The URL can be used to link to this page

B-2016-1371CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1371 20585 SUNRISE DR CUPERTINO, CA 95014-2960 (359 10 018) ( RELIABLE ENTERPRISES INC) RANCHO SANTA FE, CA 92067 OWNER'S NAME: CHIUN TIEN-SEK AND CHANG SHU-HWA TRUSTEE DATE ISSUED: 02/16/2016 OWNER'S PHONE: PHONE NO: 888-509-5031 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C=36 Lic. #1003637 Contractor( RELIABLE ENTERPRISES INC) Date 02/16/2016 X BLDG _ELECT X PLUMB 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: Remove and replace water heater. I hereby affirm under penalty of perjury one of the following two declarations: 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. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 37.00 of the Labor Code, for the performance of the work for which Sq. Ft Floor Area: Valuation: $1200.00 this permit is issued. APPLICANT CERTIFICATION certify that I have read this application and state that the above Numbers Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 3 10 Oi8 359 59 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Section 9.18. Issued by: 1*21 Signature Date 02/16/2016 Date: 02/16/2016 OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for i. I, as owner of the property, or my employees with wages as their sole inspection, compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: 2. 1, as owner of the property, am exclusively contracting with licensed Date: 0;/16/2016 contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal. Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous this permit is issued, material. Additionally, should I use equipment or devices which emit hazardous s I certify that in the performance of the work for which this permit is issued, I air contaminants as defined by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Sections 25505, 25533, and 25534. 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 Owner or authorized agent: be deemed revoked. 'Date: 02/16/2016 APPLICANT CERTIFICATION ,' CONSTR CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for�the performance I certify that I have read this application and state that the above information is of work's for which this permit is issued (Sec, 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws Lender's Name relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT°S DECLARATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 02/16/2016 GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building CWcupertino.org MISC � �` e CUPERTINC7 '4 t LUMJBING ❑M{ECHANI/C�AL ❑ELECTRICAL [:]MISCELLANEOUS PROJECT ADDRESS os- �J si e -l G%?�fi0� APN # OWNERNAME f/. i l' [fid✓ PHONE E-MAIL STREET ADDRESS CITY, STATE, FAX 2-Fk'J5- l'li Se- 0�� ked, � D� CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ owNER ❑ OWNER -BUILDER ❑ OWNE`RAGENT VONTRACTOR '`CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ® c J ° LICENSE NUMBERa LICENSE TYPE f, . c� / BUS. LIC # �j COMPANY NAME it? ///l f -,'o -&I, r I f eij / E-MAIL FAX STREET ADDRESS ! b d CITY ESTATE, ZIP, 3� � o 1 l i -22 -LIP P29-922-5011. ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS. LIC # COMPANTY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI -FAMILY PROJECT INWILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ElYES BUILDING:❑COMMERCIAL URBAN INTERFACE AREBA NO FLOOD ZONE KNO, EICHLERHOME? NO DESCRIPTION OF WORK r n a je j, ) �ea � � r ly / TOTAL VALUATION: �,,-262 i ti nu P By my Signature below, I certify to each of tKe following: I am the property owner or authorized agent to act on the property owners behalf. I have read this application and the information I have provided is correct. I have read the Description of Rork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I aliffionze representatives of Cupertino to enter the above-tified property for inspection purposes. Signature of Applicant/Agent: Date: above-id 0,:: 4 SUPPLEMENTAL INFORMATION REQUIRED of FgcE usE oi`L„ MEPMiscApp_201 1. doc revised D6/21/11 L= t ��'_,, CUPERTINA 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(aD.cupertino.ora PERMIT CANl�isJ.T B WALED UNTIL THIS CERTINCATE HAS BEEN COATIP ,ETMi = AND: R TU AID TO 11111 BUILDING DIVISION PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 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 California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below Address: Specify Number of Alarms: No, 1 # Carbon I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Signature t ............... ...... Date:�� j�J� Contractor Name: Signature Lic.# Date: Smoke and CO forimdoc revised 12115116 CUPERTINO Owner Name Address > WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 777-3228 -'FAX (408) 777-3333 • building(a Cupertino orq o�y+M 0 1.. Is your real property a registered historical site? Cl Yes 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 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 isnot technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. El 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 sei vice permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the -rest of the form and sign bottom of form. �6 No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? PNo 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. El 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. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: ❑ Myproperly is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or i nprovements 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). El My properly 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-cornpliant 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 plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plurnbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following pate. P _ Owner or Owner Agent's Signature: Date: r Upon completing and signing this Certificate, please return it to th&tuilding Division in order to final your building perm t. SB4072015.doc revised 01105117