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15100063CITY OF CUPERTINO BUILDING PERMIT I 13UILDING ADDRESS: 11092 CANYON VISTA DRI CONTRACTOR: ONSON & I PERMIT NO: 15100063 ASSOCIATES OWNER'S NAME: CLAYTON J B 3 AND LINDA G I PO BOX 786 1 DATE ISSUED: 10/08/2015 1 OWNER'S PHONE: 4082579026 1 BRENTWOOD, CA 94513 1 PHONE NO: (925) 626-7682 1 LICENSED CONTRACTOR'S DECLARATION License Class cf `i 3 Lic. # 1 I f Contractor 4fc""-A_ � K!:4o to.Ta9ate 1p-F{'1� I hcreby 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. 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. have and will maintain Worker's Compensation Insurance, as provided for by Section 3700of 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. ❑ OWNER -BUILDER DECLARATION 1 hcreby affirm that I am exempt from the Contractor's License Law for one of 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 sale (Sec.7044, Business & Professions Code) 2 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1 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 performance of the work for which this permit is issued. 2. 1 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. s 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, 1 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 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ (DUPLEX - 1/2 OF ROOF FOR UNIT 11092 ONLY) OVERLAY B.U.R. WITH (N) DURO-LAST PVC MEMBRANE (16 SQ'S) Sq. Ft Floor Area: I Valuation: $14421 k P N\ u in her: 35628031.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR ;180 DAYS FROM LED INSPECTION. Y: 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 -Date: ALL R S �TOBE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 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. agent: I CONSTRUCTION LENDING AGENCY 1 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. I icensed Professional CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(5),cupertino.org 0 l61) 6203 A' PROJECT ADDRESS 1091 �G ApN p / Z _ 3 µ ` r j CIANER NAME PHONE E-MAIL I� O, STREET ADDRESS CITY, STATE, ZIPej C ; � FAX l 61 CQNTACT NAME \ate PHONE E-MAIL ` .o e'. _ �► - d S_�EO CITY, STATE, ZIP FAX xS .po 9 �� ❑ OWNER ❑ OUT'ER-BUILDER ❑ 01NR.ER AGENT CONTRACTOR ❑ CONrrRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR ' .14E LICENSE NUMBER 14-113 LICENSE TYPE BUS. LIC. Y6 C. COMPANY NAME E-MAIL FAX eS STREET ADDRESS (. CITY, STATE, ZIP F� ? C�J PHONE O V 6 ARCHITECT/ENGINEER NAME LICENSE NUMBER HUS. LIC. COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex Multi -Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial 1 G f L �j EXISTING ROOF TYPE: _9BIALT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE ❑ YES IF NO, PLYWOOD 1K 'h" ❑ El OSB PITCH: ROOF N'0 KL.AYERS THI KN S ❑ 5/B" T>'PE ❑ CDX F��� 12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES OTHER 1'& ICC -ES REPORT/9� 11 CD V DESCRIPTION OF WORK: Q 0. �1w lex —' D elf L y (z -D YL_ Af D 10 Az C-55 [ ( 6 S 2 By my signature below, I certify to each of the following' I am the property Owner or authorized agent to act on the property owner'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 to building cnosui ion. I au orize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplic een `n - R _ ` SUPPLEMENTAL INIFORNiATION REQUIRED = oF£ice usE'ontii *t.rLAh` C=dk TYPE` Rot7i�c SLIP ' _ If building is associated With a Home 0\N'neT s Association, provide letter o " UNTE ❑ BUIJ Dr�G PLAN REVIEW - of approval from HOA. Provide Planning approval to Verify if there any restrictions. ss , 'Y s- _ t �,.❑ RE VI - Provide copy of Manufacturer's Installation Specifications. ❑ u LST £IRE I1EPT Provide signed copy of Cupertino's Tear -Off Policy. ch'' ❑ orliER XeroofApp_2011.doc revised 03/16/11 FEE ID ROOF AREA s. f. 1REROOFFRES 1,600 vv r c: t ors esnmare apes not inctutte.lees clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the nreliminary infarnfatian avnilahlo and n►o nater .., nc�i... d . ! ..... d .6 . n _. _ l.t. n :._�_ FEE ITEMS (Fee Resolution 11-053 k'ft ' l 131 �i i T yr %_ rLK I live FEE ESTIMATOR - BUILDING DIVISION QTY/FEE ADDRESS: 11092 CANYON VISTA DR DATE: 10/08/2015 REVIEWED Bl': MELISSA l'1U77 ( 'hcc'k APN: 356 28 031 BP#: *VALUATION: $14,421 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Du lex p TPERMIT PENTAMATION USE: Permit Fee: TYPE: 1 SFDWLROO i WORKDUPLEX - 1/2 OF ROOF FOR UNIT 11092 ONLY OVERLAY B.U.R. WITH N DURO-LAST PVC SCOPE MEMBRANE (16 SQ'S) FEE ID ROOF AREA s. f. 1REROOFFRES 1,600 vv r c: t ors esnmare apes not inctutte.lees clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the nreliminary infarnfatian avnilahlo and n►o nater .., nc�i... d . ! ..... d .6 . n _. _ l.t. n :._�_ FEE ITEMS (Fee Resolution 11-053 k'ft ' l 131 FEE QTY/FEE MISC ITEMS l'1U77 ( 'hcc'k I'hmth. _1 hrcl.. Permit Fee: $272.00 Suppl. Insp Fee Phurrh. :1lccl. Tlec l'ltrrrrh. l rc h. /"I(rc• /'erre,r �tc/mini�lr�tit•r / , Work Without Permit? Yes 0 No $0.00 i Select an Administrative Item Strong Motion Fee: IBSEISMICR $1.87 Bldp, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $274.87 $0.00 TOTAL FEE: $274.87 Revised: 10/01/2015 N 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 - buildino(aDcupertino.org PROJECT ADDRESS APN 4 5; _ O 3 1 Z-9 ✓ V O OWNER NAME PHONE E-?"'AILL A o Z V STREET ADDRESS CITY, STAT , ZIP FAX CONTRACTOR NAME LICENSE NUMBER LICENSE T1TE BUS. LIC. l A V COMPANY NAME ` E-MAIL FAX STREET ADDRESSt Crr1', STATE, ZIP PHONE C G l 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 begiven 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 ofI/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 d are required to be installed in accordance with Sections R314 and R315 of the 2013 California Resid e. Signature of Applicant/ gent: Date: ReroofPolicy_2014.doc revised 01/1.5/14 Rancho (Deep C(iff ffomeownersAssociation October 8, 2015, City Of Cupertino, On the behalf of the Rancho Deep Cliff Board I as property manager of the Rancho Deep Cliff Homeowners Association give Sorenson & Associates Roofing Inc. permission to re -roof (4) units at 11092, 10922 Canyon Vista Drive, 10901 Kester Drive & 22315 Rancho Deep Cliff Drive located in Cupertino, California 95014. Jason Overhulse Association Manager Compass Management 77 Las Colinas Lane San Jose, CA 95119 Unit file Compass Management Group, Inc. 77 Las Colinas Lane San Jose, CA 95119 Phone: 408.226.3300 Fax: 408.226.3406 CUPERTINO Address PURPOSE 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(cDcuaertino.om -�a_ �jY-rW__# PERMIT CANNOT BE FINALEll AND COMPLETED UNTIL TMS CERTIFICATE HAS BEEN SIGNED :SNI) RETU NED TO THE BUILDING DIVISION 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 I SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On ever 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 Own, -.r (or Owner Agent'-) Na�,,mpr i/ IQ c ((/�L-- t Si nature ... ........... ........ ........ ......................... Date: l... Contractor Name: Sinature................................................................... Llc.#...................................... Date:..................., Smoke and CO form.doc reilsed 03/18/14 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 C1JPr-RTIN0 Owner N Address 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. )1 CNo 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. YNo 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. es 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.. Please check ONE of the following: 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 it provements). ❑ 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 improvements). 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. _ „ r, ,.,n /I _ Owner or Owner Agent's Signature. Date: Upon completing and signing this Certificate, pleas return it talthe Building Division in order to final your bdilding permit. SB407 2015.doe revised 08/16/15