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15080155-OLCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10949 SYCAMORE DR I CONTRACTOR: BAY 101 ROOFING I PERMIT NO: 15080155 OWNER'S NAME: SCHATZ PETER J AND MILLER LEILANI OWNER'S PHONE: 6508420275 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic.# Contractor Date 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. 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18, Signature Date PO BOX 925 I DATE ISSUED: 08/20/2015 ALVISO, CA 95002 1 PHONE NO: (408) 957-0531 BUILDING PERMIT INFO: BLDG r— ELECT � PLUMB MECH r RESIDENTIAL a COMMERCIAL JOB DESCRIPTION: TEAR OFF 1 SHAKE ROOF AND INSTALL ROOFING FELT UNDERLAYMENT & COMPOSITION PRESIDENTIAL SHAKE -32 SQRS Sq. Ft Floor Area: 0 1 Valuation: $14000 APN Number: 34256011.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS: 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. Signature of App Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFI ATE OF CbI MPLIANC COMMUNITY DEVELOPMENT DEPARTMENT i BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE - C PERTIN , CA 954143255 (408) 777-3228 - FAX (408) 777-3333 7 building(ftupertin4.oro Pe it No. l � QS Address d Gi rr # of Ala g Smoke: Carbon Monozdde: I. �JJe11 l�ltT cTr�� lT�axDJ cls zi>ratr.k 0', r PURPOSE This affidavit is a self -certification for the installatic n of all. required Smoke and C bI'o31orloxide Alarms :for compliance with 2013 CRC Section R314,2013 CBC Sectio 420.6 i d907.2.11.2 w cx no interior access for inspections are required. I GENERAL INFORMATION Existing single-family and multi -family dwellings hall be rovide I with Smoke Ala s and Carbon Monoxide alarms. When the valuation of additio4 altera 'ons, or repairs to exist�I tl g dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907. .11.5 d 420.6 equire that Smoke Alarms and/oz Carbon Monoxide Alarms be irfstalled in the following locations: AREA j SMOKE A;L CO ALARM Outside of each separate sleeping area in the immediate vi bedrooms i" 'ty of ffie X � X Ori every level of a dwelling unit including basernt nts XI I X Within each sle roomI X i I Carbon Monoxide alarms are not required in dwellings wl 'ch do x do not have an attached garage. Carbon monoxid alar combii CBC Section 420.6 and shall be.approved by the O1-ce of f ae State Power Supply: In dwelling units with no commercial pow r suppl In existing dwelling units, alarms are permitted to be solely batter rtot result in the removal of wall and ceiling finishe.s or there is no ` space. Refer to CRC Section R314 and CBC Sections 907.2. 1.4 and alarms which must be connected to the building wiring. i contain fuel - with smoke e Marshal - alarm(s) may operated whet ccess'by mean! 20.6.2. An elec As owner of the above -referenced property, I hereby certif y cent'that & a alarm(s) re installed in accordance with the manufacturer's instructs s and ' compliance and California Residential Codes.. The alarms have. been tested anc I are operatic below. N ;-appliances and that shall comply with lely battery operated. airs or alterations do tic, basement or -crawl permit is required for d above has/have been �e California Building of the date signed ! have read and agree to compljcwith tyre terms and conditions of this $t0tement (` Omar Agent's) me: .91 N(lP Signature ............. Contractor Name: i n ' C� Si nature..�cEC � �� ..... ' -LicA ...... `..... 7.1.11c. Dater smoke nd CO form.doc revised 03118,114 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF CbMPLIANCE ,`• COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION GUPERTI 10 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cupertino.org < J `` l Permit No. Address t (D 9 �l v� C %Y)r �, # of Alarms Smoke: 0; Carbon Monoxide: 2 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICA'T'E HAS BEEN SIGNED AND RETUNED 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. A 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 Ori 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 iri 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: N(0%w- Qop-o Signature ...............................................•.............................................................. Dat ...., 2. Contractor Name: (Q� ¢' %r� �.t f k... `. 0 l ' Si nature... `- ..........Lic.# ......Date45....... V. L% Smoke and CO form.doc revised 03/18/14 4 . CtJPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1 (408) 777-3228 • FAX (408) 777-3333 - buildinga-cupertino.ong / C Owner Name 1 1S V4 SRP14 Permit No. Address L 0 t Ll q �� % Cy -no c V�d c� p-ij3 n C �jC-1 f, PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURN ED 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 fonn. Owner' Signature: Date: ,ZNo 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 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: Date: ,P"No 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 form. Owner' Signature: Date: No Go to Question 4. 4. Is our 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 ti ter January 1, 1994. Civil Code Sections 1101 ugh 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: W �' S ► ZQ 1 S ❑ Yes4 My real property is built and available for use or occupancy on or before January 1, 1914. 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 of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. -See Civil Code Section 1101.3. 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 02/04/15 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conser ng plumbing fixtures throughout the building (regardless of whether property undergoes alterationsy or v , /�-- improvements). // // * Set- Q•u. Ibv,, 6uM1- 4*,, 411g4 . 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 accomance 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 plu 'n f tures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: % Zo 1 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 Type2013 CPC Ch. 4 2093 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where fsucets 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 WATER -CONSERVING LUMBING FIXTUR S OWNER CERTIFICATE F COMPLIANCE COMMUNITY DEVELOPMENT DEPA 7N1ENT •;BUILDING DIVISION 10300 TORRE AVENUE • CUPERTIN CA 95014-3255 i ^� CUPERTINO - (408) 777-3228 - FAX (408) 777-3333 building6cupertino.orpSn Owner Name N 1 1'Y11S 14 ermit No. I � O/ Address r , 01 �. � �' C �� " N xi CSF �� V Please refer to the attached California Civil Code Sections 1101.1-110 .8 which are part of this Cerfific tion foun- 1. Is your real property a registered historical site? =;,ip ❑ Yes Civil Code Sections 1101.1 tluough 1101.8 do nota Signst ofthe £onn. / Owner' Signature: Date: No 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 ofwater-conserving plumbing fixtures is not techztiehlly`feasible? I , ❑ Yes- Civil Code Sections 1101-1 through 1101.8 do not apply. ❑The ' c ss. been provided to the Building Divishon. agn below and e rm. �— Owncr' Signature: ,G3"No Go to Question 3. i 3. Is water service permanently disconnected for your building? I ry ' f ❑ Yes Civil Code Sections 1101.1 through, 1101.8 do nota Si below and skip t e r st of the fo 1" Owncr' Signature: Date1: �Z No Go to Question 4. 1 4. Is our real property built and available £or use or occupancy o or before.January 1,1994? No My teal property is built and available for use or occ u uary , Civil Code Sections 1101 ugh 1101.8 do not a pl Sign below and skip tl'he restof the fo Owner' Signature: Date.qwk 91 ❑ Yes My real property is built and available for use or oc upancy on or before January 1, 19'04 - Civil Code Sections 1101.1 througb 1101.8 apply, Refer to the attached. i ❑ My property is a single-family residential real property. Se Civil Code Section 1101.41, On and after January 1, 2014, building alterations or improvements shall req-ure all n n -compliant plumbing fixtures to be replaced with water -conserving plumbing fin es. throughout the building. C in or before January 1, 2017, all non-compliant plumbing fixtures shall be replaceI with water -conserving ph,unbing fixtures (regardless of whether property undergoes alterations or improvements i ❑ 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 n n- compliant plumbing fixtures to be replaced with water -conserving plu bing fixtures. On or before January 1, 2019, all non-compliant plumbing fi.xtures shall be replaced with water - conserving plumbing fixtures throughout the building (regaidless of whether property, un'dei goes alterations or improvements). [I My property is a commercial real property. -See Civil Code Section 1101.5. i On and after January 1, 2014, specified building alterations or improvements shaall require n- compliant plumbing fixtures to be replaced with water -conserving pl bung fixtures. 8407 2015.doc revised 02104715 ,:j7 r - On or before January 1, 2019, all non-compliant plumbing plumbing fixtures throughout the building (regardless improvements)- 1/We, the owner(s) of this property, certify under penalty of perjur prior to date specified above with water -conserving plumbing fxt 1101-8, the current California Plumbing Code and California Gree requirements, and that the water -conserving plumbing fixtures con Owner's (or Owner Agent's) Signature:,,, Upon completing and signing this Certificate, please return it to Non -Compliant Plumbing Fixture Fixture'Type Water Usage I . /Flow Rate Water Closets I Exceed 1.6 (Toilets) Gallons/flush Exceed 1.0 Gallons/flush Exceed 2.5 gallons per minute Faucets •- Exceed 2.2! Lavatory per minute Faucets rdu%.o►5 — Kitchen Faucets E=xceed 2.2 gallons per minute (Fixture Complying 2013 CPC Ch. 4 2013 CALGreen Div. 4.3 Single -Family Residential ares shall be replaced whether property ur in accordance with Civ ulding Standards Code, with the requirements water- conserving es alterations or irig fitures will be replaced iliCode Sections 1101.1 through and i imufacturer's installation} as ind cated in the table below. Date: Building Division in ord6r tolfinal your permit. ' 3onserving Plumbing If Current Code Applicabj( num Water Usage/Flo* 2093 CPC Ch. 4 , 1 2013 CALGreen Div. 4.3 Residential Sin le flush toilets: 1.28 gallo Dual flush toilets: 1_2E gallons/flush effective flue average flush vo ume of two reduced flushi 1.8 gallons per minute @ 60 psi May temporarily increase up to 2-2 gallons per minute @ 60 psi, and mu: default to maximum 1-8 gallons per minute @ 60 psi Where faucets meeting the above are unavailable aerators or other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60psi 1-8 gallons per minute @ 60 psi May temporarily increase up to 2.2 gallons per minute @ 60 psi, and must default to maximum 1.8 gallons per minute @ 60 psi , Where ftucets meetinc_ the above are unavailable, aerators c other means may be used to achieve reduction. lower than the figure sho me New Construction) 2013 CPC Ch. 4 3 CALGreen Div. 5.3 Commercial me (the composite, one full flush) - ante I flow rate of all ale valve shall not be designed to gallons per minute @ 60 3 gallons per minute @ 60 wit, it is not required to be upgraded- i B407 2015-doc revised 02104115 N/ 0-5 gallons/flush 2.0 gallons ppr minute @ E 0 psi. Also certified to the U.S. EPA WaterSense Specification for Showerhead (A hand-held shower is considered a showerhead.) For multiple showerheads ' erving one shower, the cc showerheads and/or other shower outlets controlled 1 exceed 2.0 gallons per mi 'ute @ 80 psi, or the show allow only one shower outl nt to be in operation at a ti Maximum 1-5 gallons per Within units; minute @ 60 psi; minimurr Maximum 1.5 gallons 0-8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi 1.8 gallons per minute @ 60 psi May temporarily increase up to 2-2 gallons per minute @ 60 psi, and mu: default to maximum 1-8 gallons per minute @ 60 psi Where faucets meeting the above are unavailable aerators or other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60psi 1-8 gallons per minute @ 60 psi May temporarily increase up to 2.2 gallons per minute @ 60 psi, and must default to maximum 1.8 gallons per minute @ 60 psi , Where ftucets meetinc_ the above are unavailable, aerators c other means may be used to achieve reduction. lower than the figure sho me New Construction) 2013 CPC Ch. 4 3 CALGreen Div. 5.3 Commercial me (the composite, one full flush) - ante I flow rate of all ale valve shall not be designed to gallons per minute @ 60 3 gallons per minute @ 60 wit, it is not required to be upgraded- i B407 2015-doc revised 02104115 N/