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B-2016-1618CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1618 23500 CRISTO REY DR UNIT 220C CUPERTINO, CA 95014-6525 (342 53 050) BAY AREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: Anita Lear ( Lear Anita M Trustee & Et Al) DATE ISSUED: 03/28/2016 OWNER'S PHONE: 650-537-1523 PHONE NO: (408) 238-5043 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lie. #817817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 X BLDG X ELECT —PLUMB X MECH X RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: INSTALL (I) LED RECESSED LIGHTS (5), UPGRADE BATHROOM I hereby affirm under penalty of perjury one of the following two declarations: FAN (1), UPGRADE ELECTRICAL OUTLETS (20), UPGRADE LIGHT - r. 1 have and will maintain a certificate of consent to self -insure for Worker's SWITCHES (8) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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 T, �_ permit is issued. Sq. Ft Floor Area: Valuation: $2500.00 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 3 342 4253 050 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said Cityjh consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applica-4Vnderstands and will comply with all non -point source regu[ tions.pe"r the Cupertino Munici I Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPE TION. Sig ata - Date 03/28/2016 r _.._.._._.........._........ _ Issued by: ALEX VALLELUNGA Date: 03/28/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 1, as owner of the property, or my employees with wages as their 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 intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 03/28/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE i. 1 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. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code; .�ect'oi 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall_�— be deemed revoked. '' Owner or awthan' d ayetit. APPLICANT CERTIFICATION 03/28/2016 G - I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and 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 Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 03/28/2016 Professional C O NSTRUC tl M14 ll E HllYlLtl I} A D LOCA Il O®N—/ W MW COMMUNITY DEVELOPNiENT DEPAR I MENT o BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 950'14-3255 C PERTINO 1 (408) 777-3228 - FAX (408) 777-3333 - buildinaCrD.cuper ino.ora 13-2,01(o J M �7 ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT n PROJECTRESS �I_ / � . AD APN 9 � Z 0 C— f � ,� -.��� o3 o ons i L-�ILIL 1 Q. arta yas IFV-et b:- - 15-2-3 a1 t b SC•C6M ST_R REhrADORESS I ` 00 ®fI J 1 r/(Jllff tl l+� � a1 CITY, STATE. ZIP /� % r A RAW 'i�l�l ® �� CONTACT 1A ltE T PtIO^:E — -b" L-\t 11L -Pe` T -k r— ON STREET ADDRESS Cl I Y. STATE, ZIP zlla SS 51 Ii Fi ❑ OWNER 1:1OWNER-BUILDER ❑OWNER AGENT �fJ CONTRACTOR ❑ CONTRACTOR ❑ ARCHII'ECl' ❑ENGINEER ❑ DEVC•LOPER ❑ TENANT p CONTRACTOR NAMET t � LIC -,' E Wilt 1 LICENSETAPE BUS. LIC 0 COMPANY I ANUS 13 a V%a CA_ E -in r `5 ne c�. ` STREET" ADDRESS a 11 o t-1 cL t c> CITY, STATE, ZIP C A- A PHON _ ARCHITECT/ENGINEER NAIVE LICENSE- NUMBER BUS. LIC s CONIPANY NA,til: E-XIAIL FAX „ STREET ADDRESS - CITY, STATE, ZIP PHONE DESCRIPTION OF tK NeW LF � t sa+tIi Rod'K )(!qqrdde -D c -e EXISTINQIUSE PROPOSED USE CONSTR TYPIE k STCrRWS USE TYPE OCC_ SQ.Fr. VALUATION (S) FIXMG NBv FLOOR -DEpiO TOTAL AREA AREA AREA AREA NET AREA BATHROOM KITCHEN REMODEL AREA a ' REMODEL AREA REMODEL AREA � PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE ARBA: 0 DETACH ❑ ATTACH. P DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY []YES BEINGADDED? []NO ADDITION? NO F PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS TILE BLDG AN ❑ YES RECEIVED BY: TO L VQLUAT[ON: NO PLANNG APPROVAL LEITER PLMNNING APPL U ❑ TI EICHLER HOME? ❑ NO By my signature below, I certify to each of the follo�1- g: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided* co et. I hav ead the Description of Work and verify it is accurate. I Are o comply with all applicable local ordinances and state laws relating to building cons ction_ 1 a orize representatives of Cupertino to enter the ab n -ide ti fie property for inspectI pur--ssposey Signature of Applicant(Agent: .,Date:- ate:-SUPPLEMENT SUPPLEMENTAL L INFORMATION REQUIRED PLAN c CK TYPE ROUTING SLIP ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ r\PRrSS ❑ PLANNING PLAN REVIrlY _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS Ton—Ti i f anv Hazardous Materials are being used as part of this project ❑ ❑ I 3 LARGE FIRE DF.1't' @_ V _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ itAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1clg,4pp 201 Ldoc revised 06/21/11 CITE' OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION �;i2£:. tdi.iz7. i'£:C: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Wwrict- etc )_ Tltece fee.Q are. ha.Qed Ort the DYelindnary information availahle and are on1V an estimate. Contact the DeDt For addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/131 FEE DATE: REVIEWED BY: lialADDRESS: APN: BP#: `VALUATION: 1$2,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex Suppl. PC Fee: Q Reg. 0 OT PENTAMATION PERMIT TYPE: 1 REAP1 WORK INSTALL N LED RECESSED LIGHTS (5), UPGRADE BATHROOM FAN (1), UPGRADE SCOPE ELECTRICAL OUTLETS (20), UPGRADE LIGHTSWITCHES (8) �;i2£:. tdi.iz7. i'£:C: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Wwrict- etc )_ Tltece fee.Q are. ha.Qed Ort the DYelindnary information availahle and are on1V an estimate. Contact the DeDt For addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $?2 Electrical IBREMFIXT I Fixtures, Lighting Suppl. PC Fee: Q Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 # G, Mechanical r IBREMVENF Ventilation Fan Permit Fee: $0.00J Suppl. Insp. Fee:Q Reg. 0 OT L0j hrs $0.00 = Electrical ,81ma IBREMRECEP Recep/Switch/Outlets PME Unit Fee: $0.00 PME Permit Fee:Q NP ouc Administrative Fee: 1ADMIN T.,, 0 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G) 0 i Travel Documentation Fee: ITRAVD0C Strong Motion Fee: IBSEISMICR Select an Administrative Item Bldg Stds Commission Fee: IBCBSC MI! 4 SUBTOTALS: $190.50 $185.00 ,. TOTAI, FEE: $375.50 Revised: 01/01/2016 Ad ress PURPOSE SMOKE / CARBON MONOXIDE ALARA OWNER CERTIFICATE OF COMPLIAN COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DI 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingO)cupertino.ora PERMIT CANNOT BE FINALED AND HAS BEEN SIGNED ,AND RET T This affidavit is a self -certification for the installation of all required Smoke and i compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Monoxide alarms. When the valuation of additions, alterations, or repairs to exi: $1000;00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Si Monoxide Alarms be installed in the following locations: ME ©2-01� Ib1 Monoxide Alarms for no interior access for and Carbon dwelling units exceeds Alarms and/or Carbon AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X 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, do not have an attached garage. Carbon monoxide alarms combined with smoke 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 In existing dwelling units, alarms are permitted to be solely battery operated whex not result in the removal of wall and ceiling finishes or there is no access by mean,, space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An elec alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) re installed in accordance with the manufacturer's instructions and in compliance and California Residential Codes. The alarms have been tested and are operatic below. 1 •have read and agree to comply the terms and cot�d- ions c appliances and that shall comply with )e solely battery operated. repairs or alterations do of attic, basement or crawl cal permit is required for iced above has/have been i the California Building as of the date signed statement Owner (ar Ow�genfs -ame: Sm ke i (Si nature............... ...... ......... ......................... .......... ......... ................:..........(Dates �...... {Con rac of r game: ` .............. ........ od.W)........ 6ll .^. ,. and CO fonn.doc revised 03/18114 M CuPeRTINO WATER -CONSERVING PLUMBING FIXTU OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISK 10300 TORRE AVENUE • CUPERTINO, CA 95014.3255 (408) 777-3228 • FAX (408) 777-3333 building atupertino.orn 2-7o �-- CU Is your real property a registered historical site? es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the formand sign bottom of form. No Go to Question 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 Divisior. Skip the rest of the form and sign bottom of form. No Go to Question 3. gD Is water service permanently disconnected for your building? ❑ 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 4. CC Is your real property built and available for use or occupancy on or before January, 1, 1994? No y 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 formand sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1 19,94. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three follow' ngstatements and sign bottom of form.. Q Please 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 ompliant plumbing fixtures to be resp ,laced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- ce iant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether roperty 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 r on- 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 vv ater- conserving plumbing fixtures throughout the building (regardless of whether property unde goes alterations or improvements). El 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 r on- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumb' a fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardlesssoof w ether property undergoes altera ions or improvements). I, as the owner or owner's agent of this property, cert un r penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -cons rd plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing d alifom a Green Building Standards Code, and manufacturer's installation requirements, and that the water -cone 1 bin fixtures comply with the re irements as in Gated in the table on the following age. � , (Owmer or Ow;ne gen,s Sig—na ure: Da e• . Upon completing and signing this Certificate, please r�tum ! to the Building Division in order w final your b 'lding permit. SB40 OI S.doc revised 08/26/15 no, ICE] SB407 2015. doe revised 08126115 .ev.roevele8d11g116 Water -Conserving Plumbin.: Fixture - Plumbin Fixture. (Fixture Complying with Current Code Applica Ae to New Construction) Fixture Type Maximum Water Usa a/FI w Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water usage /Flow gate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4 32013 CALGreen Div. 5.3 Single -Family Multi -Family - Commercial Water Closets Exceed 1,6 Residential Residential Single flush toilets: 1.28 gall ns/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, Urinals Exceed 1.0 average flush volume of two reduced flush as and one full flush) 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 Showerhead (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 onl one shower outlet to be in operation at a time. Faucets — Lavatory Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Faucets per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi 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— Kitchen Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Faucets per minute 60 psi @ 60 psi psi 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 i not required to be upgraded. . SB407 2015. doe revised 08126115