B-2016-2244 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2244
7709 OAK MEADOW CT CUPERTINO,CA 95014-5201(366 26 005) KEVIN FARRER
ENTERPRISES INC
FREMONT,CA 94536
OWNER'S NAME: DING PEI AND CHEN YIN TRUSTEE DATE ISSUED:06/30/2016
OWNER'S PHONE:408-250-0980 PHONE NO:(510)791-6457
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class ROOFING Lic.#742713 X BLDG —ELECT _PLUMB
Contractor KEVIN FARRER ENTERPRISES INC Date 11/30/2017 —
—
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:
TEAR OFF;INSTALL OSB;INSTALL COMP SHINLES(27 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.
I have and will maintain Worker's Compensation Insurance,as provided for by
41f Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$0.00
APPLICANT CERTIFICATION
I 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 26 005
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 N T 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.
;f
;'.Signature Date 6/30/2016 Issued by:AbbyAyende
/j Date:06/30/2016
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 be'tig installed.ff a roof is
1. L as owner of the property,or my employees with wagesas 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) - >
z. I,as owner of the property,am exclusively contracting with licensedJ Signature ofApplicant: '
contractors to construct the project(Sec.7044,Business&Professions Code)'./Date:6/30/2016
I hereby affirm under penalty of perjury one of the following three declarations: AL •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
performance of the work for which this permit is issued. HAZARDOUS MATER AL L RE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements undc r 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
maintain compliance with the Cupertino Municipal Cod ,Chapter 9.12 and the
permit is issued.
Health&Safety Code,Section 25532(a)should I storer handle hazardous
s. I certify that in the performance of the work for which this permit is issued I
shall not employ any person in any manner so as to become subject tthe material. Additionally,should I use equipment or device 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 4 ode,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions ofthe the Health&Safety Code,Sections 25505,2553 3,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall _
be deemed revoked. ;
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT,BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(a)cupertino.org
PROJECT ADDRESS ®Ct PA APN#
Y V`.
OWNERNAME q� '^ _ PHONE q ( E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
CONTACT NAME (A (
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T RES CIT ST P C( fAX
❑OWNER ❑:OWNER-BUILDER ❑ OWNER.AGENT (CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELO ER ❑ TENANT
CONTRACTORNAME s j,® , n LI ` LICENSET BUS.LIC.#
COMPANY NAME a _ e E-MAILt � _�O i(1"1
CITY,STATE,ZIP \ L 5ONE�C mss. ��
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# K
COMPANY NAME E-MAIL FAX
STREET ADDRESS
,^ CITY,STATE,ZIP - PHONE
,
USE OF FC-SFD Or Duplex El Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACENEIYES IF NO, PLYWOOD %" ❑ PLYWD OSB PITCH: p� RO F
❑NO 1 #LAYERS: THICKNESS: El518" TYPE: ElCDX .12 . CLA S: A'
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF t ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK:,
4�a LSC
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 rc 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 icable local
ordinances and state laws relatigA building co truction 1 authorize representatives of Cupertino to enter the iab-ove-identified property for inspectio purposes.
Signature of Applicant/Agent: Date: C)
SUPPLEMENTAL INFORMATION REQUIRED < OFFICEIIS1±tONL7
_If building is associated with a Home Owner's Association,provide letter PLAT CHECK,,.— RvvTIN
of approval from HOA. L7 QVER;THE CpUNTER ❑ BOLDENGI LAN "VIEW .
Provide Planning approval to verify if there any restrictions. ❑ EXPRESS �, ❑, PLAly1�INGPi > VrRw
Provide copy of Manufacturer's Installation Specifications. ❑. sTAN'DABD ❑ DEPT"` v
Provide signed copy of Cupertino's Tear-Off Policy. ❑ o? R
— � t
ReroofApp_2011.doc r vised 03/16/11
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
G1. PIE&iTl 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333•buildingCa.cui)ertino.org
PROJECT ADDRESS� APN#
__7OWNER NAME PHONE E7L
REET AD CITY,STAT P � FAX
CONTRACTOR NAME ENCE,,TTBER LICENSE TYP BUS.LIC.#
COMPANY NAME E-MAIL
S !2121(
REET ADDRESS CITY,STATE,ZIP
�L lei
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 inspection date.
Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm(Mon-Thurs) oi 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 inspect r 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 to 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 Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approval 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 r -roofing is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of/"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.
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 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.
Signature of Applicant/Agent: Date:J0 30 Z L.
ReroofPolicy_2014.doc revised 01115114
F1
SMOKE / CARBON MONOXIDE ALARMS C�
OWNER CERTIFICATE OF COMPLIANCE
ISE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUP RT[r40 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 FAX(408)777-3333•building
(_d_)cupertino.org
Permit No._ 'I
CMonoxide./ 2- _
Address #of Alarms Smoke: Carbon
IT
ry
PERMIT CAIYI OT BE 1{INALED SND COMPLETT+D�TIIIIS CER,VICAT
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 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 batter 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: -
h ate: f. :.
3
Signature ... ... .........
.............. ...
Contractor Name'. ` n
Signature...................................................................Lic.#...................................... ate: ..........
Smoke and CO fosm.doc revised 03/18/14
Ll
EZ
WATER-CONSERVING PLUMBING FIXTURES S 111&
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408 777-3228•FAX(408)777-3333•buildingCcDcupertino.org.'
Owner Name 1� Permit No. � '� 2-
24q,
Address -77a
q
� "
`,l Is your real property a registeredhistorical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom o form.
;K—.-No Go to Question 2.
2. Does your real properly have a licensed plumber certifying that,due to the age or configuration of the property or 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.
(1K 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 o 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.
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:
CEk 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 plumbing fixtures
to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,201 ,all non-
compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless o 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 fixtures shall be replaced with water-
conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations o
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-conserving plumbing fixtures comply with the requirements as indicated in the
table on the following page.
Owner or Owner Agent's Signature: ( -K, Date: 7f': 7 : t
Upon completing and signing this Certificate,please r-etwA it to the Building Division in order to final your building permit.
SB40 7 2015.dol revised 08/26115