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Home My WebLink AboutB-2017-0229CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0229 22100 WALLACE DR CUPERTINO, CA 95014-0125 (326 03 037) ONE DAY COMPLETE REPIPE SAN JOSE, CA 95112 OWNER'S NAME: LEE CHUEN E AND GENE H OWNER'S PHONE: 650-279-6202 LIICENSED CONTRACTOR'S DECLARATION License Class C-36 Lic. #885692 Contractor ONE DAY COMPLETE PIP Date 10/31/2018 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. I hereby affirm under penalty of perjury one of the following two declarations: 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. rj,"'T have and will maintain Worker's Compensation Insurance, as provided for by C ' Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 and state laws relating to building construction, and hereby authorize 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 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 2/8/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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 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. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 and state laws relating to building construction, and hereby authorize 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 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18, Date 2/8/2017 DATE ISSUED: 02/08/2017 PHONE NO: (408) 603-0554 BUILDING PERMIT INFO: X BLDG —ELECT X PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: SEWER MAIN; CLEANOUT Sq. Ft Floor Area: Valuation. $7000.00 APN Number: Occupancy Type: 326 03 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF -PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyA ev nde Date: 02/08/2017 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 2/8/2017 TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, S/ectioonns25505, 25533, and 25534. Owner or authorized agent: / Date: 2/8/2017 CONSTRUETION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as! public records. Licensed Professional GENERAL, PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 -FAX (408) 777-3333 - building(c)cupertino-org ,-�PT TITAA-RT F� MECHANICAL 7ELECTFLICAL MMISCEELANTEOUS MISC PROT. AD ArAPNr 3-z(o ob or} OWNER NAME E CITY, STATE, ZIP FAX =T1II 9 4 AD 0a CONTACT NAME CU44&r PHONE E-MAII STREET ADDRESS CITY, STATE, ZIP FAX 11 o ER n OWNER-BUEDER ❑ C)VPTR AGEN`T,,1da -MkCTOR 13 CONTRACTOR AGM -r M ARCHITECT ❑ ENGI14TER ❑ DEVELOPER ❑ TENANT CONTRACTOR N.A1,E—'q LICENSE MAGER _e,SV _R LICENSE TYPE r BUS. LIC# bol— -41 E-TICku- FAX STR j',ADDRI SSS CITY, STATE, PHONE ARCHITECT/ENGINIEERNAME LICENSE NUMBER BUS. LIC COMPANY NAME FAX STREET ADDRESS CITY, STATE, ZIP PHONE uSE OF V-,FDw1)LPLEX El MULTI�AMII.y PROTECT W WRDLA-1,M ❑ YES PROTECT IN ❑ YES D IS THE BLDG ANT EICHLERHOME? ❑ 1v0 BUILDNIG:13 cObOiERcL"L URBAN INTERFACE AREA ❑ NO FLOOD zoNTE No DESCRIPTION OF71WIlORK _X4 < 01-4 TO �TAL VALUATION: Www Byrnysignature b6low, I certifyto each of the following: I am the property owner or authorized agent to act on the property ovine 's behak. 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 lawsrelating-p-blutil—ding c,nstru tives of Cupertino to enter the above -identified property for ins ection purposes. _ SigatureofAliplicant/Age 1 Date ,,-9 SZUPPLFMENTAL INFORMATION REQUIRED 0". . ........ .. . .. STS, GE: MEP.AljiscAppj011.doc revised 06121111 CUPERTINO SANITARY DISTRICT 20863 Stevens Creek Blvd #100, Cupertino, CA 95014 Tel (408) 253-7071 • Fax (408) 253-5173 a San E;mar C a 0 UPERTIN SANITARY DISTRICT PERMIT LETTER Cupertino Sanitary District has adopted Resolution No. 92,63. Building Permit Request (Over -the -Counter) Single Family Project Multi -Family Project ❑ Commercial Project Project Address: Permit Number: Scope of WorkEi1_"7'L- Owne6Applicant Narr Add re; Date: 113 q— Authorized Representative 1, as property owner or authorized agent, acknowledge that all Cupertino Sanitary District requirements will be met and all required fees will be paid prior to the approval of final inspection for proposed project. Date: 1 -1i Signature: ner / Authorized Agent CUPERTINO SANITARY DISTRICT OFFICE USE ONLY Pre -inspection Required/Final A- Inspection Required Date Scheduled: Date: -;I-- �8-' 1-7 Conditional Approval By: Authorized Representative Cupertino Sanitary District District will notify owner of the required fee within 5 days after Pre -Inspection has been completed and cc City of Cupertino. Inspection Fee Paid Date Paid: �°-9 ?, Inspec ion Fees: $250/unit - Single Family Residential already connected, but new cleanout is required $150/unit - Single Family Residential already connected with existing cleanout in working order $350 Minimum — Commercial and Retail Actual Amount: O $200/each — Disconnect and/or abandon lateral service Connection Permit Fees: $350/unit - Single Family Residential connecting to existing lateral D $650/unit — Single Family Residential connecting with new lateral $100/unit — Multi, Hotel, Living Units, etc. Actual Amount: $500/connection - Commercial and Retail Actual Amount: Connection Use Fees (See Attached Calculation Sheet): Area and Frontage Fees Amount: D Residential Excess Fees over 3.5 unit/acre Amount: Commercial and Retail Connection Fees Amount: Commercial and Retail Change in Use Fees Amount: Date: _�2 - 3 - 7 Final Approval By: 4' Authorized ep esentative Cupertino rary District �r V CUPERTtNO SMOKE / CARBON MO -NOXI -DE ALARMS OWNER. CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacugertino.orq PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with -2016 CRC Section 8314, R315, 2016 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, R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installedin the following locations: AREA I SMOKE ALARii2 CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) XX On every level of a dwelling unit including basements and habitable attics X :—�—� Within each sleeping room _ X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-bunuzg 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) maybe solely battery operated. La 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 ox,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 in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are. operational, as of the date sign Address: zed below. 119 Permit No. 9 -20)�:M Specify Number ofAlarms: # Smoke Alarms:_ # Carbon Monoxide Detectors: / have read and agree to cpmp/X with the terms and conditions of this statement O% (or Owner Agent's) Name: 4f V1 Sinat................................................................... .......................Date:.................. ontractor Name: r &9naA........................................................ Lic.# . �(G..... .. at .... v - v S Smoke mrd CO fonrr. doe revised 0111012017 CUPERTINO Owner. Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMET DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CPPERTINO, CA 95014-3255 -3228 • FAX (408) �77-3333 • building(a�cupertino.org No. 0/N e 1. Is your real'property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101: do not apply. Skip the rest of the form and sign bottom of form. -'LJ�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 plunbimg 5ixtures is not technically feasible? Yes Civil Code Sections 1.101.1 through 110 i.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. Date: ` 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 110 1. 1 through 110 L. No Go to Question 4. do not apply. Skip the rest of the form and sign bottom of form. 4. Is your real property built and available for use or o6cl panty on or before January 1, 1994? ❑ No My real property is built and available for se or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101. do not apply. Skip the rest of the form and sign bottom of form. S My real property is built and available fob i ise or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.E apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: My property is a single-family residential real pr (ol On and after January 1, 2014, building alteration,, to be replaced with water -conserving plumbing fix compliant plumbing fixtures shall be replaced property undergoes alterations or improvements). ❑ My property is a multifamily residential real prope On and after January 1, 2014, specified building a plumbing fixtures to be replaced with water-consae On or before January 1, 2019, all non-compliant p: conserving plumbing fixtures throughout -the build improvements). ❑ My property is a commercial real property. See C On and after January 1, 2014, specified building a plumbing fixtures to be replaced with water -cone On or before January 1, 2019, all non-cornplia plumbing fixtures throughout the building (regard) -rty. See Civil Code Section 1101.4. or improvements shall require all non-compliant plumbing fixtures ures throughout the building. On or before January 1, 2017, all non- ;vith water -conserving plumbing fixtures (regardless of whether See Civil Code Section 1101.5. .tions or improvements shall require non- compliant g plumbing fixtures. Bing fixtures shall be replaced with water - (regardless of whether property undergoes alterations or L Code Section 1101.5. •ations or improvements shall require non- compliant ng plumbing fixtures. plumbing fixtures shall be replaced with water- conserving of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, cert 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 Plumb' d and California Green Building Standards Code, and manufacturer's #irig'pluinbing installation requirements, and that the water cfixtures comply with the requirements as indicated in the table on the following age. Owner or Owner Agent's Signature: Date: ` Upon completing and signing this Certificate, please returri it to the Building Division in order to final your building permit. SB407 2015.doc revised 08126/15 1. If the existing plumbing fixture water usage/floe rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 201 S. doc revised 08126115 Non-Compliant Water-Conserving Plumbing Fixture PlumbingFixture (Fixture 'Com plying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CP!C Ch. 4. 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 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 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons peI 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 outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 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 — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 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 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/floe rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 201 S. doc revised 08126115