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15110053PG CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 DEEP CLIFF DR CONTRACTOR: NEIGHBORS ROOFING PERMIT NO: 15110053 AND GUTTERS OWNER'S NAME: BURZIO AGOSTINO AND ARLENE R 200 FORD RD STE 236 DATE ISSUED: 11/09/2015 OWNER'S PHONE:, 4082179383 SAN JOSE, CA 95138 PHONE NO: (408) 472-3869 CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 42LICENSED l License ClassCJq' Lic. # Tear -off (e) wood shake and install (M comp shingles - Class A roofing; 30 lb felt; 'OK& OBS sheathing (34 SQ) p Contractorh3' .mol—`" % 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 Sq. Ft Floor Area: Valuation: $14000 performance of the work'for which this permit is issued. PI 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 APN Number: 35603009.00 Occupancy Type: permit 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 DAYS OF PERMIT 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 DAYS FROM LAST CALLED 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 I 1 granting of this permit. Additionally, the applicant understands and will comply Issued by:6wtmjt�Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18.' (� f RE -ROOFS: Signature Date 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 -BUILDER DECLARATION Signature of Applic Date - 1 hereby affirm that I am' exempt from the Contractor's License Law for one of the following two reasons::. ALL ROOF COVERINGS TO 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 & Profe'ssions 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(a) 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 9.12 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_--1� Owner or authorized agent Date:) permit is issued.,;Iro- 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 CONSTRUCTION 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 CUPiERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777=3333 • buildinaCEDcupertino.org ISIIbU53 PROJECT ADDRESS (0']„O T_ ` ,,— t� C f " r p � r APN # q 0 3 -_ • ` OWNERNAME���q % [110 c PHOrq 6 ��- � � �C�O E-MAIL STREET ADDRESS I CITY, STATE, ZIP FAX CONTACT NAME PHONE ) �6 1_ E-MAIL STREET ADDRESS •�❑ CITY, ST�ATE, IPFAX � �❑ ❑ OWNER OWNER -BUILDER ❑ OWNER AGENT EYCONTRACTOR� CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I LICENSE NUMBER •j 0 LICENSE TYPE VV ll BUS. LIC. # ) �e COMPANY NAME�f E-MAIL .h vbvr b �P2Z_q08 j) f FAX STREET ADDRESS CITY, STATE, ZIP � 5 e_ e- � L-� i 3 d PHO b'6 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex 2 Multi -Family STRUCTURE: ❑ Commercial ROOF AREA: 3 �_ VALUATION: 1 +) L90 b EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES QWOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE ❑YES ❑ NO IF NO, # LAYERS: PLYWOOD ❑ w, ElPLYWD THICKNESS: 1:15/8" ElOSB TYPE: ElCDX PITCH: I`_ T 12 ROOF CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF U' ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: e hWt Ips 3 9 s ve,&-e s rre,W-0-1- Cowes 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 relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agen : _ _Date: t I " (l _ Ir SUPPLEMENTAL INFORMATION REQUIRED _ If building is associated with a Home Owner's Association, provide letter of approval from HOA. Provide Planning approval to verify if there any restrictions. Provide copy of Manufacturer's Installation S ecifications. Provide signed copy of Cupertino's Tear -Off Policy. OFFICE USE ONLY PLAN CHECK TYPE ROUTING sLlr ' ❑ . OVER-TIIE-COUNTER ' ❑ EXPRESS ❑STAND�IRD � D BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ FIRE DEPT ❑ OTHER: ReroofApp_2011.doe revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION FEE ID ROOF AREA s.f. 1 REROOFFRES 3,400 10707 Deep Cliff Dr Phimb. Plan Check DATE: 11/09/2015 REVIEWED BY: Phuong lialADDRESS: APN: 356-03-009 BP#: Other Plumb Imp. *VALUATION: 1$14,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof _T PRIMARY USE: SFD or Duplex Permit Fee: PENTAMATION PERMIT TYPE: 1 SFDWLROO WORK Tear -off a wood shake and install N comp shingles - Class A roofing; 30 Ib felt; OBS sheathing 34 SCOPE SQ) Plumb.111ech./Flee FEE ID ROOF AREA s.f. 1 REROOFFRES 3,400 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District etc.). These fees are based on the prelimiina information available and are on1v an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Elf. 7/1/132 Afech. Plan Check Phimb. Plan Check Elec. Plan Check - M ch. Permit Fee: Plumb. Permit Fee: Elec. Permit Fee: Other A,Iech. Insp. Ll Other Plumb Imp. Other Elec. Insp. Ilecl:. Insp. Fee: Plumb. insp. Tee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District etc.). These fees are based on the prelimiina information available and are on1v an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Elf. 7/1/132 FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee Plurrt b.&Ieeh./Elec Permit Fee: $578.00 Sulypl. Insp Fee Plumb.111ech./Flee Phini,b.iA,lech./Elee Pernfil Fee.: Construction Tat:: Administrative Fee: Work Without Permit? 0 Yes No $0.00 Advanced Planning Fees: A Trm,el Documentalion Fees: Strong Motion Fee: IBSEISMICR $1.82 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 rSUBTOTALS:, $580.82 $0.00 TOTAL FEE: ° $580.82 Revised: 10/01/2015 CUP.ERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq(a.cupertino.orq PROJECT ADDRESSq �y ,� ! J br APN # OWNER NAME PHONT�j� )J I �-,J 2 (�j E-MAIL DSI 1 `1 O V STREETADDRE$S� �� 6 z, — V ��p rkAn 0 , bA FAX CONTRACTORNAME LIC N E NUM ER. LICENSE TYPE BUS. LIC. # COMPANY NAME ` � � E-MAIL � � ` FAX STREET ADDRESS ( STATE,ZIPJ- C`ITLYC(t 0-60 � � P ONE _, 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 un 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 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 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 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: - Date: ReroofPolicy 2014.doc revised 01/15/14 WATER ­CON SERVING PLUMBING F�XTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 o FAX (408) 777-3333 o building(a)cupertino.org Owner Name a C,.S-rj Wo -r—z 10 Permit No. 00 5 3 Address 9 10;rC,7 C.s _r -E Dr v to Prm-1"I rio 21 wl_c S-0 19 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. 51'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 110 1. 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. QrNo 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. l CY 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. 19 V 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: &"' 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 improvements). I, 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 pale. : 71-.. 1___7 Owner or Owner Agent's Signatu�pT;.J' Date�_._-'lf %19t / Ig upon completing ano signing taus uertiticate, please return it to the building llivision in order to final your building permit. SB407 2015.doc revised 08/26/15 ilpUllJLIALN'Cg PERT UT CAl',TU'OT BE, FR9��D. AND COR.T 'LE, ' ... UINTM TMS CE4RT-1F1 ,ATF'.. HAS B :T_ � ITRANTID T-0 T� j3U,1LQPiGDMSJ 1. If the existing plumbing fixture water usage/flow rate is equal to or tower than the figure shuwu, a 16 11UL 1cLJu11cu LU UL, ut,r,, SB407 201 S. doc revised 081-26115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fix turel (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 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: gallons per minute @ 60 Lavatory per minute psi minute @ 60 psi; minimum Maximum 1.5 gallons psi p 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 tower than the figure shuwu, a 16 11UL 1cLJu11cu LU UL, ut,r,, SB407 201 S. doc revised 081-26115 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 o building(a)cupertino.org 1© o a 07a�a ��5V Ci.�F�= � CyP �ti1J® #ac s 3 lte: .G zia Is�n4y id.e: i G -A 9 S a i Lj PERMIT CANNOT IBE EINALED AND CO.MPLETIa;D UNT11, TEAS CERTIFICATE IIAS i;.EE,S1€�I�E . AND 1FtT'_FLRNF_' 'rO 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-burnuzg 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 Califonua 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 onditions of this statement <Ov _c 6r_ or er AgenEs)-Name: _ a , AtXoStiUP0Si nafire....... ........'...:...................................................................................Date: Cofih.cfor=Names + ...................11 Lic;�# :.3... Dail:' ....� .. Smoke and CO form. doc remised 03/18/1.4