15050138CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11248 CATALINA CT CONTRACTOR: EASTMAN ROOFING &
PERMIT NO: 15050138
WATERPROOFING INC
OWNER'S NAME: XU WEI AND GU YI 1418 DOUGLAS ST
DATE ISSUED: 05/22/2015
OWNER'S PHONE: 5104035150 SAN JOSE, CA 95126
PHONE NO: (408)971-9000
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
LICENSED CONTRACTOR'S DECLARATION
` TEAR OFF (E) COMP SHAKE, INSTALL OVER (E) PLY (N)
C 3� # I CLASS A ASHPALT ROOF SYSTEM (2ND STORY ONLY) 17
License Class Lic.
sr$ f y am, ' �: ate ' 2 SQ' S
f
Contractor
� J
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
f, rmance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $9800
G
Pr
Pve 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: 35621041 00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXP + IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating, �- ERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter AST CALLED INSPECT N.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of ed by Date: ZZ
granting of this permit. Additionally, the applicant understands and will co y
with all non- 'nt source regulations pe a Cupertino Municipal Code, Section
918.
, - RE -ROOFS: '
is
Signature n Da ' All roofs shall be inspected prior to any roofing material being installed. If a roof
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ P OWNER -BUILDER DECLARATION S/
Signature of Applicant: -J`' ate:
I hereby affirm that I am exempt from the Contractor's License Law for one of
MER
BE CLASS "A" 012 BETTER
the following two reasons: ALL ROOF VERINGS TO
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: 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
will maintain compliance with the Cupertino M Code, Chapter 9.12 and
performance of the work for which this permit is issued. 'pal
1 have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Se ti s 255 3, . r d 2 4.
for this S
Section 3700 of the Labor Code, for the performance of the work which
Owner or authorized ager . '� 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
CUPERTINO
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildina(Qcupertino.org
PROJECT ADDRESS r
APN 9 —z
OWNERNAME Yt
PHONE/O^
E-MAIL Q(f yl 7c� ¢j JL lviQ(I �4�
\J V
V
aQ,�b
•1 /
STREET ADDRESS
I4,&
CITI UA EZIP,
c I�—
FAX
CONTACT NA*"' !
PHONE E;MAI "
STREET ADDRESS'
CITY, TATE, ZI F
%
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT b CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ' /
C JvI�Z
LICENSE NUMBER
gTEI�'tSE TYPE
BUS. LIC. #
V
�Z�S�
C'-
I
COMPANY NAM I
,
E-MAIL
FAX
STREET ADDRESS r �^ Q
(M
CITY, STATE, ZIP
ARCHITECT/ENGINEERNAME
/
LICENSENUMBER
BUS. LIC.#
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex ❑ Multi -Family
ROOF AREA:
VALUATION:
l-1 C�C�
9
STRUCTURE: Commercial
J'V'`7 (yY�
lX
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES OTHER (SPECIFY)
REMOVE /REPLACE DYES
IF NO,
PLYWOOD
❑ /" ❑
PLYWD ❑ OSB , ///�
/•' /
PITCH:
' `L
ROOF
El No
# LAYERS:
THICKNESS:
El 5/g
TYPE: ElCDX
' I
/gip
CLASS -
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF �XASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
ICC -ES REPORT 4
DESCRIPTION OF WORK:
By my signature below, I certify to each of the following: I am the
perry owner or authorized agent to act on the property owner's behalf. I have read this
application and the informatio e provided is c ver d
the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws e 'ng to ding c Istru ion. I autho
reS��ves of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplicant; 1
Date: �2
SUPP EMENTAL FO TION REQUIRED
,9�& t k � s 5 : AFFICE USE ONLI � v=�
If building is associa a With a Home Owner's Association, provide letter
rIa r\ T'iPE'
"•: xouTuvc'sLIP`
�s OVER -THE COL71QTER
❑' BUILDING PLANREVIEWr AC
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
LJ
I, D `
ti
❑a i' s
—
EZPREss
�ii,
PLANI4II�G'PLAN RDVIE�3
Provide copy of Manufacturer's Installation Specifications.
❑� sT `Axn "a<'' h
X❑4cFIREDEPT I '�
_
Cupertino's Tear Policy.
s
s
❑ koTHER
- Provide signed copy of -Off
x` i
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
UV U r cmnetr A TnR _ IRI III .DING DIVISION
L' • • L—
:Tech. 1'lran Check
111uw1h. Plan Check
ADDRESS: 11248 CATALINA CT
DATE: 05/22/2015
REVIEWED BY: MELISSA
IlaA.
APN: 356 21 041
BP#:
"VALUATION: $9,800
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY
SFD or Duplex
hlec.Insp. Fee:
L'.... QO.AroY nktrirt_ .Ghnnl
PENTAMATION 1 SFDWLROOF
PERMIT TYPE: i
USE:
$289.00
Sy/y.;1. ]VIS.1a Fee
WORK
COMP SHAKE INSTALL OVER E PLY N CLASS A ASHPALT ROOF SYSTEM
SCOPE
�T�EARS�OFFE
(2ND TORY ONLY)
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,700
NOTE: This estimate does not include fees due to other Vepartments y.e. rtanntng, ruuhc rr ulna, L OI G, .,...•....•y -- - _.__ _ _
____ Contact the Dent for addn'l info.
District, etc). These fees are nasea on the tettnsanur
FEE ITEMS (Fee Resolution 11-053 E . 7(f /1/13)
:Tech. 1'lran Check
111uw1h. Plan Check
Elec. Phan Check
Ale>ch_ Permit Fee:
=111wmnlb.&Pertni(
Ls'lec. Permit Fee:
A4ech. Insp. EIFL_
Other PIu za1, Insp.
Uticer h'lec. Insp.
LjCJther
,i�lerh. Insp. Fee:1
Thanh. hic�. Tree:
n__Ll._. 777,._.1_..
hlec.Insp. Fee:
L'.... QO.AroY nktrirt_ .Ghnnl
NOTE: This estimate does not include fees due to other Vepartments y.e. rtanntng, ruuhc rr ulna, L OI G, .,...•....•y -- - _.__ _ _
____ Contact the Dent for addn'l info.
District, etc). These fees are nasea on the tettnsanur
FEE ITEMS (Fee Resolution 11-053 E . 7(f /1/13)
In vlrllulu.a �.....��.�
FEE
..... »•---
QTY/FEE
_ __._______
MISC ITEMS
Plan C'he(,-k Fee:
S'cppI. PC Fee
Permit Fee:
$289.00
Sy/y.;1. ]VIS.1a Fee
Plumb. A1'`eeh. E'1ee Per•nril Fee:
COn sirliction 7,ax:
fldinlnistralive Pee:
Work Without Permit? 0 Yes No
$0.00
,ldvanced Plarining Fees:
7rai,el Doc ilanemalion Tees:
Strong Motion Fee: IBSEISMICR
$1.27
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
--
$1.00
SUBTOTALS:
$291.27
$0.00 TOTAL FEE:
$291.27
Revised: 05tutt2-015
CUPERTINO
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
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
PROJECT ADDRESS Z/L/' I `
APN # 3 G.. ( U C /
OWNER NAME(VPHONE�-
R 3 r �(
E-MAIL �
STREET ADD RESSCITY,
,—ON—
—^oCONTRACTORNAME
STATE, ZIPP
FAX
CONTRACTOR NAMEI
L i:�s—
LICE ENUMBER
LICENSE TYPE
(- C3-
BUS. LIC.#
COMPANY NAMEE
.r y 1
M
`
FAX
STREET A (( - (S J (cc S � (
CITY, ,T C Z_' o � 1
P+% _'� `7 c GAO V
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 monoxide detectors are •e to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code.
Signature of ADDlicant/Aizent: Date: -'s r I
ReroofPo1icy_2014.doc revised 01/15/14
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11248 CATALINA CT CONTRACTOR: EASTMAN ROOFING &
PERMIT NO: 15050138
WATERPROOFING INC
OWNER'S NAME: XU WEI AND GU YI 1418 DOUGLAS ST
DATE ISSUED: 05/22/2015
OWNER'S PHONE: 5104035150 SAN JOSE, CA 95126
PHONE NO: (408)971-9000
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
LICENSED CONTRACTOR'S DECLARATION
` TEAR OFF (E) COMP SHAKE, INSTALL OVER (E) PLY (N)
C 3� # I CLASS A ASHPALT ROOF SYSTEM (2ND STORY ONLY) 17
License Class Lic.
sr$ f y am, ' �: ate ' 2 SQ' S
f
Contractor
� J
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
f, rmance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $9800
G
Pr
Pve 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: 35621041 00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXP + IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating, �- ERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter AST CALLED INSPECT N.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of ed by Date: ZZ
granting of this permit. Additionally, the applicant understands and will co y
with all non- 'nt source regulations pe a Cupertino Municipal Code, Section
918.
, - RE -ROOFS: '
is
Signature n Da ' All roofs shall be inspected prior to any roofing material being installed. If a roof
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ P OWNER -BUILDER DECLARATION S/
Signature of Applicant: -J`' ate:
I hereby affirm that I am exempt from the Contractor's License Law for one of
MER
BE CLASS "A" 012 BETTER
the following two reasons: ALL ROOF VERINGS TO
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: 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
will maintain compliance with the Cupertino M Code, Chapter 9.12 and
performance of the work for which this permit is issued. 'pal
1 have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Se ti s 255 3, . r d 2 4.
for this S
Section 3700 of the Labor Code, for the performance of the work which
Owner or authorized ager . '� 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
CUPERTINO
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildina(Qcupertino.org
PROJECT ADDRESS r
APN 9 —z
OWNERNAME Yt
PHONE/O^
E-MAIL Q(f yl 7c� ¢j JL lviQ(I �4�
\J V
V
aQ,�b
•1 /
STREET ADDRESS
I4,&
CITI UA EZIP,
c I�—
FAX
CONTACT NA*"' !
PHONE E;MAI "
STREET ADDRESS'
CITY, TATE, ZI F
%
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT b CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ' /
C JvI�Z
LICENSE NUMBER
gTEI�'tSE TYPE
BUS. LIC. #
V
�Z�S�
C'-
I
COMPANY NAM I
,
E-MAIL
FAX
STREET ADDRESS r �^ Q
(M
CITY, STATE, ZIP
ARCHITECT/ENGINEERNAME
/
LICENSENUMBER
BUS. LIC.#
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex ❑ Multi -Family
ROOF AREA:
VALUATION:
l-1 C�C�
9
STRUCTURE: Commercial
J'V'`7 (yY�
lX
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES OTHER (SPECIFY)
REMOVE /REPLACE DYES
IF NO,
PLYWOOD
❑ /" ❑
PLYWD ❑ OSB , ///�
/•' /
PITCH:
' `L
ROOF
El No
# LAYERS:
THICKNESS:
El 5/g
TYPE: ElCDX
' I
/gip
CLASS -
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF �XASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
ICC -ES REPORT 4
DESCRIPTION OF WORK:
By my signature below, I certify to each of the following: I am the
perry owner or authorized agent to act on the property owner's behalf. I have read this
application and the informatio e provided is c ver d
the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws e 'ng to ding c Istru ion. I autho
reS��ves of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplicant; 1
Date: �2
SUPP EMENTAL FO TION REQUIRED
,9�& t k � s 5 : AFFICE USE ONLI � v=�
If building is associa a With a Home Owner's Association, provide letter
rIa r\ T'iPE'
"•: xouTuvc'sLIP`
�s OVER -THE COL71QTER
❑' BUILDING PLANREVIEWr AC
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
LJ
I, D `
ti
❑a i' s
—
EZPREss
�ii,
PLANI4II�G'PLAN RDVIE�3
Provide copy of Manufacturer's Installation Specifications.
❑� sT `Axn "a<'' h
X❑4cFIREDEPT I '�
_
Cupertino's Tear Policy.
s
s
❑ koTHER
- Provide signed copy of -Off
x` i
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
UV U r cmnetr A TnR _ IRI III .DING DIVISION
L' • • L—
:Tech. 1'lran Check
111uw1h. Plan Check
ADDRESS: 11248 CATALINA CT
DATE: 05/22/2015
REVIEWED BY: MELISSA
IlaA.
APN: 356 21 041
BP#:
"VALUATION: $9,800
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY
SFD or Duplex
hlec.Insp. Fee:
L'.... QO.AroY nktrirt_ .Ghnnl
PENTAMATION 1 SFDWLROOF
PERMIT TYPE: i
USE:
$289.00
Sy/y.;1. ]VIS.1a Fee
WORK
COMP SHAKE INSTALL OVER E PLY N CLASS A ASHPALT ROOF SYSTEM
SCOPE
�T�EARS�OFFE
(2ND TORY ONLY)
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,700
NOTE: This estimate does not include fees due to other Vepartments y.e. rtanntng, ruuhc rr ulna, L OI G, .,...•....•y -- - _.__ _ _
____ Contact the Dent for addn'l info.
District, etc). These fees are nasea on the tettnsanur
FEE ITEMS (Fee Resolution 11-053 E . 7(f /1/13)
:Tech. 1'lran Check
111uw1h. Plan Check
Elec. Phan Check
Ale>ch_ Permit Fee:
=111wmnlb.&Pertni(
Ls'lec. Permit Fee:
A4ech. Insp. EIFL_
Other PIu za1, Insp.
Uticer h'lec. Insp.
LjCJther
,i�lerh. Insp. Fee:1
Thanh. hic�. Tree:
n__Ll._. 777,._.1_..
hlec.Insp. Fee:
L'.... QO.AroY nktrirt_ .Ghnnl
NOTE: This estimate does not include fees due to other Vepartments y.e. rtanntng, ruuhc rr ulna, L OI G, .,...•....•y -- - _.__ _ _
____ Contact the Dent for addn'l info.
District, etc). These fees are nasea on the tettnsanur
FEE ITEMS (Fee Resolution 11-053 E . 7(f /1/13)
In vlrllulu.a �.....��.�
FEE
..... »•---
QTY/FEE
_ __._______
MISC ITEMS
Plan C'he(,-k Fee:
S'cppI. PC Fee
Permit Fee:
$289.00
Sy/y.;1. ]VIS.1a Fee
Plumb. A1'`eeh. E'1ee Per•nril Fee:
COn sirliction 7,ax:
fldinlnistralive Pee:
Work Without Permit? 0 Yes No
$0.00
,ldvanced Plarining Fees:
7rai,el Doc ilanemalion Tees:
Strong Motion Fee: IBSEISMICR
$1.27
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
--
$1.00
SUBTOTALS:
$291.27
$0.00 TOTAL FEE:
$291.27
Revised: 05tutt2-015
CUPERTINO
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
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
PROJECT ADDRESS Z/L/' I `
APN # 3 G.. ( U C /
OWNER NAME(VPHONE�-
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STREET ADD RESSCITY,
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STATE, ZIPP
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CONTRACTOR NAMEI
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LICE ENUMBER
LICENSE TYPE
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BUS. LIC.#
COMPANY NAMEE
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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 monoxide detectors are •e to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code.
Signature of ADDlicant/Aizent: Date: -'s r I
ReroofPo1icy_2014.doc revised 01/15/14
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(D.cupertino.org
Permit No. 1 S�
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Gu,��iAddress � �� # of Alarms Smoke: Carbon Monoxide:
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
I 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 hasihave 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 aaree to comoly with the terms and conditions of this statement I/l/kc
Owner (or Owner Agent's) Name:
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Si 9 nature..............................�........................................................................ Date: .... ... .......
Contractor Name:
Signature...................................................................Lic.#...................................... Date: ...................
Smoke and CO form.doc revised 03/18/1.1
4
WATER -CONSERVING PLUMBING FIXTURES
F
OWNER CERTIFICATE OF COMPLIANCE `
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
CUPERi'tN4
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 j
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((40'8) 777-3228 - FAX (408) 777-3333 - building C&-cupertino.ong
Owner Named �l-� Permit No.
Address Z ��L l � C
CC-,,
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 fon-n.
Owner' Signature:
I� No Go to Question 2.
Date: ��Z7� ts,
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 futures 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:
Z 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:
[ No Go to Question 4.
Date:
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: ---J`k b Date: r Z -7 j
Yes M real property is built and available for use or occupancy on or before Januar 1, 1994.
Y p P �Y P Y �Y
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
My property is as ingalefamily reside77tial 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-cornpliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements).
❑ Myproperty is a multifamily 7-esidential 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.
SE40 7 2 015. doc revised 0210411
ralh
I
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 1101.1 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 below.
Owner's (or Owner Agent's) Signature: U. Date: 2
Upon completing and signing this Certificate, 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 -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(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
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