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15100229
I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10391 STOKES AVE PERMIT NO: 15100229 OWNER'S NAME: MICHELLE LIU I ?VTS 1-nF14C J ftfiz , I DATE ISSUED: 10/28/2015 1 OWNER'S PHONE: 4086212357 PRO ACCO ICA411faD3 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ 2 REMOVE (E) (E) ROOF, INSTALL 30# FELT AND (N) LIFETIME License Class —J I Lic. # 100 Qq %t) COMP ASPHALT SHINGLES - 34 SQ'S Contractor Rab" R cC6 �O ate Z V 70-� (, 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: 1. 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. 2. I 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. 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 re ulati s per the Cupertino Municipal Code, Section 9.18. Signature Date_f 0 5 ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1 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. 2. I 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. 3. 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 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 Sq. Ft Floor Area: I Valuation: $15500 APN Number: 32647035.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 D7Z--M FROM AST CALLED INSPE TI Issued by:UJV V Date: �O �a 'S RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspec 'on, I agree to remove all new materials for inspection. �,/ Signature of Applicant: Date: j b (/LLY 1—< ALL ROOF OVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I 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. Own 6r � horized agent: � -1 ,tt; Date: l�/l CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work' 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. Licensed J CUPERTINO REROOF PERMIT APPLICATION 15100�&q COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildingecupertino.org PROJECT ADDRESS -- APN ;1 --A- I) q I Seo [ O ' f OWNER NAME -1 c11 1��IC1^f2IQs PH _� — �� V� E-MAIL STREET ADDRESS CTrY, STAY , 7._IP FAX •� CONTACT NAME PHONE E-MAIL k�j 650—Z?y .ZO 9' rn 1P rood+ ©XXV160 - Cc -yj /� e STREET ADDRESS% � 7_s:5 CITY, Sen�IP Payk," � a gg02� /lARCHITECT �❑ AX 1:3 OWNER 11OWNER-BUILDER13OWNER AGENT 1:3CONTRACTOR CONTRACTOR AGENT ❑ ❑ ENGLN°EER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME-r//' A bins. T /' a LICENSE NUMB ER a u LICENSE TYPE BUS. LIC. R 4 1 COMPANY NAME E-MAIL FAX ac Picckq v , STREET ADDRESS CITY, STATE, ZIP f} ql 303 I PHONE 22-W o a o ttkin 4C 9 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF X SFD or Duplex ❑ Multi -Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial 3Y EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES K WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE ❑ YES IF NO. 1 PLYWOOD ❑ ,,r ❑ PLYWD ❑ OSB PITCH: ROOF ❑ NO 4 LAYERS: I THICKNESS: ❑ 5/8" TYPE: ❑ CDX ' 12 CLASS: `4 PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT 9 DESCRIPTION OF WORK lea y, -off 11 ^� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property ov,,ner'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 build' ructio authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORA4ATION REQUIRED OFFICE LSE ONLY d PL1 CEIFCKT-ITE roL Lac SLIP' If building is associated with a Home Owner's Association, provide letter of approval from HOA. nxx -,cUNTER Provide Planning approval to verify if there any restrictions.ExEss� ffi�' PLNNI :c I LAN rF� IL« Provide copy of Manufacturer's Installation Specifications. ❑ALDARD_ ❑ FII _E DEPT _ Provide signed copy of Cupertino's Tear -Off Policy. fPC. L orxER ;�Y � lai+.+. .+.a.iF yis .b+ .'fes"- 45:.. ✓. "K - ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO 11 FEE ESTIMATOR - BUILDING DIVISION r ADDRESS: 10391 Stokes Ave ,ilech. Pian (J2,- ; DATE: 10/28/2015 REVIEWED BY: PAUL APN: 326 47 035 BP#: Elec, Permit Fee: "VALUATION: 1$15,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex "harub. Insp. f . - Elec. Insp. Fire. PENTAMATION PERMIT TYPE: 1 SFDWLROO WORK Remove Q roof, Install 30# felt and N lifetime Comp Asphalt Shingles - 34 S 's SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 3,400 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 Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7,1'13) ,ilech. Pian (J2,- ; 1'1urnrr. Pian Check E7cec, flan Check 1fech. Permit Fee : Plumb. Permit Fee Elec, Permit Fee: Other Vlech. Insp )"her Plumb Insp.Li Other Elec. Insp. LJ ' `�,ch. Insp. Fec. "harub. Insp. f . - Elec. Insp. Fire. 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 Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7,1'13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fere Phtmh./Meeh./I lec Permit Fee: $5 Suppl..Insp Pee Plumb./Meeh./filen Plumb./IVfech./Flee Permit Fire: Construction Tax: .4tiministrative Fee: Work Without Permit? Yes No $0.00 ,lclvanc;ed Planning Tees: i Trarel Documentation Fee��, Strong Motion Fee: 1BSEISMICR $2.02 Select an Administrative Item —7 0 Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $581.02 $0.00 TOTAL FEE: $ Revised: 10/01/2015 EMS CUPERTINO 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 • building aQcupertino.orq PROJECT ADDRESS I APN 4 SAO�� Aif- OIAINER NAM PH E-MAIL STREET ADDRESS CITY, STATE, ZIP ' FAX CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC. bo ir&r a (ol C301 _F Its COMPANY NAME E-MAIL FAX STREET ADDRESS Cj STATE, ZIP PHO Y ' 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 (XIon-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 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 monoxiadf, detectors are required to be installed in accordance with Sections R314 and R3 15 of the 2013 California Residential C Signature of Applicant/Agent: Date: Reroc)Tolicy_2014.doc revised 01115114 CUPERTINO Owner Name WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF C®mPLIANCE RPM COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION J:&&- 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255?% (408 777-3228 • FAX (408) 777=3333 • building ED-cupertino.org (l ~. Pen -nit No. Address V (QSq 2I7-- 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. IV R 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. .46 Skip the rest of the fonn and sign bottom of form. pp [� 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. if W 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. IN 'f� 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. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: ' F � 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 bef6re 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 C de and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-ccr ad7-�iqg plumbing fixtures comply with the requirements as indica d in the j table on the following nage.:°° Owner or Owner Agent's Signatu��' / Upon completing and sign' g this Certificate, please return it to Date::,:J in order to final your buil SB4072015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND coimPLETE3) UNTIL. TEAS CERTIFICATE HAS BEEN . i 1 IGAIIND RETITRNET) TO THE BUILDII\'G DIVISION 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the rigure shown, JL IS rreL rcLJu,rou LU LA-, ul,gi SB407 2015.doc revised 08/26115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (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: 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 rigure shown, JL IS rreL rcLJu,rou LU LA-, ul,gi SB407 2015.doc revised 08/26115 ACU PERTINO PURPOSE SMOKE B CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVIS 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1 ✓� (408) 777-3228 o FAX (408) 777-3333 • building (c-cupertino.org PER3/1IT CANNOT DE >FINALED AND C®AIP LETED UNTIL TI3IS CERTIFICATE HAS BE, EN a, _(z E) AND RETURNED TO THE BU]ILDING DI17ISIO1'�r / 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 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 Cvirr6r+ o erAgents) Name: ........................................... ............. Com cforT' me: �+ .t2z .� .9657Sci.........a.. Smoke and CO form.doc remised 03/18/14