15080046CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18611 RUNO CT
Cn�NTP A r T^" '
PERMIT NO: 15080046
/
4 <�
OWNER'S NAME: LIAO ANDRE AND PING
DATE ISSUED: 08/06/2015
OWNER'S PHONE:
PHONE NO:
in LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL
TEAR OFF (E) B.U.R. & INSTALL (N) TORCHDOWN ROOF
License Class 3 1q Li,. # 60V3i' .,3 ;Z
SYSTEM (24 SQ'S)
Contractor �G/S rayl er ����-- )ate doq
I hereby affirm that I am licensed under tfie 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:
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
Sq. Ft Floor Area:
Valuation: $13000
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
APN Number: 37525022.00
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
WITHIN 180 DA T 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 DAY CALLED INSPEC74��
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Is Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code, Sec '
RE-ROOFS:
9.18.
Signature - Date
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.
❑ OWNER-BUILDER DECLARATION
/
Date: � l
I hereby affirm that I am exempt from the Contractor's License Law for one of
Signature of Applicant:
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)
I, 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:
Health & Safety Code, Section 25532(a) 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, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date:
permit is issued.
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 to 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
CUPERTINO
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 950143255
(408) 777-3228 •FAX (408) 777-3333 • building(aftuoertino.org / to 000 vi�
PROJECT ADDRESS 1,41" / -R Clw
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OWNER NAME a^e
PHONE67D3
E MAI �/& ad/e � ql /
STREET ADDRESS y'G
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CITY, STATE, ZIP
FAX
CONT CT NAME
�ale
PHONEelh-k 3
E-MAIL
,
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT p CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME :LICENSE
l T
viQ
NUMBE R
LICENSE TYPE
BUS. LIC. #
COMPANY NAMEE-
- L S Ro (,Z • j
FAX
STREET ADDRESS
CITY, STATE, ZI ( �n
,1
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ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC. #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD or Duplex ❑ Multi -Family
STRUCTURE: ❑ Commercial
ROOF AREA:
2 PD
VALUATION: /
,?aaL/)
EXISTING ROOF TYPE: ® BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE /REPLACE 12 YES
13 NO
IF NO,
# LAYERS: Q `
PLYWOOD 11w, ❑
THICKNESS: 135/8"
PLYWD 13OSB
TYPE: 11CDX
PITCH: l
_ :12 2
ROOF
CLASS: A
PROPOSED ROOF TYPE: ❑❑ HEP 1R ICC -ES REPORT #
BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES � OTHER
DESCRIPTION OF WORK: .11� � /� � • - ,tee) � � s � // � / r.}..� � w / /
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
ordinances and state laws relating to building con I authorize representatives of Cupertino to enter the above -i entifie property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
_ If building is associated with a Home Owners Association, provide letter
of approval from HOA.
_ Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear -Off Policy.
OFFICE USE ONLY
B66N CHEC T PE
ROUTING SLIP
ovE rel�coUNTER
EXPRESS
❑ STA "ARD
❑ BUILDING PLAN REVIEW
❑ PLANNLNG PLA1V REVIEW
❑ FIRE DEPT
❑ oTItER
ReroofApp_MLdoc revised 03116/11
_CPoo"
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
1AADDRESS:
18611 RUNO CT
DATE: 08/06/2015
REVIEWED BY: MELISSA
Plan Check Fee:
APN: 375 25 022
BP#:
*VALUATION:
1$13,000
PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY
USE: SFD or Duplex
PENTAMATION
PERMIT TYPE: 1SFDWLR00
WORK
TEAR OFF E B.U.R. & INSTALL N TORCHDOWN ROOF SYSTEM 24 SQ'S
SCOPE
a 3
lech..Nan Check Phamb. Plan Cheek i iec. Plant Check
14ech. Per^rnit hee: I'lumb. 1'ermit Fee: 1 Iec. Pern'lit l=ee:
Other _Vech_ Insp. Other I'lurnb .haj..,�. Oiher Elec lrtstr.
F7F--L-
Afech. Inch. Fee:I'hrmb. Insp. Fee: 1, C. Insp, Fee:
NOTE: This estimate does not include fees due to other Departments (f. e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dept for addn7 info.
FEE ITEMS (Fee Resolution .1.1-053 Ef. 7/1/13)
FEE ID
ROOF AREA
st
MISC ITEMS
Plan Check Fee:
A
xSuppl. PC' Fee
1 REROOFFRES
2,400
F'lr�rnh. /�Teclz.,-1'lec
Permit Fee:
$408.00
.Su1pl. Fnsp F.,ee
P1trn�I�.'�i.Jr�cla, %f'lec
I'laarnh.;'t I€ c°I�.; 11ec .I'ertralt Fee:
Construclion Tax:
A4hninis/1"afive Fee:
Work Without Permit? ® Yes (E) No
$0.00
Ativanced Planning Fees:
Trtive?l.Docuine'nlalion Fees:
Strong Motion Fee: IBSEISMICR
a 3
lech..Nan Check Phamb. Plan Cheek i iec. Plant Check
14ech. Per^rnit hee: I'lumb. 1'ermit Fee: 1 Iec. Pern'lit l=ee:
Other _Vech_ Insp. Other I'lurnb .haj..,�. Oiher Elec lrtstr.
F7F--L-
Afech. Inch. Fee:I'hrmb. Insp. Fee: 1, C. Insp, Fee:
NOTE: This estimate does not include fees due to other Departments (f. e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dept for addn7 info.
FEE ITEMS (Fee Resolution .1.1-053 Ef. 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
A
xSuppl. PC' Fee
F'lr�rnh. /�Teclz.,-1'lec
Permit Fee:
$408.00
.Su1pl. Fnsp F.,ee
P1trn�I�.'�i.Jr�cla, %f'lec
I'laarnh.;'t I€ c°I�.; 11ec .I'ertralt Fee:
Construclion Tax:
A4hninis/1"afive Fee:
Work Without Permit? ® Yes (E) No
$0.00
Ativanced Planning Fees:
Trtive?l.Docuine'nlalion Fees:
Strong Motion Fee: IBSEISMICR
$1.69
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
, ,
$410.691$0.00
TTAL FEE:
$410.69
Revised: 07/02/2015
REROOF TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
C U PE RTI NO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - buildin4(ftupertino.org
PROJECT ADDRESS
t /
J� `i
APN #
NAI
,E, NAE
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d
PHONE
o
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E-MAIL n
��
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTRACTOR NAME /
/^'a}
LICENSE NUMBER. n
!ra
LICENSE TYPE
BUS. LIC. #
COMPANY NAME
�
� �
EMAIL
FAX
STREETDRESS
aoy
CITY, STATE, ZIP
_
PHONE a)rh,c//`
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.
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 monoxide detectors are re ' •ed to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code.
Signature of Applicant/Agent: Date: f
ReroofPolicy_2014.doe revised 01/15/14
71d�?
CUPERTINO
Address
SMOKE / CARBON MONOXIDE ALARMS RILE
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.orq
Permit No. 15-0 S� M4G
�r C'"1-• ,�.; # of Alarms Smoke: 4 Carbon Monoxide: I
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
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 anompliance with the California Building
and California Residential Codes. The ala ave:bee tested d are operational, as of the date signed
below.
I have re d and agree to c r s ander ' " ns of this statement
O ner (or Owner Aent's) Name:
�'2-✓
imaturet7Z ................................................................................................ Date:'S/
Contractor Name:
Sinatu/e............................................................Lic.#...................................... Date: ...................
Smoke and COform.doc revised 03/18/14
C
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(8-cupertino.or4
Owner Name, �� ,,-L �` A�7 Permit No. 1: (:)
Address
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RF.TLTRNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: �/' Date: r ( 7� t SJ
XNo 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.
Sign below and skip the rest of the form.
No
Owner' Signature:Date:
Go to 3.4
%t 7
/ r I
Question
3. Is water service permanently disconnected for your building?
❑ Yes
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the
rest of the form.
No
Owner' Signature: Date:
Go to Question 4.
// 7 /
?/"-"/
/ / /( 1
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. Sign below and skip the
rest of the form.
Owner' Signature: Z�Z/� Date:
7
KYes
My real property is built and available for use or occupancy on or before January 1,
1994.
Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached.
❑ 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.
SB40 7 2015.doc revised 02104115
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)
UWe, tfie owrier()'orthis property, certif d r pen of perjury that non-compliant plumbing fixtures will be replaced
prior to date specified above with r -con ing fixtures in accordance with Civil Code Sections 1101.1 through
1101.8, the current California P mbing nd C mia Green Buil g Standards Code, and manufacturer's installation
requirements, and that the ter-conse plu fixturp y with the requirements as indicated in the tab below
Owner's (or Owner Age s) S' e: Date: i
Upon completing and signingAfiis CertificX, please return it to the Building Division in order to final your permit.
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 02/04/15
Non -Co li
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
Water Usage
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
(Flow Rate
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 @
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 02/04/15