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B-2016-2344 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2344 20875 VALLEY GREEN DR CUPERTINO,CA 95014-1799(326 09 064) NEMMER ROOFING FREMONT,CA 94538 OWNER'S NAME: KORET VC I LP DATE ISSUED:07/19/2016 OWNER'S PHONE:650-592-3960 PHONE NO:(650)888-2915 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#749304 Contractor NEMMER ROOFING Date 05/39/2018 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: BUILDING#119-124-REROOF;TEAR OFF;INSTALL COMP I hereby affirm under penalty of perjury one of the following two declarations: SHINGLES(38 SQ) r. 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. 2. 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 Apermit is issued. Sq.Ft Floor Area: Valuation:$13148:00 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 326 09 064 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. �7f fjTHIN 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. ±/ Signature Date 7/19/2016 Issued by:Abby A ende Date:07/19/2016 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 1. I,asowner 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. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). i dbate:7/19/2016 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 material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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.Compensation provisions of the the Health&Safety Code, ctions 25505,25533,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:7119/2016 1 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 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 and will comply with all non-point source regulations per the Cupertino MunicipalARCHITECT'SDECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 7/19/2016 Professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333-•buildinga-Mupertino.org PROJECTADDRESS APN# —z— _) () �. OWNER NAME L z PHONEe E-MAIL STREET/0ADDRESS CT TE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX r ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER. ❑ DEVELOPER ❑TENANT CONTRACTOR NAME A� LICENSE NUMBER® LICE2�S�E T�E BUS.LIC. \ S 4 .J COMPANY NAME ` E-MAIL FAX ,Aj STREET ADDRESS CITY;STATE I�J17 e �� PHONE��� ARCHITECT/ENGINEER NAME LICENSE.NUMBER BUS.LIC.# COMPANYNAME. E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD Or Duplex Multi-Family ROOF AREA: pVALUATION: STRUCTURE: E] Commercial �°V 0 i EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 91WOOD SHAKES ❑WOOD SHINGLES 0 OTHER(SPECIFY) REMOVE/REPLACE ;YES IF NO, PLYWOOD El %" ElPLYWD 11 OSB PITCH: ROOF d ❑NO #LAYERS: THICKNESS' ❑ 5/8" TYPE: ❑ CDX 4 :12 CLASS: .. IL PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES E OTHER ICC-ES REPORT# DESCRIPTION OF WORK: C old 7,q-1f _3'd) , 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 read 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 applicable local ordinances and state laws relating t ng constructio auth rize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 7- 18 14 SUPPLEMENTAL INFORMATION REQUIRED a t:+^ "ter �-+.':,.� `� E' _If building is associated with a Home Owner's Association;provide letter 7PLALv3CHECK TYPROUTmc silr of approval from HOA. ovEx reE coui`tTEti © Blnii?I7vGPIAIvxEV�Ew Provide Planning approval to verify ifthere any restrictions. [j EPss 3 pfAnp�� yn�yr Provi-de copy of Manufacturer's Installation Specifications. � x � _Provide signed copy of Cupertino's Tear-Off Policy. i { r � oxHER �t ReroofApp M1.doc revised 03/16/11 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 CUPERTlNO (408)777-3228 FAX(408)777-3333•building 5cupertino.org PROJECT ADDRESS $4 Ile, le --A ® ^ 7APN# b -o� - OV�TNERNAME/ P. C A PHONE 6:5p J-e,`._.J//6 E-MAIL STREET ADDRESS TY, S ATE,ZIP3 FAX ONTRAC OR NAME LICE NUMBER LICENSE TYPE BUS.LIC.# COMPANY NAME d� j�r E-MAIL FAX STREET ADDRESS ` 8 CITY STATE,ZIP /� / PHONE .? c 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 u 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 I/4"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 an 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 etectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Co Signature of Applicant/Agent: Date: 7 RerooJTo1icy_2014.doc revised 01/15114 Cc ISMOKE I GA MONMUE ALARMS-12 13 %; � � MR CE MCA OF COMP"Ll"'IANCE OWN COMMUNITY°DEVELOP<MENTDEPARTMENT 14BUILDING DIVISION 10300 TORRE AVENUE,CUi'ERTINO,,'CA 95014-3255 (408)777-3228*'RAX—(408)77,7-3883'-tbullilinaCf_cu,perlino ora ` Z 1. 3 Twm- ,ter' 7 _._ , 4 T, n PURPOSE T111S affidavit is a self-eertificatiorn 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 isispections are required. G NE AL INFORMATION tXisting sfgle-family and multi-family dwellings shall be provided with Smoke Alarms and CarboYl Monoxide alarms Where the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1000.00;CRC Section,8314 and C"BC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Muno`xide Alarms be installed in the following locations: Outside of each,separate sleep ng area irr the imzMediate vicinity of the X bedsoorrL(s 0n e'yex level of a dwelli unit frtcludir� liase-rneats W tR, each sle-ain: roorm I MW Carbon IVlonoxide,alarms are not regixrred h1 dwellings which da zseot contain fuel-burn ng apyllIances M. thg dQ notlnave a�attached garage. Carbasin rnanoxide alarrrrs:eombued with smoke ala�rrs sl1a1I11.c©gip+ly�rlfh CBC Sectlo2i 420'.6 and shall be gpoved by the Office of the State Fire 1Vlairshalt.. Power Step K ly;Tm d,W.A;I' nZunits with rco'commercial powex supply,,alari i(s):iztiay,be s;oXely battery oyeratecl. In existing,Efivv�eflingt rfiI8,alaxmws,acre permitted to be solely battery operated where repa rs or alterafig s cto, izot result�z the removal'oaf wa]lU aind ceih2tig frnrslnes or there�s no- access by mea=ns oaf a{tti�cr bsa�sen�er�or crawll space.Refer,,W CRC:Sectioi i R3-I4 a21d CSC Sectiolns 9'0%.2..11..4 aitch 420.63.2.,An electrical perzx it isre +,nixed fox alarms which must be-com-'rected to the+e building wir•i2Rg. As owner o£the above refexezlce:d property,I Thereby certify fillat thea;lams);xeferenced above hay i;--ave b-een. in5talle.d m accordalzce with the +A a2lufaeturer`s instructions azld 'i t compliance with the Cal oxn a)Burz 5, and Caliiifo,E a.Residential Codes.The alati!mo have been,tested aiitd aAee,,peratIloivall,as=cI the date si?gt-ted b eIow.. gam Ghavenreadtanda re:�fo corn l,`twifJ�,fl%e .ermsond<condffions;offbr: sfa:fe'a k a , 1 taffrre: bale ��., � `�....... WATER-CONSERVING PLUMBING.FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERTI fie O 10300TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building(d) upertino.org 3 y Owner Name d/` �3- e .Q,;h c� Permit No ��/�" i Address 2.0 975 A&�7 3.AIC-e-A, 4 1` 1. Is your real property a registered historical site? El 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 plumbing,installation of water-conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 11 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? El 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? El 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. Please check ONE of the following: ❑ My property is a single-family residential real property. See Civil Code Section 1101.4. Ori 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 fixtures 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 penury 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-con erving plumbing Mures 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 e Building Division in order to final your building permit. SB407 2015,doc revised 08126115