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15090195 CITY OF CUPERTINO BUILDING PERMIT fill ILDING ADDRESS: 8093 HYANNISPORT DR CONTRACTOR:BELLOWS PLUMBING, PERMIT NO: 15090195 HEATING,&SEWER OWNER'S NAME: KUMAR BHARATH M TRUSTEE&ET AL 2652 RESEARCH PARK DR DATE ISSUED:09/29/2015 OWNER'S PHONE: 4088383720 SOQUEL,CA 95073 PHONE NO:(831)477-7150 3LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL L] COMMERCIAL ElLicense Class C 6 Lic.# Uq,�q,t INSTALL(N)A/C UNIT IN(E)LOCATION ,� A�(' ••(n� Q Q Contractor �(10y, YI�MDx t19 Date I hereby affirm that 1 am licensed under the provisions of Chapter 9 Icunrmencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. Sq.Ft Floor Area: Valuation:$10000 1 hereby affirm under penalty of perjury one of the following two declarations: 1 1 have and will maintain a certificate of consent to self-insure for Worker's APN Number:35611012.00 Occupancy Type: Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this PERMIT EXPIRES IF WORK IS NOT STARTED permit is issued. WITHIN 180 DAYS OF PERMIT ISSUANCE OR APPLICANT CERTIFICATION 180 D S FROM LAST CALLED INS EC ION. I certify that I have read this application and state that the above information is correct.I a ee to comply with all city and county ordinances and state laws relating (( l to buildin onstruction,and hereby authorize representatives of this city to enter Issued by: L"✓"' Date: paL f� upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with RE-ROOFS: all non-point sourco regulatiolis per the Cupertino Municipal Cole,Wction 9.18. All roofs shall be inspected prior to any roofing material being installed.If a roof is QC installed without first obtaining an inspection,I agree to remove all new materials for tiignaturex Date 1 V inspection. 'v'—V— Signature of Applicant: Date: ❑ OWNER-BUILDER DECLARATION ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1 1,as owner of the property,or my employees with wages as their sole HAZARDOUS MATERIALS DISCLOSURE compensation,will do the work,and the structure is not intended or offered for I have read the hazardous materials requirements under Chapter 6.95 of the sale(Sec.7044,Business&Professions Code) California health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain 2 1,as owner of the property,am exclusively contracting with licensed contractors to compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& construct the project(Sec.7044,Business&Professions Code). Safety Code,Section 25532(x)should I store or handle hazardous material. Additionally,should 1 use equipment or devices which emit hazardous air I hereby affirm under penalty of perjury one of the following three declarations: contaminants as defined by the Bay Area Air Quality Management District 1 will have and will maintain a Certificate of Consent to self-insure for Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation,as provided for by Section 3700 of the Labor Code,for the I Icalth&Safety Code,Sections 25505,25533,and 25534. performance of the work for which this permit is issued. horized agent: 2 1 have and will maintain Worker's Compensation Insurance,as provided for by Amil Date.q119 I S Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. CONSTRUCTION LENDING AGENCY 3 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's I hereby affirm that there is a construction lending agency for the performance of work's Compensation laws of California. If,after making this certificate of exemption,I for which this permit is issued(Sec.3097,Civ C.) become subject to the Worker's Compensation provisions of the Labor Code,I Lender's Name must forthwith comply with such provisions or this permit shall be deemed Lender's Address revoked. ARCHITECT'S DECLARATION APPLICANT CERTIFICATION I understand my plans shall be used as public records. I certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county ordinances and state laws relating Licensed Professional to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. tiiLnature Date GENERAL PERMIT APPLICATION iso o)as_ MEP COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 misc (408)777-3228• FAX 8)777-3333•building(a� CUPERTINO cupertino.org El PLUMBING MECHANICAL ELECTRICAL MISCELLANEOUS I'RI iii I I \DURESS APN a ) ua�I It \\n �� PHOT; _ �� _ T 2-u E-MAIL `IR1 I I \DURESS CITY' TAVTG ZIP ^ FAX (ON I\( I '�\ME t \ - PHONE E-MAIL. 110l-I-I ❑ �(( \DURIISITY 1n �- \I N ❑ OWNER-BUILDER 11 OWNER AGENT CONTRACTOR 11 CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TFV 4NT \\Ir.1 LICENSE NUMBERE-MAIL (,��� LICE TYPEWIT ^� BUS.LIC# S I R I I I ADDRESS n�5Z "InI TA ,ZIP3nQ CA E Ue� \R('11111'( I IfNGIN••EEERR NAME LICENSE NUMBER BUS.LIC# (O\IP\N) \\\I[ E-MAIL FAX S I KI I I \DDRI[SS CITY,STATE,ZIP PHONE I til III ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YEI BI II DIM, ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLERHOME" ❑NO D[S(RIP I ION OF WORK 1 11 -- Int\1 \ \11 \110N I e' RECEIVED BY B\ m\ signature below.I certify to each of the following: I am the property owner or authorized agent to act on the p pert)o\\ner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin uldi constructio I authorize representatives of Cupertino to enter the a -jdgti qd property for inspection purposes. Signature of ApplicantlAgent: x2 SUPPLEMENTAL INFO ION REQUIRED OFFICE USE ONLY OVER-THE-COUNTER ❑ EXPRESS t ❑ STANDARD ❑ LARGE ❑ MAJOR MEPMiscApp_1011.doc revised 06/21 I l CITY OF CUPERTINO '1 5M©IgS FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 8093 Hyannisport Dr. DATE: 09/29/2015 REVIEWED BY: PAUL \ APN: 356 11 012 BP#: *VALUATION: 1$10,000 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex PENTAMATION FURN/AC USE: PERMIT TYPE. WORK Install N A/C Unit in E location SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $72 TOTALS: $72.00 Mech.Plan Check 0.0 1 hrs $0.00 Mech.Permit Fee: IMPERMIT Other Mech.Insp. 0.0 hrs NOTE. This estimate does not include fees due to other Departments(i.e. Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the prelimina- inormation available and are only an estimate. Contact the De t or addn7 info. FEE ITEMS(Fee Resolution 11-053 E . 711,13) FEE QTY/FEE MISC ITEMS Plan Chcc% Fcc S'uppl. PC l.Cc PME Plan Check: $0.00 l' ivur� lc� : Tp/. hrsp 1. PME Unit Fee: $72.00 PME Permit Fee: $48.00 )IISO'tn thin I-LO, Administrative Fee: IADMIN $45.00 Work Without Permit? O Yes E) No $0.00 l(inninv Fires. Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $215.30 $0.00 TOTAL FEE: $215.30 Revised. 07/02/2015 y r1 n W O o O O O N T D v D n w ao m ro V) 14 to w r o a o M Z V) r) n_ N n > > o 3 cu rD 3 D o p rD D rD Z o r) Z O O O - ,^„ n T O DD 3 O O 3 _Q N M < r .. � N -�+. O m O Z O to a m m _' ^^y. 3 D ni I v n x O rD rD 3 n O r rD rD rr O 7 3 O n = n D O v OO j r < Q vo o _* n O 6 O Q D In N m O Ln Ln n (D — Z d N C G 1<i+ C) (vl C r-r n n o rD 0 .+ 3 0 o m O .+ Q rD O LA D 33 CD 2 D < rD .�-. C oD cu No 3 A l0 n Oo Oo o0 3 N Lr+ c o o (D ro 0 CD Gl < < T rD w w ° 3 fD O I N D O A _ = S to CD rD u, O° S 3 - v v - 0 0 CL o a 3 rD w N v rD 0 rD11 < _ rD 3 �. 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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 R314 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 trust 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 allree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name• Sinature..... . ......... ..............................................................................................Date: (.....� 4..�.. Contractor Name: �f 88 I J W S Si nature.......... ....... ..............................................Lic.# ....`..................... .........Date: .(0114..... ....I .... Smoke and CO fornr.doc remised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION C U P E RT I N O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 GH4A (408)777-3228-FAX(408)777-3333•buildingCa)cuoertino.org I -z) I O •1 �S Owner Name 4- -1 / tI" A-Q— Permit No. Address CI �}fVrti I S�0/ � , C,-UPC-(LT- N 3, C14 1. Is your real property a registered historical site? ❑ Yds Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn. L9'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 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. PZ Skip the rest of the form and sign bottom of form. LZNo Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ®kl�o Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ 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. Lam' 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 fonn.. 5. PlsiKe check ONE of the following: Er 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). ❑ 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). 1,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 110 1.1 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. Owner or Owner Agent's Signature: U Date: U I Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 201 S.doe revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 0.5 gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets— Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08/26115