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B-2016-3229CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3229 10253 PARKWOOD DR APT 4 CUPERTINO, CA (326 27 037) THERMAL MECHANICAL SANTA CLARA, CA 95054 OWNER'S NAME: AVERY GLENBROOK LP DATE ISSUED: 12/09/2016 OWNER'S PHONE: 650-961-8330 PHONE NO: (408) 988-8744 LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class C-4. 10.20.36.38 Lic. #256057 Contractor THERMAL MECHANICAL Date 01131/2018 X BLDG X ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENTIAL COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTI N: BLDG 43/UNIT 4; ADD (N) A/C; REPLACE FURNACE, SAME I hereby affirm under penalty of perjury one of the following two declarations: LOCATION; (N) WASHER DRYER HOOK UPS; (N) ELECTRICAL 1.. I have and will maintain a certificate of consent to self -insure for Worker's SERVICE (70 )- (1) GAS LINE FOR .STOVE; (N) 9 RECEPTACLE' Compensation, as provided for by Section 3700 of the Labor Code, for the OUTLETS; (I) 11 IGHT; (I) BATHROOM EXHAUST FAN performance of the work for which this permit is issued. Ihave and will maintain Worker's Compensation Insurance, as provided for by 0_�ction3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $20000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 326 27 037 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point WITHIN 1 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 00400ee� Signature _ Date 12/9/2016 Issued by: Abby A ende OWNER -BUILDER D AR TION Date: 12/09/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: • All roofs shall be in ected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. i, as owner of the property, am exclusively contracting with licensed Signature of Applican : . contractors to construct the project (Sec.7044, Business & Professions Code). Date: 12/9/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROO COVERINGS TO BE CLASS "A" OR BETTER a. 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. HAZARDOUS MATERIALS DISCLOSURE 2, i have and will maintain Worker's Compensation Insurance, as provided for by I have read the ha Eardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain complianc with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additiona ly, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compt ance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent; -/- APPLICANT CERTIFICATION Date: 12/9/2016 I certify that I have read this application and state that the above information is l'ONSTR7CTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending, agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which t iis permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my pla is shall be used as public records. Licensed Signature Date 12/9/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERT)INO (408) 777-3228 • FAX (408) 777-3333 • buildingacuperdno.or p 2�t1S- 3 ❑ NEW CONSTRUCTION ❑ ADDITION ❑iC ALTERATION / TI ❑ REVISION / DET ERRED ORIGINAL PERMIT # PROJECT ADDRESS 10253 ParkwoDR, BLDG 43, Unit #4 7APN#lod OWNERNAME Avery Glenbrook LLC PHONE 6 E-MAIL 650-961-8330 Avery@pacbell.net STREET ADDRESS 130 East Dana Street CITY STATE, ZIP Mt. View, CA 4041 FAx 650-961=0571 CONTACT NAME Rob Moyer PHONE 408-593-8115 E -M rmoyer@thermaimech.com STREET ADDRESS CITY, STATE, ZIP FAX 425 Aldo ave. Santa Clara, A 95054 408-988-0233 ❑ OWNER ❑. OWNER -BUILDER ❑ OWNERAGENT 01 .CONTRACTOR ❑ CONTRACTOR AGENT El kZCEITECT ❑ ENGINEER ❑ DEVELOPER ':❑ TENANT CONTRACTORNAME Thermal Mechanical LICENSE NUMBER 256057 LIC SETYPE BUS. LIC# 299 C-4,10,20,36,38 COMPANYNAME Thermal Mechanical E-MAIL rmoyer@thermalmec .com FAX 408-988-0233 STREET ADDRESS 425 Aldo ave. CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 408-988-8744 ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL, FAX STREET ADDRESS CITY, STATE, ZIP PHONE . _ DESCRIPTION OF WORK _. add new -AC, replace furnace in same location, (N) washer/drye hookups, (N) electrical panel (70 AMP), (N) gas line for stove, (N) electrical outlets, (N) light, (N) bathrco rn exhaust fan EXISTING USE PROPOSED USE CONSTR_ TYPE I #STORIES - USE TYPE OCC. SQ.FT. VALUATION ($) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN - _ OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DEC_ K/PORCH AREA GARAGE AREA: DETACH rI ATTACH #DWELLING UNITS`.. IS A SECOND UNIT ❑ YES BEING ADDED? ONO SECOND STORY ❑YES ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES - '. TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? iE] NO —00 Zo ooCJ By my signature below„ I certify to each of the following: I am the prop e ge the property owner's behalf. I have read this application and the information I have provided is correct. I have read e Description of Work an nfy it is ccurate. I agree to comply with all applicable local ordinances and state laws relating to buildin construction. 1. authorize representatives of Cupertino to enter the above -identified p pe -for inspection purposes. < �/ Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATIONREQUIRED New SFDor Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. __Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. —Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp_2011.doc revised 06121111 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 • buildina(ftuoertino.orn TTnis 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 bedroom(s) X X On every level of a dwelling unit including basements X Within each sleepinb room X -� Carbon Monoxide alarms are not required in dwellings which do root contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with. smoke alarms shall comply with `BC 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. Tn existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceilvlg finishes or there is no access .by means of attic, basement or crai4Tl 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: 1L/ 4 rZ Permit No.Z?-Z4% GUPERT INO Owner Name'a Address / 0 Z_ WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingangcupertino.org fri34 j_ L L Permit No 1. Is your real property a registered historical site? El., Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. T& No Go to Question 2. 2. Does your real properly 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. A 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? ❑ 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 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. XYes My real properly 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.. Please. check ONE of the following: ❑ My property is. a single fanidy 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 fixizues 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 cons7nercial 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 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 i)ase. -� Owner or Owner Agent's Signature; Date: /i/Zif ! 7 1 upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26/15 . BUILDING PERMIT CANNOT BE FINALE' COA'IP.'LETED UNTIL THIS CERTIT'ICAg IIAS SEElY ' N Ii;ANI) RE-TURNECT) Tfl T 3E BUILDING.DIVI 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 08126115 Non-CompliantWater-Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Wafer Usage /Flow Rafe 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 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 Gallons/flush 0.5 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 60psi' 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 required to be upgraded. SB407 2015. doc revised 08126115