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15110013CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 966 WESTLYNN WAY CONTRACTOR: PI CONSTRUCTION PERMIT NO: 15110013 OWNER'S NAME: LU CHEN-TUNG T ET AL 20570 ASHLEY WAY DATE ISSUED: 11/03/2015 OWNER'S PHONE: 4082178413 SARATOGA, CA 95070 PHONE NO: (408) 781-7908 L LICfE�NSED CONTRACT/OR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E]License Class LJAA #tic. # 7 U 0 S-6 > Remodel kitchen (130 SF) and 2nd floor bathroom (38 SF) "like -for -like" Contractor JG /V —.7- Date 10! 1/0 VJ0 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: $30000 performance of the work for which this permit is issued. tve and will maintain Worker's Compensation Insurance, as provided for by `ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 35927015.00 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 DAYS OF PERMIT 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 DAYS FROM LAST CALLED 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 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. %AC� 9 Signature ✓ Date 3 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. I 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 and4ill 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 5505, 25533, and 25534. Section 3700 of the Labor Code,. for the performance of the work for which this — k? Owner or authorized agent: % Date: 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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-poirit source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18.; Signature " Date M CONSTRUCTION PERMIT APPLICATION COWWNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 r CUP:eRTiNO, (408) 777-3228 • FAX (408) 777-3333 • buildine(�cuDerdno.org ❑ NEW CONSTRUCTION ❑ ADDITION . ❑ ALTERATION / TI ❑ REVISION / DEFERRED 15 00( 3 ORIGINAL PERMIT T PROJECT A DDRESS U UW � S� / /✓IZ�L . / 1i 7 I APN C OWNER NAME NV % �{ I PHONE20E..3 r7 -.P&/3 E-vL4IL STREET ADDRESSq 6 / a �jl�-¢%� ',� N j f� jf CITY, STATE, Z a s� I FAX CONTACT NAME `%W � � � � PHOT\ E-MAII 1 �/� — ESS STREET ADDR� n y� , �/'� ® CITY, STATE , ` n %�,/��-� FAX Ey =, R ❑. owN7FR-BuiLDER ❑ Owl T-RA1-- ❑ CO TRACTOR ❑ coN7RAcTORAGENT ❑ PaC=-CT ❑ ENGATEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME % L72 LICENSENU'SEReoe> d LICENSE TYPE f� BUS. LIC COMPANY N")D-Z /�_ „'/ - - t-iP'1 � C ,/L,;/ EMAIL �� Cp �. LL�_ FAX J. STREET�� (f CITY, STATE, ZIP 7PO %JV �R-�QJ[(� ARCHITECUENGINEERNAN.E LICENSENIUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET,4MDRESS I CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTRTYPE ISTORIES application and the information I have rovi d 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 buil ng construction. i uthoriz r presentatives'of Cupertino to enter the above -'dent' ied prop r y for inpurposes. Si--natureofApplicant/Agent: % 1. � ® >'v1 I I i USE I TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL permit for new building o• t EXPRESS --.. ,, 717��-� Commercial Bldgs: Provide a completed Hazardous Materials Disclosure spa h�AxD AREA AREA AREA NET AREA _ Copy of Planning Approval Letter or Meeting with Planning prior to T Y z3 BATHROOM KITCHEN OTHER SAI�IT�iRYSEY;RRDISTI2ICT�� REMODEL AREA 3 `AREEA REMODEL AREA e �tEMODEL JAREA AREA PORCH AREA DECK TOTAL DECK/PORCH GARAGE AREA: DETACH []ATTACH DWELLING UNITS: 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 2ECE'IYET? B) TOTAL VALUATION: PLANWING ADPL R []NO PLANNINTG APPROVAL LETTER EICHLER HOME? ❑ NO _ _ 3v coo By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on t e p opet ty owner's behalf. I have read this application and the information I have rovi d 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 buil ng construction. i uthoriz r presentatives'of Cupertino to enter the above -'dent' ied prop r y for inpurposes. Si--natureofApplicant/Agent: % 1. � ® >'v1 Date: SUPPLEMENTAL INTFORMATION REQUIRED New SFD or Multifamily d«Tellings: Apply for demolition permit for _ o«R TrcouhTER Bu�D�GPL�Nzz existing building(s). Demolition permit is required prior to issuance of building v E� permit for new building o• t EXPRESS --.. ,, _ ❑�PL.4I�7�LRGYL4'� �REYLEVi' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure spa h�AxD PSC«oma 4 . _ Torn if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to T Y z3 �} 4 submittal of Building Permit application. MA7OR �7 SAI�IT�iRYSEY;RRDISTI2ICT�� Bld.-App_1011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Lff 7/1/131 ADDRESS: 966 Westlynn Way, Unit#4 DATE: 11/03/2015 REVIEWED BY: Phuong Ff-ell'. Permit Fee: APN: 359-27-015 BP#: *VALUATION: 1$30,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Multi -Family Dwelling USE: Buildina is 3 Stories 0 Yes G No TPENTAMATION 1 R2REM RMIT TYPE: WORK Remodel kitchen 130 SF and 2nd floor bathroom 38 SF 'like -for -like" SCOPE 130 s.f. $645.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Lff 7/1/131 iblech. Plan Check Phrnrb. Plan Cite clr' Elec. Plan Check Ff-ell'. Permit Fee: Plumb. Permit Fee: Glee. Permit Fee: <>tlaer h/ech. Insp. (thea Plumb Insp. Other Glee. Insp. �Ulec/i. Insp. Fee: Plumb. hrsp. Fee: Elec. Insp. Fite: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Lff 7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. $645.00 Remodel, Bath (<=300 sf) IREMRESBAT Suppl. PC Fee: (2) Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 130 s.f. $645.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: Q E) Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 I Travel Doc uinentalion Fees: Strong Motion Fee: 1BSEISMICR $3.90 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $5.90 $1,290.00 °° TOTAL FEE: $1,295.90 Revised: 10/01/2015 Cc)MMUNITY DEVELOPMENT DEPA BUILDING DI PR��/�aPE� AP This set of plans and specifications MUST bE job site during construction. It is unlawful t, changes or alterations on -same, or therefrom, without approval from the Builc cificatian� The Stamping of this plan and sqp n# be held to permit or to ba;E c of any provisions of any t - � 1i� BYE ' DATE fill U�1 PERMIT # ,7�u-z pz 'UpERi INS Building Depa�tme�t "Qv p 3 W5 FOR CODE COMPLIANCE REv1E\NE D Reviewed BY• `t OFFICE COPY Ca �10 C-27-r,)e k`fcl�-Qts fio lae aX� ledr� t�' ars ce`rf.� BY v,I rcHEn1 2&`'1°Dl-�, SWIA) 6 E�Vr F M-; .6b /,l // (,Jos &INI's-1 AJA�� Cou 6-2T-/A)O v�� t c-�►t D+CUPERT IIVO wilding Department ) IVE NOV 0 3 2015 REVIEWS C FOR CODE COMPLIANCE RevjE &ed By: Zed F (o o Y I CUPERTINO Owner Name Address If 96 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPL9ANCE COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ) 777-428 e FAX (408) 777-3333 ^ building Pcupetno.orq P1 " � Perm M FILI y! f3� /S1idoi3 1. Is your real property a registered historical site? ❑/Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. IV No 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? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ 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? ❑ es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ 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. I!d Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. P1 ase 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 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 improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plum ing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Co and Califon i Green Building Standards Code, and manufacturer's installation requirements, and that the }vlaMPWI" vm in comply with the requirements as indicated in the table on the following nage. ' / : Owner orOwner Agent's Signat6� Date', Upon completing and signing this fertificate, please return it to the Building Division in order to finnl vour h„ilrl;no nP_; t SB407 2015.doc revised 08/26/15 -lfbif ILD-L�•;13G >f ERI R T CAINT 'OT BE,-+Rq-'� EI D -A-ND,. CIDBU'LETED . TMS 1T'��.r�r �il�+ ��l\ ��-ii�,`� RT7R9' �`' �lil®ll�T�.�>�Slll ox.-•---mak'="rs.- .., If the existing plumbing tixture water usage/now rULU 16 cLIUdl w UL JLJ W W yl•µ=• ___� =sem=� �• _ _ _ _ �___ _ _ _ _ ,y SB407 2015.doe revised 08/26/15 Non -Compliant Water -Conserving Plurgbing Fixture (Fixture Complying with Current Code Applicable"to New Construction) I'lumbin Fixture Maximum Water Usa a/FIow.Ratel . - Fixture 'Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 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 Showerheads Gallons/flush 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 maybe used to achieve reduction. If the existing plumbing tixture water usage/now rULU 16 cLIUdl w UL JLJ W W yl•µ=• ___� =sem=� �• _ _ _ _ �___ _ _ _ _ ,y SB407 2015.doe revised 08/26/15 CUPERTINO ., gd6 PURPOSE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 o FAX (408) 777-3333 o building(alcupertino.org il/,e.f�lyitih 15-11oo13 PERTMIT CANNOT DE L'INALED AND CO?NHI LETED UNT 1, THIS CERTIEICATr., I �N U 'I'�i'�L�dEI(i TO '�H E I U11-DYNG_ DIATIS ON This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 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 SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedrooms) X X On every level of a dwelling unit including basements 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 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 Califon -da Residential Codes. The alarms have been tested and are operational, as of the date signed below. 1 have read and agree to comply with the, terms and dohditions of this statement oat�r or .ourTarAgensp tarrFe: x Ir Si` nage........................ ............................................................................. Dte;� ................... Co(ifr�:ctor>Name:`/�� ^ Q ` r z Siq�iaFll e. .� ✓ % p . Li .. e. „ Smoke and. CO form.doc remised 03118/14