B-2016-1898 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1898
22840 MERCEDES RD CUPERTINO,CA 95014-3920(342 22 109) ABOVE ALL ROOFING
SOLUTIONS INC
CAMPBELL,CA 95008
OWNER'S NAME: RAMONA BLVD INC DATE ISSUED:05/05/2016
OWNER'S PHONE:408-973-0806 PHONE NO:(408)292-4188
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class ROOFING Lic.#79 435
Contractor ABOVE ALL ROOFING SOLUTIONS INC Date 04/30/2017 X BLDG —ELECT —PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH RESIDENTIAL X 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 CAP SHEET,INSTALL B.U.R.,4-PLY COOL ROOF(35
I hereby affirm under penalty of perjury one of the following two declarations: SQ'S);TEAR OFF COMP,INSTALL CERTAINTEED CLASS A SOLAR
1. I have and will maintain a certificate of consent to self-insure for Worker's REFLECTIVE SHINGLES(45 SQ'S)
Compensation,as provided for by Section 3700 of the Labor Code,for the
erfonnance of the work for which this permit is issued.
2. 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:$48854.00
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 34222 109 A(Tenant Improvements)
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,the applicant un erstands and will comply with all non-point
source regulations per thfycuperrtino Municipal Code,Section 9.18. 180 DAYS FROM L INSPECTION.
Signatur Date 05/05/2016 IssuedIS
Date:05/05/2016
OWNER-BUILDER DECLARATION
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 ofing material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspec o I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for sp on.
sale(Sec.7044,Business&Professions Code)
z. I,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(See.7044,Business&Professions Code). Date:05/05/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
t. 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. HAZARDOUS MATERIALS DISCLOSURE
2. I 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
Health&Safety Code,Section 25532(a)should I store or handle hazardous
a. 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 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 Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Se t'on 505 5533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent•.
ez
APPLICANT CERTIFICATION Date:05/05/2016 101—
I certify that I have read this application and state that the above information is N TR TION LE Di AG EN
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 05/05/2016 Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
CUPERT[NQ (408)777-3228• FAX (408)777-3333 ' building(aDcupertino.org
PROJECT ADDRESS f &Z /,�
V0 1�/I/L/L�K .PHONE IPY ,1AdE-M.AIL —
STRE_ S� S,1-1v�I f*-Ppo Kt,Xt*vCITY, STATE,ZI� d.�l�/ dJ C�7 SCI FAX
CONTACT NA\4E / O � / w
D ESS (� PHONE / E-MAIL
STREET A CITY,STATE, ZIP Fj FAX
01A'NER ❑ OVINER-BUILDER ❑ 0\1TTERAGENf ❑ CONrRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGIIcTEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME/ �� �n 5 �� t/ LICENSENUMBER ��� LICENSE TYPE BUS.LI �oQ
C rI�T EE T �/�✓ E ®V v �`J ( FAX c
STREETT A S ` k 1 I CITY ,ZIP ^B&// C/L P"49
H NE
ARCHITECT/ENGW_4Q6 75EER NAME I�f LICENSE NUMBER I{✓ /� BUS.LIC:R �/
CONIPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: vA ATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: ❑BLILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE ❑YES IF NO, JPLYWOOD ❑ w, ❑ PLYWD ❑ OSB PITCH: ROOF
❑ NO -LAY ERS: THICFCT�TESS ❑ 5/S" Tl PE ❑ CDX 12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT R
DESCRIPTION OF\TJORK /t -n ^ I7 _ (+\ 1f T 1-I �0 2
0
0/1
C&JAIJ
N<�i�[ M N r6�&b tA-N�>m I1-fL1C -;2 ► sc?Llflr2 6c- W-
�
By my signature below,I certify to each of the folio g: I am the property o\\mer or authorized agent to act on the property o\\mer's behalf. I have read this
application and the information I have provide correct have read the Description of Work and verify it is accurate. I agree to co ply v,,ith all applicable local
ordinances and state.laws relating to construct• n uthorize CstperSino to enter the above-ide i pro ert},for inspection purposes.
SignatureofApplicaat/Agent: Dater
SUPPLEMENTAL INFORMATION RE
If building is associated With a Home Owner's Association,provide letter
of approval from HOA. ❑'o�>�Ii Tarrc T3II DII�GPIAA REVIE\� r
Provide Planning approval to verify if there any restrictions. _G t
`_❑ XPRE £ ❑�P3;�'I�TII�C�'PS,AI�RBS'�E�'I'.� .r
Provide copy of Manufacturer's Installation Specifications. sT - ❑ FdRFD$PZt
Provide signed copy of Cupertino's Tear-Off Policy. = ❑ 'o� R f
Reroof.9pp_2011.doc revised 03/16/11
5
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
CUPERTINO
(408)777-3228• FAX (408)777-3333• building a(�,cuoertino.orq ZQ
PROJECT ADDRESS 220 a A415-&6-�yI A2N'
N 4FT Q S,/�N G G/�22/x- C P 411,E
65�
E-A4AIL
STREEJZ_tO /+ f�f� P� CITY aS�A� r� /O / I FAX
CONTRACTOR NAM E / �4� C.� O�.a LICENSE NU UER LICENSE TYPE BUS.LIC.R
E-MAIL FAX
STR�F_T�OD /��` 'v ���/ CITY,STATE,ZIP n PHO1�B����
/,� a R E// I
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 Nailin6 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-roofmg 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-inanufactured 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 cert;imnonox'
each of the following ' true: I am the property owner or authorized agent to act on the
property owner's behalf. I urstand and afire corn ply with the re-roof policy stated above. I also understand that
sinoke detectors and carbon ctors are wired to be installed in accordance with Sections R3 4 and 315 of
the 2013 California Resideno
Signature of Applicant/Agent: ` Date: �^ l
ReroofPolicy_201 4.doc revised 01115114
-
t KAPG
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t6
Fiber Gless Relnfo'rcecl
3ry
- � B�JR Iv�iner l-Sur�aced,;:'Coo! Roof Cap or Flash(ng S_hbe
Meets the requirements of ASTM D 3909
- Component
Features and Components �=� Ceramic Coated Roofing pp//pp
Granules With Factory Applied
GlasKap CR is intended to be used as a cap sheet in built up cool Roof coating Membrane
roofing systems, - _
MUM
Ceramic-Coated Roofing Granules with Factory-Applied Cool V :=: Type
y: `r
Roof Coating:The cool roof technology combines the proven UV ;: ._:_.. . CS
protection of ceramic-coated granules with a highly reflective
coating,offering long-term performance and potential energy
savings. Color:Bright White only. High Quality `±
Asphalts Fiber Glass
High-Quality Asphalt Coating:Lends elasticity and flexibility to the Waterproofing Reinforcement
sheet and provides waterproofing value.
Fiber Glass Reinforcement Mat:Low moisture,excellent dimensional
stability and resistance to rot make it an ideal replacement for � r
organic cap sheets.
--
Color:Reflective cool roof brightwhite acrylic coating.
System Compatibility This product maybe used as a component in the following systems.Please reference product application for specific installation methods and information.
n1 a d T'ilf f e e; tvr £n
- `
_ ... ._....,_ _
,iaCom atible with the selected Multi-Ply systems above er',; Do not use with Single Plys stems
Key: HA =Hot Applied CA= Cold Applied HW= Heat Weldable SA=Self Adhered MF= Mechanically Fastened FA= Fully Adhered BA = Ballasted
Energy and the Environment Installation/Application
Test Initial 3 YearAged
Ref lectivi (ASTM C'1549) 0.83 Pending
�. Emissivity (ASTM c 1371) 0.90 Pending °
Rated Product ID:0662-0007 Licensed Manufacturer 10:0662 Classification:Production Line Hot Asphalt Cold Applied
L
p SRI (ASTM E1980) 1:04 Pending
Recycled Content 0°/D •When installing GlasKap,itis important that the mopping asphalt
*Cool Roof Rating Council ratings are determined for a fixed set of conditions,and may not be atthe appropriate temperature:20°F(110C)above the asphalt's
be appropriate for determining seasonal energy performance.The actual effect of solar EVT is recommended
reflectance and thermal emittance on building construction may vary.Manufacturer of
product stipulates that these ratings were determined in accordance with the applicable •RefertoJM BUR application guides and detail drawings for
Cool Roof Rating normal procedures. instructions
Peak Advantage°Guarantee Information
Packaging and Dimensions
SysternsGuarantee.Term Dependent on system Up to 25years
Roll Si
36"x 36'(914 mm x 10.97 m)
RoII.Coverage 107 ft2(9.9 ml)
*Contact JM Technical Services for specific system requirements or guarantee terms.
RolllNelght ,;; 78 Ib(35.4 kg)
Codes and ApprovalsRolls`Per.Pallet 30
ASSIf/F
�� MIAMFDADECOUNTY PalletSlze :' 45 in129,032 mm21
C �� ° Miami-Dade Cunty
us Pallet Wel ht 2,3751b(1,077.3 kg)
o
APPROVED Product Co tml Approved
Pall4ts'per-Trucks 19
ULO Class A and FM Global0fire approvals *Assumes 48'flatbed truck.
Referto the Safety Data Sheet and product label prior to using this product.
The Safety Data Sheet is available by calling(800)922-5922 or on the Web at
www.jm.com/roofing. RS-2301 11-14 Replaces 8-14)
r ,
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t:
KA
.�
•'� -
U
Fjber �las� Reinfarced,Acryljc Coated4C66lRoaf Cap{Sheet
Y.� .:(9 v..._..e..�..�,_-..........�,..........�.�.�.�.�y�_._-...:..._«�..-..-.�.........-..-..�. t�_..-.-+�.zz.�.....r....�....,....n.��.�+...-a.«„a �....y.».�s..�......va.♦.vw.�u,.._.�,.s+..i..-.-v�a....w:...�....�-.z,f_._...>.-n.-.. ...wL.....rY..-._.�--n..,.-.....i
Meets the requirements of ASTM D 3909
Tested Physical Properties
pis r
Average Mass per Roll,Exclusive of Wrapping and Packaging D 228 >_691b 78 Ib(35.4 kg)
Material(min):No Selvage
MassPerUnitArea of Mine ral-surfa ced Sheet(min) D228 z63.21b/100ft2 72.21b/100ft2
y Mass Per Unit Area of Desaturated Glass Felt(min) D 228 >1.7 Ib/100ftz 1.85.lb/100 ftz(90 g/mz)
g Mass Per Unit Area of Mineral Matter Passing a 0.132in.(3.35D 228 a 241b/100ft2 241b/100 ftz
mm)(No.6)Sieve and Retained on a 212pm(No.70)Sieve(min)
Mass of Mineral Matter Passing a 212 um(No.70)Sieve Based
on Mass of Coating Asphalt and Mineral Matter Passing the D 228 s 55% 55%
212 um(No.70)Sieve(max)
Moisture at Point of Manufacture(max) D 95 1.0% s 1.0%
Refer to the Safety Data Sheet and product label prior to using this product.
The Safety Data Sheet is available by calling(800)922-5922 or on the Web at
www.jm.com/roofing. RS-2301 11-14(Replaces 8-14)
I 1
I 22
Color Availability - -
LANDMARK SOLARIS
i � I
cRRC Product 16 6668-0057
I
� -• A
Two-piece laminated fiber glass-based construction
LANDMARK SOLARIS GOLD Classic shades and dimensional appearance of natural wood or slate
229 lbs. per square ;
r1 Meets ENERGY STAR°requirements
Lifetime limited transferable warranty-residential*
v
50-year limited transferable warranty-group-owned or commercial*
10-year SureStart- protection
15-year 110 mph wind-resistance warranty
_ • Wind warranty upgrade to 130 mph available. CertainTeed starter
and CertainTeed hip and ridge required
m Impact Resistant version available(select colors") �
*See warranty for specific details and limitations.
m;tl a a
LANDMARK SOLARIS PLATINUM
Landmark Solaris Solar Reflectivity(SR), Thermal
Emittance (TE) &Solar Reflectance Index(SRI) Data
' ry r
_791
' f "" Aged Cedar .26 .92 .95 29
�,a crys Gr
27 .92 95 30
Lj
tal ay ,
Dusky Clay .26 .93 95 29
.°
Sunset Shake .26 .92 95 29
Max Def Resawn Shake .26 .88 .96 29
Max Def Weathered Wood .26 .90 .95 29
I d SF � R3 S Y I I S Y: r xC
Tit
Sierra Buff 41 .92 .95 48
® Coastal Tan40 .91 .95 47
Santa Fe 40 .90 .94 47
° *Solar Reflectance Index(SRI)values were calculated using ASTM E408 TE values.
11
• Njonreside Liai Re-Roofing
2013 Energy Code Permit Guide
Permit DATE: S 0` Permit NUMBER: C1-7_0t4,- /.K3 CA Climate Zone:
Permit ADDRESS: 2 0 S/p Mp63 j0_1) City, Zip:
CODL RODF 1S i°-:OT ;;-EQUI EEE If any of the boxes below are checked.
Cool hoof Exemptions: Check any that apply.
U Roof area is over unconditioned space (e.g. warehouse) or process space (e.g. manufacturing)
Area to be re-roofed does not exceed 2,000 ft2 OR 50% of total roof area,whichever is greater
Area to be re-roofed = ft2 Total roof area = ft2
Cool Roof Exceptions:Check any that apply.
171 In CZ 3, wood-framed roof has a U-factor 5 0.039
0 In CZ 3, metal building roof has a U-factor<_0.048
Roof constructions that have thermal mass with a weight of>_ 25 Ib/ft2 over the roof membrane
0001 R;00- lS R.EQUIr ED If none of the boxes above are checked.
Table 1. Prescriptive requirements for COOL.ROOFS Circle the applicable requirements.
*Solar Reflective Index values must be calculated,see Page.2 of this guide.
Nonresidential Buildings
3 year Aged Solar Reflectance,minimum 0.63
Low-sloped roof pitch <_2:12 AND Thermal Emittance, minimum 0.75
OR Solar Reflective Index, minimum*
3 year Aged Solar Reflectance, minimum 0.20
Steep-sloped roof pitch>2:12 AND Thermal Emittance, minimum 0.75
C1R Solar Rifle give In dex,-:mIr�� 1t
w _
Hotel,Motel,and High-rise Residential Buildings
Steep-sloped roof pitch>2:12 3 year Aged Solar Reflectance, minimum 0.20
All roof weights AND Thermal Emittance, minimum 0.75
OR Solar Reflective Index, minimum* 16
Optional: For nonresidential buildings with low-sloped roofs,the 2013 code allows a tradeoff between
increased roof/ceiling insulation and reduced Aged Solar Reflectance values.To use this option, circle the
actual U-factor of the building's roof/ceiling assembly in Table 2, and the corresponding minimum Aged Solar
Reflectance value.
Table 2.Tradeoff Values for Aged Solar Reflectance Circle the applicable requirements.
Roof/Ceiling Insulation Tradeoffs
Aged Solar Reflectance Metal Building U-factor Other Building Types U-factor
0.62-0.60 0.061 0.036
0.59-0.5 5 0.054`'- 0.034
0.54-0.50 0.049 0.032
0.49-0.45 0.047 0.030
0.44-0.40 0.043 0.028
0.39-0.35 0.039 0.027
0.34-0.30 0.035 0.025
0.29-0.25 0.033 0.024
a lal',J 1 l( 1 �...
`.�.I.c..iLu..f 17 -E _:cl.'f'+ � f�`�,
ism s 1
onresidential Re-Roofing
2oi3 Energy Code Permit Guide
si'iSL�1;°T Io7�l "IS NOT T REQUIRED if any of the boxes below are checked.
Exception to Roof Insulation Requirements: Check any that apply.
1-1 Existing roof is already insulated to at least R-7 or has a U-factor less than 0.089
1.:1 The roof is not exposed to the roof deck or roof recover boards
If mechanical equipment is located on the roof and will not be disconnected and lifted as part of the
roof replacement, see Section 141.0(b)213iii of the 2013 Building Energy Efficiency Standards
0I��NSU LAI T 1'Q 11 13 'RSE UIREED if none of the boxes above are checked.
Table 3. Mandatory Insuiatiorc Requirentents for Goof Alterations Circle the applicable requirements.
BayREN Climate Zone 2 3 4 12
Nonresidential Buildings Continuous insulation R-value
g /Roof assembly U-factor R-14/0.055 R-8/0.082 R-8/0.082 R-14/0.055
High-rise Residential 8t Guest
Motel Continuous insulation R-value
Rooms of Hotel
/Motel
/Roof assembly U-factor R-14/0.055 R-14/0.055 R-14/0.055 R-14/0.055
Buildings
J nlas -e.ci.
-or: Roofing material must have a Cool Roof Rating Council (CRRC) package label indicating
compliance with the requirements in the table above. If re-roofing involves a field applied liquid coating, see
Section 110.8(1)4,Table 110.8-C of the 2013 Building Energy Efficiency Standards.
o NRCC-ENV-02-E: Certificate of Compliance for Envelope Component
o NRCI-ENV-01-E: Certificate of Installation for Envelope (from installing contractor, before field
inspection)
o Cool Roof Rating Council (CRRC) label indicating compliance with applicable requirements
If Applicable:
NRCC-ENV-03-E: Solar Reflectance Index Calculation Worksheet
(if this value is used instead of Aged Solar Reflectance and Thermal Emittance values)
o Visit wwLAj.enemy.ca.gevf-ti_1e24/2013standards/
o Contact the energy code hotline at (800) 772-3300 or email: tide24@energy.state.ca.us
Contact the BayREN Codes &Standards Program by email: codes@bayren.org
Li C ,•r C s- n 1 l^:SS`71'� vi'.i i'.• -''= ;c7—
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SMOKE / CARBON MONOXIDE ALARMS f5196
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
GUPI*RTlttl 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 FAX(408)777-3333•buildinonc cupertino.ora
Permit-No� ��
Address 1 ' x` 5 #of Alarms:-Smoke: P `Carbon Monoxide.-17-^
,,A 1T as zh. +I 7ALm1DjV C0131"WLAT l) "� S.CP TI�iT 3E
PURPOSE
This affidavitisa 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 8314 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 LARM CO AIARM
Outside of each separate sleeping area in the immediate vicinity of the, X
bedroom(s)
On every level of a dwelling unit including basements
Within each sleeping in room
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 cAMply with the terms and conditions of this statement
Owner(or Owner Agent's) Name:
.-Date:
......Si nature... . ..
Contractor Name: .S.....Z..!...
...
�t1 �/ 'Iry 5OLorfv Si nature.... .I... ...... . ......Lic:#.. . ...Date:
Smoke and CO form.doc revised 03/18/14
WATER-CONSERVING PLUMBING FIXTURES
F
OWNER CERTIFICATE OF COMPLIANCE lb
COMMUNITY DEVELOPMENT DEPARTMENT!BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
-
-- (408)-777-3228-!FW(4Q4)777-333 3•building cD_cupertino.orq
Owner Name ��1^6todA/ PLV O 1 rJ - Permit No.
Address q0 M&1eC_&0
L Is your real property a registered historical site?
El 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.
-f-4
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. j
3. Is water service permanently disconnected for your building?
El-Yes Civil Code Sections 1101.1 through 1101..8 do not apply. Skip the rest of the form and sign bottom of form.-
0 Go to Question 4.
V I
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.
Yes My real property is built and available for use or occupancy on or before January 1; 1994.
_ Civil Code Sections 1101.1 through 110.1.8 apply. Check one of the three following statements and sign
bottom of form.. _
S. 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
+ improveinents).
— 4y 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 unprovemerits).
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 watere reservingp mbing fixtures comply with the requirements as indicated in the
table on the followin age. I—— -
r _
Owner or Owner Agent's Signature: �"�"` Date: 0)k
Upon completing and signing this Certific te,pl returnit to the Building Division in order to final your building permit.
SB4072015.doc revised 08126115