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B-2016-1694 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1694 7565 HEATHERWOOD DR CUPERTINO,CA 95014-5840(359 26 057)- - AFFORDABLE WATER HEATERS AND PLUMBING INC VALENCIA,CA 91355 OWNER'S NAME: Mr DAVID CHENG DATE ISSUED:04/06/2016 OWNER'S PHONE:949 878 6009 PHONE NO:(855)345-9087 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class PLUMBING Lic.#627368 Contractor AFFORDABLE WATER HEATERS AND PLUMBING INC Date X BLDG _ELECT —PLUMB 09/30/2016 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 JOB DESCRIPTION: license is in full force and effect. REPLACE 50 GALLON WATER HEATER IN THE SAME LOCATION I hereby affirm under penalty of perjury one of the following two declarations: (GARAGE) n. 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 Sq.Ft Floor Area• Valuation:$3059.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct.I a ree to comply with all city and county ordinances 359 26 057 and state laws relating t ,:building construction,and hereby authorize representatives of this ci y to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION, source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:Patricia Garcia Signature Date bate:04/06/2016 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 n. 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(See.7044,Business&Professions Code) Signature of Applicant: 2. I,as owner of the property,am exclusively contracting with licensed Date: contractors to construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER n. 1 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 by California Health&Safety Code,Sections 25505,25533,and 25534. I will Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety Code,Section 25532(x)should I store or handle hazardous s. I certify that in the performance,of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 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: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.) relating to building construction,and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments,costs,and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code,Section 9.18. Licensed Professional Signature Date U4JU1 JZU15 14:Ub (FAX) P.0011001 43 -� - � (09+ GENERAL. PERMIT APPLICATIONMEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 MISIC C-U PERTII+tt3 (408)777-3228•FAX(408)777-3333•buildinp(ckupertino.org PLUMBING ❑MECHANICAL ❑FLEC'I-R1CAL ❑MISCELLANEOUS PROJECT ADDRESS APN II DYA OWNER NAME v e lC� STREETADDRESS � �` � ��a � 1'1 � cnY,STATE, Rrtl Inn cft q Jr p CONTACT NAME P-IONE5 ' 5 E-klA1L S 1 e l h p_yrn\t .0 V,T,� STREET ADDRESS CITY,S`ATE,ZIP PAX '29'�, Co I II, , gip �J/ a S5 1, 2-S 5b ❑OWNER ❑ OWNER-BUILDLR ❑OWNER AGENT ❑ CONTRACTOR lJCONTRACTOIL AGENT ❑ ARCIIITGCT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR AME LICENSENUMBER LICF.NSElYPEG BUS.LTCN V COMPANY NAME E•MATL \� -�� FAX - - - STREET ADDRESS �\m e CIOCITY,STATE,ZIP \\ / PHONE, - S ato, ARCHITECT/ENGINEERNAME LICENSENUMEER :.._."' BUS,LTCN COMPANY NAME E-MAIL FAX STREET ADDRESS CrfY,STATE,zip PHONE USE OF SFDurDUPLEX ❑ MULM-FAMILY PROJL-CTIN WILDLAND ❑ YES PROJECTIN ❑YES JSTHEBLDGAN ❑YES BUILDING:. []COMMERCIAL URBAN INTERFACE AREA NO I LOOD ZONE ❑NO EICiILER HOME? ❑NO DESCRIPTION OFWORK .}.y 1� f e 1 r-n et a = r of TOTAL VALUATION: Q S v w..,_.....-._... ze JJ 11 ( Lt LD BY By my signature below, certify to each of the following: 1 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 Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to build' g-cpnstruction. 1 authorize representatives of Cupertino to enter the above-identified properly for inspection purposes, Signature of Applicant/Agent: / Date: SUPPMENTAL TNI=O CATION REQUIRED '•_ice��a�_:_{�:��1�=TEIw�•^t•II�'I'$$i�2�__"i�'% :-:>r�'..=.k�i='S'i"•tS,�ll3tXl#ik*.�e:_:�;.��.^-,e_"': z e AfEP,1fisc11pp_2011.doc revised 06/2 1/11 SMOKE / CARBON MONOXIDE ALARMS 9F OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION GUP1r'R tt U 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408),7'747-3228•FAX(408)777-3333•building ancupertino,ora Permit No. 16' I . Address V'� jog #of Alarms Smoke: Carbon Mo oxide: '3�-�- PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxid 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 Cart on Monoxide alarms. When the valuation of additions,alterations,or repairs to existing dwelling units exceeds $1000.00,CRC Section 8314 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 COALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) 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 batter 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 ha ave been installed in accordance with the manufacturer's instructions and in compliance with the CaliforniaBuilding and California Residential Codes.The alarms have been tested and are operational,as of the date signed below. I have read and agree to com i ferns and conditions of this statement Owner(or Owner Agent's) Name: �1c Signature. ......I......... J......... ...... .. ....... ate: .. �.... Contractor Name: Sinature...................................................................Lic.#...................................... ate: ................... Smoke and CO form.doc revised 03/18/14 WATER-CONSERVING PLUMBING FIXTURES ' F, OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408f.777-3228 FAX(408)777-3333•buildina(@cupertirio:org Owner Name Permit N o. ( 2144 Address - bir ,- �v 1 Is your real property a registered historical site? El. Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom f 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 is not 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. r Sip the rest of the fonn and sign bottom of form. E2'—No Go to Question 3. 3. Is water service permanently disconnected for your building? Yes Civil Code Sections 1101.1 through 1101.8,do not apply. Skip the rest of the form and sign bottom c f form. Z`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 cf form. ;KYes 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 ani sign bottom of form.. 5. `Plgase 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 c r 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- con`ervng plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improve ents). I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing f xtures will be replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code S cetions 1101.1 through 1101.8,the current California Plumbing 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 page. Owner or Owner Agent's Signature: Date: Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. .SB4072015.do revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE -w s; I D AND RETURNEDO THE BIJIIDINGDIVISIQ Non-Compliant Water-Conserving Plumbing Fixture , Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa a/Flow Rate_ Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div.4.3 2013 CALGr en Div. 5.3 _ Single-Family Multi;-FamilyCommercial 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 fl sh) Urinals Exceed 1.0 Gallons/flush 0.5 gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance crit aria 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 desigr ed 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 usedto achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to b upgraded. SB4072015.do revised 08!26/15