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B-2017-0806CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0806
10571 CYPRESS CT CUPERTINO, CA 95014-2423 (316 30 056) CATTON PROPERTIES
LOS ALTOS, CA 94022
OWNER'S NAME: BOREL PRIVATE BANK & TRUST COMPANY TTEE IDATE ISSUED: 05/22/2017
OWNER'S PHONE: 408-315-3062 I PHONE NO: (650) 773-8000
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class GENERAL BUILDING CONTRACTOR Lic. #915010
Contractor CATTON PROPERTIES Date 04/30/2018
I hereby affirmthat 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 6f perjury one of the following two declarations:
t. 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
I erformance of the work for which this permit is issued.
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.
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 Municipql Code; Section 9.18.
Date 8/4/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
i. 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)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
X BLDG X ELECT _ PLUMB
X MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
KITCHEN REMODEL (143 S.F.); BATHROOM REMODEL (120 S.F.);
REMODEL OTHER AREA - REMOVE SOFIT AT HALL WAY AND
FOYER (110 S.F.); RELOCATE FURNACE; REPLACE WINDOWS (7)
AND SLIDING DOORS (3) - LIKE FOR LIKE TOET EGRESS
REV #1 -REWIRE SFD -FULL � tAT:1� j 1I 4l�
Sq. Ft Floor Area: I Valuation: $45000.00
APN Number: Occupancy Type:
316 30 056
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Ayende
Date: 05/22/2017
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 Al
Date: 8/4/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
i. 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.
s. 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 snaking 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 Date48/ /2017
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, Sections 25505, 25533, and 25534.
caner or authorized agent• 7
Date: 8/4/2017
CONSTRUCTION LENDING M
I hereby affirm that there is a construction lending a oy for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARRATION
I understand my plans shall be used as public records.
Licensed
Professional
CUPERTINO
CONSTRUCTION PERMIT -APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDI ION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(aa.cupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI k REVISION / DEFERRED
ORIGINAL PERMIT "aU/7—(����
PROJECT ADDRESS c /
'APN #
OWNER NAME
A,0nae_ o/j"tit/'a7�; , s�K 7.c.�sT
PHONE
4'bir-3/S- ��z
E-MAIL
0.00
STREET ADDRESS 60 0`-' O VIV T /ZrC%. POd>'D}G
CITY,' STATE, ZIP
FAX
in,(' CA 9
CONTACT NAME
7 0.0/0 '�
PHONE,
U - 30G 2
E-MAIL
112 l^Zel—, c OtG �cR
STREET ADDRESS
CITY, STATE, ZIP
501
FAX
v5 I I G
❑ OWNER ElOWNER-BUILDER❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBERLICENSE
,Ilf� b
TYPE
BUS. LIC #
7-r0A.i 10xw,0Aj
� � 5 0 �
COMPANY NAME
E-MAIL
FAX
STREET ADDRESSCITY
3 � 9 s . s.,a� Al rrOA) a A,0A)3'
STATE, ZIP
L &r&s CA.
PHONE
ARCHITECTIENGINEER NAME LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS _ y�
4 S G r f V 10,
CITY, STATE, ZIP
J..�s,/I Q Ga%{�Q
PHOT �,E
`�', e- 2,30
f eJd !v
DESCRIPTION OF WORK Y ._I Is 5. fCT R a C�A L- ®L; T_WT WCoRT f A
EXISTING USE
PROPOSED USE CONSTR.
TYPE
#STORIES
I
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA,
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
GARAGE AREA: EIDETACH
EIATTACH
# DWELLING UMTS:
IS A SECOND UNIT ❑ YES
SECOND STORY []YES
BEING ADDED? ❑NO
ADDITION? ❑NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RE - ED Y -
TOTAL VALUATION:
PLANMNGAPPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent to alt on the roperty owner'sbehalf. 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 construction. i a orize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Li r_. Date:
SUPPLEMENTAL INFORMATION REQbIRED
PiAIcl3Eciz.TYpE,,.,,?
,,-, t,,ROUTINc;SLIP?l
F �
©
*0 a
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
OVER TAECOUNTER
a
k❑ BUILDBVGPLANREVIER� a:
�,
permit for new building.
0 EXPRESSO " 1
QPLANNiNG PLAI!II2EVIE�V
ING
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
O sTAivDARn s ,+
i❑ ptJSLz yoR CS
_
form if any Hazardous Materials are being used as part of this project.a
5
�€
,
j""';
❑ LARGE �� ` 9a � �" `
`�� I
Copy of Planning Approval Letter or Meeting with Planning prior to
r
©
submittal of Building Permit application.
s
SANI sRY'W> R 1tt$TRtCT
BldgApp_2011.doc revised 06/21/11
e4eel
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0806
10571 CYPRESS CT CUPERTINO, CA 95014-2423 (316 30 056)
CATTON PROPERTIES
LOS ALTOS, CA 94022
OWNER'S NAME: BOREL PRIVATE BANK & TRUST COMPANY TTEE
DATE ISSUED: 05/22/2017
OWNER'S PHONE: 650-773-8000
PHONE NO: (650) 773-8000
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class a Lic. #915010
Contractor CATTON PROPERTIES Date 04/30/2018
X BLDG _ELECT _PLUMB
X MECH X RESIDENTIAL COMMERCIAL
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.
JOB DESCRIPTION:
KITCHEN REMODEL (143 S.F.); BATHROOM REMODEL (120 S.F.);
I hereby affirm under penalty of perjury one of the following two declarations:
REMODEL OTHER AREA - REMOVE SOFIT AT HALL WAY AND
1. I have and will maintain a certificate of consent to self -insure for Worker's
FOYER (110 S.F.); RELOCATE FURNACE; REPLACE WINDOWS (7)
Compensation, as provided for by Section 3700 of the Labor Code, for the
AND SLIDING DOORS (3) - LIKE FOR LIKE TO MEET EGRESS
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
4//� Section 3700 of the Labor Code, for the performance of the work for which this
Sq. Ft Floor Area:
Valuation: $45000.00
permit 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
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
316 30 056
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.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature /" Date 5/22/2017
Issued by: Abby Aygnde
OWNER -BUILDER DECLARATION
Date: 05/22/2017
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
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 (Sec.7044, Business & Professions Code)
2. 1, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 5/22/201
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
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(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 Cupertino Municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed
revoked.
Owner or authorized agent:
APPLICANT CERTIFICATION
Date: 5/22/2017
I 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 agenc performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, )
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.
Signature Date 5122/2017
Licensed
Professional
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - building(a-cupertino.org
NMI
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION l fl ❑ REVISION l DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS /(_.7_5) 7/ ��, �� C��h�% 7AP,-bo-
f nl
o
OWNER NAME � �
PI[ON' F.6
Sl'RF.ETADDRESS�
C'ITl'ST'AT1 ZIP �
FAX
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CON"LACY NAMF".��� OPYN
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❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR El CON IRACTOR AGENT ❑ ARCHITECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME.�.-�y�
LICENSE NUMBER
JCENSE TYPE
BUS. LIC l=/1 f. b 1�0
COMPANYNAME
GMAII.
,0�. LTQ
FAX
STREET ADDRESS
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CrrY. S_ : TE. ZIP
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PHO
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ARCIIITECI ENGINEER NAME
LICE NSE NUMBER
BUS. LIC
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COMPANYNAME
l far
E-MAIL
FAX
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STREET .ADDRESSO /91VJ��CITY
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PHONE/SqQQ.91
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DESCRIPILONOE 11'ORK//
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m o a the n_ fe lAhl)JOU-)&fnOv s
Hernodal badhroorn- R do e-fe urn c
F XISI ING USE
PROPOSED LSE
CONSTR. I N PF.
t STORIES
R
R
V13
1
Usr.
TYPE
occ
SQTF.
VALUATION (S)
FXISEG
AREA 1 S3 /'
(p
Nfi14 FLOOR
:1RF.A Q
DEMO
AREA O
TOTAL
NETAREA
BATHROOM
KITCHEN
OTHER
RFMODEI- AREA Igo
REMODEL AREA 143
I
REMODEL:IRI A
PORCH AREA DFCK.ARE_A TOTAL DECK PORCH AREA GARAGE AR[ ,N IFN I ACCH
O Q ❑ A)IACH
DWP.LLINt I NFES IS A SECOND UNIT ❑ YES SECOND SFOR-1=S
BEING ADDED? �'O ADDITION? PI)
PRE APPLIC ATION ❑ N'ES IF 1 FS, PROVIDE. COPY OF
IS TIIF BLDG AN ❑ SES
RECEIAD B ':
"1'0' ' 1. VALUATI )N:
I L ANNING 1PPL � &'O Pl ANNING APPROb AL. LETTER
FK HLER HOME'. &r\0
I I C
By my signature below- I certify to each of the Ibllowing: I at the property olcner or authorized agent to act on the p operty owner's behalf. I have read this
application and the information I have prow is correct. 1 have read the Description of Work and verify it is accurate. I agree to comply With all applicable local
ordinances and state talus relating to b ding Tn n. 1 authorize representatives otCupertino to enter the above -identified property for inspection purposes"
Signature of ApplicantlAgent: _ _ Date:
SUPPI.FMFN7 Al, INFORMATION REQUIRED
PLAN CHEcx rvPE
ROUTING SLIP
❑ OVER -771E -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
__
Corm 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
❑
❑ DISTRICT
submittal of Building Permit application.
MAJOR
SANITARY SEWER
❑ ENVIRONMEN"PAI. HEALTH
B1dgApp 2011. doe revised 06;'21111
5fLijq
L
z t --0-07575
tiirELIL-cag DB ENGINEERING
2021 The Alameda,Suite 360
San Jose,CA 95126
Telephone: (408)621-0114
Email: dh.dbenginecring(u?gmail.com
July 27,2017 •
City of Cupertino
Building Department
10300 To, - j -• - •
Cup= ino,'CA 95014-3 02
°E: 10571 Cypress Court
Furnace Support
De. a adam or ' .
This is to confirm that the new 132 lb furnace in the attic may be supported on a platform of 5/8"plywood
on 2 x 6 @ 24"o:c.joist spans over walls below. It is important that the new joists are independent from
the existing bottom chord of truss.
5/ P Qt.'fWOD j UtZt4M E .
2xCe a 21"0.C.
WALL
11EloW Acs--WALL
•
Please contact our office regarding this matter.
Regards,
k ,„\
Dung Bui, .
40.00VESS114 -
tts
Na C62300
ExpVOFcmperej
,
Scanned by CamScanner
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE'OF COMPLIANCE F
�r
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION rO-3-(.7 Q
CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333• buildino(a,cupertino.orq
Owner Name /Y1 X . A1v. / - i S. 17-1,4 c ' L Permit No. '.2.O/7—08'04
Address /v 57/ rxidoleeSS ci r c p6A7-iA!O 1 (A 95c./4/
1. Is your real property a registered historical site?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the forth and sign bottom of form.
!VNo 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?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
0 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.
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 fonn and sign bottom of form.
121°No Go to Question 4:
• 4. Is your real property built and available for use or occupancy on or before January 1, 1994? •
0 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.
Ig 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. Pl ase check ONE of the following:
V 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
tot be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017, all non-
compliant iplumbing 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 irriprovements).
• I„as the owner or owner's agent of this property,certify under penalty of perjury that noxi 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 nbing fixtures comply with the requirements as indicated in the
table ori the following page.
Owne;ripr OwnerAgerit's Signature: �` Date: 9-2-E 17
Upon completing and signing this Certifr "e,please'retum it t. e Building Division in order to final your building permit.
SB4072015.doc revised 01/05/17
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- ,ti,,,:: rte.4* =,,...7, ,744.41,140.4....,,- ,..‘r,,,,K.1*.w,,, ,,,,,alept
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. -
Non-Compliant - . . .. - Water-Conserving Plumbing Fixture. .. .
Plumbing Fixturel (Fixture-Corn Oliirib-iiiih'Current Cdda.AppliCable to New Construction)
• • -.. - .•
..., _ .
. • - - •-:Maxirritint,WataUe/F.IOW Rate.,--:------ -
Fixture Type . 2016 CPC Ch. 4 2016CPC Ch. 4 2016 CPC Ch. 4 . .
•
Water Usage •
2016 CALGreen Div. 4.3 2016 Cgdfaii,bivv 4.3 ---- 016-CALGreen Div. 5.3
/Flow.Rate . . .
Sitig16-Fathily' : tyruitic.fa-m—ily • ' -Commercial. •
Residential Residential
Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush .
..
(Toilets) Gallons/flush Dual flush toilets: 1'.28;gall.bna/flua_li'effeCtive flush volume (the composite,
,
•- • - average flush volume oftWiti•reduced flushes-end one full flush)
- „
Urinals Exceed 1.0 • - .
0.5•galldna/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 desighed.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 arid public •
use areas: 0.5 gallons
per minute @ 60 psi
•
1.8.gallons per minute.
.. ..,..- .. . . . --• .. . ... . ,' . , :g..'6Q15Sig,.;',,,:t,
Faucets- • Exceed 2.2 gallons 1:6 gallons per.minute @ 1-'.-8'.gallorie per minute 1.8 gallons per minute @ 60
• Kitchen per minute 60 psi . . • ;:60 psi ..
..g_ .
. psi
, ,-.
Faucets Maytemporarily increase Maylemporarily
,
up to 2.2 gallons per increase up to.2.2
.,_,. .•.
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F.` SMOKE / CARBON MONOXIDE ALARMSy
OWNER CERTIFICATE OF COMPLIANCE _016-
COMMUNITY
(-COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinga(�cuoertino.orq
-,e - i ; ,a .,a,� t
�' PERN�IT C OTO 3V NAI,EI Ul Ti THIS CERTIFICATE EN
Awz9yam �� vCO E;TED;SI02SIEb�AND 1<2F�TUR'NPD,TO T ItIll DIl"G•DI ISIOQ
",
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 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 installed in the following locations:
AREA SMOKE ALARM CO ALARM
Outside of each separate:sleeping area in 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 dwellin'g;unit including basements and habitable attics X X
Within eachfsleeping 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 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 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 instructionsand 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.
Address: /O 57/ CyXJl1.cs5 GT r�4 -1 S!J iV Permit No. /3- 2.617 08-64
Specify Number of Alarms: #Smoke Alarms: I I #Carbon Monoxide Detectors: I I
/have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name:
CAt 0645 fhb Signature - F:.:. �2• �7
..../ Date: ...............
Contractor Name:
C/fiA.1 y°IwaB 41 S Signature / Lic.# 91 S 0 1C, Date:9 2 e-
f7
Smoke and COform.doc revised 01/10/2017