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B-2016-2328
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS:` CONTRACTOR: PERMIT NO:B-2016-2328 6693 CLIFFORD DR CUPERTINO,CA 95014-4530(369 26 015) STEVE WILLIAMS INC FREMONT,CA 94538 OWNER'S NAME: HERBERG DAVID B AND ELISA DATE ISSUED:07/18/2016 OWNER'S PHONE:408-348-1736 PHONE NO:(510)623-1424 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ROOFING Lie.#687391 Contractor STEVE WILLIAMS INC Date 03/31/2017 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: SI-N L-L TEAR OFF; OMP SHINGLES(22 SQ'S) I hereby affirm under penalty of perjury one of the following two declarations: ND P LY 1. I have and will maintain a certificate of consent to self-insure for Worker's clj Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. z.' 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:$8700,00 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 369 26 015 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 ISSUANCE OR Additionally,the applicant understands and ill comply with all non-point source regulatio s per the Cupertino Muni p Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature %' Date 07/18/2016 Issued by:MELIS Date:07/18/20 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 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. l sale(Sce.7044,Business&Professions Code) 2. I,as owner of'the property,am exclusively contracting with licensed Signature of Applicant:'= contractors to construct the project(Sec.7044,Business&Professions Code). Date:07/18/2016 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-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 DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,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. I certify that in the performance of the work for which this permit 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 become 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 Cod; hapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code ections 25505,25533,, 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:07/18/2016 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 and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of works 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 and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S beus d a DECLARATION Code,Sectio 9.18. I understand my plans shall be used as public records. Licensed Signature _ Date 07/18/2016 professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 950 4-3255 CUPEERTINO (408)777-3228 FAX(408)777-3333®building(a)-cupertino.om PROJECT ADDRESS , APN# _ , ti Z ff OWNER NAME - - ` PHONE S n )7 d'5//� E-MAIL S STREET ADDRESSCITATE,ZIP C '� t/I.C�. f,/ FAX CONTACT NAME _ r `.•^ � PHONE ��C� E-MAIL STREET ADDRESS ala CITY,STATE,ZIP FAX ❑OWNER ❑ OwNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER - ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.'# �l Z COMPANY NAME 1 r, E-MAIL FAX Z STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: � VALUATIO • F7 STRUCTURE: El Commercial F L n EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES (L7VJOOD SHAKES ❑WOOD SHINGLES ❑'OTHER(SPECIFY) REMOVE/REPLACE ES IF NO, eP PLYWOOD ❑ w, PLYWD ,**y�,,uSB PITCH: 12 ROOF A_ ❑NO #LAYERS: 1 THICKNESS: El 5/8" TYPE: (❑ COX CLASS: ICC-ES REPORT PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ElASPHALT SHINGLES ElWOOD SHAKES I-]WOOD SHINGLES ElOTHER DESCRIPTION OF WORK: By my signature below,I certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information 1'have p vided 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 to bu tion: authorize repr entatives of Cupertino to enter the above-id tified ope for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED Oc .Dsia 41VLY. If building is associated with a Horne Owner's Association,provide letter rLA�YCH�CxTyPI - xauTDNc SLIP r of approval from HOA. ovEx-Tim couNrEtz 1 B LDrNti rLAN REVIMV, Provide Planning approval to verify if there any restrictions. ❑ EXPitEss L� PiANNING PLAN IivlEwy — � . Provide copy of Manufacturer's Installation Specifications. sFIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. © oxxEx ReroofApp_2011.doc revised 03116111 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building00cupertino.org PROJECT ADDRESS �E APN# 9 - Z f 0/ OWNERNAME PHONE E-MAIL STREET ADDRESS CITY, STATE,ZIP FAX CONTRACTOR NAME g LICENSE NUMBER fILICENSE TYPE BUS.LIC.# COMPANYNAME, E-MAIL (� FAX STREET ADDRESS / y ( CITY,STATE,ZPHO ,%2 VfJ 2_ ZtiE7 4- 1 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) 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 inspector 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 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 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 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 any 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 wit4 the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are requir d t e installed in accordance with Sections R314 a d R315 of the 2013 California Residential Cod r Signature of Applicant/Agent: Date: ReroofPo1icy_2014.doc revised 01/15/14 'E ALARM F1 E COMMUNITY DEVEL'O'RMENT DEP=ARTMENT a BU;ILD'ING.DIVISION 10,300 TORRE AVERBE°• CUPERTIN"O CA 95014-3255 (408)777 3228 FAX,(408)777-33M-'build N. ,Rwperkinp.o�p WN191 W" FultP'OSp 'leis affidavit is a self=certification for the installation of all required Smoke and Carboni Monoxide Alarms for compliance with 2013 CRC Section R3, 14,2013'CBC Sections 420.6 and 907..2.11.2 where no interior access for ii-rspectons are required. G-TENEIRAL INFORMATION EXistzng srxrgle-family and multi-family dwellings shall be provided with Smoke Alarms and Carbo l Mnb oxide alatms When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1000-00,C-RC Section 8314 and CDC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carboni Monoxide Alarms be installed in the following locations: AREA S-MID11 K A COAL Outside of each separate sleeping area in the iinzrtediate vicinity of the X l�edroarn gs°� ' On eyed •level of a dwellin unit tncludrt ,IaseriYents . X X �_ - - �Vithzn each sl`ee rn rol a Carbon lvlonoxide alarms ar"e not re dinned iA dwellzii s w,iclt do zno comtat fuel b i�rlirzg appy q lz r, ce&and, zi at do no't fw e apt attached garage. Carbon monoxide alarm,,,&combin d With sx m&e alarms s11a.11 con%p31y wit hN CSC Sectioiti 420'.6 and shall be approved by the Office ol'the State pine l larsllal. 1''ow eer Sn l ::zrr <�well`u1 unfits with no;ca , ; ,Few'„ pp y g, rzurercial power supply,alarim(s)imay,be sorlely, baa'=ery operated. t ";exist ztg dwelling uiuts,alarms are perimtted to be solely b=attery operated.val ere repiaifrs:or alherm ITS do} i�of resu 1 the reinaval of wa,111aamid ceillhlg f nishes ox there is i10 access by zne°:,ss of antic;b�asernent orr crawl sp ace..Refer tu,CHC Section, ER3-,14 w1d CBC Sectiozns 9'07.2..11.4 an=d 420.6.2.An.electrical pexin t is required fog ajlFarints;wla cl rriust be"commected for the l ui}ding wir>2tg. As owner o,f tie above ieferellced prope"rty,l lherel'by certify""that Elle a arin(s);refereztced above 1rnas+lI ave beezl irlsta�l'led n1�accordatiee with=the-rnanufacturer'S iilstrucfion�saz�d'zit.camplaztce�vz-�h the Cali4orn�a#B�ztzzildi�;lb and Califon�iia Resit entiatl.Codesr. x,e alafrrns.]have b°,eeiti tested azlct are op.eratrolaT,as 04 the date s>gi1edt below.. lr have read,and;agree to cam f, wrfl�r the:fetor :arid'cor�drtransr of fJ t�sf�item,en ,� ,.�. w, Ai w,. } _ Si natCCre .:� a Dt� CONSERVING"PLUMBING FIXTURES F1 OWNER CERTIFICATE OF COMPLIANCE L COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 'S=.. CUPERTINQ 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333-building(ci7cupertino.org Owner Name !IPermit No. ;al � 2 Address 1. Is your real property a registered historical site? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 'Skip the rest of the form and sign bottom of form. .X "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 plumbing,installation of water-conserving plumbing fixtures is not technically feasible? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 0 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? 0 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. 4. Is your real property built and available for use or occupancy on or before January 1,.1994? 0 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. tYes 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: j My property is a single-family residential real property. See Civil Code Section 1101.4. y -, g p fits shall require all non-compliant plumbing fixtures On and after Januar 1 2014 building alterations or im roveme 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). 0' My property is a multifamily residential real property. See Civil Code Sec ion 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 piuimbingifixtures. 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). 0 My property is a commercial real property. See Civil Code Section 1101.5. On and after January1 2014 specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures.( p g p 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).. 1,as the owner-or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be replaced'prior io 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 lumbi g fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature \. Date: Upon completing and signing this Ce tate,please returnit 1Qthe Building Division in order to final your building permit. SB4072015.doe revised 08126115 BUILDING PERMIT CANNOT BE FINALED AND COlYIP3ETED UNTIL THIS CERTIFICATE HAS BEEN.I N>�'D 1�iND RFT TRNFD TO THE BUILDING DIyIS�ON , Non-Compliant Water-Conserving 9 Plumbin Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch.4 2013 CPC Ch. 4 2013 CPC Ch.4 /Flow Rate Water Usage 2013 CALGreen Div.4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div.5.3 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, Urinals Exceed 1.0 avers a flush volume of two reduced flushes and one full flush 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 i 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 @ defaultto-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 LI 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. SB407 2015.doc revised 08/26/15