15080122La
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20232 RODRIGUES AVE
CONTRACTOR: ALLSTAR PLUMBING
PERMIT NO: 15080122
OWNER'S NAME: BIGAZZI ANTONIO AND JOSEPH SAR
326 PHELAN AVE
DATE ISSUED: 08/17/2015
OWNER'S PHONE: 4085091274
SAN JOSE, CA 95122
PHONE NO: (408) 230-5569
® LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
REPLACE (E) MAIN WATER LINE FROM METER TO
License Class C_ 3 Lic. # t �o
HOUSE
f
Contractor Ai 6TA L- �Uln)JI�''Lq Date 2;• l �" t
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 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
Sq. Ft Floor Area:
Valuation: $2000
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
APN Number: 36932051.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 D ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 O ED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Date:
granting of this permit. Additionally, the applicant understands and will comply
v:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
l /
B (
RE -ROOFS:
Signature l Date
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.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
•(
Owner or authorized agent: DateJ.
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
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
GENERAL PERMIT APPLICATION M E OP
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
C U P E RT E Pt C7 (408) 777-3228 • FAX (408) 777-3333 • build! no(a)cupertino.org
LUMBING [I MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS
PROJECTADDRESS�b 2 _5Z f2„ , S I eD� ✓ - O
OWNERNA1JE "4Bq-- 09 ^ I7- E-NL4IL
STREET .ADDRESS Z, 3Znl pJ C J �✓ CITY, STAT PP" C� FAX
CONTACT NAM L/r /_) 1 PHON r^ v n E-?✓makL
60
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ owxER ❑ OWNER -BUILDER ❑ Owmm AGENT CONTRACTOR ❑ COK MACTOR AGENT ❑ ARCHITECT ❑ ENGD\MR ❑ DEVELOPER ❑ T'ENAI.rr
CONTRACTOR NP.I. I 1 1 LICENSE NUMBER LICENSE TYPE
qU(C-a- 1 3z6/ c-36
BUS. LIC
2 Z 18 a/
COMPANY NAME Ib j �U �) n
E-MAIL
FAX
STREET ADDRESS4
1
CITY, STATE e , nZ
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PH0D V C)
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ARCHiTECT/ENGINEER NAME LICENSE NUMBER
BUS. LIC R
COMPANY NAME
E-MAIL,
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD or DUPLEX ❑ MULTI-FANDLY I . PROJECT IN WILDL.AND ❑ YES PROJECT IN ❑ YES
BLMZLNG: ❑ COMMERCIAL URBAN ATERFACE AREA ❑ NO FLOOD ZONE ❑ NO
IS THE BLDG AN ❑ YES
EICHLER HOME? ❑ A'0
DESCRIPTION OF WORK
Y2,,c (ace y e- ✓ rc e E43 Yn
TOTAL VALUATION:
By my signature below, I certify to each of the following: I am the property owner or nzed ag t to act on t�; property oNv er's beh 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 agre to y with all applicable local
ordinances and state laws relating to building construction. I authorize represeQ1giyes of Cupertino to enter the above
,,-idegntifed property for inspection purposes.
Signature of Applicant/Agent: Date: Q j)� 1 +I J
SUPPLEMENTAL DvFORMATION REQUIRED
r
AfEPMiscApp_2011.doc revised 06121/11
CITY OF CUPERTINO
Im FEE ESTIMATOR - BUILDING DIVISION
APPLIANCE / EQUIP TYPE
20232 RODRIGUES AVE
DATE: 08/17/2015
REVIEWED BY: MELISSA
PA,ADDRESS:
APN: 369 32 051
BP#:
*VALUATION: 1$2,000
xPERMIT TYPE: Plumbing Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY
USE: SFD or Duplex
#
PENTAMATION
PERMIT TYPE: 1 RPW
WORK
REPLACE E MAIN WATER LINE FROM METER TO HOUSE
SCOPE
APPLIANCE / EQUIP TYPE
FEE ID
Plumb. Plan Check 0.0 1 hrs $0.00
QTY
UNITS
BP FEES
Ltec I .
Water Service
1 BPWSVCS
artier Elec. Imp,E3
1
#
$25
Permit fee:
PME Unit Fee:
$25.00
PME Permit Fee:
$48.00
Construction Tax:
Administrative Fee: (ADMIN
$45.00
Work Without Permit? 0 Yes (j) No
$0.00
TOTALS:
Travel Documentation Fee: ITRA VDOC
$25.00
Strong Motion Fee: IBSEISMICR
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ These fees are haled on the nreliminary information available and are only an estimate. Contact the Dent for addh7 info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1:13)
tfec:h. flan CheckF -1
Plumb. Plan Check 0.0 1 hrs $0.00
Jec. Plan Check
L1ecFr. 1'ernait Fee'
Plumb. Permit Fee: IPPERMIT
Ltec I .
Other A9ech. Insp.
Other Plumb Insp. 0.0 hrs $48.00
artier Elec. Imp,E3
J�_,. �• �,. Fee:
PME Plan Check:
$0.00
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ These fees are haled on the nreliminary information available and are only an estimate. Contact the Dent for addh7 info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1:13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
:S'uppl. Pt.' Fee
PME Plan Check:
$0.00
Permit fee:
PME Unit Fee:
$25.00
PME Permit Fee:
$48.00
Construction Tax:
Administrative Fee: (ADMIN
$45.00
Work Without Permit? 0 Yes (j) No
$0.00
Advanced Planning Fees.
Travel Documentation Fee: ITRA VDOC
$48.00
Strong Motion Fee: IBSEISMICR
$0.50
Select an Administrative Item
Bldg, Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$167.50
$0.00 TOTAL FEE,
$167.50
Revised: 07/02/2015
Address
(�szanrr:
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 Qcupertino.org
v
Ado
4 of Alarms Smoke:
5uu C�j1Z2
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section 8314, 2013 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 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 I
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
IX
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning es t�yj
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms sh i 1
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 instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
,o 1 have read and agree to comply with the terms and conditions of this statement
Own Own Agent's Name:
Signature.................. .. ...................................................................................... Date: V....[.o...
Contractor Na
�'V
2 ` ) p
air//fire
Signature ............ ....... ........... .............. :................. Lic.#..�JZ.�r7.�!................. Date:QQ
1 AkkSj4V- PLtJrnG1Wt-�
Smoke and COform.doc revised 03/18/14
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUPER.TINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
n , \ (408) 777-3228 - FAX (408) 777-3333 • building(a.cupertino.orq
MOwner Name -� I� V &APermit No.
Address 24),32- 6"/_V10we -
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: E
1 No Go to Question 2.
Date. X117/1.4
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.
Sign below and skip the rest of the form.
Owner' Signature:
IX No Go to Question 3.
Date: X,/ 9 11—t-
3.
Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: C _ 12- Date: ,5 / K] No No Go to Question 4. ® 8
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
l�
❑ 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. Sign below and skip the rest of the
form.
Owner' Signature:z_. ✓2 • Date:
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. Refer to the attached.
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.
SB40 7 2015. doc remised 02/04/15
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/We, the owner(s) of this property, certify under penalty of perjury 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
reauirements, and thatthe-w-ater-conserving plumbing fixtures comply with the requirements as indicated in the tabIt b o .
Owner's (or Own(r Agent's ignature: Date: K I I V 14L_5_
Upon completing and signing this Certificat , pl/Je reKln it to the Building Division in order to final your permit.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not requirea to ee upgraaea.
SB4072015.doc revised 02/04/15
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow
Rate
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
Fixture Type
Water Usage
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
/Flow Rate
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
In common and public
use areas: 0.5 gallons
per minute @ 60 psi
1.8 gallons per minute
60 psi
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 requirea to ee upgraaea.
SB4072015.doc revised 02/04/15