B-2016-2545 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-2545
1619 ASTER IN CUPERTINO,CA 95014-5214(366 24 014) BILL HAMILTON
ROOFING INC
CAMPBELL,CA 95008
OWNER'S NAME: STOJANOVICH ALBERT WILLIAM AND CATHERINE J DATE ISSUED:08/18/2016
OWNER'S PHONE:408-234-3520PHONE NO:(408)379-1303
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class CC-39 Lic.# 46 4400
Contractor BILL HAMILTON 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_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;INSTALL OSB;COMP SHINGLE(30 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
r►,,performancc of the work for which this permit is issued.
2. ave 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:$17000.00
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 24 014
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 will comply with all non-point
source regulations per the C pertino Municipal Code,Section 9.18. 180 DMS!- -CALLED INSPECTION.
Signature,', Date 08/18/2016 Issued by:
Date:08/183/20146
OWNER-BUTLDERDECLARATIQN
I hereby affirm that I am exempt from the Contractor's License Law for one of the
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.
sale(Sec.7044,Business&Professions Code)
2. 1,as owner of the property,am exclusively contracting with licensed Signature of Appl'icant:'-
contractors to construct the project(Sec.7044,Business&Professions Code). Date:08/18/2016',
I hereby affirm under penalty of perjury one of the following three declarations: ALL BOOF COVERINGS TO BE CLASS"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 4
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2. 1 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. 1 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 the Health&Safety Code I Sections 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:08/18/2016
1 certify that 1 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 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•CUPER T INO,CA 95014-3255
(4081777-3228-FAX 1408%,777-3333•buildina&capertiCUPERTINO
rc.cr
r3- Zo(.6 - Z!5 S'
PROJECTADBRESS/kI dQ`+.k)eL!. L 1s l® qs I y APN#
Ot�JNER NAME
PRONEL/,
f S ,nov% �ypJ)2.3 -35
STREET ADDRESS U ^`o W-f CITY, STATE,ZIP ( yHe � Ww y J -
CONTACT NAME PHONE -MAII-
E
STREET ADDRESS CITY,STATE,ZIP T7AX
❑o•7mm ❑ OWNm-BuiLDER 0 OWNERAGENT VCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT 11 ENGINEER 0 DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER � qo LICENSE TYPE e^, ej BUS.LIC.4
COMPAN'.:NAME/d+[.+►I(M,�/&'., '�+""'•1 J 1`i4. E-MAIL !:.-. FAX
STREET ADDRESS CITY,STATE,ZIP �f /1�j Q�AA PHONE6400379-06.,`
r/JA�F � Iil
Aye VM C f 06 640 J / V
ARCHITECTIENGINEER NAME LICENSE NUNIBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex 0 R ulti-Family. ROOF AREA: � VALUATION:
STRUCTURE: ❑ Commercial �� � �!�!(?!�0•tSC�
EXISTING ROOF TYPE: O BUILT-UP ROOF ❑ASPHALT SHINGLES I]WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY-)
REMOVE/REPLACE YES IF NO, PLYWOOD ❑ %7 ❑ PLYt%{D OSB PITCH: ROOF
❑NO .#LAYERS: THICKNESS:. ❑.5/8" TYPE: ! CBX CLASS:..
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 13WOOD SHAKES 13WOOD��SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK: - , Y
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j''I�t"t L KJo� Co`UY'"��tt 'KaN,G+ a i,,• �
By my signature below.I certify to each of the following: I am the property owner or authorized agent�o act on the property owner's behalf. I have read this
application acrid 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 to u ` g construction. I authorize representatives of Cupertino to enter the ov-identified property for inspection purp?pq
Signature of.4pplieanttAgent: Date:
SUPPLEMENT, L INFO TION REQUIRED
aCvsl orll '"
_If building is associated��-f a Ilam wrier's Association,provide letter I TiI'I €tIIrIN
of approval from HOA. QUIETER D An
Provide Planningroyal to yeti if there anrestrictions. I�c
app verify i_ y Li I XI ss *IIaL c PLAN v w
_Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear-Off Policy. TxEIt
i
i,
ReroofApp_201 1.doc revised 03/16/11
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y
RERQOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL
1 i
CUP TING 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255'
(408)777-3228-FAX(408)777-3333-buildinaCa.cuperti'0.orr
PROJECT ADDRESS' I �0/ APN N
01 OWNER NAME ^ PHONE ®� 2.' � E-MAIL ..
STREET ADDRESSy Q.(� R(4 CITY, STATE,71P F u,� I FAX
�,/�� LICENSE NUMBER LICENSETYPE BUS.LIC.#
Yoo C3
COMPANY NAME E-MAIL FAX
6111 C�ta�)37�i-1 o
STREET ADDRESS CITY,STATE,ZIP PHONE
238 f�t7Lon five. ! � pro w, 3?g M
_4
I UNDERSTAND AND AGREE TO THE FOLLOWING:
i. The re-roof project shall comply with all applicable provisionsof the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
'1228 from 7:30 - 3:30ptn(Mon-Tllus) or 7:30 - 2:30pm{Friday)to schedule the next day 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. Progress
and Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-totted 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. Progress Inspection is required when approximately 50% of roof covering is installed.
7. 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 1/4"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.
8. 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 of$126.00. 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 mon ctors are re iced to be installed in accordance with Sections 8314 and 8315 of
the 2010 California Residential e.
Signature of Applicant/Agent: X Date: 2b�
ReroojPolicj_Ml.doc revised 02116/11
i
SMOKE I CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNrrY DEVELOPMENT DEP..'i` i'i`# QkVjSt0t4
(408 M-3228-FAX l408) -3333- . . . o
. tAN
TC#T ? F# t~CDr MPTXU0 tNMTfflS`,CERTW1CATE
I'D DM
PURPOSE
This aff i a Itt-is a self-certification formic installation of ' " e 41tdke:O4 .bon Monoxide arms for
compliance with 2013,CRC Section l l4,2013 CBC Sections 420.6 audq 7 Where nQL interior access for
inspectom.arered..
prpvi
and CaxbW
no)d e 'am ss When the alua on of a `fob.aL Or rept e� d u exceeds
000-0% ectionR314and.CHSections 9072-11.5 (. re tSnrole aand/or Carbon
Mc noxzde arab&ins, d in, e folio.,glTocations;
AREA '151�10VE ALARM COALARAl'
I.
outside of ea separate sleeping area i the'. ed at v! v . .
bedre s
tex % elofadLe�Mn i€ cI " ents X
_.
wit a act sle %ugroo
Carbon Moi Loxidealarms,are not required in dwellings:w1fich do,not contain fuel:°In, ig appliances and that
do not have an attached . age. 1�2arhotL monoxide alarms ingdw tla 0)l alarms shy comply with
'CBC Section 420..6 andshall be approvedby the Office 0file M4r�
s
I' uer z �TA d, `.g 'thno c mme aalpu maybe s�I 'batten operated, t
n emsotmj Awelfing.units,alarms are permitted to lie"stalely haft. fl a. e repairs or alterations do
not result tl e r € of ar€cl ceiling, i es o e e ss na access bymeWsiof attic,basement or crawl
space.Defer ta CRC Section.8314 and.CBC Sections 907.2.11A and 422Q. 12.Art elect cal permit is rewired for
alarm wbich muAbe connected ta-t e building wiri3 g
j.
i
As offer o the boe-refer nced property,I here . `e hat the Marino refer' ed above has/have been
installed n ecordanc with manufacturer ms c oias it lam.'coUll�e �-the ailifo?is Build g
incl C41ifon lia Residential Codes.The alarms have been legW and.arepperaticnWas of the date signed
is read at c a oto €'.. f fertns % rid a- ,. 'aferr�ent
- ud.#- - tate. -
Smoke 4nd'CGt f or doc revved 0311BI14 . .
AT . CONSERVING PLUMBINO F URES
OWNER CERTIFICATE OF COMPLIANCE
o tE DEVELOPMENT DEPARTMENT-BUILDING DIV1SIO
Cupe 1140
AddressCk
1: Is your reatpropertyaregistered historical site"
rG Yes
Code Sections 1€I.S'd ot;apply. � recta eform and szgftbottorn.offorru.
- GouonZ
Z:. Does yourrt al propedyltave a licensed pl ber c ""_I a oe to the g or i gura'oA r fthe-proper or its .
plumb ' a a: c water= o t Irl leg rfixtures OtfeJ lbogibVie?
Q Yes C A Cade Sections.11,01.1 through 1101.E derriot_ �
Then licensed plumb ef sce0ificaft-on bas been pr= idg
414 fie. : . :_" 010§10m,
81 p tare rest of the form-and:sign batt orf forrrr
XNo,, G to uesdo .
ti
wafer se"tcep'_ e .tiydiseonriectedforyourb e�,
l� 1 Cotte Sections 1101..1 throuh l6`1. xnotM4° S p Iliitest of 4 ipbotiom offo .
aurr € ro erg and a able f�irttse
i
El:. o M y red,pxoper` is Witt aud.av4able for use or oc 4panc 1,1994.
ail node Sections,1101dfthrongli 1101.9 c€auola ply- STS the ti tlzeform ands' �.o1lo offarzn._
Ves V,y rent prop erly,is built and available for use or occ apa nqy on or before tan 1,19-9
Civil CO&Sectlons 1101,1 through 11011 appl, eck.ou .nfth f€ dw ng statements,and sib
b tlor :ofform
.5t)PCI , e clieet; ofthefolf a `nga
I r prep i i e single f ity resfde ial real proper i See K � a 3.1 1
6a ter January 1,201 .
building alterations or rc er2 r .. . nc� c znlalza t pI es
to ber e ted it1r-water conser Wngpl birrg fixtpres ft#Vqothe d*.On orbefora January 1,2017,all non
coii�Ai plumbing es shall bd replaced w th war-cot rte ►l bi � (iarc1(ess of whether
pr0poly t nderpes alterations orbnpov .atts).
-0 1 yprope -is a m&ftfaini4yasldenfial real pra1? rt& 8ee.0S : jt 1 5m
4zr and, rJanuary I.I.220314,specked building alterations Vro�e m—
sk*require` compliant
p1 glI e b Iacecl t at =ecanse pIu
{err orlaef to tauua 1 Q] atE Dort-cornlSllant plumbing fixes strait beregTac v z-mater-
cons.cr�lt� plurnbl g tt t rou aut t c1 g(re rc ss f arm pr tiler ergoes alterations or
Improv ews n, a
`prt}p i 3a cqn"[at real pro
perty Sei odecoatl€31
d eiJan 1,2#314,specify l uilc al zIl . , z;. an-comp llan
-m-
plumbing fixt ` fa be Tacec1 i - ouse `n gp1 4.
Circ 1z re_: l 219, all Corr-co pbant I $
ut a "_ 0twe'�b
plumbg tbrolclxout#ire 1aulrZg(re dress of 1trpertY Uncre I' or arzaltroert7�errts)
1,asthe ovm ',or' agent ofthis
propertyc , under ty filer ux ` tr ctn-cc mpirautlatu l an fixiaries viii be
replaced Izc rtct este.spe 'red ao �' mater=cca plumb acorcicetl. z11 Sections 1101.1
t b x o 4 ghj 10,:.S.,t e.ct,tCPlutrttbirx o eartd a�l�w e t�1� c1?ngodea tufa rer's.
1111 cluir � that fire water-eazs " luatb es ctampl . ."_,_" teiireen#s aslclicate in the
11orcthe Ion :
owner,or OwOrAge3 X
LipRn7- *t'ug
and g Certificate please r zttt ftp Building]Division a or >? 1crnr building Iaexlt
¢07 2015.dac revised t1c°f2tS,{,t,