B-2016-2776 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2776
10079 BYRNE AVE CUPERTINO,CA 95014-2805(357 I1 004) MANADA ROOFING
INC
HAYWARD,CA 94544
OWNER'S NAME: BOB ELLA DATE ISSUED:09/21/2016
OWNER'S PHONE: e)4-� r PHONE NO:(510)780-9517
LICENSED CONTRACTOR'S DE AR FION BUILDING PERMIT INFO:
License Class ROOFING Lia 771
Contractor MANADA ROOFING INC Date 10/31/2017 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:
REROOF;TEAR OFF;INSTALL COMP SHINGLES-(18 SQ)
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.
2./,,,'/l have andwill maintain Worker's Compensation Insurance,as provided for by
�f Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. 4 Sq.Ft Floor Area; Valuation:$7350.00
PLICANT 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 357 11 004
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 Cupertinoagainstliabilities,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 Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Si nature �1 11/1 Date �'
9 Issued by:AbbyAyende
Date:09/21/2016
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,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) e
z. 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:
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
i, 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
z. 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
s. 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,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:
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 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 Professional
- TPU
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CIIPERTINO (408)777-3228 FAX(408)777-3333•buildinaCa)cuoetino.ora
PROJECT ADDRESS 10079 Byrne Ave: _ - APN-#
Bob7
OWNER NAME b Ella PHONE _ E-MAIL
STREET ADDRESS 10079 Byrne Ave CITY,STATE,ZIP
Cu ertino CA 95014
Wiz? a
-MAIL
NAME PHONE �?� JEL va lae
STREET ADDRESS l ✓I des Y`�.'j P,Y jam ' �� CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT aL CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCffiTECT ❑..ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME - LICENSE NUMBER LICENSE TYPE BUS.LIC.#
800771 C-39
COMPANY NAME E-MAIL - - - FAXMa Tnr
martha manadaroofin com 510-780-987
STREET ADDRESS CITY,STATE,ZIP PHONE
1593 Industrial Pkwy.W#5 Ha and CA 94544 510-780-951
ARCHITECT/ENGINEER NAME - LICENSE NUMBER BUS.LIC.#
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS CITY,STATE,ZIP - PHONE "
USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial 18 Sq. $7,350.00
EXISTING ROOF TYPE: -:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 11 WOOD SHAKES - ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE NI YES IF NO, - PLYWOOD ffAw, ❑' PLYWD ❑ OSB - PITCH: ROOF
- ❑.NO I #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑'-COX 4—.'12 ,CLASS: A
PROPOSED ROOF TYPE c .❑BUILT-UP ROOF INASPHALT SHINGLES -❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER - ICC-Es REPORT
DESCRIPTION OF WORK:
Remove existing composition shingles,install new Owens Coming TruDef Shingles
By my signature below,I certify to each ofthe 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 to building construction. I authqrize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: ' Date:
t
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY'
If building is associated with a Home Owner's Association,provide letter PLAN CBECKTYPE, ROUTING SLIP<
of approval from HOA. ❑ OVER-TRE-COUNTER ❑ BUILDING PIAN REVIEW
Provide Planning approval to verify ifthere any restrictions. ❑ EXPRESS L7 ILANNINGPrtSNREViW
Provide copy of Manufacturer's Installation Specifications. ❑ sTANDaxD ❑ RIItE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER.
ReroofApp 2011.doc revised 03/16/11
REROOF TEAR-OFF POLICY
,. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE;CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildingacupertino.org.
PROJECT ADDRESS 10079 Byrne Ave. 7APN �� i
1 Q�
.. OWNER NAME. Bob Ella. _ PHONE E-MAIL _
STREET ADDRESS 10079 Byrne Ave. CITY, STATE,ZIP FAX
Cu ertino CA 95014
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.#
800771 C-39 24826
COMPANY NAME E-MAIL FAX
—Manada Roofing,Inc. martha@manadaroofing.com 510-780-9517
STREET ADDRESS CITY,STATE,ZIP - PHONE
1593 Industrial PIOU W#5 Ha and CA 94544 510-780-9587
I UNDERSTAND AND AGREE TO THE FOLLOWING:
I. 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 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 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:
ReroofPoliev 2014.doc revised 01115114
SMOKE / CARBON MONOXIDE ALARMS F i
OWNER CERTIFICATE OF COMPLIANCEPftt� lQ
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPER't INO 10300 TORRE AVENUE•CUPERTINO,OA 95014-3255
(408)777-3228 FAX(408)777-3333•building(akupertino.org j
Permit No. a�l�
Address #of Alarms Smoke: Carbon Monoxide:
PERMIT CANIITOT BE FINALED AND -,,,Q IPUTED IJNTI ,T S CERTIFICr TF
`CHAS BSN ' a AND RE RN D TUTHR BTIL1NDIV]GSON '°
F u � '
.. a
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 CO ALARM
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 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
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.
1 have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name:
t
r
Si nature. ! :
..................... ......I.. ,.......................................Date:
Contractor Name:
Signature...................................................................Lic.#......................................Date: ...................
Smoke and CO fonn.doe revised 03118114
WATER-CONSERVING PLUMBING FIXTURES - FIL7
OWNER CERTIFICATE OF COMPLIANCEIr
KZ
I 0� )
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUP1=1ThTt 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•build ing(aD_cupertino.org
Owner Name 06 ti" �` G' �-, w�/'`-a Permit No. oA 774
Address r7. � l
1. Is your real property a registered historical site?
Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
9'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.
❑ 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?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
TS 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 1.101.1 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:
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 1,2017,all non-
compliant
on 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 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: Date:
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB4072015.doe revised 08/26115
Non-Compliant Water-Conserving Plumbing Fixture
Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Fixture Type Maximum Water Elsa etFlow Rate
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 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,
1.0
Exceed
average flush volume of two reduced flushes and one full flush
Urinals
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
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 @ default to 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
reduction.
1. If the existing plumbing fixture water usage/flog rate is equal to or lower than the figure shown,it is not required to be upgraded.
3B4072015.doc revised 08126115