15080138CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7577 LOCKFORD CT
CONTRACTOR: RIDGETOP DBA CAL-
PERMIT NO: 15080138
PAC ROOFING
OWNER'S NAME: QIN TAO AND WENDY T
1350 DELL AVE
DATE ISSUED: 08/19/2015
OWNER'S PHONE: 4087180856
CAMPBELL, CA 95008
PHONE NO: (408) 370-3332
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
# Zt7 �J
License Class?
TEAR OFF (E) SHAKE, (NO PLY), INSTALL (N) CLASS A
STEEL PANEL ROOF SYSTEM (20 SQ'S @ 1.3 PPSQ)
�Liic.
Contractor
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
pensation,as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $0
rmance of the work for which this permit is issued.
e and will maintain Worker's Compensation Insurance, as provided for by
qi
on 3700 of the Labor Code, for the performance of the work for which this
APN Number: 36226043.00
Occupancy Type:
it is issued.
APPLICANT CERTIFICATION
1 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 F PERMIT DANCE OR
to building construction, and hereby authorize representatives of this city to enter
=?-AST-
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAY � INSPECTION.
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
ssued by: ate:
with all non -point source regulations per the Cupertino M ' ' al Code, Section
RE -ROOFS:
9.18.
�'(cr
Signature Date I
I (�
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-ILDER DECLARATION
Signature of Applicant: Date: /
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL OOF COVERIN 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)
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(x) 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. 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
j
Owner or authorized agent: Date: �l f9 I
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
CONSTRUC ' 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
REROOF PERMIT APPLICATION
Is COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildinclacupertino.org / C�j {� )�
PROJECT ADDRESS i) L ? / / r�2� ��-
I
APN # 6
(J
' AC_
OWNER NAME To m f OCA
I /• 1 (—
_ 5 � j
PH eq , 711C/ (�
E-MAIL
STREET ADDRESS
7577 Locr i -vi -p �7.
CITY STATE ZIP
c�P�-z-,I,,Jo C A
FAX
CONTACT NAME _j t<� Icy
` E q2/ O
C%
E-MAIL
STREET ADDRESS 1067 �/Aq nf
IA
CIT ,STATE, �/IP- � C
FAX
11 OWNER 13OWNER-BUILDER 11 OWNER AGENT ❑ CONTRACTOR WCONTRACCT-OR AGENT ❑ ARCHITECT ❑" ENGINEER ❑ DEVELOPER ❑ TENAN"I-
CONTRACTOR NAME Tom Sparling
LICENSE NUMBER 920596
LICENSE TYPE C39
BUS. LIC. #
COMPANYNAME CAL - PAC ROOFING
E-MAIL eileen@permitservices.com
FAX 408-370-3353
STREET ADDRESS 1350 Dell Ave
CITY, STATE, ZIP Campbell, CA 95008
PHONE 408-370-3332
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC. #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD or Duplex ❑ Multi -Family
STRUCTURE: ❑ Commercial
ROOF AREA:
Z- `� `�
VALIjATION //� �%��-/y/� Com)
-LQI1j�L / 1 `5 �
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES XWOODSHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE/REPLACE'AYES
13 NO
IF NO.
# LAYERS:
PLYWOOD ❑ A" ❑
THICKNESS: ❑ 5/8"
PLYWD ❑ OSB
TYPE: ❑ CDX
PITCH:
' 12
ROOF
CLASS: A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES WOOD SHINGLES .OTHER %CZ'Z
ICES E ORT #
r❑
DESCRIPTION OF WORK: C 42 - jA r -E - w 11O Ky� tL� �7 t j C ZL
By my signature below, I certify to each of the following: I am the property owner or authorize o act on the operty o alf. I have read this
application and the information 1 have provided is correct. I have read the Description r and verify it is accurate. I o comply with all applicable local
ordinances and state laws relating to building constructio ize repres ves of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMAT R IRED
If building is associated with a Ho er s Association, provide letter
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear -Off Policy.
OFFICE USE ONLY
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑ EXPRESS
❑ STANDARD
❑ BUILDING PLAN REVIEW
❑ PLANNING PLAN REVIEW
❑ FIRE DEPT
❑ OTHER:
ReroofApp_2011.doc revised 03116111
,�-� CITY OF CUPERTINO
1 1/JI FEE ESTIMATOR - BUILDING DIVISION
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,000
7577 LOCKFORD CT
P hunh. Plan Cheek
DATE: 08/19/2015
REVIEWED BY: MELISSA
JimADDRESS:
APN: 362 26 043
BP#:
VALUATION: 1$19,000
`;PERMITTYPE: Minor Building Permit
Hach. h1„- Tee:
PLAN CHECK TYPE: Re -roof
PRIMARY SFD or Duplex
USE:
PENTAMATION 1SFDWLR00F
PERMIT TYPE:
WORK
OFF E SHAKE NO PLY),INSTALL
N CLASS A STEEL PANEL ROOF SYSTEM 20 SQ'S
SCOPE
�TEEAR
1.3 PPSQ)
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,000
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ The.ce fees are hated an the nreliminary information availahle and are only an estimate Contact the Deat for addn'l info.
FEE ITEMS (Fee Resolution 11-033 Eff 7i1. 13)
Me& Plan Check
P hunh. Plan Cheek
?Jec. Plan Check
Feeh. Perntif Fee:
Plumb Permit Tire.
Glec'. Permit 1
Other ,4/ech. Inst,)urG
r Plumb /mp
1�her l_Iec. Insp.E3
Hach. h1„- Tee:
''huuh. hasp. Fee:
lec. Insp. h'ee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc )_ The.ce fees are hated an the nreliminary information availahle and are only an estimate Contact the Deat for addn'l info.
FEE ITEMS (Fee Resolution 11-033 Eff 7i1. 13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fet,.
Suppl. PC Fee
Plirnah.%"A1ech.i�'lec
Permit Fee:
$340.00
Suppl. Insp Fee
Pl unf b. %Afech.i Alec
1'lur�th.iAlec'h.�Llec° Perini Pee:
(.on4n'uctlon Tax:
:
A(bnfnistr[7tfve Fee:
Work Without Permit? 0 Yes 0 No
$0.00
,j,/1:U12(Vd Planning Fcc°s
Tiruvel Doc°ulnenlalion Ft?es:
Strong Motion Fee: IBSEISMICR
$2.47
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$343.47
$0.00 TOTAL FEE:
$343.47
Revised: 07/02/2015
REROOF TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building0kupertino.org
l5_o8o/3Ss
PROJECT ADDRESS 7 ? Z_ o K eo iz c�_-T -
APN a Z - 2-6 — V �
OWNERNAME (C
PHO
I O6
E-MAIL
STREET ADDRESS
o6rqZp .
CITY, STATE,
C_Ui'L-7IJV
FAX
CONTRACTORNAME
I'll
LICENSENUMBER�`^
1J-5
ENSE TYPE /2
C -
BUS. LIC. u
COMPANY NAME
�
E-MAIL
FAX �D
STREET ADDRESS 13 s O r o / c
CI�T�Y, STAT PIP c/ / /�- ��.,r�Yrf'
,
PHONE - 76
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a minimum of one day before the requested inspection date.
Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon -Fri).
3. Tear -off roof inspection is required. Please call for tear -off inspection after the roof is torn off and all
the nails/fasteners have been removed. Any and all dry -rotted wood shall be replaced prior to this
inspection. A building inspector will be available within one hour.
There are special hours for this service: 7:30 — 10:30am and 1:00 — 3:30pm (Mon — Thurs);
7:30 — 10:30am and 1:00 — 2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspection is required.
5. In -Progress roof inspection is required. Call for an in -progress roof inspection to verify building is
weather tight after installation of approximately 25% of the roofing material.
6. New roof coverings shall not be applied without first obtaining all inspections 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.
7. A final inspection and approval shall be obtained from the building inspector when the re -roofing is
complete. 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 must 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.
8. 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 of $126.00. 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 unde n agree comply with t policy stated above.
Signature of Applicant/Agent: Date: �i I I 9 / ��
ReroofPolicy_20/0.doc revised 05//7/10
CUPERTINO
Address
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
✓T) Ci #of
FILE
15 v 9v131P
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarms) 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 thategns and conditions of this statement
Owner (or Owner Agent's) Name:
Sicinature....(............
............... Date:
y
Contra Name:
�1 �✓ l 1
Si natu ...... . .......................
Lic.# ....Yv....... Date:
2
..... G..
Smoke and CO form.doc revised 0311 &14
CUPERTINO
Owner Name
WATER -CONSERVING PLUMBING FIXTURES
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
Permit No.
Address -7 � 7 ? L 6 ClL Fc, --d
iFIL
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: (iv Date: L C�
Go toQ uestion 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. Q� r
Owner' Signature: C;�� Date:
�No Go to Question 3.
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1 01.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: /�'� Date:/,i7
�No Go to Question 4. v""' �` `
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 there the fopft
IV Owner' Signature: 4<u Date:
Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
1 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 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
SB407 2015.doc revised 02/04/15
K
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).
1/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
110 1.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation
requirements, and that the water -conserving plumbKg fixturesscomply with the requirements as indicated in the ttoble blow.
Owner's (or Owner Agent's) Signature: L/,Date: V>'�/
Upon completing ing this Certificate, please
it to the Building Division in order to final your
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-Compliat
Water -Conserving Plumbing Fixture
PlumbingFixtu eI
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow Rate
Fixture Tye
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 Closet
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
Showerheadi
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of
gallons per minut
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 —
JExceed 2.2 gallons
1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute @ 60
Kitchen
er 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