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B-2017-0130I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10108 JUDYAVE CUPERTINO, CA 95014-3523 (375 11009) OWNER'S NAME: LI RICHARD CAND INGRID S TRUSTEE & ET AL OWNER'S PHONE: 408-218-0165 LICENSED CONTRACTOR'S DECLARATION License Class C-36 Lie. #987398 Contractor F W H ACQUISITION CO LLC Date 10/3112017 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: oi.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. 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 permit is issued. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicapt understands and will comply with all non -point source regulations Cupertino Municipal Code, Section 9.18. Sionature Date 1/25/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). hereby affirm under penalty of perjury one of the following three declarations: L 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. 1 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 permit is issued. 3. 1 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. CONTRACTOR: PERMIT NO: B-2017-0130 F W H ACQUISITION CO LLC BOTHELL, WA 98011 DATE ISSUED: 01/25/2017 PHONE NO: (425) 636-7078 APPi ICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 112512017 BUILDING PERMIT INFO: X_ BLDG _ ELECT X_ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: (N) 50 GALLON WATER HEATER - GARAGE Sq. Ft Floor Area: Valuation: $1580.00 APN Number: Occupancy Type: 375 11 009 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION, by: Abby .A ex nde RE -ROOFS: 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. Signature of Applicant: Date: 1/25/2017 "An HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal. Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertin Municipal Code, Chapter 9.12 and the Health & Safety Code, JS/ec505, 25533, and 25534. Owner or authorized agent: [ Date: 1112512017 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional vii LJ- l:U7 FAX Fast Water Heater , 701-4- � Ukr—INCKAL r=KIVII I At-l-Lik;A I 1UN COMMUNITY DEVELOPMENT DEPARTMENT o WILDING DIVISION 10300 TORRE AVENUE * CUPEWrINO, CA 06014-3285 (408) 777-3228 - FAX (408) 777-331,3 - buIId([IaQgu4ett7fmg.grg PROJECI'ADDR917r) iL.ILL4�i R OWMN" STREET AMPLASS CONTACT NAME STUAT ADDRESS Cl owimp. U owNmauumn 0 owmAonw CONTRACTOR NAME COMPANY Nf!�� APNO 31s- worl -N / C-1 .( K I dy- I 9-MAQ& I PRON2 CITY, STATE, ZIP FAX FAX 10005/017 IVI rM MISC &ACM E3 CONTRACTOR MINT Cl ARcmTgcT LJ zNmEaR M Dilmorm TENANT LICENSE MWER -1cBmT BUS. UC ��Ob T AROUTACT/ENGINBER NAME UCONSE Numpolk COMPANY NANX WAIL STREET ADDRESS CITY, UATE, ZIP USE 0i -4j`sro-,vtwLffx E3 wmTr-i;kwm-( PROJECT IN W(LDLAND d Yss SUILDWO: EICOMMERCIAL E MOAN INTEPPACE AREA 4 NO DESCRIPTION OF WQ= (J-�O\J\o 4 0 r PRMCT IN U YES FLOOOZONS M No BUSS LIC 0 FAX PHONE 18 UM SLDG AN alcamtloww U Yes 0 No TOTAL VALUATIOMm zKom I amm ik-00ai" By my signature Wow, I certify to each of the following. I orn the property ownor or authorized agent to aot on the prop" owner's behalf I We raw WE application aid the information I have provided is correct. I have read the Description of Work and verMl It is accurate. I agree to comply with all applicable local ordinnacoa and state laws relating to bulldin"Gasituction, I authorize repruentafl-vas of Cupertino to Ritter the above- idents piopytty fbr insped-lot, Purposes, Signature of Applicant/Agent., Date I/ )—lip UEPhfisci4pp_201 Woe revised 0612 Ilt I FILE WATER -CONSERVING PLUMBING FIXTURES _> 5 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �11 CU ERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 F Cl OL r -CA 08_ ®-3228 • FAX (408) 777-3333 • building(c�cupertino.org - / ,� Owner Name r ( Permit No. l t Address [ is is F'f 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. DNo 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. 10 No Go to Question 3. 3.- Is water -service -permanently rl sconnected-for-your buildiiig?- ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. !�f 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. ❑ 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: XR 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 mult family 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 orbeforP.Januaiy.1,--20.19, all-non_compliantplumbing fixtures shall -be�replacedwithwater 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 fix in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California x wilding Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing f es comply with the requirements as indicated in the table on the followinu Daae. -V. f l Owner or Owner Agent's Signature: T Date: 0 -2- C .S' ( I Upon completing and signing this C ificate, please return it to the Bultding Division in order to final your building permit. SB4072015.doc revised 08126115 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 -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (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 Water Usage /Flow Rate 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 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 showeroutlets 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 g_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 required to be upgraded. SB407 2015. doc revised 08126115 Address PURPOSE SMOKE f 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 a building(@cupertino.orct i #�nf dlarmc Qmnlra,� 2, LT M c,6- 6 - 17__--�() —0 (� 0 r PERMIT CANNOT. BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND.RFT iRNED TO THE BUILDING DIVISION 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 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 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 have been tested and are operational, as of the date signed below. I have read and a ree to comp!v with the terms a co1"iditions of this statement OOw�q er to; Owner gent's)Name: eA` �v` Si natur ........ :'..................................................... Date: ................., Contractor Name: 141 Signature............................ -..................................... Lic.#...................................... Date: ................... Smoke and CO fmna.doc revised 03/18/14