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B-2016-1903 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1903 21932 LINDY LN CUPERTINO,CA 95014-4832(356 24 014) WILLIAMS-TYLER INC SAN JOSE,CA 95118 OWNER'S NAME: TENG ANDREW Y DATE ISSUED:05/06/2016 OWNER'S PHONE:408-209-7132 PHONE NO:(408)277-0800 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic.#501852 Contractor WILLIAMS-TYLER INC Date 10/31/2016 X BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL COMMERCIAL 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;INSTALL OSB;30#FELT;LIFETIME COMP CLASS A I hereby affirm under penalty of perjury one of the following two declarations: SHINGLE(21 SQ'S) t. 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. Nr I have and will maintain Worker's Compensation Insurance,as provided for by IPection 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$7550.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 356 24 014 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,th plicant under s and will comply with all non-point source reA�,,,Iliospefl�e o Muni ipal Code,Section 9.18. 180 DAYS FROM LAST C SPECTION.Sign t6rDate 05/06/2016 Issued by:M Date:05/06/2016 D R DECLARATIO I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is t. I,as owner of the property,or my employees with wages as their sole installed without first obiining inspection,I a fire to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspectioG% sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Ap icant: . contractors to construct the project(Sec.7044,Business&Professions Code). Date:OS 06 2 6 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER t. 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. HAZARDOUS MATERIALS DISCLOSURE 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Qu tino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Co e'Se ti s 25505,25533 nd 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized a e t. 9 APPLICANT CERTIFICATION Date:05/06/2016 I certify that I have read this application and state that the above information is CONSTR CTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 05/06/2016 Professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333 • build ina(a,cupertino.org CUPERTINO 7- Z�� ' PROJECT ADDRESSZ` 2, 4 i�,i I^ ` APN n 3�� — rl �/ O / L� OWNER NAME 6; PHONE a f D �/ J oLj7/ E-MAIL STREET ADDRESS 7 ) F� 3 ?_ 1 k ` I CITY, STATE,ZIP I FAX CONTACT NAME t ^ , L r PHO y �J 0 i/')/ STREET W ❑ADDRESS/Z,3/ /JCITY ST TE, ZIP _h C FAX 13 oNER owN'ER--BUILDER ❑ OWNER AGENTCTOR El ElHITE ARCCT( 11ENGIheE3ElER DEVELOPER TENANTr CONTRA CONTRACTORNAME � p� f� f Int M,�/ LICENSE NUMBER 56)t65' T�p ClBUS.LIC.9LQ Z GCOMPANY NAME 7 E:MAILy-�/ h (J6 ST�7SF� �'k a. ,.C_ FAX (� STREET ADDRESS 7 r [ p ` I CITY,STATE,ZIP C' T/C g��/ PH •_ F_7 7 ARCHITECT/ENGINEER NA?QE W to �C LICENSE NU14B ER cJ ��C BUS.LIC.4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ErSFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: d.� T� STRUCTURE: C1 Commercial Z f � /� .V EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES �OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD /," ❑ PLYWD OSB PITCH: ` ROOF ❑NO m L.AY ERS: �,-,�� THICICN'ESS: El 5/8- TYPE: ElCDX 12 CLASS: A PROPOSED ROOF TYPE: ElBUILT-UPROOF Q6ASPHALT SHINGLES WOOD SHAKES WOOD SHINGLES ❑OTHER ICC-ES REPORT m DESCRIPTION OF WORK: �� ElG�. El L/SPD 3 CSM �—etk, (� lbt� C CNLGSU 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 provid d is correct. I hav ead 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 st ction. rite representatives of Cupertino to enter the above/-iden�tifiied property for inspection purposes. Signature of Applicant/Agent: Date:ZZ ��?< SUPPLEM NTALINFORMATIONREQUIRED r � 01FICEUSE_OI�LI = x r ':ti' _If building is associated With a Home Oivner's Association,provide Ietter PLAN ci CxTYPE ot?Tit,cs _-. R royal from HOA. y of a i r PP 0 O«R THCOU ITER _Provide Planning approval to verify if there any restrictions. =C1 wRE _Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear-Off Policy. - _ ❑ F e R Reroof.,4pp_2011.doc revised 03/16/11 t 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 CUPERTEN0 ' � L o �� L G+ 3 408 777-3228• FAX (408)777-3333• buildinga ( (�,cuoertino.orq [ PROJECT ADDRESS 2_t lG/+ 3 ?_ e-' l i4 J bq I .4PN R 2 /_ 2- OwNERNAME /� p r /I f PHONE$ Z��j �/ 3 •2- E-MAIL STREET ADDRESS �/ Z L� ��/ L1"k C CITY, STATE,ZIP CJL_ ` 'tjj; I FAX CONTRACTOR NAME ( LICENSE NUMBER 5'/S/G LICENSE TYPE BUS.LIC.R ✓V L COMPANYNAME FAX STREET ADDRESS (7 ! � t� �I ` CITY,STATE,ZIP \ �., >,� r \�I I PHONE V062177 062']% 6 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 (40 8) 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 Nailina 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 unders d and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon Inoizoxi e detector are re ed to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Co Signature of Applicant/Agen't: Date:_ �P ReroojPolicy_2014.doc revised 01/15/14 / I i WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOIPMENT DEPARTMENT- BUILDING DIVISION CU�'�RTINU 10300 TORRE AVENUE- CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333- building(-cupertino.org � o ' Pen-nit Owner Name �� V IJ PennitNo/ G ` (o, Address SCJ f /7�<<J� �,� /,:z` 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. .RT'_N__o Go to Question 2. 1 2. Does your real property have a licensed plumbe{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 l 101.8 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. L4 1Qo 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. D'IVo 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. _D�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.. 5. PPleeas- check ONE of the following: !S 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 properly 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-cornpliant plumbing fixtures shall be replaced with water- conserving plummbing 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 page. Owner or Owner Agent's Date: Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. �` SB907201S.doe revised 08126/15 BUILDING PERMIT CANNOT.BE FINALED AND COMPLETED.UNTIL THIS CERTIFICATE AAS BEEN �SI ' + `AND RETURNED TO THE BUILDINGDIVISION t 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 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 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 @ 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. SB4072015.doc revised 08/26/15 SMOKE / C RSON MONOXIDE ALARMS OWNER C RTIFICATE OF COMPLIANCE 4�r COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AV NUE•CUPERTINO, CA 95014-3255 (408)777-3228•F�X(408)777-3333•building(a)cupertino.org f C/ /.U1� �i(,! Permmit No AiU1( l�U3 Address jy Z ��`'/�� #of Alarms Smoke: �L/ Carbon Monoxide: 3 PERMIT CANNOT BE FINALED AND,COMPLETED UNTIL THIS CERTIFICATE ' BIAS BEEN , " +' AND RF, FD TO THE BUILDING DIVISION 3 «.<.m 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 OWne (or Owner Agent's)Name: Signatur .......................Date: Con for me: 1 Si natur r 9 �. I.. .Uu.......... ... U�` .�?.......................Lic.#..., h..V.^. ...............Date: ..: .�.. f Smoke and CO form.doe revised 03118/14