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B-2017-0308CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10745 N DE ANZA BLVD UNIT 314 CUPERTINO, CA 95014 (326 26 070) CONTRACTOR: CUPERTINO PERMIT NO: B-2017-0308 PLUMBING INC - SAN JOSE, CA 95124 OWNER'S NAME: LAI DEREK T AND TAI ANGELINE CO YING DATE ISSUED: 02/24/2017 OWNER'S PHONE: 408-203-3289 PHONE NO: (408) 253-0618 LWENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C,16 Lic. #624905 Contractor CUPERTINO PLUMBING INC Date 04/30/2018 X_ BLDG —ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing 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 DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: REPLACE 50 GAL WATER HEATER (OUTSIDE CLOSET) t. 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 permit is issued. Sq. Ft Floor Area: Valuation: $1300.00 APPLICANT CEBIIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 326 26 070 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the I City of Cupertino against liabilities, judgments, costs, and expenses which may PERMIT EXPIRES IF WORK IS NOT STARTED accrue against said City in consequence of the granting this permit. Additionally, the applicant understands and willl comply with all ll non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. yUGV— Signature .�' Date 02/24/2017 Issued by: MELISSA NAMES OWNER -B iii D R DLARATION Date: 02/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS.- F ROOFS:following followingtwo reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is t. I, as owner of the property, or my employees with wages as their sole installed without fust 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 Applicant: contractors to construct the project (Scc.7044, Business & Professions Code). Date: 02/24/2017' I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER i. 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 z. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous 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 compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. 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. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of 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 exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 255'5, 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: 02/24/2017 c I certify that I have read this application and state that the above information is CONSTRUCTION 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 this 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 plans shall be used as public records. Signature Date 02/24/2017 Licensed Professional a COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • building(@cupertino.org 0 MECHANICAL PROJECT ADDRESS 10 • -7 q5 y. �J I ^ D �3ZA OWNERNAME De -,re -v-- e -v e -v -L t: y STREET ADDRESS SIS �C,�� a� , K) CONTACT NAME , C�l o-ar5-04,j STREET ADDRESS, z .-.•I `S El OWNER ElOwNERC-BurLD( ERR t;J❑ OWNERAGENT�9 CON CONTRACTOR NAME %� 1 COMPANY NAME STREET ADDRESS ARCHITECT/ENGINEER NAME t {J I COMPANY NAME ❑ ELECTRICAL Z,6* /❑ MISCELLANEOUS ^� L /Cy APN# � %!n - 2(j - U% PHONE ( 203 A3 C„`/ E-MAIL CITY, SATE, Z C4- CF cr -f 0 FAX PHONE k -(OS _l -q �-6 / C,6, E-MA 8 CTT SATE, � Ofd c hY ��! G ., FAX TRACTOR ' ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT LICENSE NUMBER/ 2IL( � LICEI� TYPE BUS. LIC # /C / -z- E-MAIL E MAIL f (-Y-2 •eqJ CCf (� t-� r ✓fid _ FAX z� ; CITY, STATE, ZIP PHONE 7 LICENSE NUMBER BUS. LIC # E-MAIL, FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: E] COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLERHOME? ❑ NO DESCRIPTION OF WORK TOTAL VALUATION: f / j koeo RECEIVED By my signature below, I certify to each of the following: I am the property owner or authorized age o act on the property owner's 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 building construction. I authorize representatives of Cupertino to enter the above -id fled pro rty for inspection purposes. Signature of Applicant/Agent: °I I Date: � �-��� SUPPLEMENTAL INFORMATION REQUIRED n OFF.L@E USE ONLY ❑ EXPRESS U ❑ STANDARD L+ 14 ❑ LARGE F ❑ MAJOR MEPMiscApp 201 Ldoc revised 06121111 CUPERTINO PIJINIPOI!) r SMOKE 1 CARBON MONOXIDE ALARMS OWNER,CERT[FICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildinoBcunertinn nm This affidavit is a self -certification for the installation of all. required Smoke and Carbon Monoxide Alarms for compliance with. 2016 CRC Section R314, R315, 2016 CBC Sections 420.6 and 907.2.11.2 where no interior access C or 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 8314, R315, 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: �r AREA SMOKE ALARM CO ALAR.r,,l Outside of each separate sleeping area in the immediate vicinity of the X i j bedrooms) — (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a du7el.lijig unit including basements and habitable attics x X - Within each slee ins room.I X Carbon Monoxide alarms are not required in dwellings which do not contahL fuel=burning appliances a -lid that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply ivith 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 ,\+dch must be connected to the buildh-L-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. f .�€- i,� Address: �7�fr_ �+y_ �L I�kW2 7t I7L � '� lOe��7, Permit No. [ -7 Specify Number of Alarms: T Smoke t Carbon 'Monoxide Detector - I have read and aaree to comely with the ferm.q anri cnnHWnn.c of th;.c .�ratPn,A f Owner(or Owner Ag/et Agent's) Name: �/'�Y- L�_I I Si nature...... ,.................................................................. Date:...y�? ....... Contractor Name: Signature.................................................................. Lic.# ..................... _........ ....... Date: ........... ....... %T Smoke and CO forn7.doc 7-evised 01/10,12017 CUPERTINO /, Owner Name MATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 bFI2� (408) 777-3228 « FAX (408) 777-3333 • building(a Cupertino org Yennrt No,./ Address _j 07+,67 br- A&�,� �7`! N © f C.� �J'S0 tf- J 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn. 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. "l No Go to Question 3. 3. Is water service 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. -.,X No Go to Question 4. 4. Is your real properly built and available for use or occupancy on or before January 1, 1994? Pno� -llr $ No My real property is built and available for use or occupancy after January.l, 1994. ufI !N 20 Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. -0 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: ❑ 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, terrify 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 nage- N t 4 f/ Owner or Owner Agent's Signature:= n %w Date ' 2491 Upon completing and signing this Certificate, please return it to the Building Divicinn in nrriPr tn final i,,,;m;, „o,.,,,;+ SB4072015.doc revised 08/26/15 �. a,. uio caihuug piu1110mg nature water usageir�ow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40 7 2015.doe revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture l (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 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.& 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 onl 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 ppsi 60 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. �. a,. uio caihuug piu1110mg nature water usageir�ow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB40 7 2015.doe revised 08/26/15