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15100005 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18901 TUGGLE AVE CONTRACTOR:PAK'S ROOFING INC PERMIT NO: 15100005 OWNER'S NAME: KANG SUN IM 1241 SLEEPY HOLLOW LN DATE ISSUED: 10/01/2015 OWNER'S PHONE: 4087611239 MILLBRAE,CA 94030 PHONE NO:(650)589-2775 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ / q /]3 REMOVE(E)ROOF AND INSTALL(N)OSB PLYWOOD,30# 0 License Class ✓ � 1 Li,.# , 70�S FELT AND LIFETIME COMP ASPHALT SHINGLES-17 SQ'S vr\ Contractor 5 go 0 ' C U&te to I r�5 1 hereby affirm that 1 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. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Area: Valuation:$8000 t. 1 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 APN Number:37533063.00 Occupancy Type: performance of the work for which this permit is issued. —T,r1 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that 1 have read this application and state that the above information is 180 D YS FROM LAST CALLED INSPTION. 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 enterJ�� upon the above mentioned property for inspection purposes. (We)agree to save Issued by: 1z'—" Date: © 1 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. RE-ROOFS: �� All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature /JW Date installed without first obtaining an inspection,I agree to remove all new materials for inspection. I� ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: Id I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER the following two reasons: t. 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 HAZARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) 1 have read the hazardous materials requirements under Chapter 6.95 of the 2. 1,as owner of the property,am exclusively contracting with licensed contractors to California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should 1 store or handle hazardous material. 1 hereby affirm under penalty of perjury one of the following three declarations: Additionally,should 1 use equipment or devices which emit hazardous air t. I have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District 1 will Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Sections 25505,25533,and 25534. performance of the work for which this permit is issued. 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by Owner or authorize ent: Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 3 1 certify that in the performance of the work for which this permit is issued,l shall CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code,I for which this permit is issued(Sec.3097,Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION 1 certify that I have read this application and state that the above information is I understand my plans shall be used as public records. correct.1 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 I icensed Professional 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 REROOF PERMIT APPLICATION 1510ox5' C COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228 • FAX(408)777-3333• buildino((1-cupertino.org CUPERTINO PROJECT ADDRESS gq/)/ Tyr //^ gVe APN9 c.-� �D063 OV\,MER NAME j� /I' L PHO E D Q-76/ j2 EMAIL STREET ADDRESS /�O -riloale, Ave,N CITY, STATE,7IP a O ^� Uf F CONTACT NAME ^,. PHONE ^-7 lE-MAIL �® J STREET ADDRESSI24' S ( /HO � t,-?ll CITY,ST Zl G FAX 1 ❑ OWNER ❑ OUR.'ER•BurLDER ❑ OMINT R AGENT lX CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGL"TER ❑ DEVELOPER ❑ TEN ks-r CONTRACTOR NAME nA 1� LICENSE NUMBER /j��O LICENSE TYPfr_ BUS.LIC.NN AIL COMPANY NAME J'G I` E-M (' FAX ,n Toc Ctkl STRE TA,DDRESS 41 Sh-eigil `�� /L C]T' STAT ZIP �� /t ��� PHONE _ 0-2?,-7 ARCWTECT/ENGTNEER NAME LICENSE NUMBER C BUS.LIC.k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF ARI :-� VALL'.AT10� r DO r� STRUCTURE: El EXISTING ROOF TYPE: ❑BUILT-UP ROOF VIASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE 'ES IF NO, PLI�VOOD %," ❑ PLYWD OSH PTTCH: LROOF ❑ NO L.A1'ERS THICKNES ❑ 5/8" TYPE: CDX 12 LASS: !Il PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT", DESCRIPTION OF WORK�--�� n � � �✓ Yz '1 0I�ith!zef da0 . By my signature below,I certify to each of the following: I am thl property oxNmel or authorized agent to act on the property o»mer`s behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatine t uilding consAucVaul rize representatives of Cupertino to enter the above-ideJntified roperty�or inspection purposes. SignatureofApplicanUAgent: Date: SUPPLEMENTAL RI Ii6RMTION REQUIRED OFFICE USE ONLY _If building is associated With a Home Owner's Association,provide letter PLAN CHECK riTE r.OtTLNG SLLP of approval from HOA. OVER-THE-COUNTER ❑ BL-11PING PL4N REVIDN' Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PL:i TNG PLAN P�FN1F\N Provide copy of Manufacturer's Installation Specifications. \ !115STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ orxFR: ReroofApp_2011.doe revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION WAPN: DDRESS: 18901 Tuggle Ave DATE: 10/01/2015 REVIEWED BY: PAUL 375 33 063 BP#: 'VALUATION: 1$8,000 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PENTAMATION 1 SFDWLROOF USE: PERMIT TYPE: PRIMARY SFD or Duplex WORK Remove E roof and Install N OSB Plywood, 30# Felt and Lifetime Comp Asphalt Shingles- 17 S 's SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,700 llech. flan('herd Phwrh. Plon Ch,,A I.7ec. Ilan Check /lir 1"r101 l ue 0111cr 11ech. lnsp Li _L_ Daher 1:1c hrsp LJ L ac.'C. Insp. P, NOTE: This estimate does not include fees due to other Departments(i.e. Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the preliminar3 information available and are only an estimate. Contact the De t or addn7 info. FEE ITEMS Ilse Re.sululion 11-053 Ejf 7 l 131 FEE QTY/FEE MISC ITEMS air ( n, �rrhl�l. PC P"C hinih. ,llech.,Elec Permit Fee: $289.00 Supp/. 17I.sp FCe "hinih.;`Mech. lae0 rnnh.itl9tcfzif-'!rc Pernm Pt c: Onstructton Tar: !,hninistrative Fee: Work Without Permit? O Yes E) No $0.00 Nollc cd l'lurir,,I r<n,Cl Ooclaincwaliorn Peu.s. A Strong Motion Fee: IBSEISMICR $1.04 Select an Administrative Item B1dQ Stds Commission Fee: IRC RSC $1.00 SUBTOTALS: $291.04 $0.00 TOTAL FEE: 1 $291.04 Revised: 07/02/2015 r REROOF TEAR-OFF POLICY 15�DC �J' COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 CUPERTINO n//�� (408)777-3228 • FAX (408))_777-3333- buildina(a)cupertino.org PROJECT ADDRESS 'gq0 l �j /Q ,,(p 4PN 3�5 33 C 3 O\1RJERNAME / I ;,->u /S v ��//l�i� ONE / 09-7 )/� E-1141 STREET D SS , I CITY, STATE,ZIP ('1'`,^D ,4211 r l�'I C' CONTRACTOR NAME LICENSE NUMBER -7cLICENSE TYPr 7Z3BUS LIC COMPANY NAME �`�'l 1 C E-M IL t' J '.;}VC FAX ST T RF CTT STA ZIP /I /1 &?f l(,j�i.( 14 PHONE/J� � /�^7� I UNDERSTAND AND AGREE TO THE FOLLOWING: 4/ 1. The re-roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled un to one business day before the requested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pin (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 (1N,1on-Thurs) and 7:30-1.0:30am 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 NailinZ Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is completed. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of I/4" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 7. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf, I understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: 4)cl Date: rU RerooJPo1icy_201 a.doc revised 01/15/19 SMOKE / CARBON MONOXIDE ALARMS F ' L E OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION / CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 �) ccxy) (408)777-3228• FAX(408)777-3333• building(d)cuaertino.org T 1 CA c-I-'ILEI- Permit No. Address 1B 1 -�K COY 1 vlo #of Alarms Smoke: Carbon Monoxide: % 0 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN , I .NED 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 X X bedroom(s) 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. I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: Sinature.. ... ... ........ . ................... ..................................................Date: . .. .. . .. Contractor Name: L4� SInatu ........................ ....C.: ...... ................Lic.# . . 7.Q..�.. ............ Smoke and CO form.doc remised 03/18/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE FILE 1LE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION C U P E KT I N O 10300 TORRE AVENUE• CU PERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333• building(aaDcupertino.org / Owner Name Permit No. Address !u `fl� Ty>4'� Ay sY:b, '1 7-- 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. )k 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 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. Skip the rest of the form and sign bottom of form. 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. Skip the rest of the form and sign bottom of form. No Go to Question 4. 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. Skip the rest of the form and sign bottom of form. 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. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: 3K 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. 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 i nprovements). 1,as the owner or owner's agent 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 on the following page. Owner or Owner Agent's Signature:. > Date Upon completing and signing this Certificate,please re to the Building Division in order to final your uildi g permit. SB407 2015.doe revised 08126/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION Non-Compliant Water-Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, Urinals Exceed 1.0 average flush volume of two reduced flushes and one full flush) 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 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 gallon,per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi i 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 08126115