Loading...
B-2017-1499 . CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1499 19887 BEEKMAN PL CUPERTINO,CA 95014-2450(316 30 133) EFFICIENT WATER HEATERS INC SAN JOSE,CA 95127 OWNER'S NAME: RETHINAVELU DEVENDRAN AND SOLAIYAN THENDRAL DATE ISSUED:09/07/2017 OWNER'S PHONE:714-224-6486 PHONE NO:(408)393-3187 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-36 Lib.#1008381 Contractor EFFICIENT WATER HEATERS INC Date 10/31/2017 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: .. INSTALL TANKLESS WATER HEATER(GARAGE) I hereb affirm ,der penalty of perjury one of the following two declarations: I .. e and will maintain a certificate of consent to self-insure for Worker's . . Z la.pensation,as provided for by Section 3700 of the Labor Code,for the Vii.- ormance 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. Sq.Ft Floor Area: Valuation:$2900.00 APPLICANT 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 316 30 133 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 agai = -'d City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,t - appli•=nt understands a - 1 comply with all non-point source reg -tions p,r the Cupertino nici'-I Code,Section 9.18. 180 DAYS FROM LAST;CALLED INSPECTION. ®SignatureDate 9/7/2017 Issued by:Abby Ayende i Date:09/07/2017 I hereby/firm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: folio I g two reasons: All roofs shall be inspected 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. i sale(Sec.7044,Business&Professions Code) I 2. 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:9/7/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. 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 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. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay.Area Air Quality Mana y•u ent District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Co:.,Ch,•ter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the _the Health&Safety Code i.s.25505,255 -,and :534. Labor Code,I must forthwith comply with such provisions or this permit shall a be deemed revoked. � �, ner or authorized agent: / %' APPLICANT CERTIFICATION Date:9/7/2017 I certify that I have read this application and state that the above information is CO3 4 _O LEND IG.iGEkCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there i 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. I understand my plans shall be used as public records. Signature Date 9/7/2017 Licensed Si 9 Professional CONSTRUCTION PERMIT APPLICATION • `yam! COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ( 10300 TORRE AVENUE •• CUPERTINO, CA 95014-3255 �� g , ,frf� gK,l yy,: `'C'i ° (408) 777-3228 • building@cupertino.org PEMIT#B-00q— - CUPERTINO REVS DEFS • ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.1. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA PROTECT ADDRESS 9 a L`/ 0_,../ L` APN# "btu- 50-133) y3 OWNER NAME PHONE /yozcr...4,7%. E-MAIL STREET ADDRESS CITY, STATE,ZIP fYi.q e — / Q. / -� mi /f0 om^` 2 SD ( e71T ` 12 CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE E-fficren1t r L /tog 3g ( C-- - 4. , ISTREETADDRESS / }{—j yCITY,STJP E-MAIL -1- kONEBUS.LIC I L/ �! - Erx/ 742A/16/e37/)(2(... -a�/ ()/J Y� D �yi �-©/ Qf ?Sir -._ —A-f 0 ARCHITECT ❑OWNER ❑OWNER AGENT ❑CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTACT NAME E-MAIL • STREET ADDRESS CITY,STATE,ZIP PHONE _• ••• ,••• _ DECRIPTON 7-4g r ,�l / / ❑SINGLE-FAMILY/DUPLEX ❑MULTI-FAMILY 0 INDUSTRIAL ❑COMMERCIAL • I EXISTING USE EXISTING SF NEW FLOOR SF 'PORCH SF DECK SF ,DEMO SF STORIES F TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) • REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED 1 BATHROOM SF SF SF SF ❑DETACHED EXISiNG ❑YES EICHLER ❑YES SECOND STORY ADDITION ❑YES FIRE SPRINKLERS❑ NO ❑ ,NO ❑NO DWELLING SECOND DWELLING ❑YES.0 ATTACHED DETACHED OTHER • UNITSF UNITADDITON: ❑No: , SF ' POOLS! ❑FIBERGLASS 0 VINYL:LINEb ❑GUNITE 0 PREFABRICATED ' POOL-SF SPA-SF I :SPA'ATTACHED DYES 0 NO I TOTAL-SF CEIVED BY: VVu" A AL}(A IJ2 TION: Commercial or Mulli-Family Buildings with PublicSwinmring Pools requires Department of Environmental Heath approval JV[��iV(1v�1 • RE-ROOF EXISTING ROOF TYPE: ❑BUILT;UP ROOF E ASPHALT SHINGLES El WOOD SHAKES❑WOOD SHI LES TILE OTHER(SPECIFY) REMOVE/REPLACED NO IF NO . ' PLYWOOD ❑' " ❑3/8" PLYWOOD TYPE:. PITCH: ROOF CLASS ID YES FOFLAYERS'' ' THICKNESS E 5/8" OTHER DOSE ❑CDX OTHER •12 PROPOSED ROOF TYPE:❑BUILT-UP ROOF;❑ASPHALT SHINGLES ❑WOOD SHAKES❑WOOD SHINGLES ❑OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy SF Sof SQUARES By my signature below I certify'to,each of the following: I am the property owner or authorized agent to 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'or.' :nces and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property ,sr ii .pection purposes.I acknowledge and authorize all information cont ed n this application form to be made available for public reco . / Signature of Applicant/Agent:. , ` � /c Date: SUPPLEMENTAL INFORMATIO,i r QUIRED *New SFD/Second Dwelling Unit H' ultifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Providea,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. *HOA-Provide a letter of approval,from the Home Owner's Association BldgApp_2017.doc revised 08/01/17 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE 4s . COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION • CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333 • buildinn(r�cucertino.orq x�� xc5 s` ,� .s"z• r` r s. r x ,. a":. '��. �.X -�. �-^� - <r a - r tTxx F xd$ �, Sac 2a a.,c ^tea✓ '�x d^L x x a - 3' q \ .. d k11 a c v1 � 6 " ,'h ra`�y ss "� ��':c ,.�,`�- �.n,.�Z*� ;�„;",,, '�� a tall.. it ri, ,SS # . 4 RR C,�NNOT-E �I ALED T. 1L TF1IS.XERTIF. CATP H SBEEN - i 7 s. .?i ^'..sz'st?' :,sem.,#_„r ... ...:s. ......,.,.. .......w:-+.v. uY✓_.,.,....:bz .z�...w::,.0 a-:ah^,.ty.,,a', r.e. ..x.a .., .r,..x,o.,.- � .<,�.,,. r a,+u..., PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family andmulti-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 X X the 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 attachedgarage. 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. Address: //Re 7 6,EFkwi m pi_PtCE Permit No.8-o .OJ 7 " *.?y Specify Number of Alarms: #Smoke Alarms: #Carbon Monoxide Detectors: am I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: �J Signature U Lc pLc _ Date:0_9,2 W7 Contractor Name: Signature Lic.# Date: i Smoke and CO fonmdoc revised 12/15/16