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15080054HE CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESSr ?.%ALLEY GREEN DRAPT 0,% CONTRACTOR: NEMMER ROOFING PERMIT NO: 15080054 OWNER'S NAME: KORET VC I LP 5348 AUDUBON PARK CT DATE ISSUED: 08/10/2015 OWNER'S PHONE: 6505923960 FREMONT, CA 94538 PHONE NO: (510) 919-2930 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ BLDG # 256-267 REMOVE (E) ROOF, INSTALL NEW OSB License Class Lic. # PLYWOOD, 30# TARPAPER AND LIFETIME COMP Contractor ate l2 —1 ASPHALTSHINGLES (99 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: S44659 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 is ;ate, APN Number: 3-a 09 © I Occupancy Type: permit issued. o l'i '�'-'lJ 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 180 D S FROM LAST CALLED INSPE indemnify and keep harmless the City of Cupertino against liabilities, judgments,'tfwcosts, and expenses which may accrue against said City in consequence of the `� '� granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: v t✓. with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date o `` All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtain' g an inspecti , I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applican 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. 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, Sectio 25505, 25 3, d 25534. Section 3700 of the Labor Code, for the performance of the work for which this b permit is issued. Owner or authorized agent Date: — 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 10:29a R Nemmer Roofing 5105734736 p.12 REROOF PERMIT APPLICATION 150m+. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUP=RTINO, CA 95014-3255 (402) 777-322B • FAX (408) 777-3333 • buiidinalaag-joertinD org PROTECT hDDRiSS APN : O'NN ER NAME E-MAIL SGi [� —� J C V ��lsr3K CIT , STATE,M ' `f FAX 1c0 s� CONTACT NA.,SE PACNIE E-MAIL STREc'T ADCRESS CITY, STATE, ZIP FAX 11 OWNER ❑ CWNER-BUMDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ COT7AACTORAGENT ❑ ARC]TECT ❑ ENGINE -ER. ❑ DEVELO'ER ❑ TI:w'-r CONTRACTOR Y IE LICENSE NUMBER LICENSE TYPE BUS. LIC. iO COM?ANYNAME ✓" E-MA)L FAX STREET ADDRESS �. CITY. STATE, ZIP ! > PHI ,/ C'r :y 63 '� s:� 93 ARCHITECT.'ENGINEERN.AME LICENSE NUMBER BLS :.IC COMPANY VAM£ E-t\;,tL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex Multi -Family ROOF AREA; �� VALUATION.444/&N STRUCTLRZi. ❑ Cc-nmeTcial EMS-ING ROOF TYPE'. ❑ BUILT-UP ROOF ❑ ASPHALT SINGLES WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE MEPLAC=AYES IF NO. i PLYWOOD ❑ h" ❑ I PLYWD �OSB PITCH: L RGOF ❑ L'O ALAYERS THICKNES : ❑ i/8- TYPE: ❑ CDX �' 12 CUSS A PROPOSED ROOF T1T8 ❑ BUILT -LP ROOF SPHALT SFZNGLES ❑ V/OOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC-ES REPORT DESCRIPTION OF WOR C: 3 0-2X By -ny signature belay, I certify to each of the follov,,ine: I am the property owner or authorized agent io act on the property owner's belialf. ) have read this application and the information I h.ave provided is acne--[ I hai a ;cad the Description of 11%ork and verify it is accurate. I agree to coriply -Witt all applicable local ordinances uwd state laws relating to V1 ing construction. I at ril esentatives of Cupertino 10 enter the above -Identified properly for inspection purposes. SignatureofAppli_ant/Aee-w - Date: 9-3—,7S SUPPLEMENTAL INFORMATION REQUIRED If bu:idinc is associated with a Hoare Owner's Association, provide letter �CIz;tYPs of approval from HOA. PProv s I c bYEI TH1 a s F ❑ BIJILDL,G PLAT REY2EN Provide Planning approval tO verify if there any restrictions. ig0bN'TEm' ©rP1.4r�T�ITG.PLA.\RESr-IEW ;, ��.IPRESS ;+� i ,-. '•.S -P 1�� ytY � \ P r 1 _ Provide copy of Ivlanufacn rer's Installation Specifications. r � .�'h r [Stir x + M ' . �. 3Y : ^`r 7 / - .'�' ^ ❑F1RE�FP�P, STp2TDAtDt �i }- Provide signed copy of Cupertir.o's Tear -Off Policy. 4 ! ur # ❑` orTTEa < _ . 1 i 1 1 k 2 I� `lam?V� G N ti, \ r��. Rereojlpp_201 !.dot ;wised 03/16/1 i CITY OF CUPERTINO 0-506C054 . FEE ESTIMATOR — BUILDING DIVISION im, ADDRESS: 20875 Valley Green Dr DATE: 08/06/2015 REVIEWED BY: PAUL APN: 326 09 064 BP#: *VALUATION: 1$44,659 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Multi -Family Dwelling USE: 1 Building is >3 Stories 0 Yes (F) No PENTAMATION 1 R2ROOF PERMIT TYPE: WORK BLDG # 256-267 REMOVE E ROOF INSTALL NEW OSB PLYWOOD 30# TARPAPER AND SCOPE LIFETIME COMP ASPHALT SHINGLES (99 SQ'S) FEE ID ROOF AREA (s.C) 1 REROOFMRES 9,900 _ fech. Fian t. hec: " ;1,fe ch..Permit .Fee: %ill. 1 "an P.1,;titl: Insp. P; ri Cl"ic"ci, Eke. Aerinct Fee: bhor Elec. 111sp, NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliniinary information available and are only an estimate. Contact the Dept for addit 7 info. FEE ITEMS (Fee Resolution 11-053 E . 7fF 11113) FEE QTY/FEE MISC ITEMS Plan Check Fee: .SuppL PC" pose; 4 Permit Fee: $1, 6 0 Slvp1" 1, biq) P ce; l'I?nntl�.'it Iech.:'�:Iete: f'Itrrnf�.%tlec;h.%I lec; Perinit FE;e: ("onst'ruciion Tax: F71 .rltlrrttntstrtativef Fee: Work Without Permit? 0 Yes 0 No $0.00 �.fll'ld7tCf.'t�'.�llUPTniY7i;; Fe:(3S: Travel i)ocumentation Fees: Strong Motion Fee: IBSEISMICR $5.81 Select an Administrativekltem Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $1,690.81 $0.00 TOTAL FEE: $1,16�d 10, Revised:'57/02/2015 Aug 06 15 10:29a Nemmer Roofing 5105734736 p.13 tL N CUPERTINIO REROOF TEAR -OFF POLICY COMMUNI7. Y DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVA.DCR, :1.E., C.B.O., BUILDING OFFICIAL 10300 TOPPE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3,1133 - buildina4cuoertino.ora u/ - C.b7 PRCJECreDDR.ESS MANEZ NAn PHONE __ �•u►t STP.E:T ADDRESS ITY, TP., ZIP l�; E 5�6Q z FAX COVT?tACCOR ME A J lCFNSE N,5£R v LICET S=T) PE SUS. L(C COMFANYNA:.4 C1-- Ac<gLj P e 'c-MAIL FAXX ST2E ADDRESS T /- STA E, ZI % /�ff41 7s PHONTQ !�7 s"o I U>NIDERSTAND AND AGREE TO THE FOLLOWING: I . The re -roof project shall comply with all applicable provisions of the 2013 Califorma 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-Tly,.Irs) or 7:30- 2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the day ofthe inspection only after that phase of the work is completed. The building inspector will be available within one hour. The hours for this ser«ce 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-doi-m or removed prier 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 aT)proval 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 1/4" per foot of slope and demonstrate there is no pending. 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 tee. 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 autl-.orized agent to act on the property owner's behalf. I understand and a4gree to comply with the re -roof policy stated above. I also understand that si cke detectors and carbon racroxide'09tectors are re uired to installed in accordance with Sections R3 7-4 and R315 of the 2013 California Resident -al Cod Signature of Applicant/Agent: Date: ReroofPo1_;Cy_20I4 doc revised d1.%15/14 CUPERTINO Address PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d)cupertino.org 1�i1 %Cc y 9i�e��c- n �-- # of Alarms Sm4re PERMIT CANNOT BE FINALED AND COMPLETED UNTIL -IFlI c fb5 ll�'i9'�s HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION ME CATE 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. 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: I 1 l'L U ,� f�/� Si nature....... .. ..%C.�V�!............................................ Date: v/7( ... 4.� Contractor Name: j Si nature ..................... ... .... ............... Lic.# . 7. Y . 3.. ..el....... Date: g. . 7. `.. A Smoke and COform.doc revised 03118114 CUPERTINO Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE M COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255ftg (408) 777-3228 • FAX (408)) 777-3333 • building(a)cugertino ora Address .20 i 7 T , i F P S / Sd }vim 5j I PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SICK AND RET_ LM`n 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: Q 5elo Go to Question 2. vl (Li/ l T- 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. Owner' Signature: No Go to Question 3. 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: Date: o Go to Question 4. q/1 C(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:;�� Yes My real property is built and available for use or occupancy on or before January 1, 19 4. 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 improvetents 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 9f whether property undergoes alterations or improvements). y 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 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). 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 ptlmbing fires comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: _X L-P, Date: OW/ i P---'i Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 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, 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 02104115