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B-2016-2175CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2175 7443 STANFORD PL CUPERTINO, CA 95014-5814 (359 32 037) YORKSHIRE ROOFING OF NORTHERN CALIFORNIA INC LIVERMORE, CA 94550 OWNER'S NAME: LAW PATRICK YAND HO DOREEN DATE ISSUED: 06/21/2016 OWNER'S PHONE: 408-802-0737 PHONE NO: (925) 606-6700 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class INSULATION AND ACOUSTICAL Lic. #841422 Contractor YORKSHIRE ROOFING OF NORTHERN CALIFORNIA INC Date X BLDG —ELECT _PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL 07/3112017 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 JOB DESCRIPTION: license is in full force and effect. TEAR OFF; INSTALL CDX; INSTALL STANDING SEAM (21 SQ'S) I hereby affirm under penalty of perjury one of the following two declarations: 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. 2. 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 Sq. Ft Floor Area: Valuation: $19500.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 359 32 037 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities, judgments, costs, and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code, Section 9.18. du n � � AI ( Issued by: Abby V�W� Signature V /L� Date 6/21/2016 Date: 06/21/2016 OWNER -BUILDER DECLARATION 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 following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature ofApplicant: dy IV wwccd 2. I, as owner of the property, am exclusively contracting with licensed Date: 6/21/2016 contractors to construct the project(Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS 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 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 by California Health & Safety Code, Sections 25505, 25533, and 25534. I will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. 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 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, Sections 25505, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner or authorized agent: lnv Ut Ukf:11 be deemed revoked. Date: 6/21/2016 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCHITECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Professional Signature Date 6/21/2016 3.. CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE { CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (4018) 777-3333 • building a(_.cupertino.orct PROJECT ADDRESS �(��' / J APN OWNER NAME I. PHONE E-MAIL V � G V6 STREET ADDRESS CITY, STATE, ZIP _ FAX CQ 7 n T ! -2v-A (VLQ CONTACT NAME PHOh E-MAIL S 1h p�((,,, 0VJ' STREAD RESs 1 CITY, STATE, ZIP FAX �� . 12(.I ✓ . t,�v u q � ❑ OR'NER ❑ OWNTER-BUILDER ❑ 0l3TIERAGEN-r �QNIRACTOR ❑ CONtRACTORAGwr ❑ ARc=cT ❑ ENGA'EER ❑ DEVELOPER ❑ TENAN''T CONIRACTORNAMEp C �sJ LICEN B LIC NSE 1' BUS. LIC. m � 2 �o U f M � r � � (� COMPANY 'AME E-MAIL FAX I( 1 YL qir STREET ADDRESS, I CL, TATES, ZIPCIQSI PH ' ^��00 ARCHITECT/ENGINEERNAME LICENSENUMBER BUS. LIC: m COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family ROOF ARE VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE.. ❑ BUILT-UP ROOF *hSPHALT SHIMIGLEs ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE ES IF NO, PLYWOOD I�• ❑ '''A" ❑ PLYWD 13OSB PITCH: ROOF NO R LAYERS: THICKNESS: t 5/6" TYPE: EkCDX • 12 CLASS: A PROPOSED ROOFTYPE: El BUILT-UP ROOF ❑ASPHALT 5 n' 'GLES ❑WOOD SHAKES 11 WOOD SHINGLES ICC -ES REPORT' - D SCRIPTION OF WORK IL nn'' o U 1n sago, cola, vasa 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 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating tcl building on�strrJupct'on. I authorize representatives of Cupertino to enter the above -identified proppertrty for inspection purposes. Signature of Applicant/Agent: Date: �/i_/ j(/S SUPPLEMENTAL INFORMATION REiQUIRED If building is associated with a Home OiNmer's Association, provide letter s4 two OVERTDFcCOUI�SER `���$UIIbII�CrPIbNREVIEiVdS� `tet4 `'� �x �g ofa royal fiomHOA. lIP g ! rL Provide Plannin approval to verify if there any restrictions.] 1�© k -r a�Y`"kt, {•?� µ' yes a EXPRFS$e ts' �"'�' S..a� x"`'-� iZ70,!u Provide copy of Manufacturer's Installation Specifications. 7ti sC�i<pN�GPLAn�I�iE'g ff �� yak S s ' D — SRF EPS _ Provide signed copy of Cupertino's Tear -Off Polic}�. � yJ �E`.�Y. ��K..T.. f..i+^hR i}•.� :.�'M1� �.:...�a-Y"�� YiESG_�f �t ,. Rero .f4pp_?011.doc revised 03/16/11 CUPERTINO c REROOF TEA OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (40$) 777-3333 • building a(�,cupertino.orq PROJECT ADDRESS -1 r q3 7 I •�N R , W J OWNERNAME- PHO od �� E-MAIL 31 STREET ADDRESS ,,ry / CITY, STATE, ZI I FAX CONTRACTOR NAME G5r1-��� ��}�' LI ,'$ LI SE YPE BUS. LIC. 9 COMPANY NAME y, V 9) E.I`IAIL FAX STREE ADDRESS M CITY, STATE, ZIP PAY 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 schedul Please schedule inspections online of 2:30pm (Friday) to schedule inspecti day of the inspection only after that available within one hour. The hour: .and 7:30-10:30am and 12:30-2:30 ( :d un to one business day before the requested inspection date. call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30- n. For Tear -Off and Nailing Inspections, you must also call on the ?base of the work is completed. The building inspector will be for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs) 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 �s 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 M Is 5. Roofing shall not be. applied withoutfirst obtaining all prior inspection and written approvals from the building inspector. Any roofing whic,,lh is applied without first obtaining an approved inspection will require the removal of all new maternal 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. 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-i%spection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the foil wing 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 are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. A _ Signature of Applicant/Agent: rMr Date: (014f, ReroofPo1icy_2014.doc revised 01/15/14 • s - • o 1 COMMUNITY DEVELOPMENT DEPARTMENT s BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 building(a)-cupertino.org Address PURPOSE This affidavit is a self -certification for the installation offall .required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section 8314, 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 iri 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 rooia i 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. l have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: U., �" w ,� �' �. ��.. � ��aL Signature ......... �,/� ............................_............,....,. Date: ....... ........ Contractor Name: i Signature................................................................... Lic.#...................................... Date: ................... Smoke and ODfornn.doc revised 03118114