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Home My WebLink AboutB-2017-0045CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0045 23500 CRISTO REY DR UNIT 333D CUPERTINO, CA 95014-6530 (342 53 107) BAY AREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: LONGINOTTI JOHN F TRUSTEE & ET AL DATE ISSUED: 01/09/2017 OWNER'S PHONE: 650-537-1523 PHONE NO: (408) 238-5043 LICENSED ONTRACTOR'SDECrARATION BUILDING PERMIT O: License Class B Lic. # 1 17 Contractor BAY AREA ENTERPRISE Date 03/31/2017 X BLDG X ELECT X LUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENT _ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: UNIT 333D - INSTALL LIGHT FIXTURES (7); UPGRADE BATHROOM FANS (2); GRADE SHOWER PANNALVES (1); 1. I have and will maintain a certificate of consent to self -insure for Worker's UPGRADE OUTLETS/SWITCHES (42) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' 2. -.'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: V luation: $6500.00 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: O cupancy Type: and state laws relating to building construction, and hereby authorize 342 53 107 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. Additionally, the applicant unders ands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations pelt -M eruno Municipal Code, Section 9.18. 180 DAYS F PECTION. Signature" s • - ""'Date 01 /09/2017 Issued by: MELISSA N E r OWNER -B 1ILD R DECLARATION Date: 01/09/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF -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: 01/09/2017 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDMATERIALS 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardou 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 & Saf ty Code, Sections 25505, 25533, and 25534. I will permit is issued, maintain compliance with ke 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, S ction 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, sho Id I use equipment or devices which emit hazardous air contaminants as definei by the Bay Area A�i'uality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance w th the CupeX,tino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Corjg dons 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall P be deemed revoked. Owner or authorized agent:, APPLICANT CERTLPTCATION Date: 01/09/2017 ,' 7-, 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 Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 01/09/2017 Licensed Professional CONSTRUCTION PERMIT APPLICATI01v-� COMMUNITY DEVELOPMENT DEPAR I MENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-325.5 B mt—t INO (408) 777-3226 - FAX (408) 777-3333 - buildingnwouperfino.org cu , . EINEWCONSTRUCTION, n ADDMON 'FLIXERATIONI/T1 M Ri � nVYr!TNTAI PROJECT ADDRESS x;i <-gb 4b k 3 33 6*3 /0 Z- 01VN—ER NAME PHONE kl[AIL -rho. f6r 0A M C1,430)RSC -COCA STREETADDRESS CON'rACTNA'41IE&%._CA :Fe.;_5* V PHONE q 2. 3 -Per 7-k c 0 @ STREET ADDRESSOF C> -1 In C' Vtr4 I NA CITY, STAIT_ ZIP FAX V 0 OWNER 0 OWNER -BUILDER 0 OWNERAGENT O'CONTRACTOR 13 CONTRACTOR AGENT 0 ARCHrrG 0 ENGmErR 0 oiivrLopen. 11 -rENANT CONWRACTOX'NAME 6t -a Q *:�- k' �- LIC NMIBER 1' LICENSE SET'-'� BUS. -4 2 R CONIP.LNY NAINIC J f CA rt4na qkG�S4-- -c 0' k Fxx S7 REEi DRESS 1-Uxul Crr?, STA M, ZIP PHONj- ARCHrIT-CT1CNGINEERrNAA4E LICENSE NUMBER BUS. LIC ff COINIPANY NAME FAX STREET ADDRESS CITY, STATE, ZIP PHONE K DESCRIPTION OF JRK RLj... W W L 1, 0 te-,L e s s a 4 1Z 4 Q(�V_ Ard d e 8 RGI&K L"R'rs Glec+h'rc. I ayl lets wt�v' u r Fet 5 %A A TP 7RL's 13 TNVUPROPOSED USE EMSSE CONSTR. TY#t '-sTMi?T- 7 1 USE TYPE OM 1 " SQ.Fr. VALUATION (s) F-XMG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER RPNIODEL AREA REMODEL AREA REMODEL AREA PORCH RWARFA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: [3 DETACH I ]ATTACH_ #D%VELLINGUNtT IS A SECOND UNIT OYES SECOND STORY ORES BEINGADDED? ONOADDITION? ONO PRE -APPLICATION OYES IFYES,PROYIDECOPYOF ISTHERLDGAN 0 REC TOTAL VALUATION: I", PLANNINGAPPLO []NO P""INGAPPROVALLEITER EICHLER HOAIE? (0 5_?I� '-- By my signature below, I certify to each of d follow' Rg: I am the property owner or autbohizagent� to act lep owners behalf I have read this "e application and the information I have provided is cohAct. I ha -md the Description ofWork and ver' is agree to comply with all applicable local ordinances and state laws relating to buildingPIction. I a rite representatives of Cupertino to r e above -i tiffli property for inspection purposes. t' Signatureof Applicant/Agent. SUPPLEMENT4(L INFORMATION REQUIRED PLAN CHECK TY 4 F ROUTING SLIP 0 OVER-THE-COItNTFIt 171 BUILDING PLAN REVMV Nevxl SFD or Multifamily dwellings: Apply for demolition permit for misting building(s). Demolition permit is required prior to issuance of building permit for neer building. F1 r-,PRrss n MANNING PLAN REVM, N Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 11 STANDARD 11 PUBMWORKS ian_u if any Hazardous Materials are being used as part of this prcject- III LARGE 0 FIRE DEPT Copy of Planning Approval Letter or Meeting With Planning prior toI 171 AUJOR SAIiITARY SEWER DISTRICT submittal of Building Permit application. EN-VIRON&UNTAL HEALTH Bld&4pp_,?011.docrevised O6l2]llI SMOKE f CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300TORRE AVENUE CUPERTINO, GA 95014-3255' (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org 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, alter":ations, 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: e 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 eachs.leeping 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, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturers instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: �g (f T® �1G � �� Permit No. — ( C` Specify Number of Alarms: # Smoke Alarms: # Carbon Monoxide Detectors: An— -1 -4 nnrnc to rmmnly miith tha tarmc and cnnditions of this statement owner (or Owner Agents) Name: r Signature. ..................................................... I .................................... . ............. Date: .. .. ................................................. .. Contractor Name: �— Signatur ..... .............................. Lic.# .......... Date: ................................................................................. Smoke and CO forrmdoc revised 09/27116 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION iQ3QQ TQRREiAVGNL11=- . CUPEi2T{N0, CA OGW 4-3206 (408) 777-3228 FAX (408) 777-3333 a buiiding(cDcupertino.orq t I.- I Y3-;# Ain PIA your real property a registered historical site? ,kEl Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the forge and sign bottom of form. No Go to Question 2. 2.' roes 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? D 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. 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. [;�-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 form 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 tbrough 1101.8 apply. Check one of the three following statements and sign bottom of form.. I �y� 5. 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-compliant plumbing fixtures Ito be replaced witl-i water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- cogripliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardlessof 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 cormnercial real property. See Civil Code Section 1101 a5. 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. Qn or before January 1, 2019, all non-compliant Numbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or umrovegnents). t I, as the owner or owner's ager_t of this property, certify under penalty of pegury that non-compliant plur��bing nxhu es 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 instedlatIdn requiminuiits, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following a e. Owner or Owner Agent's Slgnature�,: C3ate: Upon completing and signing this CertiiFcate, please return it to the Building Divisioni i order to final your building permit, SB407 2015.doc revised 08126115 t a