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B-2017-0597CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS:. CONTRACTOR: PERMIT NO: B-2017-0597, 10170 PARKWOOD DR APT 5 CUPERTINO" CA 95014-1412 (326 27 037) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLEN13ROOK LP OWNER'S PHONE: 650-961-8330 LICENSED CONTRACTOR'S DECLARATION License Class C-4:10. 20 36, 38 Lie. #256057 Contractor THERMAL MECHANICAL Date 01/31/2018 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. 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. 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 ermit is issued. 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,�e Cupertino Municipal Code, Section 9.18. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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. z. 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. 3. 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. Signature Date 4/19/2017 DATE ISSUED: 04/19/2017 NO: (408) 988-8744 PERMIT INFO: BLDG X ELECT X PLUMB MECH X RESIDENTIAL _ COMIERCIAI, JOB DESCRIPTION: BLDG #30/UNIT #5; ADD (1) A/C; REPLACE FURNACE, SAME LOCATION; (1) WASHER AND DRYER HOOK UPS; (1) ELECTRICAL SERVICE (70 AMP); (I) GAS LINE FOR STOVE; (I) RECEPTACLE OUTLETS; (1) LIGHT; (N) BATHROOM EXHAUST FANS. Sq. Ft Floor Area: I Valuation: $20000.00 APN Number: Occupancy Type: 326 27 037 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Aygnde Date: 04/19/2017 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: 4/19/2017 ALL ROOF COVERINGS 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 Cuper no Municipal Code, Chapter 9.12 and the Health &Safety Codec ' ns 2 05, 25533, and 25534. Owner or authorized Date: 4/19/2017 UCTI CTIONLENDINGAGENC 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 CZ- P1rT tI" CONSTRUCTION PERMIT APPLICATION COMMUNI TY I EVELOPIVIENT DEPARTMENT Q BU[I-DING DIVISION � 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (403) 777-3333 ❑ NEW CONSTRUCTION ❑ ADDITION [91 ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 10170 Parkwood DR, BLDG 30, Unit #5 APN-9 OWNERNAME Avery Glenbrook LLC PHONE 650-961-8330_ E-MAIL avery@pacbell.net STREET ADDRESS 130 East Dana Street CITY, STATE, ZIP. Mt. View, CA 94041 FAX 650-961-0571 CONTACT NAME Rob Moyer PHONE 408-593-811-5:,..-E MAu- r-rnoyer@thermalmech.com STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 FAx 408-988-0233 ❑ OWNER ❑ OWNERBUILDER❑ OWNER AGENT CK CONTRACTOR ❑ CONTRACTOR AGENT _❑.-ARCHITECT ® ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Thermal Mechanical LICENSENUMBER 256057 LICENSE TYPE C-4,10,20,36,38 BUS. LIC k 299 cOMPANYNArvrE Thermal Mechanical E-TVIAIL rmoyer@thermalmech.com FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE, zIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCHTTECT/ENGTNEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK add new AC, replace furnace in same location, (N) washer/dryer hook ups, (N) electrical panel (70 AMP), (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathroom exhaust fan EXISTINGUSE PROPOSED USE CONSTR. TYPE 9 STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG__�] NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTALDECK/PORCH AREA GARAGE AREA DETACH []ATTACH #DWELLINGUNITS: IS A SECOND UNIT ❑ YES SECOND STORY []YES BEINGADDED? ❑NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPROVAL LETTER IS THE BLDGAN ❑ YES EICHLERHOME? NO RECEIVED BY: TO VALUATION: PLANNING APPL# ❑NO By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner'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 co ction. I authorize representatives of Cupertino to enter the above-ide ified property for inspection purposes. Signature of Applicant/Agent: Date: j SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06121/11 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(c)rupertino.org FJ�' o r"7, P�� 14 :� ON PUUOSE Thi is affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for %-ompliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for insucctions are required. GENERAL INFORMATION ?Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon i Aonoxide alarms. When the valuation of additions, alterations, 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 Aono,xide Alarms be installed in the following locations: f .AREA _ _ SMOKE ALARM CO ALART I Outside of each separate sleeping area in the immediate vicinity of _ X X I the bedroom(s) I On every level of a dwelling unit including basements L_Within each slee}?in room X X-- Carbon Monoxide alarms are not required in dwellings which do.n.ot contain fuel -burning appliances and ti tat rdo riot have an attached garage. Carbon monoxide alarms combiuned with smoke alarms shall comply with k. -'.BC Secton 420.6 and shall be approved by the Office of the State Fire Marshal. .Poc'er Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery. operated. Tri. existing dwelling units, alarms are permitted to be solely battery operated Where repairs or alterations do n.ot 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 wluch must be connected to the building wiriung. As o1A.7ner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed n'accordancewith .the manufacturer's instructions and in compliance with the California Building arad California Residential Codes. The alarms specified below have been tested and are operatioinal, as -of the date signed below'. Address:W �1.✓ bt�� Permit No. ?—.at 7^ 0 i Specify Nurt%ber of Alarms: it Smoke Alarms: �, # Carbon Monoxide Detectors: ! / l I have read and agree to comely with the terms and rnnditinn..q of this .ctatamanf Owner (or Owner Agent's) Name: � �/rfl ref � f'. ✓f�l: l e: t:' Signature ... r—✓ ................... ; .................................................... Date: S�? I . Contractor Name: rl I f �� ia, : " Signature ..... .......,.�... Date: 7 �ysL6 • 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.org _ )\viler Name :li, i T i '.,.sem) % {r Pei 7nit No. — Z.17 7 . 'WLINS I . Is your real property a registered historical site? I� Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the .rest of the form and sign' bottom of form. P1 No Go to Question 2. I 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 -consenting plumbing fixtures is not teeluiically feasible? 1 }, Yes Civil Code Sections 1101.1 through 1101.8 do not apply. .a The licensed plumber's certification has been provided tol 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. "FANo Go to. Question 4. Is your real property' built and available for use or occupancy on or before January 1, 1994? ❑ No Poly 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. E � 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: ❑ 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 ri property underg 9" es alterations or improvements). i ,0\ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or unprovernents shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixiures. 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 irnprovernents). ❑ My property is, a conrnaercial real property. See Civil Code Section 11101.5. 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 under penalty oflperjury 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 nage: �'�'' Owner or Owner Agent's Signature: "-t'w " �2 n"s r. � �✓t t� v ) Date: / I Upon completing and signing this Certificate, please return it to the Building Division in order to final your b6ildif g permit. SB4072015.doc revised 08/26/15 1. If the existing plumbing fixture water usage/floi� rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc remised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture/ Fixture Complyingurrent Code Applicable to New Construction ( with CPP ) 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 galfons/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 showetheads 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 brily one shower outlet to be in operation at a time. _ Faucets e 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 s . 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 212 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/floi� rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc remised 08/26/15