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Home My WebLink AboutB-2017-1794CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1794 21865 MCCLELLAN RD CUPERTINO, CA 95014-4056 (357 14 085) F W H ACQUISITION CO LLC BOTHELL, WA 98011 OWNER'S NAME: PARSAY SYROUS AND CINDY E TRUSTEE ISSUED: '10/19/2017 OWNER'S PHONE: 425-636-7084 1 - I PHONE NO: (425) 636-7078 LICENSED CONTRACTOR'S DECLARATION License Class C-36 Lic. #987398 Contractor F W H ACQUISITION CO LLC Date 10/31/2017 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. I hereby affirm under penalty of perjury one of the following two declarations: 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. 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. 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 se regulations per the u pertino Municipal Code, Section 9.18. .nature VI � Date 10/19/2017 BUILDING PERMIT INFO: X BLDG —ELECT X PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPLACE 50 GAL WATER HEATER - SAME LOCATION Sq. Ft Floor Area: I Valuation: $1478.02 APN Number: Occupancy Type: 357-14085 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende I hereby affirm that I am exempt from the Contractor's License Law for one of theRE-ROOFS: following two reasons: • All roofs shall be inspected prior to any roofmg material being installed. If a roof is t. 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) z. 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: 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 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 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 10/19/2017 Signature of Applicant: Date: 10/19/2017 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. O'80 or authorized agent: ate: 10/19/2017 CONSTRUCTION LENDING AGENCY I 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 GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTME11T - BUILDiNG D!V-.'Slf,)rl 108551 10300 TORRE AVENDE - CUPERTINO, (A (4081 777.322B • FAX (408', 777-3333 CUPERTINO Z�d�, ".mmw"' f7twir . IANICM nF.*r I AN11:01 1S 21665 MCCLELLAN RD NVIL PARSAY.SYROU-S 53 AI)DIRC.S, 21865 M Q CLE LLAN RD CUPERTINO CA 95014 OaNTAC7 XVIII Katy. Kehle FAST Water Heater 425-636-7084 17-""-"I.kKehlet@fastwaterheater.toni S I P. r. F T -% D DR U, S 11.715 N Creek Pik" S, C-106 0T)-,STAT'E- ?IP Bothell WA 9801,1, �j t It A C. r,.K'J, E]PkCJ OX, El 0 11 tm;nazw El _-Ul H 0 TI„ NN7 FAST,.Water Heater 987398 rahl."AM NAME FAST. Water*,Heater KKehle0fasfwaterh eater. eom 425-636-7085, 11715 4.C.reek Pkwy S. C 106 `:'7y- S-1 ATL Pf c'&T084 Bothell WA 1 ""�'F425-63 I'l'kN' L NU114.11LK - -A;"tjc I . rj CIA'cl, 11; W11.1i t.A.S71) yi:s --.-Fs is T11E ur)n, T -s [3 0 r3 ((f1A/A((, Lk apps lell i -.*Al: plo"Idd ISS colyecl. I )law ic-ad j]jQ Dccilpljyrj of V,.'1111: alld .Tcf-;,v it iup.,ve N ilb ;III Ivc;tI g t"Ir J�, "Y uv% U1111;itv I 1,fOqwnwc k, rnlcr 117u MZA( 10117/2017 pi Applical"I"A I Date OFF, ICE e_J! tit:. n 0 0 1. k(; L CUPERTI[NO PURPOSE 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 • buildino(a.cupertino.org PER1!'IiT CA1 l�OT BE Il�iALE3) UNTIL TMS CERTIFICATE HAS,BEEN COWLETEI), St"EI f A TI3 ;RE 1r I3It1 ED Tia THE 8I7 I)IilT_G°"13I ViSTt3N 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. --G-NE-RA --IN- OR�k-A-TION= 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 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 Smith 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 907.2.114 and 420.6.2. An electrical permit is required for must be connected to fine 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 Buildmg and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below Address Z s- Y finV, � L' l `FLtn a Permit No. o` D (7 1'7(7 1 4 Specify Number of Alarms # Smoke Alarms = # Carbon Monoxide Detectors l have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent' Name: C. ar Si nature .... . . .. .... J4V ... Date: � �... Contractor Na e: Signature Lie.# Date: Smoke and COform.doc remised 0111012017