The URL can be used to link to this page

Home My WebLink AboutB-2017-0543CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0543 10236 CAMBERLEY LN CUPERTINO, CA 95014-2633 (342 42 014) F W HACQUISITION CO LLC BOTHELL, WA 98011 OWNER'S NAME: HARANGHY MIKLOS AND CHARLOTTE DATE ISSUED: 04/05/2017 OWNER'S PHONE: 408-257-8686 PHONE NO: (425) 636-7078 LICENSED ONT A TOR'S DECLARATION BUILDING PERMIT INFO: License Class PLUMBING Lie. #987398 Contractor F W H ACQUISITION CO LLC C Date 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: 40 GAL WATER HEATER - SAME LOCATION I hereby affirm under penalty of perjury one of the following two declarations: m. 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 A 11 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $1475.44 APPLICANT CERTIFICATION I certify that I 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 342 42 014 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 Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. /the Signature Date 4/5/2017 Issued by: AbbyAyende OWNER -BUILDER DECLARATION Date: 04/05/2017 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 m. 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: 4/5/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER m. 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. 1 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(x) 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 Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sectio&ns�- 5505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall _1 be deemed revoked. V[U� Owner or authorized agent: 1' APPLICANT CERTIFICATION 1:_,� ®ate: 4/5/2017, 1 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 DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 4/5/2017 Professional 11�43 GENERAL PERMIT APPLICATION E P COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO a L- PLUMBING F— MECHANICAL nELECTRTCAT. I—IMTSCF.T.T.ANTPOTTR (408) 777-3228 •FAX (408) 777-3333 • buildinaCa.cupertino.or PROJECT ADDRESS Zp I _ ( ��pQ�g [ ��7PN# �E-MAIL OWNER NAME�e6 �� ! a p A.r 1•-11 � \1 PH NE 4,F_ ✓7�q_ �I^'j . �J "�YJ`A�, j STREET ADDRESS r CITY, STATE, ZIP FAX CONTACT NAME V)A f,� PHONE (0,*I5;1 STREET ADDRESS n ITS, 5 4TE, ZIP �x , lti �q� �,❑ 4� 1ARCHITECT F@� r❑ ❑:�ENG)INEER ❑ OWNER ❑ OV,'NA2-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ DEVELOPER ❑ TENANT CONTRACTORNAME ® SE NUMBER � � L SE TYPE ,p ,S BUS. LIC `Z� COMPANY NAME E-MAIL FAX n STREET ADDRE�Ss� �y t 'a # I� 4 q . �`✓ ` t� CITY, STA'j, ZIg 00 ^`s\ E 4- ARCMTECT/ENGINEER NAME LICE SE NUMBER` Q� 1 �L LIC COMPANY NAME E-MAIL FVAX/ STREET ADDRESS CITY, STATE, ZIP PHONE USE OF or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK ,�,, p p Q0 TOTAL VALUATION: P RECEIVED BY: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property ow er's behalf. 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 laws relating to building constructi n. I authorize representatives of Cupertino to enter the above -identified for inspection purposes. Signature of Applicant/Agent: l Date: ®I 1 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE oniY ❑ OVER THE -COUNTER . . . F _ - ❑ EXPRESS j v ❑ STANDARD .a El' L4RGE ❑ MAJOR MEPM1scApp_2011.doc revised 06121/11 Le"s 24 ]d z[•7 WATER -CONSERVING PLUMBING FIXTURES 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 �M�n ^ �n� � Owner Name M I � L Gr(77= �C} Permit No. 2jD V Address /h 2{3 c,2camsEki.Ex <-N. co r14n N j Ch gso i 4 1. Is your real property a registered historical site? ❑des 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 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. C3 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. C3'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. O Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. PPlease 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 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 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 whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify un enalty of per'ury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -c erving 1 dance with Civil Code Sections 1101.1 through 1101.8, the current Cali mi lumbing Co e and California Gr n uilding Sta ards Code, and manufacturer's installation requirements, and t at the t r conserving plumbing fix co i e requirements as indicated in the table on the following nage. I Owner or Owner Agent's Signature: — — \I— ,I I Date4&p . V f ) . /j,) I Upon completing and signing this Certificate, please return it to the Buildi* nipision in order to final your building permit. SB407 2015.doc revised 01105117 1. If the existing plumbing fixture 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 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 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 per 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 i In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 p s _ (—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/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