Loading...
B-2016-2223 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2223 11101 CHADWICK PL CUPERTINO,CA 95014-4705(356 17 076) BUCK'S ROOFING SAN JOSE,CA 95129 OWNER'S NAME: RAO ANIL R AND CHANDIKA NAGARANI DATE ISSUED;06/28/2016 OWNER'S PHONE:408-718-1508 PHONE NO:(408)313-3429 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO; License Class ROOFING Lic.#739593 Contractor BUCK'S ROOFING Date 08/31/2017 X BLDG _ELECT _PLUMB 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;INSTALL OSB;INSTALL COMP SHGLES(24.5 SQ'S) 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. ./ I have and will maintain Worker's Compensation Insurance,as provided for by f Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area; Valuation:$12000.00 APPLICANT CERTIFICATION 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 356 17 076 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 140T 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. /,Signata mate 6/28/2016 Issued by:Abby ewe (l Date:06/28/2016 ER- OWNBUILDEc, ARATION 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 eing 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 intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. 1,as owner of the property,am exclusively contracting with licensed , ignature ofApplican v contractors to construct the.project(Sec.7044,Business&Professions Code).C Date:6/28/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS Ili "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 DISCL DSURE z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements ui der 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 25505,1 533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal C de,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,Section 25532(a)should I sto a 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 dev! es which emit hazardous air contaminants as defined by the Bay Area Air Qua Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municip Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,2 533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent/,—),. APPLICANT CERTIFICATION Date:6/28/2016 I certify that I have read this application and state that the above information is CON TR ' ACz ENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending ag ancy 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 IN— and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'SDE LARATI N Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 6/2812.016 professional REROOF PERMIT,APPLICATION BEIML COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 IA CUPERTIN,0 (408)777-3228- FAX(408)777-3333-build ingaQcuoertino.org " 2L1 - 22 PROJECT ADDRESS Z— APNn 0 01Tfi'ERNAME Jf� � .� I .PHONTE ! 077 � I ��, E-MAIL STREET ADDRESS p / j � f, I CITY, STATE,ZIP v a 15710 t� FAX CONTACT NAME _/C y� _ [� PHONE L,�� j ?(d E-MAIL STREET ADDRESS fe, � r Co ZI� OR'h'ER ❑ OWN'ER-BUILDER ❑ OWNERAGEN-r CONTRACTOR ❑CONTRACTORAGENf ❑ ARCHITECT ❑ENGINEER ❑ DIE t'ELOPER ❑TENANT CONTRACTOR NAMEg LICENSE NUMBERr9 ( .('"�j LICENSE TY PE BUS.LIC.m '7J 0 COMPANY NAME j.s Y`\ E-MAIL e /a7 e FAX C I STREET ADDRESS �f%���J/J I CITY,STATE,ZIP /7 S'"/ I PHONE ARCHITECT/ENGINEERNAME LICENSENUA4BER BUS.LIC:m COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF �`'SFD or Duplex El Multi-Family ROOFAREA: /yam VALUATION'S STRUCTURE: C3 Commercial 17H r� �� EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SIIINGLES \KWOOD SHAKES El WOOD SHINGLES ElOTHER(SPECIFY) REMOVE/REPLACE' YES IFNO, p PLYyJOODr'/s" [IPLYWD OSB PITCH: 12 ROOF ❑NO �?�1LAYM: + THICKNESS: ❑ S/8" TYPE: ❑ CDX CLASS: A PROPOSED ROOF TYPE`: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER I ,CC-ES REPORT DESCRIPTION OF WORK: U \ SA V , r By my signature below,I certify to each of the follo%ving: I am the property ovmec or authorized agent to act on the property ommer's behalf. I h3.ve read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate, I aeree to comply with all applicable local ordinances and state lams relating to building construction. I aut e entatives of Cupertino to enter the above-identi ed property or inspection purposes. Signature of Appl icant/A Rent: ! Date: jw SUPPLEMENTAL INFOAATI&REQUIRED r _If building is associated With a Horne Owner's Association,provide Ietter of approval from HOA. `© OVER THEE COir�rER BUILbu.G L4N RENEW k Provide Planning approval to verify if there any restrictions. -� EXPRESS fl P� SING LAn RE4iEW _Provide copy of Manufacturer's Installation Specifications. "L7 sThDa�n r �- �1]�FrRREPT s Provide signed copy of Cupertino's Tear-Off Policy. _ oR ReroofApp_MJ.a. c revised 03116/11 5 a REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTENO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildina(d)cupertino.orp PROTECT ADDRESS ( I V C CLC[ Lo ` (� OVNER NAME " ' (12-& � o I PHONE E-MAIL' C ( STREET ADDRESS ' 1 p-/ t CITY, STATE,ZIP I FAX CO TRACTORNAAE S j g LICENSEI�UA4BER739 f3 LICt st BUS.LIC.n COMPANYNAA2EJvC/C E-MAIL /J ` FAX STREET ADDRESS / V � (IQfSt CITY,ST E ZIP (JUR r�® y� f�Cj I PHONE '� � 7 _i3 3[r2 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.up to one business day before the request d in gDection date. Please schedule inspections online or call(408)777-3228 from 7:30-3:30pm(Mon-Thur ) 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 insl ector 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 houl window. 3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior tc 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 beapplied without first obtaining all prior inspection and written appro als 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 ffie 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 i no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available oil-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 7. NOTE: Ff 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 vaid before another inspection can be scheduled. By my signing below,I certify each of the following is true: I am the property owner or authorized agen 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 C Signature of Applicant/Agent: Date: ReroojTolicy_2014. oc revised 01/15/14 F 1 ; SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPER`TII` O 10300 TORRE AVENUE•CUPERTINO,CA 95014-.3255 (408)777-3228 FAX(408)777-3333•building(&-cupertino.org n Permit No. Address 1 I n , 0A 0tC d' (W9 ffi)Q #of Alarms Smoke: 7> Carbon Mo oxide.- PERMIT CANNOT BE FINALED SND C()MPLET6 ,04 IL THIS CERT kICAT }� y �Y > �01 71" N�.T DI Lk'�AS M - a nig 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 $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 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 every level of a dwelling unit including basements X X Within each sleepingsleepkIg 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 CSC 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 CaliforniaBuilding and California Residential Codes.The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: !� ✓�- /�� 't 1, r r1 CC �f� ( �C�LPv1�t� Signature ..... ate: Contractor Name: u . ate l�1 i nat ......, Smoke and CO form.doc revised 03118114 F WATER-CONSERVING PLUMBING FIXTURES �- OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-a228•FAX(408)777-3333•building na.cupertino.org Owner Name �r 9AK( 0 `'tJ.9 I 19 Permit No. f Address H101 01 p pr ow tC K- PL ( V C P-71 N 0 CA- cT501 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 11.01.8 do not apply. Skip the rest of the form and sign bottom o form. U"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 o 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. .. 3. Is water service permanently disconnected for your building? es . Civil Code Sections 110 1.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 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 o form. �I Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. 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 plumbin fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,20 17,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 unprovements 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 o improvements). El 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). 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 mann acturer'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: e=f " -- Date: 01, 3 1 Upon completing and signing this Ce—rtificate,ple e return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26115