B-2016-1328 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1328
19710 AUBURN DR CUPERTINO,CA 95014-2414(316 35 020) (R A CONSTRUCTION)
SAN JOSE,CA 95136
OWNER'S NAME: YANG SHAWN X AND ZHANG ZHURU C DATE ISSUED:02/09/2016
OWNER'S PHONE:408-973-8733 PHONE NO:408-482-5120 l
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-39 Lic.#633438
Contractor(R A CONSTRUCTION)Date 02/09/2016 X BLDG —ELECT —PLUMB
MECH X RESIDENTIAL—COMMERCIAL
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. JOB DESCRIPTION:.
TEAR OFF(E)WOOD SHAKE,INSTALL(1)OSB,CLASS A COMP
I hereby affirm under penalty of perjury one of the following two declarations: ROOF SYSTEM(23 SQ'S)
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.
z 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. Sq.Ft Floor Area: Valuation:$9800.00
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
information is correct.I agree to comply with all city and county 316 Number: Occupancy Type;
ordinances and state laws relating to building construction,and hereby 316 35 020
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 PERMIT EXPIRES IF WORK IS NOT STARTED
expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will
comply with all non-point source regulations per the Cupertino Municipal 180 DAYS FROM LA CTION.
Code,Section 9.18.
_ Issued by:MELI A S
Signature' ate 02/09/2016 Date:02/09/2016
OWNER-BUIL DER DFCI ARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the 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
following two reasons
inspection.
1. 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(Sce.7044,Business&Professions Code) Signature of Applicant:`
2. I,as owner of the property,am exclusively contracting
with licensed Date:02/09/2016
contractors to construct the project(See.7044,Business&Professions Code).
ALL ROO OVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three declarations:
1. I haveandwill maintain a Certificate of Consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance,as provided for California Health&Safety Code,Sections 25505,25533,and 25534. I will
by Section 3700 of the Labor Code,for the performance of the work for which maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Health&Safety Code,Section 25532(a)should I store or handle hazardous
this permit is issued.
s. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Sec' ns 25505,25533,and 25534.
exemption,I become subject to the Worker's Compensation provisions of the I <_—
Labor
Labor Code,I must forthwith comply with such provisions or this permit shall Owner or authorized agent:!%
be deemed revoked. Date:02/09/2016
CONST X LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance
correct.I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Address
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in ARCFIITFC'194 DECLARATION
consequence of the granting of this permit. Additionally,the applicant I understand my plans shall be used as public records.
understands and will comply with all non-point source regulations per the
Cupertino Municipal Code,Section 9.18.
Licensed
Professional
Signature Date 0210912015
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228 FAX(408)777-3333•building
(a)cupertino:org
Ct1t��RTihtt3
- 206 -
PROJECT ADDRESS APN# t ! v G
OWNERNANIE Y9JfCz ,Z �/�. ®� PHONE
STREET ADDRESS ®_" CITY, STATE,ZIP FAX
CONTACT NAME PHONEk_ E-MAIL STREET ADDRESS CITY,STATE,ZIP �Y fG(/ FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE. BUS.LIC.#
COMPANY NAME die E-MAIL FAX
STREETADDRESS ,✓J� CITY,STATE,ZIP PHONE _
ARCHITECT/ENGINEERNAME i!�-LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF I;KSFD Or Duplex ❑ Multi-Family ROOF AREA: VALUATION_
STRUCTURE: ❑ Commercial v
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES KWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE'/REPLACE)KYES IFNO, /f PLYWOOD ❑ '/:" ❑ PLYWD OSBl 2 PITCH: ,yr/ ROOF
A
❑NO #LAYERS: THICKNESS: ❑ 518" TYPE: CDX —i—' CLASS:
$$��'^' ICC-ES REPORT#
PROPOSED ROOF TYPE: 11BUILT-UPROOF I<SPHALT SHINGLES 13 WOOD SHAKES ❑WOOD SHINGLES ❑OTHER
DESCRIPTION OF WORK:
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 h r d the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building co I 5orize representatives of Cupertino to enter the above-identified property for inspect* purposes.
Signature of Applicant/Agent: Date:
o-JAIG
SUPPLEMENTAL TION REQUIRED o >c�usa;ciNL u x
WF = CHECI. YP���L _ZZ, w I `ROUTGSIdP -
_If building is associated With a Home Owners Association,provide letter
of approval from HOA. o RcoaR'r vSNc�LAr }v ,
Provide Planning approval to verify if there any restrictions. ug""; X-p-gEsgm 1`a C� LArr vX�
Provide copy of Manufacturers Installation Specifications. F
Provide signed copy of Cupertino's Tear-Off Policy. ��
i -y
Reroof,4pp_2011.doc revised 03/16/11
i
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
cuptltl (408)777-3228 FAX(408)777-3333•buildingQcupertino.orq Z
PROJECT ADDRESS PIP0 APN# —3t,6-
L
. OWNER NAME PHONE 4"O `7 y✓ �2 E-MAIL
STREET ADDRESS CITY,STATE,ZIP ✓ / FAX
CONTRACTOR NAME LICENSENUMBER ��� LICENSET P BUS.LIC.#
iirCOMPANY NAME ji E-MAIL FAX
STREET ADDRESS / Q CITY,STATE,ZIP Ls% PHONE
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 be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code. /
Signature of Applicant/Agent: Date: —1
ReroofPolicy_2014.doc revised 01115/14
i
CITY OF CUPERTINO
FEE ESTIMATOR=BUILDING DIVISION
04�� ADDRESS: 19710 AUBURN DR DATE 02/09/2016 REVIEWED BY: ABBY AYENDE
APN: 316 35 020 BP#: B-2016-1328 `"VALUATION: $9;800
'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00
USE: PERMIT TYPE:
WORK TEAR OFF E WOOD SHAKE INSTALL N OSB, CLASS A COMP ROOF SYSTEM 23 SQ'S
SCOPE _
FEE ID ROOF AREA
(s.L) _
1REROOFFRES 2,300
l
x
f F..'Sg
FT-
'� 1'er"T i z:?B; ,' .3.j's'
j
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Server District,School
District,etc). These.fees are based on the prelimina information available and are on2 an estimate. Contact the Dat./or addn'l info.
FEE ITEMS (Fee Resolution.1l-053 Ff: 7,103) FEE QTY/FEE MISC ITEMS
Permit Fee; $391.00
3 � n
P?,
tie Fee:
Work Without Permit? Q Yes (F) No $0.00
v rsa L'.1 l'77 nin
Strong Motion Fee: IBSEISMICR $1.27 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSCI $1.00
OTAL
` - BTTA .i: $393.27 $0.00 .1_,
TE, $393.27
U
Revised: 01/01/2016
'WOKE I 1CAP,,BON ,MO,NOX11DE ,AzLA"R-MS
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WX R CERTIFICATE OF COMPUANCE F I Im E
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
Ck)PERITINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228 FAX(408)777-3333- building(cDcuperfino.ong
2-�
q k c) ArL111'bV-" - 50i
id- I
PERMIT CANNOT BE F1NN1X'bA;NND COMPLETED UTIL TMS CERTIFWATE
-
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.
GEN,ERAL 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 ALARM
Outside of each separate sleeping area in the immediate vicinity of the X
bedroom(s)
On every level of a dwelling unit including basements X X
1, 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 sult irt the removal o f wall and ceiling,fini,shes or there is no access by means of attic,basement o r crawl
space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420-6.2.An electrical,permit is required for,
alarm.,s which must. connected to the building wiring.
As DWIter,of the above-r ef erenced prop erty,I hereby c ertify that the alarm(s)referenced above has/have been
installed is accordance with the in,anu f a c t ur er's instructions and in,compliance with, the C al,if orm,a Ruilldfihg,
and Califflo,nwda,Residential Codes.des.T he alarms have been t este di and are o perationail,as,of the date sigxTedt
bellow.
I!,hava read,,and
g 6 1 fte,fermi and!con,61tibm,of thi'l st tam ,n,
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WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE FILE
'y
COMMUNITY DEVELOPMENT I)EPARTMENT-BUILDING DIVISION
CUPf t I NiC3 1133 TORRE AVENUE Ot.lPE# T N0,GA 95014=3255
Owner Nam 08�777-32�28 �418,777-333�ejbjuLl
irCa=Dertino.om
Permit No
Address L a'►o D 1
I. 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.
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 notapply.
The licensed plumber's certification has been provided to the Building Division.,-
Skip the rest of the form and sign bottom of form.
JNo 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.
0,2-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.
Zo"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).
❑ Myproperty'is amultifamily 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, 20.19; 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 1104.8,.the current California Plumbing Code and Califomia Green Building Standards Code,and manufacturer's
installation requirements,and that the water-conservin �umbing fixtures comply with the requirements as indicated in the
table on the fallowing.page.
Owner or Owner Agent's-Signature: w n 15 patef, 2 t 162
Upon completing and signing this Certifc e.please retuk.it to the Building Division in order to final your building permit. '
SB407 201.5.doc revised 08/26/15
Won-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixtured (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
/Flow
Waterow Rate Usage 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 e 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 ,si
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 @ 6o psi
the above are unavailable, Where faucets mee4ng
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.
graded.
revised 0812611.E