15040069 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19960 BAYWOOD DR CONTRACTOR:ABOVE ALL ROOFING PERMIT NO: 15040069
OWNER'S NAME: JOANNA Y LUM SEP PROP TR 8/6/9 1550 S WINCHESTER BLVD STE 223 DATE ISSUED:04/08/2015
OWNER'S PHONE: 4089963882 CAMPBELL,CA 95008 PHONE NO:(408)370-1056
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑
RE-ROOF 25 SQ;REMOVE 1 LAYER OF WOOD SHAKE;
License Class` \ Lic.# 3 5 INSTALL OSB CLASS A
Contractor,_1 w 2 k"c4 ate
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.
hereby affirm under penalty of perjury one of the following two declarations:
,y I have and will maintain a certificate of consent to self-insure for Worker's
I\� Compensation,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:$10000
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 APN Number:31630005.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WIT�IIN 180 DAYS PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROTT CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of theg
granting of this permit. A ditionally the applicant understands and will comply Issued by: Date: O
with all non-point source gulatio per the Cupertino Municipal Code,Section
918.
O RE-ROO
Signature ✓ Date "U L All roofs shall be inspected prior to any r fi in rial being installed.If a roof is
installed without first obtaining an insp ti ,I ee to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION ^—
Signature of Applicant: � Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: .49 Health&Safety Code,Section 25532(x)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Se tions 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this v p 4.,
permit is issued. �2
Owner or authorized agent: VI.�-ice Date: V
I 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 tq become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9 18.
Signature Date
REROOF PERMIT. APPLICATION 0 0�
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 0
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINt7
(408)777-3228•FAX(408)777-3333•building(ftupertino.org b�
PROJECT ADDRESS 17 R�O Q� n r APN#A `n L )� v�✓
OWNER NAME PHONE , R�{�Y2 E-VMAIL
OAW,41L I�NJ i1 I HA
STREET ADDRESS / •Q/O �Oh^ ��• CITY, STATE,ZIP /J FAX (%
CONTACT NAME !/O V(� PHONE E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
OWNER El OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME C LICENSE NUMBERZ577 LICENSE)0be'A 1 �yPF,.� BUS.LIC.#e 7
2-
COMPANY NAMEV6 I l _IN
E-MAIL �1 FAX
Y Abo�eccllrmoF.� cJl3'gft,nGf • ZOz2_
STREET ADDRESS
155b b S. `�,C`eme- b, o CITY,STATE,ZI �� i ONE, 7
ARCHITECT/ENGINEER NAME J P'`i� ~Y LICENSE NUMBER ��,� BUS.LIC.# :•J
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF \,'-S-FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ElCommercial / 25 S / C", �o6
El �,
EXISTING ROOF TYPE: BUILT-UP ROOF ❑ASPHALT SHINGLES I WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACEYES IF NO, PLYWOOD 1:1 w, ElPLYWD V OSB PITCH: ROOF
❑NO #LAYERS: THICKNESS: I! 5/8" TYPE: ❑ CDX _:12 [ CLASS: A
L o ciffr it eaICC-ES REPORT#
PROPOSED ROOF TYPE: 11 BUILT-UP ROOF El ASPHALT SHINGLES 11 WOOD SHAKES 11 WOOD SHINGLES OTHER_
DESCRIPTION OF WORK:
L/ J A r LL L7-
lJ�l DE2 nj-e�, R-OD F'
By my signature below,I certify to each of the following: I e property owner or authorized ent to act on the property owner's behalf. I have read this
application and the information I ve provided is c rrect. I ve ead the Description of
Wor d verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating t buil ing const ction. I uth rize representatives of ertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: '
SUPPLEMENTAI INFORMATION REQUIRED
_If building is associated with a Home Owner's Association,provide letter ROUTING sz1
of approval from HOA. ca rx ❑ iDINc PLANvlEw
Provide Planning approval to verify if there any restrictions. ® ❑� ANNINCPLANREUIEw
Provide copy of Manufacturer's Installation Specifications. ❑o 'DEPT,
Al
Provide signed copy of Cupertino's Tear-Off Policy. °ii - ❑ 0
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 19960 BAYWOOD DR DATE: 04/08/2015 REVIEWED BY:
191APN: I BP#: *VALUATION: 1$10,000
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Du lex PENTAMATION 1SFDWLR00F
USE: P PERMIT TYPE:
WORK RE-ROOF 25 SQ'REMOVE 1 LAYER OF WOOD SHAKE; INSTALL OSB CLASS A
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,500
'° w
�a iw lhi
..
e .IN
, .s " t ;
o� _ o e —
-MI
Ntech. Plan Check I I Plumb. flan Cheek Elec.Plan Check
ivtech. Pernail Pee' Plumb. Permit Icc: Elec. Permit lee
C)fl err He,ch, Insp, Other Plumb Insp. ET-t- 01her Elec.Insp,
11r>r.°la. Insp. Pee: Plumb. Iusp. Tee: hlec.Cnrp. Pee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7�f 11/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppi. .t Fee
1'lzainh.��l�feclz.il'lcc
Permit Fee: $425.00
Su ppl. Aul?Pee
Plum b.%11ec1_/Elec
Plz�ntb.%iL1�ch.%£'lec Permit Fee:
Construction Tax:
,ldministralive Fee:
Work Without Permit? ® Yes (E) No $0.00
Advanced Plarming Fees:
Travel Documenlatiun Fees: �
Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item
Bldp-Stds Commission Fee: 1BCBSC $1.00
$427.30 $0.00TD AL FEE: $427.30
_ r
Revised: 04/01/2015
REROOF TEAR-OFF POLICY
its COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTIND
(408)777-3228•FAX(408)777-3333•building(cr�.cupertino.org
PROJECT ADDRESS / //� Q ` ve i 7APN
#
OWNERNAME ( \ IJ W PHONE E-MAIL .
IZZ J�gnn�elt)Ml� nnl•GQ
STREET ADDRESS D �� CI STA;E ZIP FAX
CONTRACTO NA E LICE SENUMBER LICENSE TYPE BUS.LIC.#
�t p-nl Z,4-�a�•-� 6 25 -7 C� 7 Z
COMPANY NAME\.4Y.,i.�f�_ `.� E-MAIL /!� q G� n o f FAX rQ8
C41 (Q
STREET ADDRESS ^fir ZZ3 CITYttKK//A E ZIP tI PHON B
55U S• W,r c. BW ��-' fit,. �'
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2013 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-
2:30pm (Friday)to schedule inspection. For Tear-Off and Nailing Inspections, you must also call on the
day of the inspection only after that phase of the work is completed. The building inspector will be
available within one hour. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs)
and 7:30-10:30am and 12:30-2:30 (Friday). Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied without first obtaining an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be performed.
6. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of I/4"per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
7. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be
charged a re-inspection fee. The re-inspection fee shall be paid before another inspection can be
scheduled.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon mono 'de detectors e required to be installed ' ccordance with Sections R314 and R315 of
the 2013 California Residential Co
Signature of Applicant/Agent: Date: d • 2��S
ReroofPolicy_2014.doe revised 01/15/14
SMOKE / CARBON MONOXIDE ALARMSpp 5`
OWNER CERTIFICATE OF COMPLIANCE ��
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO
(408)777-3228•FAX(408)777-3333•building a(7cupertino.orq
i^ n Permit No.
Q
Address I 1q� bpo""� J #of Alarms Smoke: 04L Carbon Monoxide: /
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
PURPOSE
This 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 X X
bedroom(s)
On eve level of a dwellingunit includingbasements X X
Within each Slee in 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 agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's) �N.ame:
llb P"W� L L4 ' ( Si nature..... .. ........................... �t'"� ...........................................................Date: ..................
Contractor Name:
Signature..........................................................I........Lic.# ......................................Date: ...................
Smoke and COform.doc revised 03/18/14
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE f05Ij
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO ��O ',^QF�
(408)777-3228•FAX(408)777-3333•building(c cuaertino.oro j
Owner Name l o A N h(h L S M Permit No.
Ti 0
Address �� � � La q.�01 if
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.
C"o 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.
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.
,2 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.
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-ramily 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).
1,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 110 1.1
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.
Owner or Owner Agent's Signature: Date: o
Upon completing and signing this Certifi te,please return it to the Building Division in order to final your building permit.
SB407 201 J.doc revised 08/26/15
BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS
CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
Non-Compliant Water-Conserving Plumbing Fixture
Plumbin Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Usage/Flow Rate
Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4
/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,
Urinals Exceed 1.0
average flush volume of two reduced flushes and one full flush
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 onlyone 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—
m 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 nci
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.doe revised 08/26/15