B-2016-1702 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1702
10375 BYRNE AVE CUPERTINO,CA 95014-2811(357 12 030) HAN'S
CONSTRUCTION
SAN JOSE,CA 95136
OWNER'S NAME: CHANG AUGUSTIN P AND TAI JULIE T TRUSTEE DATE ISSUED:04/06/2016
OWNER'S PHONE:408-910-5787 PHONE NO:(408)966-0885
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#938638
Contractor HAN'S CONSTRUCTION Date 10/31/2017 X BLDG —ELECT —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 and that my
license is in full force and effect. JOB DESCRIPTION:
KITCHEN REMODEL(170 S.F.)AND REPLACE 3 WINDOWS AT
I hereby affirm under penalty of perjury one of the following two declarations: KITCHEN SINK
t. I 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.
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
permit is issued. Sq.Ft Floor Area: 170 Valuation;$30000.00
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 357 12 030
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 City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands anwill comply with all non-point
source regulations per the p o M ,cipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Wil a u le Date 4/6/2016 Issued by:Alex Vallelunea
Date:04/06/2016
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
t. I,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. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(See.7044,Business&Professions Code). Date:4/6/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
t. I 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
2. 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. 1 will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the perfonmance of the work for which this permit is issued,I Health&Safety Code,Section 25532(x)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,Sections 55 533,a 0 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. gut_o of"atffhon:z d agent:
APPLICANT CERTIFICATION Date:4/6/2016
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 /64 /2016 Professional
CONSTRUCTION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CU ERT IINO
(408)777-3228•FAX(408)777-3333•buildin cu ertino.o(
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS D 7 �\ vn ei Ave, APN# ')j�,� i Z— (15 0
OWNERNAME ( ,�1/ PHONE _ J E-MAIII / lJ/ v
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STREET ADDRESS 7 CITY, STATE,ZIP FAX
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CONTACT NAME /la
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STREETADDRESS`V Z l (r`V GY CITY,STA ZIP 7v j , / AFAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT u CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME,P'S//'n / a� LICENSE NUAER , LICENSE TYPE fZ BUS.LIC
COMPANY NAME �j�` q SV,(i/I r4V6l.G�1 0 11 E MAII �t/f 1 f 1/ae') �t C.15)1 i,/c 0/--nFAX
STREET ADDRESS CITY,STATE,ZIP S�GI -:ro C, (�
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ARCHTTECT/ENGINEENAME 7' LICENSE NUMBER ( BUS.LICI#J
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK J -t C/ kenooz 1 GI� [ O -
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EXISTE,M USE PROPOSED USE CONSTR TYPE IfSTORIES
SE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA //I GS REMODEL AREA
PORCH AREA DECK AREA TOTAL D� YJPORCH APE A GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES .RECEIVED-BY:'-& � TCITALVALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICBLER HOME? ❑NO -- A O D
By my signature below,I certi5j to each of the following: 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 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 relating to buildings tit c i n./I aut 6rize representatives of Cupertino to enter the above-id ratified prop,rty for inspection purposes.
1
Signature of Applicant/Agent: --'''//—�6 jP l _ Date: `
SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTIN SLIP
_New SFD or Multifamily dwellings: Apply for demolition permit for s=ER_Tn couNTl x BUILDING PLAN I{EVTEdv
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPRESS �<PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS. .
form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Pen-nit application. ❑ iAs®R ❑ saNTrARi'SEWER DISTRICT
❑ ENVIRONNZNTALHEALTH
BldMpp_2011.doc revised 06/21/11
Assessor's Parcel Number:
Plumbina Notes:
1. Faucets in kitchens,wet bars,lavatories,laundry sinks,etc shall have a water flow not to exceed 1.8 gallons per minute @ 60 psi.(CPC 403.6)
Name of Owner: A(k 7-<<� Electrical Notes:
2. The installation of smoke alarms in all of the following areas shall be provided: (R314.3)
el, G �/ / a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms.
Contact Person: Vo ( � Phone;_ ��� b ~°� b. In each room used for sleeping purposes.
n /
C. In each story within a dwelling unit,including basements but not including crawl spaces and uninhabitable attics.
Vut QiV 3. Approved carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on every level including
Project Address: basements in dwelling units that have fuel-fired appliances or attached garages.(CRC R315.1)
/ 4. A minimum of two 20 amp small appliance branch circuits shall be provided for all receptacle outlets in the kitchen,dining room,pantry,or other similar areas.(CEC
210.11
Scope of Work: G.l'F ,CWN^ P ` 0 trl �l / W L W 1`1 \G��'FG"`�� 5. At east one20amp branch circuit shall be provided to supply bathroom receptacle outlets.Such circuits shall have no other outlets.(C.EC 210.11(C)(3)).
1 6. In every dwelling unit,fixed appliances such as food waste grinders,dishwashers,washing machines,dryers,laundry tray locations,built-in refrigerators or freezers,
Code Editions: 2013 California Residential Co furnaces,AC units,built-in heaters or any other fixed appliance with a motor of/<h.p.or larger shall be on a separate 20 amp.branch circuit.
7. All receptacles in bathrooms,garages,accessory buildings,outdoors,crawl spaces,unfinished basements,kitchens(where receptacles serve counter top surfaces),
2013 California Plumbing Code COMpY41JNin'DEVSLgsuhdryh utility we�barFs{Hi s(within 6 feet of the edge of the sink),shall have ground-fault circuit interrupter(GFCI)protection.(CEC 210.8(A))
2013 California Mechanical Code �� B�IILDI'aG�`'�l`In�all ard�sl's e 4in 210.52,all non-locking t+
p g �pe 125 volt, 15 and 20-ampere receptacles shat listed tamper-resistant receptacles.(CEC 406.12)
2013 California Electrical Code 11�
2013 California Energy Code This set of nI^ns and speciiir:a icr, Fr11JST he -ert�t t'r1e
` v ,a
Eneray Code mandatory liahting measures:
job site ir-lurinCj oj1ctrucLiOn. It IS lii;!GV'fLl t� !; any
C,11'r?y S r✓r cIYL's'�tLiC':i tS on s�,iY1G',or to('.�,ii:i.' �"`as� ���� C
permanently 9 v p v v ( ( )( )) Gg o tharof'rurn t pp v E Building O l-idal ED
1. All ermanentl installed high efficacy luminaires shall be switched se aratel from low efficacy luminaires. 150 k 7 d ,1NILnOUC i'OJ��I 1`rOf77'[h8 c ?J.i.dt, �:il:1�..
By
2. Permanently installed lighting in Kitchens shall be high efficacy luminaires.Up to 50%of the wattage of permanently installed lighting in kitchens may be in lights t �, '�
are not high efficacy.(150(k)(8)) hY ,st:�ili Ing o,f ,L this plan anci C;'r; ifir_.=fiQnS S!� ,L_(.",i -T DATE
bre ;Gld!'io permit or to bC', ral ,�i„ =
art �:: ',t- vc. ,�cl. PLANNING DEPT
Of c;t �/prOVISlOrlS of dfly Clip viL;irl�li;>r vl' J1c,:C Ld'vv'.
CUPERTINO
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IV IIId VYV QV G. JIIQii.l JIVING-r/.,,-,� .- -30 Fridge: Sub Zero BI-48S .
�y 30" Fridge: Sub Zero BI-48S -4 ZJ Wine Cooler: Sub Zero 424G
Wine'Cooler: Sub Zero 424G 1 Cookto WOLF C1265T
�_ << s --24" 6" p
I� Cooktop: WOLF C1265T '
J, F-24" 6" LIJ
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REVIEWED FOR CODE COMPLIANA
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Reviewed By: q�w�m i 5 CJ�� c 7 (;ry'�� �L'-�Gii�{1 �Q+9 V L�Lf iot•t
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EXISTING KITCHEN FLOOR PLAN, PROPOSED KITCHEN FLOOR PLAN
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE ,F Ea:I6�
COMMUNITY DEVELOPMENT DEPARTMENT•`BUILDING DIVISION IC IKJ
CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228• FAX(408)777-3333•building aOcuoertino.org
_---------�ess---) L1 9S_
AddrP A�
#`of Alarms spa: —' C aTbo7i Moiio 'de
PERMIT CANNOT I3I{
IALEDCdNLPLTEi3 I3NTi THIS CI+;RTIFICATE
3 ESN � R T rus T THE I; G DIIISI{flN
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 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 Slee in .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,Ihereby 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 thA terms and conditions of this statement
p�-g Owner-Agents me:
f r
ri nafure ...... ... ............>.
-oontra�oi✓.C�lecne: .......
Sri natufe. ? ?,.LLc.1# ........... Date::..................
Smoke and CO foin.doc revised 03118114
MATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT,BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333 buiidingCaD-cupertino.ord
Owner aiYy}e t ermit N o.f
CA-dafes
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.
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. -
Skip the rest of the form and sign bottom of form.
1 No Go to Question 3.
Is water service permanently disconnected for your building?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
KNo Go to Question 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.
es 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..
CSD ,Please check ONE of the following:
IJ Myproperty 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).
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.
(Owner or Owner Agent s S:'ignature;:' Da:'ee: i U`
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08/26115
BULLOING P K
gRi, �
_ :. F" 3. kit 7 x
Won®Compliant WatermConserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Usage/Flow Rate
Water Usage 2093 CPC Ch.4 2093 CPC Ch.4 2013 CPC Ch.4
/Flow Rate 2093 CALGreen Div.4.3 2093 CALGreen Div.4.3 2093 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
dater Closets Exceed 9.6 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 9.0
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 outle#to be in operation at a time.
Faucets— Exceed 2.2 gallons p Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60
Lavatory per minute minute @ 60 psi;minimum Maximum 9.5 gallons psi
Faucets 0.8 gallons per minute @ per minute @ 60 psi;
20 psi minimum 0.8 gallons
per minute @ 20 psi
r In common and public
l 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 @ 9.8 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
i
may 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 08/26/15