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B-2017-0800CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0800 19875 LINDENBROOK LN CUPERTINO, CA 95014-4539 (369 23 016) QUICK PLUMBING CO SANTA CLARA, CA 95050 OWNER'S NAME: YING IIANGUO AND WANG WEI DATE ISSUED: 05/19/2017 OWNER'S PHONE: 408-718-5396 PHONE NO: (408) 732-1220 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lic. #5 5,UL Contractor QUICK PLUMBING CO Date 09/30/2018 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: PROPERTY LINE CLEAN OUT 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. 'z. 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: $1500.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above 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 369 36923 016 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. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source re gu tions per the Cupertino Municipal Code, Section 9.18. r 180 DAYS FROM LAST CALLED INSPECTION. Signatur e' Date 5/19/2017 Issued by: Abby Ayende OWNER-BUH..DER DECLARATION Date: 05/19/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 5/19/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. 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 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 Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & SafeCo , Se ti ops 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: 5/19/2017 I certify that I have read this application and state that the above information is CON TRUCTION L"G AGENCY 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 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 1 understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 5/19/2017 Professional GENERAL PERMIT APPLICATION II&A E Fift COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 m = I S IOU& ftil CUPERTINO PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS (408) 77? -3228 •FAX (408) 777-3333 • buiidino(a)cu�ertino.orc] PROJECT ADDRESS �Q T� �� /lijdC a 7n©�{/ �� 4PNr L� N ti JC (� y0 STREET.ADDRESS/�G/Wr/5 %bo�NZte_rl /� CITY, ST.4TE,ZIP �. /Jo FAX //i //l L CONTACT NAMES// C ^R�L �1P/J� 5O%�� � /S' J / ' !c / C� E-MAIL STREET ADDRES e G �j /�/J/ V f 7❑ /T CITY, STATE, ZIP �� / / n7F.A�X _ ton ❑ OWNER ❑ OW'N'ER-/B'L LDER OWNERAGENT CONTRACTOR ❑ CON JR4CTORAGENT ❑C ARCHITECT ❑ ENGA'EER ❑ DEVELOPER ❑ TENAN7 CONTRACTOR NAi ( j �j/ LICENSE NUMBERO r '7 /�� LICENSE f� PF� J 1 O� 1C BUS. LICE} COMPANY NAME f �li�lc K _mac E-MAIL E-MAIL L FAX b—Q ��( a P STREET ADDRESS/ qt j ��� 1 � CITY, STATE, ZII� � /J j Q ` �1 PHONE 7 /� G / .ARCHITECVE-NGINEER NAME LICE 'SF NUMBER BUS. LIC r CO1vIPAW. NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX ❑ T�fL`LTI-FAMILY PROJECT IN WILDLA.ND ❑ ITS BUILDING: ❑ COMMERCIAL URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ 1 -E -S EICHLER HOME? ❑ NO DESCRIPTION OF WORK TOTAL V ALU.ATION: ��� -� RECEIVED B] A� 1 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owne 's beha . I have read this application and the information �e 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 relatir}g to buil g co struct n. I a Dr ze representatives of Cupertino to enter the above identifi property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENT, .. TFORMATION REQUIRED OFFICE USE ONLY .. ❑ ONER THE -COUNTER ❑ EXPRESS <', ❑ LARGE ❑ AIAJOR A1EPA1isc.4pp_2011.doc revised 05/21/11 CUPERTINO SANITARY DISTRICT 20863 Stevens Creek Blvd #100, Cupertino, CA 95014 Tel (408) 253-7071 • Fax (408) 253-5173 b %NMI tA*,, CS2 F� CUPERTINO SANITARY DISTRICT PERMIT LETTER Cupertino Sanitary District has adopted Resolution No. 1263. Building Permit Request (Over -the -Counter) Single Family Project ❑ Multi -Family Project ❑ Commercial Project Project Address: Permit Number: Scope of Work: vS 21�" Owner/Applicant Name: ddress:/O� Date: Prepared By: ld'� C �uC Phone: 1f;?' 7--S Z -le z7 %v SA %tel Q orized Representative 1, as property owner or authorized agent, acknowledge that all Cupertino Sanitary District requirements will be me and all required fees will beVLai;= for proposed project. Date: 7� �o/`J Signature: Owner / Authorized Agent CUPERTINO SANITARY DISTRICT Pre -inspection Required Date Scheduled: Date: Conditional Approval By: OFFICE USE ONLY Final Inspection Required Authorized Representative Cupertino Sanitary District District will notify owner of the required fee within 5 days after Pre -Inspection has been completed and cc City of Cupertino. Inspection Fee Paid Date Paid: Jq - i - Inspection Fees: $250/unit - Single Family Residential already connected, but new cleanout is required $150/unit - Single Family Residential already connected with existing cleanout in working order D $350 Minimum — Commercial and Retail Actual Amount: O $200/each — Disconnect and/or abandon lateral service Connection Permit Fees: $350/unit - Single Family Residential connecting to existing lateral D $650/unit — Single Family Residential connecting with new lateral $100/unit — Multi, Hotel, Living Units, etc. Actual Amount: D $500/connection - Commercial and Retail Actual Amount: Connection Use Fees (See Attached Calculation Sheet): Date: S 1Gi 1_7 Final Approval By: Authorized f sentative Cupertino Sanitary District Area and Frontage Fees Amount: Residential Excess Fees over 3.5 unit/acre Amount: D Commercial and Retail Connection Fees Amount: O Commercial and Retail Change in Use Fees Amount: Date: S 1Gi 1_7 Final Approval By: Authorized f sentative Cupertino Sanitary District CUPERTINO BILE SMOKE /CARBON MONOXIDE ALARMS 5-T4y7T3 " OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org 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, R315, 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, 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: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics 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. L )) ) j� C°`� Address: � �� � I h AevvL rvvk lK N ar�� c • 501 L� Permit No. D "tell' d&DD Specify Number of Alarms: # Smoke Alarms: I T 1 # Carbon Monoxide Detectors: 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: / Jl /VSi nature ......... .11�........................................................................ Date:................... tractor Name:: V Signature. ^ �C nn .. :........ Lic.# �c�C.�....... Date: Smoke and COform.doc revised 01/10/2017 CUPERTINO 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 • building okupertino.org Owner Name G,U,D V1 N 6 Permit No. -2-01 -7 Address (qaj �_ b n dzK Ij rwk L4 u o C A q,�y 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 fonn. X 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? ❑ 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. 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.. 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 7=esidential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or inrproverments 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-conseiving 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 page. y _ Owner or Owner Agent's Signature: YL:!� Date: .(-/ 2�2 /% Upon completing and signing this Certificate, please retuYn it to the Building Division in order to final your building permit. SB4072015.doc revised 01/05/17 SB407 2015.doC Mvised 01105117 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water U§a6 e/Flow Rate Fixture Type Water Usage 2016 CPC Ch. 4 2016 CPC Ch. 4 2016 CPC Ch. 4 /Flow Rate 2016 CALGreen Div. 4.3 2016 CALGreen Div. 4.3 2016 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 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 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 @ defaultto'maximum 60 psi .-1.8- gallons per minute Wh"ere 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. SB407 2015.doC Mvised 01105117