B-2016-2543 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2543
7456 DE FOE DR CUPERTINO,CA 95014-4301(359 24 038) LUNNEBORG'
ROOFING INC
CAMPBELL,CA 95008
OWNER'S NAME: BOWNAS DOUGLAS R DATE ISSUED:08/18/2016
OWNER'S PHONE:408-2550617 PHONE NO:(408)402-1465
LICENSED CONTRACTOR'S DECLARATI NN BUILDING PERMIT INFO:
License Class C-39 Lie.# 7 72
Contractor LUNNEBORG ROOFING INCDate 04/30/2018 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:
RE-ROOF;TEAR OFF;STONE COATED LIGHT WEIGHT STEEL
I hereby affirm under penalty of perjury one of the following two declarations: SHINGLE-(28)
1. I have and will.maintain a.certificate of consentto 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., T 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:$18000.00
APPLICANT CERTIFICATION
Icertify 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 359 24 038
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 under n and will comply with all non-point
source reg moons pe e C ertino unicipal Code,Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION.
,Sign re Date 08/18/2016 Issued by:Kim Dunbar
Date:08/18/2016
D/CLA��ATIO
ereby affirm that I am�ex mpt from the Contractor's License Law for one of the RE-ROOM-
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 a to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspectio .
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed f Signature of Applic t:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:X18/2016
I hereby affirm under penalty of perjury one of the following three declarations: L ROOF COVERINGS TO l ASS"A"OR BETTER
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
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 Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the Wauto
Safety Code, cho O5, 5533;and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall -
be deemed revoked, OwnegeAPPLICANT CERTIFICATION Date:certify that I have read this application and state that the above information isSTR TI N LEP INcorrect.I agree to comply with all city and county ordinances and state laws I herere is a construction endin gency 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 Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Licensed
Signature Date 08/18/2016 Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE CUPERTINO,CA 95014-3255
+CUPEtR`€'INO (408)777-3228• FAX(408)777-3333•buildinana.cupertino.org
PROJECT ADDRESS J APN m
OWNER NAME
'S PHONE ' EMAIL
STREET ADDRESS y(,�
CITY,STATES q y 0 FAX
CONTACT NAME 4CsL,P L til 64� PHONE(,✓a�Ji E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CON'T'RACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑. DEVELOPER ❑ TENANT
CONTRACTOR N EP1 S_)
l Z LICENSE IIS Gl 2� LICENSE TYPE BUS.LIC.
COMPANY NAME
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ARCHITECT/ENGINEERNt wl V AME F LICENSE NUMBER I p C• ('T/Y BU_ ' 7 TL
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COMPANY NAME E-MAIL ---
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STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: C7 Commercial '�"
ww
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY),
REMOVE/REPLACE> ES IF NO, PLYWOOD ❑ %" ❑ PLYWD ❑oSB PITCH: �ROOFNO 4LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX ;12
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF El ASPHALT SHINGLES I7 WOOD SHAKES ❑WOOD SHINGLES ❑OTHER rujoICC-ES REPORT#
DESCRIPTION OF WORK:
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By my signature below,I certify to each of the following: I aur 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 withal]applicable local
ordinances and state laws relatine-ro buildi. c n ction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature ofApplicant/AgeDate: t—1(e
SUPPI! MEN AL INFO ON REQUIRED
Oki i39E ONLI
If building is associated With a HO e O,Avn 's Association,provide letter 'PLAT CHECK"T1I E, ROLITIN SLIP
of approval from HOA. ❑'os R THE COIIII IER ❑ BUILDII'!ULAN REVIEW
Provide Planning approval to verify if there any restrictions. E�PREss
� LANNII�G PLAR REVIEt�'
Provide copy of Manufacturer's Installation Specifications. sTAxnAitD D Fz)tE DEPT ��
Provide signed'copy of Cupertino's Tear-Off Policy. L� oTz�ER
Reroof2pp_2011.doe revised 03/16/11
REROO'F TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING.DIVISION
ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL
CUPERTIN[C3 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333-building(d)cupertino.ora
PROJECTADDRESS -'f t / fe' APN#
OWNERNAME6�W PHONE
_ E-MAIL
STREETADDRESS CITY,STATE,ZIP FAX
CONTRACTOR NAME
[#4`/��4'` J LICENSE I�.EV LICE�NSE3 BUS.LIC.fi
COMPANY N / ((J/J J S E(JMA'L s �p F /(Jr 7
V�l IO62
STREET ADDRES P �� / J^ /' CITY,STATE,ZIP t G Cf*-q, o
I UNDERSTAND AND AGREE TO THE FOLLOWING: 9Z 4
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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.
b. 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 Raid 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 in oxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residents '�Co
Signature of Applicant/Agent Date: `-j��G
DReroofPolicy_2014.doe revised 01115114
SMOKE CARBON,�MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
r
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUP R 1Nt Fr _S
(408)777-3228•FAX(408)777-3333 building(akupertino.org
Permit Not
r Address' . #of Alarms Smoke: Carbon Monoxide:
INi
PERMIT CANI\TOT BE FINALED A Cow TED DTII.THIS CERTIFICATE
H BEEN ' T �D '
i RT TURNED T(d THE BULLDXN� SI+1?N
MOM
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 sin le-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
1 $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:
I
AREA SMOKE ALARM CO ALARM
}
Outside of each separate:sleeping area in the immediate vicinity of the X X
bedroo (s)
On eve level of a dwellin unit includingbasements X X
T
Within each sleeping room y X
Carbon Mo oxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not havean 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 Sup ly: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
j 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
I
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and Califo nia Residential Codes.The alarms have been tested and are operational, as of the date signed
below., -
f 1 have read and agree to comply with the terms and conditions of this statement
kContracsdName:
r Owner Agent's)Name:
Si nature.......... ......... Date: ..... .
A.�j5...
Sianatu e.......... Lic.#..... .. ... Date:
Smoke and GO forna.doc revised 03/18/14
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE f
1 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION l
CUPERTINO 10300 TORRE AVENUE CU'PERTINO, CA 95014-3255
(408)777-3228- FAX(408)777-3333•buildino{a.cupertino.oro
Owner Name Lk)10 Permit No. �
Address ZVI
-
j
1 Is your real property a registered historical site?
❑ YesCivil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
j TN0 C o to Question 2.
2. Does your mal 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?
j ❑ Yes CivilCode Sections 1101.1 through 1101.8 do not apply.
El The licensed plumber's certification has been provided-.to the Building Division.
Skip the rest of the form and sign bottom of form.
;Ilr\No Go to Question 3.
3: Is water senice permanently disconnected for your building?
❑ Yes CivilCode 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 propertybuilt 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.
jCivil 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 ease check ONE of the following:
My property is a single family residential real property. See Civil Code Section 1101.4.
i - n and a fter January 1, 2014,building alterations or'improvements shall require all non-compliant plumbing fixtures
to bei replaced with water-conserving plumbing fixtures throughout the building. On or before January 1, 2017,all non-
complian plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether
property i Lndergoes alterations or improvements).,
❑ My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and ater January 1,2014, specified building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
On or bel ore January 1,2019, all non-compliant plumbing fixtures shall be replaced with water-
conservir.g plumbing fixtures throughout the building(regardless of whether property undergoes alterations or
improve ents).
1 ❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and aler January 1,2014, specified building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
On orb fore 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
j I,as the'o er 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,110A,the current California Plumbing Code and California Green Building Standards Code, and manufacturer"s
installation quirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the
table on the followingpage.
Owner or Owner Agent's Signature:., Date:
Upon con ipleting and signing this Certificate,please return it to the Building Division in order to final yourbuilding permit.
i
SB4072015.doc revised 08/26/15
i
BUII:DING PERMIT CANNOT BE
-WMA
AND COMPLETED,UNTIL THIS
ERTIFICATE IIAS BFrEN I NED ANDFTTTRNED TO THE-B - -D
I
Non-Compliant Water-Conserving.Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Water Usa a/Flaw Rate
Fixture Type Maximum
Water Usage 2013 CPC Ch.4 2013 CPC Ch. 4 2013 CPC Ch. 4
/Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water ClosetE 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 average 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
i
In common and public
use areas: 0.5 gallons!
per minute @ 60 psi
1.8 gallons per minute
60 psi
psi
1.8 gallons per minute @ 60
Kitchen per minute 60 psi @
Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute
P 60 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 meetings
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�s not required to be upgraded.
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SB407 2015.doc revised 08/26/15