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B-2016-2567
CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: PERMIT NO:B-2016-2567 1B 544330 DAR TREE CT CUPERTINO,CA 95014-2b03(316 34 021) ATKINSON CLIMATROLLERS INC SAN JOSE,CA 95112 OWNER'S NAMES GA CKIERE GHISLAIN AND ESTELLE DATE ISSUED:08/23/2016 OWNER'S PHONE:408-874-5877 PHONE NO:(408)294-6290 LICENSED CONTRA CTOR'c DECLARATION BUILDING PERMIT INTO: License Class C-20 Lit.#258540 ContractorATKINSON CLIMATROL FR- INC Date 12/31/2016 X BLDG X 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: UPGRADE PANEL(200 AMI');SAME LOCATION I hereby affirm under penalty of perjury one of the following two declarations: i. 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 wil)maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this p d. permit is issue,) Sq.Ft Floor Area: Valuation:$3950_.00 APPLICANT NT CERT ATION 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 316 34 021 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 all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all.non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS PECTION. Signature', '/�G� lin Date 08/23/2016 Issued by: N Date:08/23/2016 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: j 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.70444 Business&Professions Code) 2. 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:08/23/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1, I 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 willmaintain 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 permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. 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 empl' anyerson in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous employ p 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 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent. APPLICANT CERTIFICATION Date:08/23/2016 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. Signature Date 08/23/2016 Licensed Professional GENERAL PERMIT APPLICATION MER COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPEIFCT1 .01 (408)777-3228 FAX(408)777-3333•building(c7cupertino.org misc Zv PLUMBING MECHANICAL ELECTRICAL MISCELLANEOUS &T CPROJECT ADDRESS APN# *' 3L4r o OWNER NAME PHONE E-MAIL STRE .ADpRESS CITY, STATE,ZIP FAX '� _ � ---�� CONTACT NAMEPHONE Y EMAIL STREET ADDRESS } A I CITY,STATE;ZIP pq 9✓/ FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMELI ENSE NUMBER LIC NSE TYPE BUS.LIC# COMPANY NAME 1/ L" �- E-MAIL FAX IJ Cn STREET ADDRESS 1 CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑. MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN El YES IS THE BLDG AN ❑YES BUILDING: COMM$RCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK ®� A (--6c TOTAL VALUATION: 1 ��A � � � N411, � w� k.. By my signature,below,I certify 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 bu'ding construction. I aut orize representatives of Cupertino to enter the above-identified property for inspection purposes. ,p,�� /� y Signature of Applicant/Age it: - '� 7� Date: / ;ld',�/ I SUPPLEMENTAL INFORMATION REQUIRED � 5 c r -W,�11'11UMPWW1,A MEPMiscApp 201 Ldoc revised 06121111 SMOKE /QONOMDE OWNER l -/,• ME COMMUNITY'DEVELQRMNTtDEPARTMENT-BUILDING DIVISIGIN PER .N0 10300 TO'RRE AVENUE OU2!PERTIN'G,,GA 05014-3255 (4a8)777'-32,28 m 1=AX'(�0'8.)fi77-3333.►�butl�lrrq(�cwpr�rtiao orp T - -- x.56 �- Zis affi -aVi rs a self-certification for the n8tallat10A of all required Smoke and Carbon Monoxide Alarms for coznplra tce�witI 20f3 C-RC Section 18314,2013 CBC Sections-420.6 and 907.2.11.2 where rico interior access for n gpections are required.. l xrat�g sing.le-fa y and multi-family d-wellinf s slian, be provided.with.Sma e Alarms an,d Carbvz IVEe allaxoims r em,the valuatio`t of additlons,alte'ratio,ts,or repairs to existing dwellirug ,;Yts eXceeds X1.0 a©`0.CRC S csfi- `m 19,14 and 08C S•ecfio-As 907 2:x1.5 and 420.6 require-that S-mcke Allavins aid/air Carbo _ 6 IvIdovvx de Al}a fsbe,installed in the fol Win-g locafioug: E SDUDIKE MAW COp (Nesilldel 4 each separate sleepling.area in the imrnedtate vicinity of thie X ' c b�d�r:©om ms`s i � 0` e�ez� lle�el,of adwell�i� uni=t�mcluclnn basements Ca4rb'ov,, !Iao ,wddle all arrms.are r,t,ot re untied ilk,dwelN A-p,1 hmjic�it S.O.,It,0 c 0 a # g, d ortitain fuel:b zrn g a plaices MA that de vvffitave a atxtat,l>±ez s ;arra e. Ca bvv < <ornoa�cle ala�rin�coo E tee{� =t= g g b d wi�tli s�xmo�e�alla�rm�slnnall�co�mupZy w�;� CBC Secfi67m V0:6,olid slna:!t be aplTaved by flue Office of fine Male Fke Marshal Power Sp�?l l`n d� velllu > unmis wittf�i no)coeYcia�I_ wer_s _ ��; , -,� -TY ,.alar E . -b --ill-e--Ars dwe s lmpg,rzrmfs,aTTarvn}s me'penWelI—tale soTl7 baktezy ogeratied wvleze repairs or a;Ltera4ot1=&d�> i of resnl' the removal of walls . Edi ce l mg f ns cs®r fiheYe is iso.access,by me: ns of attic,bfasex+M-F&01'cra At s,�ice laefer too CR'C S`ecfion I�3�14 arnd CBiC Secfi�ons 90�T. ' � € il P = 2:1..1.4 and 420c 6:,2..Air eectrical pe t:_ is.req=nye �toy - ala�rms=wlicLM a<�xst be collected toi flie°biz+t,ting w�runb. — AAs,owner of&ke aUove refetextcecl Fifulverty,.,llfterebyr ce=rtify&atfl e alarm;(mfereneed aTD,@v h6a&/ ave,been F +,4 t /' hTTstalll}edl�.accordance}with fine man,�an,ulfa,tuner's:Inst °.fimss aa.1,d in eamp5ance w/itihl e Cal olrmia'g-1 ld b axtd CaT%fia.,REsiTd`.enytitaL C'®;?es. Illsie alarnnsc Dave l eexl tes.tecl a�zd aye al?=erat orals,.ads of film date sig Zed± BeTow:, l;haueread;arrdta�<ree=Ga>carra :G,vr��l�7ihe�t�rms_and;conditions,of�fliissfalirnen.-t� • _ aF�f3 Lr Llc ` ate WATER-CONSERVING PLUMBING FIXTURES FILE IQ OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPE:RTINO 10300 TORRE AVENUE a CUPERTINO,CA 95014-3255 x(408)777-3228•FAX(408)777-3333 build! g(d-cuaertino.or4 OwnerName PermitNol _ ?41 256 . Address 1. Is your real property a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. N014o 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. Skip the rest of the form and sign,bottom of form. u,No 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. j 41.No 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 foram 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. Please check ONE of the following: yproperty 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 _ _ _plumbingfibeplaedwitwterconevinglumbing_ tures__._—_._—_;_—_ —__.—__x , r _ 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)'.. El My property is a commercial real properly. 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 1101.1 through 110.1.8,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 ,Me. Owner,or:Owner Agent's.Signature: Dalo�; Upon completing and signing.this Certificate,please return it to the Building Division in,order to final your building permit.. SB40'7 2015.doc revised 08126/15 - ..... m<-...,.m,-,.., .,...-.m .� ""x._:' ..��x"v&ive�vw'z`..a..Fa .�.�'w..."�.`.-3.,''f..�-,-,—.�...,"`=:as7--•'��'�)yt.;C F-- Non-Compliant ! Water-Conserving Plumbing Fixture Plumt!n Fixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usa.e/Plows mate Nater Usage 2093 CPC Ch.4 2093 CPC Ch.4 2093 CPC Ch.4 /Flow mate 2093 CALGreen Div.4.3 2093 CALGreen Div.4.3 I 2093 CALGreen Div. 5.3 Single;- amily Multi-Family Commercial Water Closets Exceed 9.6 Residential Residential (Toilets) Single flush toilets: 9.28 gallons/flush Gallons/flush Dual flush tollets: 9:28 gallons/flush effective flush volume(the composite, Urinals avers e flush volume of two reduced flushes and one full flush 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 onlyone shower outlet to be in operation at a time, Faucets— Exceed 2.2 gal on Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute Faucets 60 psi; minimum Maximum 9.5 gallons ,psi 0.8 gallons per minute r! per minute u@ 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 9.8 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 160si Faucets p @ 60 psi psi F 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 i 9.8 gallons per minute @ default to maximum 60 psi 9.8 gallons per minute i Where faucets meeting @ 60 psi E 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 lover than the figure shown,it is not required to be upgraded, ,SB407 2015 doc revised 08126115