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15050102 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11086 LINDA VISTA DR CONTRACTOR:NEIGHBORS ROOFING PERMIT NO: 15050102 AND GUTTERS OWNER'S NAME: ATAEE MEHRAN AND IRIS L TRUSTEE 200 FORD RD STE 236 DATE ISSUED:05/18/2015 OWNER'S PHONE: 4084179584 SAN JOSE,CA 95138 PHONE NO:(408)472-3869 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑ TEAR OFF(E)WOOD SHAKE,INSTALL(N)OSB,30#FELT License Class Li..# �� &LIFETIME COMP ROOF SYSTEM(30 SQ'S) Contractor at � 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$13220 Pave 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:35616022.00 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 AYS FROM ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgment costs,and expenses which may accrue against said City in consequence of the Date: S granting of this permit. Additionally,the applicant understands and will comply y' with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature y � Date 5 � �` 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 DECLARATIONk-, q. Signature of Applicant am' Date: w 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(Scc.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 Date.'c ` Owner or authorized agent: _ permit is issued. r`3 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 918. Signature Date n / ' V REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 117 ^ V CUPERTINO (408)777-3228 • FAX(408)777-3333•building(c)cupertino.org V/ PROJECT ADDRESS i �� 9 APN# 3 I v I VLA ' l OlARJER NAME ✓v tP PHONE©� �p E-MAIL STREET ADDRESS lJ` CITY, STATE,ZIP d FAX jj o r c�c>, V�� mss- c u e.� t (Zo-1 CONTACT NAME PHONE E-MAIL 12 0e.✓' U y- Ll --r-ob e-,,-1-6 Ira e 7 STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# li�/ - X6`6 6 5,n L a COMPANY NAM E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE 7-0-- s s'� 3 u© - V�3� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 6kSFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial 311 Q S 1( _5 l _ EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES LP-WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) � r REMOVE/REPLACE BYES IF NO, PLYWOOD ❑ %" ❑ PLYWD IA_OSB / PITCH: ROOF ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF A 1SPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: e—_ L CSS In Vey 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 c nstructi I aut prize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: U �� SUPPLEMENTAL INFORMATION REQUIRED }` " !.,, ,, OFFICE,USE O1VLI If building is associated With a Home Owner's Association,provide letter PLaNc>3EcxTYPE J ,xOUTINGSLIPr Of approval from HOA. O�EIYT$ECOULTER ❑ BUILDINGPLANItEVIEN Provide Planning approval to verify y l i if there an restrictions. 'i' — '� EXPRESS� f �i "' { r�❑'PLAN3YII�GPLA1�REVIE�Y � r Provide copy of Manufacturer's Installation Specifications. sTANnARD ❑'FiIZEDEPT Provide signed copy of Cupertino's Tear-Off Policy. � ❑ oaJ3ER i ( '� ' Im x a, ' ReroofApp_201 1.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 11086 LINDA VISTA DR DATE: 05/18/2015 REVIEWED BY: MELISSA APN: 356 16 022 BP#: *VALUATION: 1$13,220 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: P PERMIT TYPE: WORK TEAR OFF E WOOD SHAKE INSTALL N OSB 30#FELT& LIFETIME COMP ROOF SYSTEM 30 SCOPE SQ'S) FEE ID ROOF AREA s.L 1REROOFFRES 3,000 a3 iblech.Plan CheckPlumb.Plan Check lilec..l'lan Check Lft"' Permit Fee: Plumb.Permit I%'ee: klec. Permit Fee: Oiher Alec•h.jrup. Other Plumb Irup. Li Other Elec.Insp. Mech. Insp.Fee: Plumb. Irrsp. Vee: Alec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the relimina information available and are onl an estimate. Contact the Dept or addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Cheek,Fee: Suppl. .PC Fee plum b.�t11Iech.:`Ele e Permit Fee: o� Satp d. Insp Pee Sod Plumb./Meeh./Elee Pluntb.!11lCch.iElee Pern7it Fee: Construction Tris: Administrative Fee: Work Without Permit? 0 Yes (j) No $0.00 Advanced 1114xmung Fees: Travel Doctunentaticrn fees: Strong Motion Fee: 1BSEISMICR $1.72 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00702. SUBYOTALS $512.72 $0.00 r TU AL $512.72 ___ , .. . a Revised: 05/07/2015 P` REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 FAX(408)777-3333• building QDcupertino.org PROJECT ADDRESS i `� APN# OWNERNAME �/ PHONE E-MAIL STREET ADDRESS CITY, STATE,ZIP FAX 11M.- Sc--5 �a1� CONTRACTO NA LICENSE NU BER LICENSETYPE BUS.LIC.# o ,pI,,( £S COMPANY NAME E-MAIL FAX o-rS a �-c STRE^T®DRE ` / CITYc,STATE,ZIP �E L z 0 L6 cJCCh� jf 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 un 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 monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Signature of Applicant/Agent: Date:67 le" (�T\ RerooJPo1icy_2014.doc revised 01/15/14 CUPERTINO Address //Of 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(a)cupertino.org Is"D / LV Perr /J_ --A P Cupl!?!v# of Alarms Smoke: ' . R A_ • Igo, 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 every level of a dwelling unit including basements X j X Uex 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. r I have read and agree to comply with the terms at3econditions of this statement Owner (or Owner Agent's) Name: /]�� 'l l•�1 Signature......... ; D ................................. Date: �.1......... .. Contractor Name: • Signature....................................... ............................ Lic.#...................................... Date: ............... .: Smoke and CO form.doc revised 03118114 w� CUPERTINO. Owner Narne R Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (40/8) 777-3228 • FAX (408) 7777-333/3/ • building(a)cupertino.org . / '� ff ,tln, � / // Pa-- ;t NTn C (03 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 110 1. 1 throu 0 1101.8 'o not apply. Sign below and skip the rest of the fonn. f � 1'.+.. �rerigr�tu�es /,.j` � i ✓ Date; ".� � 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. wrler!�;Sr atllle-� Date, � y /i /C / ,r 9 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. Sign below and skip the rest of the fonn. ®er}' Sr na//L Date: - tuiE ` _` w \ J/ X$ 17ia Go to Question 4. ell 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 1Wand gh 11 � do not ap ly. Sign below and skip the rest of the fonn. •O v�nI' gi e: Ye My real properly is bulab e for• r occupancy on or before Januaiy , 1994. Civil Code Sections 110 1. 1 through 110 1. 8 apply. Refer to the attached. 0;My property is a single family residential real property. See Civil Code Section 1101.4. .n and after January 1, 2014, building alterations or nnprovements shall require all non-compliant plumbing Mures o.,be replaced with water-conseiving plumbing fixtures throughout the building. On or before January 1, all on -compliant plumbing fixtures shall be replaced with water-conseiving plumbing fixtures (regardless `otliella'er property undergoes alterations or improvements). ❑ My property is a niultifainily 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-cornpliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether properly undergoes alterations or improvements). ❑ My property is a connnercial 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. doe revised 02/04115 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving _. _plurnbirig.--fixtures throughout the building (regardless of whether properly undergoes alterations or ilpRrqy). 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 :re a rrrents, and that the water -conserving plumbina4tures cd-nplyv4th toe requirements as indicated in the tableeLow. or Owner Agent's) Signature: Date: Upon completing and signing this Certificate, please return it to the Building Division in order to final your pen -nit. "sif<tle existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not requiredo b` e up°ra SB4072015.doc revised 02104/15 ;w" RBn4ijomg]ian I Water -Conserving Plumbing Fixture Plumbin Fixt� (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usagest. 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, 1'• average flush volume of two reduced flushes and one full flush Urinals -_Exceed 1.0 0.5 gallons/flush t Gallons/flush Showerheads `Exceed 2.5 2l0 gallons per minute @ 80 psi. Also certified to the performance criteria of ,gallons per minute U.S. EPA WaterSense Specification for Showerheads F` hand-held shower is considered a showerhead.) 1� x:, t ',Fbr multiple showerheads serving one shower, the combined flow rate of all s: _ sf owerheads and/or other shower outlets controlled by a single valve shall not eyeed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to a allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons M.dximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory ;pair minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets &4;igallons per minute @ per minute @ 60 psi; y 20;'psi minimum 0.8 gallons per minute @ 20 psi ;r.. In common and public is f use areas: 0.5 gallons s,. ;i per minute @ 60 psi 1.8 gallons per minute 1 !@ 60 psi Faucets — EExceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen Faucets ,per minute �. 60'psi@ Ma:y,t�emporarily increase 60 psi May temporarily psi -:° up,62.2 gallons per increase up to 2.2 _ minute @ 60 psi, and must gallons per minute @ defau t to maximum 60 psi, and must c'E 1.8g° lions per minute @ default to maximum r r�r 60 p `"'i 1:8 gallons per minute Wharfe faucets meeting @-60 psi ' thea ove are unavailable, Where faucets meeting aeraors or other means the, above are may{ e used to achieve unavailable, aerators or 'd tion. other means may be r = used to achieve s r reduction. "sif<tle existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not requiredo b` e up°ra SB4072015.doc revised 02104/15 ;w"