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B-2016-1914 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1914 10128 N PORTALAVE CUPERTINO,CA 95014-2323(316 28 050) ATHK CONSTRUCTION INC MILPITAS,CA 95035 OWNER'S NAME: WANG DAVID C AND YEH T DATE ISSUED:05/09/2016 OWNER'S PHONE:510-228-6665 PHONE NO:(408)569-5890 LICENSED CONTRACTOR'S DE LARATION BUILDING PERMIT INFO: i License Class GENERAL BUILDING CONTRACTOR Lic.#941248 Contractor ATHK CONSTRUCTION INC Date 12/31/2017 X BLDG _ELECT _PLU B 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: I hereby affirm under penalty.of perjury.one of the following two declarations: TEAR OFF;OSB;COMP SHINGLE(22 SQ) 1. I have land 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 Sectiom 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq,Ft Floor Area: Valuation:$8000.00 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: Occup ncy Type: and state laws relating to building construction,and hereby authorize 316 28 050 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 understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Si nature--: -J g __ � ' Date � � �� Issued by:Phtiong Devrie 11 Date:05/09/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-RO F following two reasons: All roofs shall be inspecte rior o 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 ' pection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) j 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sce.7044,Business&Professions Code). Date__ S J d cz I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERO GS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain,Worker's Compensation Insurance,as provided for by I have read the hazardous mat rials 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 C de,Sections 25505,25533,and 25534. 1 will permit is issued. maintain compliance with the C ipertino 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,Sectio 25532(x)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 ase equipment or devices which emit hazardous air contaminants as defined by t e 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,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall e deemed revoked. APPLICANT Owner or authorized agent: CANT CERTIFICATION Date:,,-� t " I certify that I have read this application and state that the above information is CONSTRUCTION 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 ARCHIT CT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date Professional v '= REROOF PERMIT APPLICATION ry COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIO 10300 TORRE AVENUECUPERTINO, CA 95014-3285 CLIPERTdNO (408)777-3228• FAX(408)777-3333•buildingQCupertino orQ PROJECT ADDRESS ourntER P �s (' �- ( L ArR � � NAMEr �'� / rA� PHONE EMAIL :J - .2 STREET ADDRESS CITY,STATE,ZIP _ CONTACT NAIdj PHONE + chi ✓ o� E MAILy _ STREET ADDRESS CITY STATE, ZIP L •R�. r or v z.- 'f A S C.'tl � �� FAx CON7RACTORNAh UILDER ❑ OwRSERAGEN? CoIRA❑ rt OWNER ❑ OWN-ER-B CTOR CONTRACTOR°� ❑.. ARCHITECT El ENGINEER -❑ DEVELOPER El TENANT t ^ LICENS NUMBER LI NSE T BUS.LIC.n COMPANY NAME I'I, 9 C,0 E-MAII FAX STREET ADtD•9RESS I A i.G nJlt/ CITY,STATE,ZIP C. 1J •AA ,L-_F / PHONE 2LICER ARCHITECT/ENGINEER NAhE NSE NUMBER BUS.LIC:I COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 1!�,S FD or Duplex ❑ Multi-Family ROOF AREA: y VALUATION: STRUCTURE: ❑ C'011lfnercial - --- EXISTING ROOF TYPE: ❑'BUILT-UP ROOF ❑ASPHALT SHINGLES `I�WOOD SHAKES ❑WOOD SHINGLES OTHER(SPECIFY) REMOVE/REPLACE ` ES IF NO, PLYWOOD - ❑ %" ❑ PLYWD /KOSB P ITCH. ROOF ❑NO: n LAYERS THICKNESS: ❑518" TYPE: ❑ CDX 'Z Z CLASS: A PROPOSED ROOF TYPE: ❑!BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER ICC-ES REPOR R DESCRIPTION OF WORK t By my signature below,iI certify to each of the following: I am the property owner or-authorized agent to act on the proprty 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. agree to comply with all applicable local ordinances and state law's relating to building construction. I authorize representatives of Cupertino to enter the above-ide rtified prop 'for inspection purposes. Signature of Applica�at/Agent: !Tv✓ Date: s SUPPLEMENTAL INFORM? ION REQUIRED If building is associated with a Home 0N1,.1ner's Association,provide letterCHEC'KTYPE of approval fi•orn HOA. � R © dVER THE-COU'�TER � � ,-� B'UILDII�G LAT�.REVIESTf � ' . e Provide PlanninQapproval to to verify if there any restrictions. Provide copy of Manufacturer's Installation Specifications. L7 STDAun )]F3REDEPT — Provide signed copy'Of Cupertino's Tear-Off Policy. Reroofgpp_2011.doc revised 03/16/11 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION I. ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building(cDcuDertino.oro PROJECT ADDRESS APN ONWER NAME 0 S O nI (.ra Al 4 - PHOZ� I 0 _I MAIL� MAIL �t STREET ADDRESS f CITY, STATE,ZIP FAX CONTRACTOR NAME pp-- n LICENSE NUMBER LICENSE TYPE - BUS.LIC.n b.✓ COMPANY NAME 'S FAX STREET ADDRESS CITY,STATE,ZIP PHOAE i t t S 1f 4 1 a-z 3 l 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 Ep to one business day before the re nested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:3 pm(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-Inspeetion 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 ir spector when the re-roofmg is completed. To receive a final sign-off, the following items will be verifi d: a. Flat roofs shall have a minimum of%4"per foot of slope and de onstrate there is no ponding. b. Listings from approved testing agencies for,all pre-manufacture 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 are-inspection fee. The re-inspection fee shall be paid before another inspection can be scheduled.i By my signing below, I certify each of the following is true: I am the property owner o authorized agent to act on die property owner's(behalf. I understand and agree to''comply with the re-roof policy stated above. I also understand that sinoke,detectors and carbon monoxide detectors are required to be installed in accordance with Sections R3)14 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: Date: J eroofPolicy 2014.doc revised 01/15/14 WATER-CONSERVING PLUMBING FIXTURES OIL 12 OWNER CERIIIFICATE Of COMPLIANCE � v COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTaN4 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333• building(aD_cupertino.org Owner Name _ _ /V(� "k V�- Pennit No. 8 2 l7 i Address ( O P O fl-- c-t L V 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. 70,No Go to Question 2. 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 pluinling fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101:1 through 1101.8 do not apply. ❑ The licensed plumber's certificati n has been provided to the Building Division. Skip the rest of the form and sign bottom of form. ( No Go to Question 3. 3. Is water service permanently disconnected for your ur building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 4,No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? i ❑ 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. 'k Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 101.8 apply. Check one of the three following statements and sign bottom of form.. 5. 1ease check ONE of the following: My property is a single-family residential read 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 nnprovemeIPts). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1,2014,specified build' m g alterations or unproveents 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 buildIing 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-co Inpliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(r6gardless of whether property undergoes alterations or improvements). I,as the owner or owner's agent of this propert! certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with waterconserving 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 Signature: 1, Date: J 5 Upon completing and signing this Certificate, lease return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08126115 "BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION . 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, avers 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 _ cr) 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 figure shown,it is not required to be upgraded. SB407 2015.doe revised 08/26/15 SMOKE / CARBON MONOXIDE ALARMS OWNER C RTIFICATE OF COMPLIANCE �16 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•�AX(408)777-3333•building(aDcupertino.org r ! Permit No. L 0 Address l O -��' % I-, JA #of Alarms Smoke: 4 Carbon Monoxide: /1 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS.CERTIFICATE j HAS BEEN Si(iNED AND RETURNED TO THS 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 $1.000.00, 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'includir 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 P P q alarms which must be connected to the building wiring. As owner of the above-referenced propertylI,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 alar, s have been tested and are operational, as of the date signed below. I have read and agree to complywith the terms and conditions of this statement Owner(or Owner Agent's)Name: Sinature.................... .. ..l..Q.....................................................................Date: 4 Contractor Name: r^ Signature.......... ... .. .. ...... .... ................................Lic.#..... ..:1..4. .. ...........Date: 5/11.... . fo r Smoke and CO form.doc revised 03/18/14