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HomeMy WebLinkAboutB-2017-1843CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1843 1345 ASTER IN CUPERTINO, CA 95014-5215 (366 17 100) STREET PLUMBING AND ROOTER SAN JOSE, CA 95128 OWNER'SNAME: PESTANA NORMAN A AND VICKI TRUSTEE OWNER'S PHONE: 408-996-2768 LICENSED CONTRACTOR'S DECLARATION License Class C_36 Lic. #582217 Contractor STREET PLUMBING AND ROOTER Date 12/31/2017 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business & Professions Code and that my cense is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: r. 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 rformance 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 permit is issued. I IAPPLICANT 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 reo(eseh'tatives 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. Date 10/27/2017 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) 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. 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. 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 10/27/2017 DATE ISSUED: 10/27/2017 PHONE NO: (408) 496-1155 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: $1400.00 APN Number: Occupancy Type: 366 17 100 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: 10/27/2017 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 Appl Date: 10/27/2017 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 Co],4ctions 25534. Swiffor authorized agent: Date: 10/27/2017 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 N2) GENERAL PERMIT APOLICATION COMMUNITY DEVELOPMEN D -MEP T EPARTMENT BUtLD11VG DMSION 10300TORRE AVENUE = CUPERTWO. CA 95079-=S . (408) 777-3228' FAX (408) 777-3333 • bWcrrngOOci,oeftOra misc n----- PROSCTADDBESS APN-- Zv .� I 0-0 f oWrmtrrA (Vo2ntio�N t7'sTWA STREET 4DDRFSS1 r"f J LILA �`nDA� FAX CoWACr ME PAkk s70tr -: srxEErADDRESs vcw, 6ra vc.Av� "a" Ste;j S c. Cs4 95/2 8 owtxm� aowxza�r o _ ommm ❑ a. CO�WAWs7 Jr -g22 t 7 "cE mTm Ca G . Conrsfi PUiI M,r31N6 Q;, �CSir luvnl� w�rl.� amuca 0 Q FAX 4 �G- ra3 scx rwnx ssr ICS t't1r� �'s:.�� -P ZA Q512 ucS -E-MAIL ;. FAX SFREETADDRESS a - Cdy.STATE,2VPEM .. , . z use or Duplex „ O Mniti-Famuy STRucmv ❑ Commercial rxosEcrINUUMEA ri ARFA Yes , , No r�ivascrna O 13 Yes p No scrta�tbFc 50m A/_ % j =ALVArIJ (K_-• Ji 1I BY mysWa=ebelow.Icetfifyrtoea&ofIBMelaop�yown 2ppHc2fionmdtbeh&3Da6WIhffm ollm vc tithe anofW ordFnaocPs aad stale ]aR an ea afiwes SLmim=ofAppUmWAZc=_ as•cottoactoaibeptapotymvadsbdtaiE Ihavenadtbis audvedr rtis8ccwdfr- Iageetocahmptywi&ellappl=bleloraI o to ciftnbe W)ove-idempp-dpopeofor=Vwbmpmp=L Z 77RMI,��111R�D " a� ]dEPM=- dpp ZOII.doeriemsed03/16111 CUPERTIN€? SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO,'CA95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina(a cuoertino.ora PESTA1Vi[).T BE Il'3. U1ITTII, TFIIS CE2TII T:..33A.BEEN;. +Ct:1V�L�T:EI��. i�1��A�TI) i�'�fR1�ED T� E BI:�LD��G I�SIO 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 multivfamily d��ellings shall be provided with Smoke Alarms -end 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 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 a6ovo=refe er need property; I lierebp certify that the alarms) ever ferenced above hasjha� e 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 below A Address- � s f t' � CU `4P � %�/J�® I' 1y Permit No. S -01 ,,3 Specify Number of Alarms #Smoke Alarms..Carbon Monoxide Detectors . /have read and agree to comply with the terms and condli ns of this statement Owner (or Owner Agent's) Name: .Si natur)11///� .. r /Date:'f .... Contractor Na e fi��� ✓��'-`' _ i ,9,2217 /D Hca Signature Lic.# Date: `..1 ),17 ((( Smoke and COform. doe revised 01/1012017