintain Worker's Compensation Insurance,as provided for by L i Section 3700 of the Labor Code,for the performance of the ork for which this permit is issued. Sq.Ft Floor Area: Valuation:$50000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 342 61 016 R-3 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep haimless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against aid City ionsequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the ap icant andtands and will comply with all noIn-point source regulatio MthecA6fino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 05/11/2016 Issued by:PAUL O'SULLIVAN Date:05/11/2016 fLlt_�_ Lb DER D LARATIOI hereaffirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: I 7h.r following two reasons All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as leir sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intepded or offered for inspection. sale(Sec.7044,Business&Professions Code) z. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:05/11/2016 I hereby affirm under penalty of perjury one of the following three(declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I bave and will maintain a Certificate of Consent to self-inse for Worker's Compensation,as provided for by Section 3700 of the Labofi Code,for the performance of the work for which this permit is issued. �'�, HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements.under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is ssHealth&Safety Code,Section 25532(a)should I store or,and hazardous 3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipme t or devices ich emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Are Air Quality nagement District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cuperti cip de,Chapter 9.12 and exemption,I become subject to the Worker's CompensationIprovisions of the the Health&Safety Code,Sec. ns 25 d 25534. Labor Code,I must forthwith comply with such provisions r this permit shall be deemed revoked. Owner or authorized agent: / APPLICANT CERTIFICATION Date:05/11/2016 1 certify that I have read this application and state that the above information is TR I N LE A Y correct.I agree to comply with all city and county ordinances anti state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cu ertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 05/11/2016 Professional CONSTRUCTION PERMIT APPLICATION I COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENU�•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228 o FAX(108)777-3333-building Gacuporfino.orn ❑NEW CONSTRUCTION ADDITION ❑ALTERATION/T1 ❑ REVISION!DEFERRED ORIGINAL PERMIT N PROJECT ADDRESS APNN OWNERNAMB PHONE�f,� ,+ f e G 1 ^' {O �J(\ .C-4 , T STREET ADDRESS CITY �J FAX CON'T'ACT NAME q/ - rAAf PHONI t ^ � E jt'M \W rAAjj)V1n�•,..t✓U STREET ADDRESS y, ` CITY,STA—` IP FAX V"- ❑OWNER 11 OWNER--BUILDER ❑ OWNERAGENT �NTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER Ll DEVELOPER ❑TENANT CONTRACTO", WS LIC SE R� LICENS E BUS.LIC## �1ua!5^ COMPANYNAME„�,}�UU I W E-MAIL FAX ;JC,`,j1„J� STREETADDRESS 'Q' O CITY,STATE,ZIP PHONE ARCHITECUBROINEER NAME LICENSE NUMBER BUS.LTC a �X U COMPANY NAME B-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK 99A0 IM 2�w MC�C(W MCW Q5 A-71 O . I ' A N D R&cesscD Llbwrs EMSTING USE PROPOSED USE CONSTILTYPE I 0STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAPLU RF.MODII.AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK#PORCH AREA OE AREA: H DETACH ATTACH W DWELLING UNITS: 13 A SECOND U\rr EIYES SECOND STORY YES BEING ADDED? ❑NO ADDITION? ❑NO i I — PRE-APPLICATION ❑YES IF}•FS,PROVIDE COPY OF IS THE SLrIC AN ❑SES '_ -= TOTAL VALUATION: PLANNINGAPPL4 []NO PLANNING APPROVAL LEITER EICHLER HOME? ❑NO owl r3 .sir-�-�•. By my signature below,I certify to each of llowing; a1�1 the property owner or authorized agent to a t on th property owner's behalf. I ha a read this application and the infonilation I have pr ed is orrcoy Ireve read the Description of Work and verify it is accurate. I agree to comply with all applicable]Deal ordinances and state laws relating to b 'd' g const �Fail!Fu-ifze representatives of Cupertino to eater the above �-idt'had property,for inspection purposes. Signature of Applicant/Agent Date: SUPPLEMENT FORIA IO ED Y>an cxec%n e 4 �T�ROUTII�GSCiP f � New SFD or Multifamily 'ellinps: Apply for demolition permit for eKistin buildiB (s). Demolition pemitisrequired no-toissuance ofbuilding GY'L� j2E-1TEti bm.5" permit for new building. 1 �� REss` ��r Lir P]n )1\c7 LAn RESIE}} S OW=r t' ' _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure O sTA�DnRD , 5: . Q PUBz Ie�YoRLs ;. form if any Hazardous Materials are being used as part ofthis project, p L�}RCIrnZE�DEP�� ,' x Copy of Planning Approval Letter or Meeting with Planning prior to ' $} 4 ` r i submittal of Building Permit application. �JvIAJ°� , 5 JA�Iratt�sEl}EtiDISTRIcr�Y. u BldgApp_2011.doc revised 06121111 Building Department City Of Cupertino 10300 Tone Avenue Cupertino,.CA 95014-3255 RTITelephone:408-777-3228 CUPEa Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: 9 , PERMIT OWNER'S NAME: PRONE# GENERAL CONTRACTOR: '� #�^ ,. BUSINESS LICENSE# 3 ADDRESS: ry Y CITY/ZIPCODE: `Guy municipal code rewires all businesses vorldng iia the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTING BUSINESS LICENSE. I am not using any subcontractors: Signature Date PIease check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE Cabinets&Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering i Plumbing ! Roofing Septic Tank Sheet Metal Sheet Rock Ti 1 It. X: i er I Contractor Signature Date j - , 71 LL TRUCTURRL 14503 BEREW NESRN JOSE, CR LINE 95124 E Us R] R M ILI, U U H tg R K LF05 H K H FA Fi 9 PHONE: (408) 496 0930 September 23, 2016 projects@allstructural.com To Whom It May Concern: SUBJECT: 10497 Manzanita Ct. Cupertino, California Dear Sir or Madam: It is acceptable to use 5/8 M. B. instead of welds for the connections of the post-caps to the steel posts. Should you have any questions or require supplemental information, please call. Sincerely, ALL STRUCTURAL CONSULTING ENGINE '2V <.1 NAt George Dicu, P, , SE Diet, Structural Engineer !�b cc 84 '6z LU ��cS,rSTRUGG�� TE OF SMOKE / CARSON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION + Uf' RTINA 10300 TORRE AVENUE.CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333 buildinaCWcupertino.org �,�,, 4 Permit No. t6—14- FV Address 104q4- N �T-A #of Alarms Smoke: Carbon Monoxide: �'ERNiIT CANNOT BE FINALED AND COWLETED SIL THIS CERTIFICATE RET =0 r TI�1T,l3..A.1D TO�'HE.BUILDITG�IVISIO �y PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1000.00; CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations:. AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply:In dwelling units with no commercial power supply, alarm(s)may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes.The alarms have been tested and are operational,as of the date signed below. I have read and agree to comply with the ter � conditions of this statement Owner(or Owner Agent's)Name:WOL W:rW Signature....... ..... ..............:. Date:41........�. �k Contractor Name: Signature...................................................................Lic.#......................................Date: ................... Smoke and CO form.doc revised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION C_VPERTIIWt 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 4W17,-3228•FAX 408)777-3333 buildin cu ertino.orgOwner Name �� I_ Permit No Address ,ft+moi I® j 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 2. 2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 110 1.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip-the rest of the form and sign bottom of form. RKNo Go to Question 3. 3. Is water service permanently disconnected for your building?' Cl Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Flo Go to Question 4. 4. Issyour real property built and available for use or occupancy on or before January 1, 1994? R/No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. PI ase check ONE of the following: My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017,all non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). 0 My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. t Owner or Owner Agent's Signature: / l f Date: M9110 Upon completing and signing this Certificate,p ease return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15