B-2016-2265 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2265
7420 BARNHART PL CUPERTINO,CA 95014-520$(366 15 043) LUNNEBORG
ROOFING INC
CAMPBELL,CA 95008
OWNER'S NAME: RAYNAL ROGER W AND CHARLENE TRUSTEE DATE ISSUED:07/05/2016
OWNER'S PHONE:408-253-0169 PI3oNE NO:(408)402-1465
LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO:
License Class ROOFING Lic.#C-39
Contractor LUNNESORG ROOFING INC Date 04/30/2018 X BLDG —ELECT _PLUMB
_
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH X RESIDENTIAL_COMMERC
LAL
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 METAL SHAKE ROOF S STEM(28 SQ'S)
I hereby affirm under penalty of perjury one of the following two declarations:
1. 1 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
berformance of the work for which this permit is issued.
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
permit is issued. Sq.Ft Floor Area: Valuation:$18500.00
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 366 15 043
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 SSUANCE OR
Additionally,the applicant understands and will comply with all non-point -
source regulations per the Cu Municipal Code,Section 9.18. 1$0 DAYS FROM LAST CALLED INSPECTION.
Sign Date 7/5/2016 Issued by:Abby A ey,nde
Date:07/03/2016
ER-BUILDER D L ION
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 i emove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspecti
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed r Signature of Appli t:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:7/5/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS T BE SS" "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 MAT R L C O URE
2, I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements u 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, 5533,and 25534. 1 will
ermit is issued. maintain compliance with the Cupertino Municipal ode,Chapter 9.12 and the
p
a. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I st re or handle hazardous
shall not employ any person in any manner so as to become subject tthe 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 wi the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Sa Code ns 25 33,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or autho ' a e
APPLICANT CERTIFICATION (.Date:7/5/2016
certify that I have read this application and state that the above information is N'TR 1 TI N LEND EN
correct.I agree to comply with all city and county ordinances and state laws I hereby afr that there is a constrnding a ency for the performance
relating to building construction,and hereby authorize representatives of this city ,of work's f which this permit is issued( ec.30 iv 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 ARCHITECT'S DE LARATI N
Code,Section 9.18. i understand my plans shall be used as,public records.
Licensed
Signature Date 7/5/2016 Professional
W REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333•building(aDcupertino.orq
CUPERTINOc� 2 eUPS
PROJECT ADDRESS 7_ry In� dlA*,L ' � APN#
OWNERNAME PHON � z5_J C7J6�{I,vJ E-MAILV` ;7
STREET ADDRESS CITY,ST E,ZIP J FAX
CONTACT NAME `!�l �t i PHONE E MAIL
STREET ADDRESS 11611
C� i!l �YJ9 CITY,STATE,ZIIPPJ(i �"ra9 FAX
❑OWNER ❑:OWNER-BuiLDER ❑ OwNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELO PER ❑TENANT
CONTRACTOR NAMES`/0ZN � ( j � LICENSE E�_ LICEIeS TYPE BUS.LIC.#
COMPANY NAME
! h,clx A t 1 �CL✓Ei2 �e�d�
STREET ADORE
S3�,r t CITY, ! rv,)
OPH"fNEW
fbr .t�I �tjs� �l SCTi,ATrf
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ARCHITECT/ENGI NEERNAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF D or Duplex El Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial 12"/@�00
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE t S IFNO, PLYWOOD 11w, ❑ PLYWD ❑ OSB PITCH: ROOF
El No #LAYERS:. THICKNESS: ❑.5/8" TYPE: ❑ CDX - :12 CLASS:,S A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER _ ICC-ES REPORT#
DESCRIPTION OF WORD-- t'
)'ear aF Lj of� sil&+ c oe-e da ii, `1 G/"t cr
�,-ems-( stieeY.,t 94v`f e 2 -Tow
By
ow
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 r ad 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 app cable local
ordinances and state laws relating to building constru . I au ' representatives of Cupertino to enter the above-identified property for inspectioi L purposes.
Signature of Applicant/Agent Date: '—y
SUPPLEM NTAL INFORMATIO REQU D `y `" OFFICE U5E ONLY
If building is associated with a Home Owner's Association,provide letter PLANCxTyrE RobIN sLlr w"
of approval from HOA. ❑'�ovER'T Oi7NTER ❑ BIILDINGPT AN v1>w �'
Provide Planning approval to verify if there any restrictions. ❑';EXPRESS, ❑ PLANNING PLAN RE1 LF9V
k y
Provide copy of Manufacturers Installation S. ecifications.
'..STAND2D ❑;'FIRE DTsPT ;, .�_ .. :"
Provide signed copy of'Cupertino's Tear-Off Policy. ❑ � � y"
ReroafApp_2011.doc r vised 03116111
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
SERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228 FAX(408)777-3333-building(a)cugertino.org
PROJECT ADDRESS 7-im) QPg�v 1 APN#
OWNER NAME R_0 •PR 1 N�'\ PH ( v%-3 �/� c771L
STREET ADDRES:7, 2 CITY, ST f E,ZIP' ^T (`, FAX
-{q (� ,/J�N h APL J' r t
CONTRACTOR N ,,A t / _ / LICENSE NUMB LICENSE TYPE BUS.LIC.#
COMPANY NA E-MAIL
.Pf G►J Rd� a S SJ Nl� FAX
�..e w•e��fez�rev � �"" 17� 33
[STREET ADDRESS CITY,S TE,ZIP p p
3
Zr!mak oak Vit' /9.�G( f�v H,� �3 9171-
I
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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 requested ins a tion 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 Nailing Inspections,you must also call on the
day of the inspection only after that phase of the work is completed. The building inspectDr will be
available within one hour. The hours for this service are: 7:30-10:30am and 12:30-3:30 (M n-Thurs)
and 7:30-10:30am and 12:30-2:30 (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 tothis 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 erfor°med.
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/"per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-manufactured products used shal 1 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 a re-inspection fee. The re-inspection fee shall be paid 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 agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also unders and that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Co _
Signature of Applicant/Agent: Date:
ReroofPo1icy_2014.doc revised 01/15/14
SMOKE / CARBON MONOXIDE ALARMS FILE
OWNER CERTIFICATE OF COMPLIANCE l
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUI'EI"i7 INO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333• building(@cupertino.org
,C�•y 1 ) / Permit No.
Address ! L�CJ /% #of Alarms ,Smoke: / Carbon Monoxide:
PrERMIT CANNOT SE FINALED
AWCOW, UNT L THIS CERTIFICATE
ar
HS�EEI { ANTI RFTIeiRNTU T T 9E BALDIN "'DI
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 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 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
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 cornpfywith the ter s'nd conditions of this statement
Owner(or �Owner Agents)Name: b`
71
/ �
Si ture f .................... .... ................................................ .Dates 6
`Contrekdor Name:
jrG(] Date: / /;�..�1'7/YI/ S/haw� ......... ..................................... ..........Lis.#..�/.:1...���......... ...4....
Smoke and CO form.doc revised 03118114
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE F I
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE.CUPERTINO, CA 95014-3255
(408)777-3228* FAX(408)777=3333•building(a,cupertino.org
Owner Name 5 Permit No. 2,Q16' 2 ZG
Address
1. Is your real property a registered historical site?
11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
"[ 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 its
pl, Bing,installation of water-conserving plumbing fixtures is not technically feasible?
es 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.
El 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 form.
No Go to Question 4.
l �
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 form.
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. P ase check ONE of the following:
My property is a single-family resid6ntal real property. See Civil Code Section 1101.4.
n 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 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 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 fixtutes 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).
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 manufacturer's
installation requirements,and that the water-co erving bing fixtures comply with the requirements as indicated in the
table on the followingpage. --— '----
Owner or Owner Agent's Signature—— Date: _ -
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08126115
�HILDIT PE C��++�� O') E FLNALED fv MPI,ETE T7NTIL'PHIS
.mss r� ,*�. ,�" ' Y� �, �`'� •� " �"r`la�� �3""' 2w v ,£ g
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IDl�
Non-CompliantWater-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable!®?New Construction)
Maximum"Water Usa elFlow�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,
average flush volume of two reduced flushes and one.full flush
Urinals Exceed 1.0
Gallons/flush 0.5 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
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.
SB4072015.doe revised 08126115