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15080137CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10435 DEMPSTER AVE CONTRACTOR: THD AT-HOME PERMIT NO: 15080137 SERVICES, INC. OWNER'S NAME: KIRLOSKAR VIRENDRA AND ANJALI TRUST 2690 CUMBERLAND PKWY STE 300 DATE ISSUED: 08/19/2015 OWNER'S PHONE: 4082218271 ATLANTA, GA 30339-3913 PHONE NO: (510) 731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ r TEAR OFF (E) WOOD SHINGLE, (NO PLY), INSTALL (N) License Class C 3 Lic. # 3 IO�Qp 2 CLASS A COMP ROOF SYSTEM (32 SQ'S) Contractor _T�\ 'i,) A-7 �4�f_ 511- Date ` b 1 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 C sation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $24906 once of the work for which this permit is issued. lbake and will maintain Worker's Compensation Insurance, as provided for by In i c ion 3700 of the Labor Code, for the performance of the work for which this APN Number: 32648014.00 Occupancy Type: pe it 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 DAY T ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 D FSC M LLED INSPECT ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in conse of the g j granting of this permit. Additionally, the applicant underst and will comply Issue ate: with all non-point source regulations per the Cupert' unicipal Code, Section 9.18. Q �00 Signature Date D s All roofs shall be inspe d prior tbeing installed. If a roof is oef installed without first obtaining an inspection, I agree to remove all ne materials for inspection. OWN IL DECLARATION El -BU Signature of Applicant: Date: b I hereby affirm th I a erupt from the Contractor's License Law for one of the following tw ons: A OF COVER BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(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, Cha 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 �� t permit is issued. Owner or authorized agent: Date: I certify that in the performance of the work for which this permit is issued, I shall 7 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 CONSTRUCT ENDING 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 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(okupertino.org / c� 37— PROJECT ADDRESS ' O l4 3 5 j `'M 5 -TI-K /K ,c APN # � �J � Y8- 0/ OWNER NAME '�I. IKms/ r—,4 9, ��.(_ZI - Z 71/ E-MAIL STREET ADDRESSCIT © E �' S '7��Z E STATE, ZIP Z, F'r z -T I G C A g S© / FAX CONTACT NAME Eileen Baughman PHONE 707-527-7727 E-MAIL C r /,& "j E 17 Ext% i .F ; • C STREET ADDRESS 2456 VERNA COURT CITY, STATE, ZIP SACA 94577 FAX 510-357-3750 1 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT I CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 836021 LICENSE TYPE C39 BUS. LIG # COMPANY NAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA COURT CITY, STATE, ZIP SAN LEANDRO,CA 94577 PHONE 510-877-4550 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: ��t/ VAp,L�/UA�TTIION: -¢/ `z4, yyy��� EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ,r »v ODD IN ❑ OTHER (SPECIFY) REMOVE/REPLACE YES 1:1 NO IF NO, # LAYERS: PLYWOOD ❑ '/"❑ THICKNESS: ❑ 5/8" PLYWD ❑ OSB TYPE: 11CDX PITCH: � ' 12 ROOF CLASS: A y� PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF VrASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT DESCRIPTION OF WORK: 2r N-cE . i d ,-o-l I ► ire r,., By my signature below, I certify to each of the following: I am the property owner or authorized agen e_pro o ehalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify, it is accur . I ee t omply with all applicable local ordinances and state laws relating to building construc ' ize representatives of bo enti r property for inspection purposes. Signature of Applicant/Agent: Date: / QUIRED SUPPLEMENT ALINFO2�mrs If building is associated with a Hom 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 03/16111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION FEE ID ROOF AREA S.I. 1REROOFFRES 3,200 ADDRESS: 10435 DEMPSTER AVE DATE: 08/19/2015 REVIEWED BY: MELISSA <blech. Permit Fee: APN: 326 48 014 BP#: "VALUATION: 1$24,906 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex Plasmb. %1leclz.%I l ec PENTAMATION PERMIT TYPE: 1 SFDWLROO WORK TEAR OFF E WOOD SHINGLE NO PLY),INSTALL N CLASS A COMP ROOF SYSTEM 32 SCOPE SQ'S) FEE ID ROOF AREA S.I. 1REROOFFRES 3,200 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf: 7/1;13) Atech. Plan (.heck Phuub. flan Check t::Iec..lPlan Check <blech. Permit Fee: Plumb, Permit Fee: Elec. Permit Fee: C)ther Alech. Insp Other Plumb Insp- )cher Elec. Insp. 1 (�Ft Plasmb. %1leclz.%I l ec C( 1"'I NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf: 7/1;13) FEE QTY/FEE MISC ITEMS Plan Check Fee: SuFpl. PC Fee Plasmb. %1leclz.%I l ec Permit Fee: $544.00 Suppl. Insp Fee Plum h.i111ech. /Flee Plumb.!iilech /Elec Permit Fee: Construction Tax: Administrative Fee: Work Without Permit? 0 Yes No $0.00 Advanced Planning Fees: � 7Yavel Documentation Fees: Strong Motion Fee: IBSEISMICR $3.24 Select an Administrative Item Bldp, Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $548.24 $0.00 TOTAL FEE: $548.24 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 • build ing(a)cupertino.org PROJECT ADDRESS 1043,5 I E -1, APN # - (/ - --- 0 / y (J OWNER NAME + �' 1 ,� © K w 1 ` �j PHO �� , 12 Z 7' E` -'MAIL STREET ADDRESS IO . I C E� "T 7 57c z /uc CI STATE, ZIP c Pi -� J"J .1? FAX CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC. # 836021 C39 COMPANY NAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA CT. CITY, STATE, ZIP SAN LEANDRO, CA 94577 PHONE 510-887-4565 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 the6Wner or authorized agent to act on the property owner's behalf. I understand and agree to co with the re -roof policy state above` Signature of Applicant/Agent: Date: �I C�A l ReroofPolicy_2010.doc revised 05/17/10 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTtNO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 Address (408) 777-3228 • FAX (408) 777-3333 • buildina(cDcuoertino.ora ems' 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 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon. Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: A N?14t t i -_t R L -0 S k.9 A_ t Sinature ........................................... ..................................... I........................ Date: ....� / Contractor Name: , Sinature...................................................................Lic.# ...................................... Date:................... Smoke and COform.doc revised 03/.18/14 µby._ WATER -CONSERVING PLUMBING FIXTURES ' OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING_ DIVISION CUPERTINO 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408)777-3333 • building(a)cupertino.ora -O-xni r _gym . op, i\, I<- t t i -:" k, k, A-41,----- C -da sb Uhf «,b, CA • a BE IE' ID UNTIL TM KWIC maz ........... ...._.._<....o.,.v�.....,,N,�_ .,,,—E._ -,.rte,,. Please refer to the attached California Civil Code Sections 1101.1=1101.8 which are part of this Certification form. VIs 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' Signaiure: --= �No Go to Question 2. Date: Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' -Signature: VpEf No Go to Question 3. Date: Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: j,,Io Go to Question 4. Date: Is your real property built and available for use or occupancy on or before January 1, 1994? ��❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. ~� Owner' Signature: Date: Com, Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. X//My property is a single-family residential real property. See Civil Code Section 1101.4. �fOn 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-coinpliant 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. SB40 7 2015. doc revised 02/04/15 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). UWe, 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 fix es comply with the requirements as indicated in the tab e below. " 1it�1 kiiik :Ytftl 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 tigure shown, it is not requires to oe upgraaea. SB407 2015.doc revised 02/04115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Dater Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow gate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 ' Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 0.5 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 onlyone 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 tigure shown, it is not requires to oe upgraaea. SB407 2015.doc revised 02/04115