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B-2016-2194 CITY OF CVPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2194 10126 ALPINE DR CUPERTINO,CA 95014-0939(326 15 104) CALIFORNIA RAINGUARD INCORPORATED SAN JOSE,CA 95112 OWNER'S NAME: LUMINA INVESTMENTS LLC,ET AL DATE ISSUED:06/23/2016 OWNER'S PHONE:650-444-1667 PHONE NO:(408)279-6116 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ROOFING Lic.#943125 Contractor CALIFORNIA RAINGUARD INCORPORATED Date C2/28/2018 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter (commencing MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Cod and that my license is in full force and effect. JOB DESCRIPTION: TEAR OFF;INSTALL OSB;INSTALL COMP SHINGLES(23 SQ'S) I hereby affirm under penalty of perjury one of the following two declarations: r. I have and will maintain a certificate of consent to self-ins Ie 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. 1 2. 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 Jpermit is issued. Sq.Ft Floor Area: Valuation:$13500.00 APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is correct.I agree to comply with all city and county rdinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 32615 104 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep hrmless 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 his permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all n n-point source regulations per the Cupertino Municipal Code,Section 9. 8. 180 DAYS FROM LAST CALLED INSPECTION. Av�� Signatur Date Issued by:Abby Ayende Date:06/23/2016 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 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 obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intnded or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting wi licensed Signature ofApplicant: contractors to construct the project(Sec.7044,Business& rofessions Code). Date:6/23/2016 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-ins6e for Worker's Compensation,as provided for by Section 3700 of the Lab r Code,for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insuranc ,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. 1 certify that in the performance of the work for which this 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 becom 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 Compensatio provisions of the the Health&Safety Code,Se 'ons 5505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: a)�__ APPLICANT CERTIFICATION Date:6/23/2016 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 a Id state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize represen atives 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 purp ses. (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 saiq 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 Cubertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 66L,3/2016 Professional REROOF PER IT APPLICATION a, X COMMUNITY DEVELO MENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE '-CUPERTINO, CA 95014-3255 CUP``RTINO (408)777-3228 • FAX(4 8)777-3333• building(a1cupertino.ora el)0_20(p' _zlq PROJECT ADDRESS & i 6 ALP 1 N APN 4 -3 2, 1S I Dq OV,'A'ERNAME e /'t,�AA`Q H `E E-MAIL V `�Nv��'r - C 7 STREET ADDRESS r1 ��.e CITY, STATE,ZIr. FAX CONTACT NAME !•• WJ PHONE E-MAILIR\&) STREET ADDRESS CITY,STATE,ZIP FAX ❑ VAINER ❑ OWNER-BUILDER ❑ OWNERAGENr CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER 143�ET��TYPE<_3 l BUS.LIC.R 13&4�� COMPANYNAME C-A\_\\-CI�,31/A 1p`L�6U� 1 EMAIL 7 FAX STREET ADDRESSI�5 �, ��' -b CITY,STATE,ZIPC. /fin , �!�� PHON g 7 ARCHITECT�NGINL•ERNAME LICENSENUMBER \,Pi BUS.LIC:, l COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE VALUATION: USE OF SFD or Duplex ElMulti-Family ROOF AREA: v STR6CTURE: ..0 Commercial EXISTING ROOF TYPE: �BUILT-UP ROOF ❑ASPHALT SHII��GLES p<OOD SHAKES ❑WOOD SHINGLES ElOTHER(SPECIFY) REMOVE/REPLACE @6YE5 IF NO, R PLYVJO D l!!I/i' ❑ 7PTL% D OSB PITCH: ^ 12 ROOFANO TLAYERS: THICKNE�Ss: . ❑S/8" ❑ CDX 2 CLASS: PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 1<SPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT R DESCRIPTION OF WORK By my signature below,I certify to each of the following: I am the property o%nei 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 hav read the Description of Work and verify it is accurate, I agree to comply with all applicable local ordinances and state laws relating ng traction. I aut orize representatives of Cupertino to enter the above-ident'ied property for inspectionPSP oses. Signature of Applicant/Agent: Date: Z3 SUPPLEMENTAL INFORMATION REQ UTRED If building is associated With a Home Owner's Association,provide letter rLAI.c>IF-cJz�YPEk�oirr>i?csLrn� of approval from HOA. £© OVER THE COULTER �T3II�II�GPI A1,3ZEClEW M v t r�r Provide Planning approval to verify if there any restr ctions. � x mss. L7 EXPRESS v � Iggo �TII�GPL7II�REViE�� 5 � 1 Provide copy of Manufacturer's Installation Specific tions. ❑ STAI�'DARD � a� Se -�. •��y Z1EPTy "s �T...tir�� "'k; Provide signed copy of Cupertino's Tear-Off Policy. g �ti'oTxER4 'e } Reroof-4pp_2011.doc revised 03/16/11 REROOF TEAR OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION LA ALBERT SALVADOR, P.�j., C.B.O., BUILDING OFFICIAL GUPERTC rAl 10300 TORRE AVENUE 1 CUPERTINO, CA 95014-3255 (408)777-3228• FAX (40 8)777-3333•building aQcupertino.org PROJECT ADDRESS e ti n I I APN 4 OW*ERNAMEW t �NUCS� ti'�y PHONE .� {/ /"7 E-MAIL �J STREET ADDRESS \202— EL � 1 CITY, STATE,ZI � n- , Q 101 TRFAX CONACTOR NAME `� LICENSE NFUMBER LICENSE TYPE BUS.LIC.R COMPANY NAME/7 \< "� `N / 'S� E-MAIL FAX STREET ADDRESS 92 y��`�T Y Id l CITY,STATE,ZIPS.',,,,, PH0I.(4pJ)Z_-T ` I^UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply wi all applicable provisions of the 2013 California Codes. 2. An inspection request can be schedu ed up 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 NTailing Inspections,you must also call on the day of the inspection only after thatphase of the work is completed. The building inspector will be available within one hour. The hour 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 rFriday). Final Inspections will be given a two hour window. 3. Tear-Off Inspection is required. y 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 rem ved 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 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 mini II um of I/4"per foot of slope and demonstrate there is no ponding. b. Listings from approved test ng agencies for all pre-manufactured products used shall be available on-site to review t 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-'nspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the foll wing is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agr e to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detec o s are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. f Signature of Applicant/Agent: Date: f Z _366 ReroojPolicy_2014.doc revised 01115114 IFIL �.h WATER-CONSERVING PLUS O FIMPM R CERTIFICATI�OF COMPLIANCE OWNE #f. 'z�.,. 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Permit (� : dcfs r _ rsf z arrsis ;ire f arbor ht noxi, I'un- I cN.NN T BE F i,' t;L I DO-NI' 1 TED UNTIL TllisuizurICATE AIM T�TA This affidatlt is a self-o�rtii'teatio'n for the installation of all required Smoke and Carbon I'VIonoxe Afars-i for con-ipIie`rnce with 2413 CRC Sectio n RIJ4,2013 CBC SeOidiis 42M6 and 907.?.111 where cies infer rer access for inspections erre required. GENERAL INFORMATION Ex sting single-family and itulti-fainity dwellings shall lie rmided with Smoke Alarrms.and Carbon �1t7s�t?�:ide alara-rt�:. ��'lr�i°r tl�e t'alttatic�n cif a�ldit�icart�,al"t�.�tatitirrs,tar reait°s tc���;i�t'ui dt���lliz��ttrtits e�ceecis �1 tlt<1t)�l"ttt�'��Bt~c ticrrr T��1 cin.r�� e�c;t"i�ns�U7�.°'f 1".�and-!?�. rc�quir�e tl��tt i�fnea4;i�r:larn°is at°rd/err art�oi`i N–Ionoxidt -k,lan-ns be installed in the fcsllo ing lova ions _ AREA pSMOU ALARMM o AuNR_ r Outside of each svp�irate sleeping areii in the inamedioe vicinity of the x Ix Cir �er ,lfelf dr Alin crt�itnrl"ttdinl��:saxirar� A t it_rin e?ch sloe phiLag roo ri CarbonN'tommide at rnis a re not rquirod iii dw€:ktin ,s w'hic h dcY no contain fuel-btirr in appliaaces and that cicr not have t° ate atEw clr clii f;e, C i°bon mon oxide alarm4 combined with smoke alarms shall warily-%vitt frac..section 4,20.6 and shall be approved by the Off"ke of the,State Fire Marshal. P-ov'er Su.pp[N£' lrr dwelling units with no corrrmercial"lxower vip l�,alarnA,bl it ay be solely battery operated, in e xistirx dwQ11ing units,alarms arc}permitted to be sal ly batt~eq operated where rep irs ear alferaffotrs do not result in the removal of dial.and cetting ffnishes or there is no acre-"by means of antic,basement or crag N s ace. fen to 1z cHon 8314 and CB Soc'tions�ti7 2,1"l.4 and 420.6.x,An els ctric al}permit f recicii reel for alarms wlikh m.-u5t be connected to the building wiring. Ai owner of the ibm-e-referenced property,I hetaby certify thzit,the alarms)feffren:ed,above hasi'hirt-e beer tetllc d in accordance e pith tlr�ir�anuf'30u r;f's irrs�tructions and in ccmipli.��ace with the Califc?i°ni�lr lidding and he alarms have been,t ted wid art,operational,as of tiie slate signed f Ir�v��� grid�er��ra�s� iv ;. trig t�rrrr�ar ��rr4�tir�tis�t fh�.s sia.ei�s�rr! Omer{air Orwbor Ag€nVs)h`e me— Qontratlur sk9m, fury ..•: .`".... < . ., UCC { 1312. ata" , ,5'rvirt�:°s�strf,�L��>r7rr.e�xc,rk•°>°raa'tJ t1? !,ti�'�