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B-2016-2557CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2557 23500 CRISTO REY DR UNIT 118D CUPERTINO, CA 95014-6522 (342 53 036) BAYAREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: GIANNONE LEE TRUSTEE & ET AL DATE ISSUED: 08/2412016 OWNER'S PHONE: 650-57-1523 PHONE NO: (408)238-5043 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License ClassB Lic. #817817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 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: REPLACE (5) LED RECESSED LIGHTS; UPGRADE BATHROOM I ereby affirm under penalty of perjury one of the following two declarations: FAN; UPGRADE (20) OUTLETS; UPGRADE (8) SWITCHES 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. z 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: Valuation. $4500.00 APPLICANT CERTIFICATION certify that 1 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 53 036 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 accrueainst said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, a applicant under% nds and will comply with all non-point source regul ons per the pertino Municipal Code, Section 9.18, J 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 8/24L2016 Issued by: ABBY AYENDE OWNER-Bl;"ER DECLARATION Date: 08/24/2016 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. 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 (Sec.7044, Business & Professions Code). Date: 8/24/291 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. 1 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements u r 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, 33, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal ode, 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) sh d I s re or handle hazardous 'ces shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equi t or d which emit hazardous air contaminants as defined by the Bay Air Qu�itity Management District I Worker's Compensation laws of California. If, atter making this certificate of will maintain compliance with the Cuper o Municipal Co Chapter 9.12 and exemption, I become subject to the Worker's) Compensation provisions of the the Health & Safety Code, S s25505 3, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. F Owner or authorized agent: APPLICANT CERTIFICATION " Date: 8/24/2016 1 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 and state laws LENDING I hereby affirm that there is a constructioler�din agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued ( ec. 30 7, 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 DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date $12412216 Professional -1 CONSTRUCTION PERMIT PPLIC T h. -- COMMUNITY DEVELOPMENT DEPARTMENT , BUILDING DIVISIOiV 10300 TORRE AVENUE - CUPERTINO, CA 95414-3255 CUPERT040 (408) 777-3228 - FAX (408) 777-3333 - building cupertino oEq ItiTEbV CQNSTRUCTIQN Q rYDDTFIONTERtiT10i�i 0 TI ❑ REVISION I DEFERRED ORIGINAL PERMIT #. PROJECT ADDRESS 3e AA . 1,21313 5-049 Cv'c7 ...yam .D..l v APN# 3#2--53 —o �.G -. 0117IER NAMIL PHONE i � �� .'� (/� (s _ g .. 1 S" Z3 Ire-\itlL � a � � �T�'! a '�aYta �► STREET.ADDRESS CrrY STATE ZIP STA, TF CONTACT NAME - - . � -Fe r 5� PHONE E-MAIL J a -�3 g —Sio3 r� y/ STREET ADDRESS t )i'i C1 r CITY. STATE, ZIP Z 1 L K tR s1 FAX O OWNER 0 OWNER -BUILDER ' ❑ OWNERAGENT � CONTRACTOR COCONTRACTOR AGENT 0 ARCHITECT Q ENGINEER DEVELOPER ©TENANT COP I tiACTORNA21 iE LICENSE NUMBER , LICENSETYPE BUS. LIC iF COIvn'ANYASIE� E 1L41f. r� t rk :! f� V%e CA_ r }� FAX STREEFADDRESS 2-1-10 CrrY, STATE, ZIP N eQ.Si. Y ARCHf ECTlENGtNEER NAME LICENSE NUMBER YJ SUS" LIC R COMPANYNA1111 &A,1AIL FAX STREErADDRESS CITY STATE,ZIP PHONE DESCRIPTION OF t k . , ra de CIet-ht-,`eaL # u tef-S w►}kTP � 9- :. EX1S SE - ROPOSED USE CON.STR" 9 ST ftIrts E.XISTG NEW t=LOOR -DENIO :.. TOTAL ` AREA .AREA AREA - NET AREA USE TYPE OCC_ SQ -FT- - VALUATION (S) - BATHROOM KITCHEN OTHER - - REMODEL AREA REMODEL AREA REMODEL AREA. PORCHAREA DECKAREA TOTAL DECKIPORCH AREA GARAGEAREA 0DEFAcH n []ATTACH." # DWELLING UNITS_ ISASECONDUNIT [LYES BEINGADDED? ONO SECOND STORY DYES ADDITION? ONO - PRE -APPLICATION OYES I YES, PROVIDE COPY OE iS THE BLDG AN El YES RE LVED By:. - - TOTAL VALUATION_,— PLAi1TIiNG APPL iI ONO PLANNING APPROVAL LETTER EICHLER HOhIE? ONO UATION,;/'- L - By my signature below, I certify to each of the foilolti" g. I am the property owner or authorized agent to act on till -property OlVller's behalf. I have read this application and the informatioing have provided is co ct- I ha cad the Description of\'York and verify it is accurate" I agree to comply with all applicable locaordinances and state laws relatto building can etiorL T a Drize representatives ofCuper[ino to enter the abave-ide till%ed roperty for inspection purposes" Signature of ApplicantfAgent: (pal �1 P1I 1 SUiPPLEMENT INFORMATION REQUIRED Ne\v $FI3 or Multifamily dWellirigS: Apgly'fOFdemolition permit€Or existing building(s). Demolition permit is required prior to issuance of building permit forne-%v building. PLAN CHECK TYPE ROOTING SLIP [} OVER -THE COUNTER Q r"PRESS ©$I}It DING PLAN REVIEW 0 PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure forrD i€any Hazardous Materials are being used as part of this project _ Copy of Planning Approval Letter or Meeting With Planning prior to snbtnittal of Building Permit application. D STANDARD ©. L'4.RGE 0 MAJOR 0 PUBLIC WORKS 171 ffIIIE BEPT © SANITARY SEWER DISTRICT ❑ F.---RONMENTAL HEALTH Bldgl4pp_2OII.doe I•evised (16121111 CUPERTINO Owner Name COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • buildingaacupert! no.org L 1 Irta!s4-,e Permit No. C , Address 'n sob ero� 1. Is your real property a registered historical site? El Ye - Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. o 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. NoGo to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes ivil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. o Go to Question 4. F 4. Is your real property built and available for use or occupancy on or before January 1, 1994? 0 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. 2­11es 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: El My property is a single-family resid6ntial real property. See Civil Code Section 1101.4. Ori 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 co t plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether operty 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 v^ther property undergoes alterations or improvements). I, as the owner or owner's agent of this property, c ify u der p nalty of perjury that non-compliant plumbing fixtures will be replaced.prior to date specified above with water o se g pl big fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing o e a C fornia Green Building Standards Code, and manufacturer's installation requirements, and that the water -co g umbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate, pease return it to the Building Division in order to final your building prmit. I= SB407 2015. doc revised 08126115 �. if Lie existing plumbing nxture 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 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CSC Ch. 4 Water Usage /Flow bate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Water Closets Exceed 1.6 Residential Residential' (Toilets) Gallons/flush Single flush toilets: 1.28 gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, Urinals Exceed 1.0 average flush volume of two reduced flushes and one full flush) Gallons/flush 0.5 gallons/flush 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of Showerheads Exceed 2.5 gallons per minute D.S. EPA WaterSense Specification for Showerheads i (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all Ishowerheads 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 — Lavatory Exceed 2.2 gallons per minute Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Faucets 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. �. if Lie existing plumbing nxture 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 CUPERTINO Address! t(t k SMOKE / CARBON,I° ONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 building(c"Dcupertino.org Permit No.'6 - (arhnn Mnnnxirle 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 bedroom(s) X X On every level of a dwellisi unit including basements X X Within each sleeping room - X ignature................ ................Lic.# ....... .: .. .._... Date .... ...... 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 `mall 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' , mpliance with t1 -Le California Building and California Residential Codes. The alarms have been testedpd e operational, as of the date signed below. / ., 4 --+n rmm�hi L HN. fig . anri rondi inns of this statement 1 110 VG /rIQ,., Auu atJ. ,.cri ,v --t-y .. ( r Agent's) Nam Owner o Owner .... 1 Si nature.............._J .Date. .... .... Contract, an N_ �J ' c i ignature................ ................Lic.# ....... .: .. .._... Date .... ...... Smoke and CO fonn.doc xevised 03/18114