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HomeMy WebLinkAboutB-2017-03356- CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0335 23500 CRISTO REY DR UNIT 317D CUPERTINO, CA 95014-6528 (342 53 096) BAY AREA ENTERPRISE SAN JOSE, CA 95148 OWNER'S NAME: BRAUNGER BETTIE B TRUSTEE DATE ISSUED: 03/02/2017 OWNER'S PHONE: 650-537-1523 PHONE NO: (408) 238-5043 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #51Z81 7 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 dcense is in full force and effect. JOB DESCRIPTION: UNIT 317D - INSTALL (N) RECESSED LIGHTS (6) AND (N) CEILING I hereby affirm under penalty of perjury one of the following two declarations: TRACK LIGHTS (2); (N) LIGHT SWITCHES (2) 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. ` zhave 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: $1895.00 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 342 53 096 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 appli nt understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulation„Ker the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. (/� Signa re Date/2/3 2017 Issued by: Abby A,e� nde Date: 03/02/2017 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 i. 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 ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date:/23 /2017 1 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 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. 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 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 Caper 'no Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Cod, tions 255 , 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall { be deemed revoked. -' Owner or authorized age APPLICANT CERTIFICATION Date:/2/3 2017 1 certify that I have read this application and state that the above information is CONSTRiCTION LENDING AGENCY correct. 1 agree to comply with all city and county ordinances and state laws 1 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/23 /2017 Professional (408) 771-3228 ® FAX (408) 777-3333 - buitdint? cucuoertino_ora L� NEW CONSTRUCTION [—] ADDITION TERATION t Tt l_I REVISION /DEFERRED ORIGINAL PERMIT # P OJECr2.,ADD3q2--— b DRESS {�/�✓ OL APN9 53 4 O'N'NER NAME ac�n c r / re lE LICENSETYTE PHONE �- !3'�� E,1IAii -Tks'. �Y6Jt M b RSC • C's t cAre FAS'. .STREEf ADDRESS - � V% SiREEF—C° ea R� Zl � STA e r --.MAIL FAX STREETADDRESS CITY, STATE, ZIP =PROM TOTAL CONTACT NAnFE 8•'+ PHONE mss $-n t if'�' -i'E`� STREETADDRESS �� vt CITY, SLATE, ZIP FAX ❑ owNER ❑ oWxFa-BUILDER ❑ OwNERAGENT OCONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TEN'A'QT COWPACTORMUME y� 6 t..— i'� L$ LICENSE NUMBER 17 i LICENSETYTE BDS_LICa CONIPANY NAMEE-AiAIL qrf t cAre FAS'. .STREEf ADDRESS CITY, STATE,7tP �} PHO ARCHITECTIENGINECRNAME LICENSENUMBER BUS_ LIC 9 COMPANIYNMvIE r --.MAIL FAX STREETADDRESS CITY, STATE, ZIP =PROM DESCRIPTION OF WORK( (.0)_ CQ _ �?2LJ (0 12 e e C e EXISTING USE PROPOSED USE CONSTR_ TYPE -STORIES I USE TYPE OCC SQ -FT- VALUATION (S)- EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NErAREA BATHROOM KITCHEN OTHER - - REMODELAREA REM00£LAREA REMODEL AREA PORCH AREA DECK AREA TOTALLDECKIPORCH AREA GARAGE AREA: DETACH QATTACH 9 DWELLING UNITS: ISASECONOUNrr ©YES SECQNDSTORY r1yES BEINGADDED? ©NO ADDITION? QNG Pvm-vPI.ICATtoN ❑YES IFYES,PROVEDECOPYOF iSTHEBLDGAN []YES RECEWEDBY: TOTAL VALUATION- &7�6 PLANNINGAPPL£ ©NO PLXNhNG-APPROVAL LSr E"LERKOEiE? ElNO /JQ (� ''�-- c (J / By my signature below, I certify to each ofthe fotlo� ' g: I am the property owner or authonzed agentto am on the property owners oenau I nave reaa mIs application and the information I have provided is ca L I hav d the Description o€Mork and verify it is accurate. I agree to comply with all applicable local Purposes - ordinances and state lax -m relating to bolding co coon. a orize representatives o€Cupertino to enter the above-ide 'Eed property for ins on purposes_ Signature of ApplieantJAgenC mate; SUPPLEMENT INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for p OVER-THE-COUNTER ❑ BUILDINYGPLAN REVIEW existing building(s)- Demolition petTnit is required prior to issuance of building permit for nein building. ❑-&XPRLSS ❑ PLANNING PLAN REVIEW, _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC wORES form if any Hazardous Materials ace being used as part of this project [ I Alto ❑ FIItE nEEI=Fr _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ IVIMOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application- ❑ ENVIRONMENTAL HEALTH BldgApp ?011•docrevised 06121111 PLJRPOlit; SMOKE i CARBON MONOXIDE 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(a)-cupertino.orq �I r This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with -2016 CRC Section R314, R315, 2016 CBC Sections 420.6 and 907.2.11.2 11=here 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, 8315, 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 iii the immediate vicinity of the X X bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling emit including basements and habitable attics X �X Within each sleeping 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. Irr existing dwelling units, alarms are permitted to be solely battery operated TA7here 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 iviring. 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 signed below. t �!� �- Address: _ 6'~ 1 �� Permit 1lTa.�l Specify Number of Alarms: r Smoke Alarms: t Carbon Monoxide Detectors: I have read and agree to compty withfthe terms and conditions of this statement Owner (or wner Agents) Name: .%� Si nature. .,t...�.. / s ..... ...... , Date: ! ...—. ContrabtorName: Si'gnature.................................................................. Lic.#t .......... ............................ Date: ................. N S7770ke and CO fbnn.doc revised 01/1012 017 CUPERTtNO Owner Name 01 4 Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • F/ X (408) 777-3333 • building(a)cupertino.org Jr^ l WDPermit No. IZ 1. 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. DO No Go to Question 2. 2. Does your real properly 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�r—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. 1_90No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ePNo 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 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: 'N 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 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 noxi -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 nnprovements). 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 Daae. Owner or Owner Agent's Signature: % V_ r—iN� Date: may— 0 y—, Upon completing and signing this Certificatetpfease return it to the Building Division in order to final your building permit. SB407 2015. doc revised 08/26/15