Loading...
B-2016-2186 CITY OF GUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2186 11470 CHARSAN LN CUPERTINO,CA 95014-4974(362 10 046) LUNNEBORG ROOFING INC CAMPBELL,CA 95008 OWNER'S NAME: HUTCHINSON CHESTER RAND LORRIANk K DATE ISSUED:06/22/2016 OWNER'S PHONE:408-504-1664 PHONE NO:(408)402-1465 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-35 Lic.#679725 Contractor LUNNEBORG ROOFING INC Date 04/30/2018 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;INSTALL CLASS A ROOFLINE UNDERLAYMENT AND I hereby affirm under penalty of perjury one of the following two declarations: INSTALL STONE COATED METAL ROOF SYSTEM Q§Q'S) 1. I have and will maintain a certificate of consent to self-inspire for Worker's JJ Compensation,as provided for by Section 3700 of the Lab r Code,for the � performance of the work for which this permit is issued. /- `. 1 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:$19500.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the abov information is correct.I agree to comply with all city and county ordinances "N Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 362 10 046 representatives of this city to enter upon the above mentioned p operty for inspection purposes. (We)agree to save indemnify and keep h rmless 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 chis permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all n 3n-point source regul 'E4F l Code,Section 9.18. 180 DAYS FROM LAST CAL SPECTION. Sign Date 22 2 1 Issued by:Alex VallelungR DECL To Date:06/22/2016 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 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not int nded or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. 1,as owner of the property,am exclusively contracting witiliocfe, nsed Signature ofApplicant: contractors to construct the project(Sec.7044,Business& ssions Code). Date:6/22/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 1 have and will maintain a Certificate of Consent to self-ins e for Worker's Compensation,as provided for by Section 3700 of the Labo 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 ork for which this California Health&Safety Code,Sections 25505,25533,and 25534. 1 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 I ermit 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 in i this certificate of wiH 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 'on 2 505,25533,and 25534. Labor Code,I must forthwith comply with such provisions r this permit shall be deemed revoked. Owner or authorized a nt: APPLICANT CERTIFICATION Date:6/22/2016 I certify that I have read this application and state that the above information is C TRU T*11en E Y correct.I agree to comply with all city and county ordinances an state laws 1 hereby affirm that ere is a conency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issue c.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 agair%st liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the app cant understands and will comply with all non-point source regulations per the Cup rtino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date Professional I REROOF PERMIT APPLICATION R COMMUNITY DEVELOPT' ENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(4018)777-3333• build ingQcupertinc.org PROJECT ADDRESS1 APN m 1 ,( `l -( `� lJ 01�R,'ER NAME /'/_ 2 S .PHONE J� T��^ E-MAIL STREETADDRESSChAR-Sav LYIIJ CITY, STAfE,ZIP J 7���/ FAX CONTACT NAME PHONE' E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX ❑ oANER ❑ oWNER-BUILDER ❑ OWNERAGENT ❑ C I.TRACTOR ❑CONTRACTORAGENr ❑ ARCHITECT ❑ENGWEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME ^ `Lr J �^�� LICENSE NUMBER �2 LICENSE TYPE BUS.Llc,R�S3ctC4 COMPANY NAME r,"L1 L�I1 L� S r � E-MAIL a FAX � STREET ADDRESS 3 Z A4.t O,94 n CITY,STATE I A �� A b vtl o- PHONE I � c,i A. c 5 ` qtr y,7z.- INA- ARCHITECT/ENGINEER NAME LICENSE NUM,BER BUS.LIC:g COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial -3(9 �� d�� EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHIT' LES '-oOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE:$ IF NO, PLYtV00 ❑ /r ❑ PLYWD ❑ OSB PITCH: ROOF ❑NO R LAYERS THICKN S: ❑ 5/6" TYPE ❑ CDX ��77 12ICLASA�, A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHn� LES ❑1VOOD SHAKES ❑WOOD SHINGLES ❑OTHER/_r ICC-ES REPORT R DESCRIPTION OF WORK , j �� r /�A,/��1Jqg ftleeele ClAr( A Ale lkiJ7(s r�,a� By my signature below,I certify to each of the following: I am t e 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 ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t uilding c ction aut rize representatives of Cupertino to enter the abov -identified property for inspection purposes. Signature ofApplicant/Agen Date: �z�(o SUPPLEMENT I1,TFORMATIONOM —If building is associated with a Home Own As ciation,provide letter of approval from HOA. © -3 ` k� 'A �� �$� O'ER THE COUNTER FxBIbII�G 3�4]REIE�Y� _Provide Planning approval to verify if there any restrictions. 1£k ©EXPRESSzx ttit❑I P3 4T�I�II�GPLAI�REVIEik I Provide copy of Manufacturer's Installation Specificat ons. Y` " I zN, _ TAIV'DARD 1 ;4'�i„.t ��' 3RE.DEPT°ntO Provide signed copy of Cupertino's Tear-Off Policy. � ti� Reroof.4pp_2011.doc revised 03/16/11 I s. ,4 REROOF TEAR OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION ALBERT SALVADOR, P.J., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228 - FAX(408)777-3333• building aacuoertino.org PROJECT ADDRESS I !�G / A L,(4-, l I APN 4 0 ., Vr `v OWNERNAME . I PHO rE E-MAIL �f / STREETADDRESS ( CITY, TATE, IP �S v r FAX CONTRACTOR NAME. y/ /—,, w� LICENSE NUi4B LICENSE TYPE BUS.LIC.4 A Co dh I �f�Z C 3 g COMPANYNAMEes'/ 2N ^ �S,417 I E-MAIL STREET ADDRE$$3 O/,/r�� 0/1;1 ILE CITY.STa44 / C Iry C r P it .fry 2 letGr /' 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 uD to one business day before the requested inspection date. Please schedule inspections online or Icall (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 ( riday). Final Inspections will be given a two hour window. 3. Tear-Off Inspection is re uired. An and all -rotted wood shall be replaced prior to this inspection. pg .Y �' p p p 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. I 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-o , 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 testi I g agencies for all pre-manufactured products used shall be available on-site to review atl the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/dovmspouts 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 follow'ing is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agrea to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide de ect ar required to be installed in accordance with Sections R314 and R315 of the 2013 California Residenti Co 1- Signature of Applicant/Agen Date: ReroofPolicy_2014.doc revised 01115/14 SMOKE I CARBON MONOXIDE ALARMS - OWNER CERTIFICATE of COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT 4 BUILDING DIVISION 10300 TORRE AVENUE.CUPERTINO, CA 95014-3255 CUPERTIHO (408)777-3228,!FAX(408)777-3333-buildinala�cupertino.org �Permlt Na Adrdress j r#a€-A--I a--r--mSok _ r ar' on €� d� g�7-��y�+�!.:�,.,.'�._-�-.; .,e^,--,�---.s^�,u... P77VR OSG This affidavit is a self-certification for the installation of all required Smoke and Carbon Moa€rid Alarms for compliance with 2013 c Section R314,2010 OEC Sections x'2. .6 and 907.2.11.2 where no interiol access for inspections are required. GENERA.INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Ar4onoxidealawns. 147hm the valuation ofadditims,altexations,or repairs to existingAwel1mg,ur itsexceeds $1000.00,CRC Section R314 and CBC Sections 907-111.5 and 42a6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM COALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s)On even,level of a dwelling-snit including-basements 1 n each slee in rocgr�� 7� carbon Monoxide alarms are not rewired 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 Sermon 420.6 and dial]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 alt rations do not.result in tl r oval of wall and ceilirighnhsbes or fliffeisno access by cans 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 shave been installed in accordance with the manufach rer's instructions and in compliance with the Californi a wilding and ` oma- a Residential Codes.The alarms have been tested and are operational,as of the date signed below. t have read and agree to cow t with the terms and conditions of this statement Owner for Owner Agent s Naizi 1q� 1Fi 11 t LL ...... -------------- C ......_...C`ntractor _^ ........ . .- ...--- • '•• -�-�---'•--- --•F •-- Smoke and Ca formal c revised 03118114 WATER-CONSERVING PLUMBING FIXTURES IFI OWNER CERTIFICATE OF COMPLIANCE i c COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION' f CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-32,28-F AX(4 8)77.7,3333 building(a� rti cuaeno.ord . Owner Naine )A Permit No: ; r Address_. 1. 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 orm. 1 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 is 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. 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 J orm. 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 orm. Yes ti My real propert�is built and_ available for use or occupy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and ign bottom of form.. 5. Please check ONE of the following: r My property is a single amily residential real property. See Civil Code Section 1101.4. l `On and after January 1, 2014,building alterations or improvements shall require all noplumbing 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 1101.5:1 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). 1,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fix Lures 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-conservingBing fixtures comply with the requirements as indicated in the table on the followingpage. Owner or Owner Agent's Signator '. Pa/ ,.L__ Upon completing and signing this Ceitificate,please return it to the Building Division in order to final y6ulf—building permit. SB407 2015.doc revised 08/26/15