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B-2017-0375CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0375 18930 TILSON AVE CUPERTINO, CA 95014-3655 (375 09 049) EFFICIENT WATER HEATERS INC SAN JOSE, CA 95110 OWNER'S NAME: LIU 2HENGAND CHENAIDONG DATE ISSUED: 03/07/2017 OWNER'S PHONE: 408-753-3638 PHONE NO: (408) 393-3187 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C=36 Lic. #1008381 Contractor EFFICIENT WATER HEATERS INCDate 10/31/2017 X BLDG —ELECT X 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 WATER HEATER (75 GAL) -GARAGE 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 fCompensation, as provided for by Section 3700 of the Labor Code, for the c I !' 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 e f permit is issued. V Sq. Ft Floor Area: Valuation: $775.00 APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 375 09 049 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 understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature n r Ys Date 3-7-2017 Issued by: Kim Dunbar I//# O R -B MD .R DECL RATION Date: 03/07/2017 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 (Scc.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Scc.7044, Business & Professions Code). Date: 3-7-2017 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 i. 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. 1 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 Are:} 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, Section 55 ,2'5533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. /� Owner or authorized agen"tf ' APPLICANT CERTIFICATION Date: 3-7-2017 i / �/ I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 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 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'Suseda DECLARATION Code, Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 3-7-2017 Professional COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(�DCUPERTINO_cupertino.org j3,2,017� ;m IS C rE PLUMBING ❑ MECHANICAL [:]ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS "�" �`� �® - APN # 3 J 6 9 6f OWNER NAME N JbIJ� 41' a® / Z PHONE �e?_�� E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE 7MArL STREET ADDRESS CITY, STATE, ZIP FAX s OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMG--%iC rte/ LICENQSUE NUMBER 3TYPE BUS. LIJ # '1 ¢' r COMPANY NAME NT�LOICyEClNi�-ScE E-MAIL �,.�Jt� &AX STREET ADDRESS 1 �5 9L CITY, STATE, r-�G � r �0 10 PHONE /f ro 1 fit` ARCMTECT/ENGINEER NAME LICENSE NUMBER BUS. L1C # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF S or DUPLEX ❑ MULTI-FANIILY BUILDING: COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLERHOME? ❑ NO DESCRIPTION OF WORK "� lJa, 4e° -- r TOTAL VALUATION: I By my signature below, I certify to each of the following: I am the prope wner or authorized agent to act on the property owner's behalf. I have read this application and the information I have p 1de is correct. I have re e Des "ption of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatingto ildin con traction. u e repro ntatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/AgeAt. Date: —7 Z S LEMTIAL INFORMATION REQUIRED OFFICE USE ONLY ❑ ovERnmH couNTER ❑ EXPRESS v ` ❑ STANDARD L3 ❑ LARGE c, ❑ MAJOR MEPMiscApp_2011.doe revised 06121111 s •,. SMOKE / 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(aDcupertino.org PER -MIT CANNOT BE FINALED UNTIL TATS CERTIFICATE HAS BEEN: COMPLETED, SWMD AND R HMID TO THE BUILDING DIVISION PURPOSE 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 CSC 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 8314, R315, 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) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit 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. In ex %mg 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 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 bel ow. o Address: T*" r9�11�p, , e'4-wo , �A ao Permit No. 8P2-017-0375 Specify Number of Alarms: # Smoke Alarms: F7_1 # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: / � Signature ...... .... ........ ............................................................................ Date: �l.�.J�..<1..... Contractor Name: Signature...................................................................... Lic.#........................................ Date:................... Smoke and CO form.doc revised. 01/10/2017 CUPERTIN Owner Name -zA ej Address 1 X'1,j 0 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 f {408) 777-3228 • AX (408) 777,-3333 • building a�cupertino.org L-t� ra�'f�,r�+��► Permit No 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 th form and sign bottom of form. yNo Go to Question 2. Does your real property have a licensed plumber certifying that, due to the age or confi ation 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 D 'vision. 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 th form and sign bottom of form. XNo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1 ❑ No My real property is built and available for use or occupancy after January 1, Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of tl Yes My real property is built and available for use or occupancy on or before Jai Civil Code Sections 1101.1"through 1101.8 apply. Check one of the three bottom of form.. Please check ONE of the following: `V Myproperty is a single-family residential real property. See Civil Code Section 11C On and after January 1, 2014, building alterations or improvements shall require al to be replaced with water -conserving plumbing fixtures throughout the building. On compliant plumbing fixtures shall be replaced with water -conserving plumbin; property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101 On and after January 1, 2014, specified building alterations or improvements shall rf plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced conserving plumbing fixtures throughout.the building (regardless of whether proper) 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 n plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be re plumbing fixtures throughout the building (regardless of whether property undergoe. 994, form and sign bottom of form. iary 1, 1994. statements and sign .4. non-compliant plumbing Mures r before January 1, 2017, all non - fixtures (regardless of whether non- compliant rith water - undergoes alterations or non- compliant laced with water- conserving alterations or improvements). I, as the owner or owner's agent of this properly, 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"pluinbing fixtures comply with the requirements as indicated in the table on the following age. eX e2 Owner or Owner Agent's Signature: Date: / Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26/15 1. If the existing plumbing fixture water usage/floe rate is equal to or lower than the tigure s iown, it is not requirecd to ue upgracien. SB407 2015.doc revised 08/26/15 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture/ (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC h. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreer Div. 4.3 2013 CALGreen Div. 5.3 - Single -Family Multi-Farr ily Commercial Residential Resident al Water Closets Exceed 1.6 Single flush toilets: 1. 8 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two redUCE d flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush 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 Sho rheads (A hand-held shower is considered a shower ead.) For multiple showerheads serving one showe , the combined flow rate of all showerheads and/or other shower outlets co trolled 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 operatioi 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 @ 6 psi; 20 psi minimum 0.8 gE lions per minute @ 2 psi In common and public use areas: 0.5 3allons per minute @ 6 psi 1.8 gallons per ninute 60 ppsi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per ninute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporaril up to 2.2 gallons per increase up to .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 11.8 gallons per h inute 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 achiev reduction. 1. If the existing plumbing fixture water usage/floe rate is equal to or lower than the tigure s iown, it is not requirecd to ue upgracien. SB407 2015.doc revised 08/26/15