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15080050ns CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20875 VALLEY GREEN DR CONTRACTOR: NEMMER ROOFING PERMIT NO: 15080050 OWNER'S NAME: KORET VC I LP 5348 AUDUBON PARK CT DATE ISSUED: 08/06/2015 OWNER'S PHONE: 6505923960 FREMONT, CA 94538 PHONE NO: (510) 919-2930 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] Id /j Q License Class C. ` 3 Lic. # 7 % >"� BLDG # 18-23 REMOVE (E) ROOF, INSTALL NEW OSB PLYWOOD, 30# TARPAPER AND LIFETIME COMP !l/ `)J `2 Contractor e"l," ale ASPHALT _&`2 SHINGLES (46 SQ S) 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. 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: $23835 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: 32609064.00 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 DAYS OF 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 180S FROM LAST CALLED INSP C ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -poi t source regulat s per the Cupertino Municipal Code, Section 9.18. _ l5 RE -ROOFS: Signatur 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 _ ' Signature of Applic 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) 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. 1 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, Secti 505, 25533 d 25534. Section 3700 of the Labor Code, for the performance of the work for which this �� �— Y� 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 Aug 06 15 10:22a Nemmer Roofing 5105734736 p.2 REROOF PERMIT APPUCATLON COMMUNITY DEVELC'zMENT DEPARTMENT • BUILDING D V151ON 10300 TORRE AVENUE • CUP=RTINO, CA 55014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingLaajoeriino.cro CUPERTINO , PROJECT ADDRESS �O //� / / APN �G ( (� / y _ GHM.'.R NAME � �(�V�//' L•htA.tL / ST-RZETADDRESS /t ^ CIT STATE,ZI? � � FAX COI.7ACT NA.4lE PHONE I E.hi.A;L S-R=ET ADDRESS CITY, STATE, ZIP FAY, ❑ OWNER ❑ O'N r—R•BITLDER ❑ OttTTt/.GBr: = CD1,TX1,CTOR ❑ CONTRACTORAGEAT ❑ ARCI,=-C ❑ 12:GIh{{{EER ❑ DEvl10PER ❑ 7=NAT7 COI,TRACrOR N fig. ,LICENSE VUTABER LICENSE TYPE I BUS. uc. i CON-PANY YMI E•I.WL FAX �/-+ START ADDRESS CITY, STATE; ZIP PHON 93 0 A.RCHET-.0 ,'ENGINEER NA.Y.E LICENSE S-0,.BER I BUS. LIC. COMPANY N. -,ME E-LSAIL FAX STREET A DDRESS CITY, STATE, ZIP PHOWE USE OF ❑ SFD or Duplex WVl_]t:-Family ROOF.AREA: - * ni. a VALUATION: 7V�lo/�✓�� sTTtum.0 ❑ Commercial EXLTi?'GROOF TYPE: ❑BUILT•JPROOF ❑ASMALTSH]NOLES AWC'ODSHAKES ❑WOOCSIZNCLES ❑OTHERSPECIFY) REMOVE 'REPLACE JkbES IF NO. PLYWOOD ❑ w, 0 PLYVi'D I -3 PITCH'. ROOF ❑ NO%LAY=RSyy TI-0CKNE�S ❑ -/8" TYPE: ❑ CDX •12 ASS; A PROPOSED ROOF TYPE: ❑BMLT-JP ROOF JI SPHALT SHINGLES ❑ WOCD SHF <ES 11 WOOD S:UNGLES ❑ OTHER ICC -ES REPORT D-tPn��: scRoN of oEix: QI` J / \, / f � T tel` 11 40, By my signature below,', certify to each of the fcllowing: I am :he property owner or authorized agent to act on the property owear's behalf. I have read this application and the information I have provided is correct. I have rear the Description cf Work and verify it is accurate. I agree to comply'n'ith all applicable local ordinances and state laws relating to ing construction. 1 a t Ti aserta,ives of Cupertino to enter the above-i:entified property fcr inspection purposes. Signaturec ApplicandAgem: _ Date. SUPPLEAgNTAL iNFORIAATION REQUIRED REQ O MCE,USE;OVL] ° r • r � �� n -;t a � a = g1An CHECT :TYPE _ .i �' is � , � � , - Rot rTt�csi P ,:. If building is associated wi_h a Hone OM'ner'S ASSOCiation, provide letterk 'OVER TF�COI7NTER of approval from HOA. — Provice Planning approval to verify ifihere any restrictions. 1 51 l E%PRFSS4'- -1 rr iO .]3TJ[LDtNG'?LAN REVIEIi j ' l?* copy of Mannfacr_rer's Installation Specifications. a � , �t i m� PLAN Rsl ty ❑T7R�'DEPr _Provide 1 � 1'yl Provide signec copy of Cupe-ino's Tear -Off Policy. Lq+tiST�\'DAt>.D'i ^ 4Ft ',� ❑ OTHBR � _ ' ]N:� �➢Pnr r s +icy t�"! 3x 5��.Y� Y �i 1 Rercof.lpp_2011.doc revised 03/16/11 CITY OF CUPERTINO J!Joecm 1 FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 20875 Valley Green Dr DATE: 08/06/2015 REVIEWED BY: PAUL :Akch. Permit Fee, APN: 326 09 064 BP#: *VALUATION: 1$23,835 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof _[_PENTAMATION PRIMARY Multi -Family Dwelling USE: Building is 3 Stories 0 Yes (D No 1 R2ROOF PERMIT TYPE: WORK BLDG # 18-23 REMOVE E ROOF INSTALL NEW OSB PLYWOOD 30# TARPAPER AND SCOPE LIFETIME COMP ASPHALT SHINGLES (46 SQ'S) FEE ID ROOF AREA (s.f.) 1REROOFMRES 4,600 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 nreliminary information available and are only an estimate. Contact the Dept for adds 7 info. FEE ITEMS (Fee Resolution 11-053 E . 7�f 11113) ;'tt ch. 1 `it7r; - ;;Mb. Piail C?cc :Akch. Permit Fee, I''�::... . , I)tiac't L1r, fr. If�st3. ))her Eke, Ir p, 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 nreliminary information available and are only an estimate. Contact the Dept for adds 7 info. FEE ITEMS (Fee Resolution 11-053 E . 7�f 11113) FEE QTY/FEE MISC ITEMS an Cileck Fee", �plPC Fee Permit Fee: $7 .00 :�L11.7�31..lr'I:S�3 Fr;cr 1•'IurrzL3.i:tlE;c;h.;`�lec; 1'c;rPrr�lt FEt:,• J ux onstructionTux: F-1 441ministrative F-�::.' Work Without Permit? 0 Yes (D No $0.00 ,4(Jvance' i.1�'�IL�YknhFyg Fe3ti . Strong Motion Fee: IBSEISMICR $3.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALST $786.101 $0.00 TOTAL FEE: $w -lo Revised: 07/02/2015 10 I Aug 06 15 10:22a Nemmer Roofing 5105734736 p.3 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 1030, TORRE AVENUE • CLIFERTINO, CA 95014-3255 (408),7-3228 • FAX L408j 777-3333 • buildingiJcupe-tin o.orq J$- 2 - PROJECT ANDD^ hPN o �I '6 �S -/ v 1 OWNER NAE -MAIL ST 2EET.ADDRESS I Yl, S7wTF, Z P ? �© 2 FAX CONTRACTOR 9dE ,� ENMSER LICENSETYPE LICENSIJ SL'S LIC. t i,(� /v o C- ccMP."w Nwk: E -MALL TAX STREET �' G S-ATE,ZIP �: �, d��,3c? 5.3-YSS /"' 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- 2:30ptn (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 7:30-10:30arn 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, al[ the nails/fasteners shall be either completely knocked -down or removed prior to this inspenon. 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 1 --ave a minimum of %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 sighing below, I certify each of the following is true: I am the property owner or asthorized 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 'hat sina:<e detectors and carbon monoxide tectors are re iii:e6, t e installed in accordance with Sections R314 and R315 o- the 2013 California Residential Cod ' Signature of Applic2n6Agent: Date: �� l Rer0of?0hcy_2C14 doc revised 011J.114 CUPERTINO Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 11FILE015 (408) 777-3^3228 • FAX (408) 777-3333 • buildingCa�cupertino.org 5;0V�y ORQJD9 . Permit No. / 5-0 TOO W Ole 19-2-,3 # of Alarms Smoke: / K Carbon Monoxide: 6 _ 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 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) Name: S� Si nature ....... .... .... .G........ .l(. ! Date: Contractor Name: d � �i n/— Signature... ................... ... .... Lic.# . 7..3 v./.......... Date: g. ..`. Smoke and COform.doc revised 03/18/14 5 CUPERTINO Owner Name Address .2c), WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION J�ILE q 0 fo. 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 .�. 03) 777-3998 • FAX 777-3333 777-3333 • building(a�cupertino.org/ — 3 Permit No./ 55 900 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED 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: No Go to Question 2. Date: Ell' /t j- 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 110 1. 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. Owner' Signature: /No Go to Question 3. 53k Date: 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. Owner' Signature: No Go to Question 4. Date: 6 L/ / � 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: Date: l Lit l Yes My real property is built and available for use or occupancy on or before January 1, 19 4. l Civil Code Sections 1101.1 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 df 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. SB407 2015.doc revised 02/04115 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/We, the owner(s) 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 plumb' g fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: r -- -i, 411LL J1r,111-6 L11- %-vl ui,uam, pease return it to the tsuildmg Division in order to final your permit. xis ing p um ing 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 01/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbin Fixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow a/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.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. I rfthe xis ing p um ing 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 01/04/15