Loading...
B-2016-3054 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3054 21796 HYANNISPORT DR CUPERTINO,CA 95014-4012(356 13 016) APEX ROOFING HOLLISTER,CA 95023 OWNER'S NAME: AGARWAL PUNEET AND NARANG KAMINI TRUSTEE DATE ISSUED:11/07/2016 OWNER'S PHONE:415-254-3200 PHONE NO:(408)607-0505 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C39 Lic.#972094 Contractor APEX X ROOFING 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 ROOF SYSTEM(30 I hereby affirm under penalty of perjury one of the following two declarations: SQ'S) 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. 0641 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 permit is issued. Sq.Ft Floor Area: Valuation:$14000.00 APPLICANT 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 35613 016 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 O1 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 D LA : _ CALLED INSPECTION. Signature, (;u ~~_( sc `j Date 11/07/2016 Issued by:MEL SAN :.,. Date: 11/07/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE OOFS: following two reasons: All rooft shall be inspected prior to an 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 insp=ctiion,,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for ins•ection. sale(Sec.7044,Business&Professions Code) 1 g 2. I,as owner of the property,am exclusively contracting with licensed Signature;of Applicant: r,•—-1. contractors to construct the project(Sec.7044,Business&Professions Code). Date:11/07/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS OBE CLASS"A"OR BETTER I have d will a ficate of Consent to e for of the work for which thispermit is issued. Worker's 1. Compensation,as provided for by Section 3700 of the Labor Code,for the performanceHAZARDOUS MA ERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous material 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, ections 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 B.y Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cu ertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code, `actions 25505 25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall I be deemed revoked. Owner or authorized agent: , . Date: 11/07/2016 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 constru tion lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's'for which this permit is issu d(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. I understand my plans shall be used as public records. Licensed Signature Date 11/07/2016 Professional - i • x { REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333•buildingcupertino.org CUPERTINOI PROJECT ADDRESS - OWNER NAME 71 $ �y PHONE E-MAIL kmsl. t x °c` ofcx C 5 a75 936-0-0 STREET ADDRESS CITY,STAT ,ZIP FAX CONTACT NAME 12f1,-2,4 fix 2✓"�J s� .. k 9�( PHONE E,' 0 � E-MAIL STREET ADDRESS F v CITY,STATE,ZIP C°1� FAX ❑ OWNER 0 OWNER-BUILDER ❑ OWNERAGENT TRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENIGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE I BUS.LIC.# N141" /6k, 9 07c/ C 37 COMPANY NAME • ` E-MAIL FAX STREET ADDRESSIT ,STATE,ZIP PH /{ (IQ/41 of i/s-ro 7� 9 � tip? 60+(9S6 ARCHITECT/ENGINEER NAME LICENSE NUMBER i BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex IeMulti-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commerciala�/} j ) a EXISTING ROOF TYPE: 0 BUILT-UP ROOF 0 ASPHALT SHINGLES EN-76(5l;SHAKES 0 WOOD SHINGLES 0 OTHER.(SPECIFY) REMOVE/REPLACE OYES IF NO, PLYWOOD 0 v." 0 PLYWD OSB PITCH: ROOF 0 NO ❑ CDX :12 CLASS: A #LAYERS: THICKNESS: 0 5/8" TYPE:' PROPOSED ROOF TYPE: 0 BUILT-UP ROOF 0 ASPHALT SHINGLES 0 WOOD SHAKES 0 WOOD SHINGLES 0 OTHER ICC-ES REPORT n DESCRIPTION OF WORK:( _ e-, 5 1 o k v7) / ems 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. ilding cons. .on I a f thorize representatives of Cupertino to enter the above-identified.iroperty for inspection purposes. Signature of Applicant/Agent: _ ��, ,</y Date: 1 / o /C:3 SUPPLEMENTAL INFORMATION REQUIRED a,.3 _ r , =oF c>fSE©nLi ,n; a ., o ' PLAA CHECK TYPE ROIJTIMI SLIP If building is associated with a Home Owner's Association,provide letter ��= _ of approval from HOA. pII l OVER THE COUNTER $ Z] BUILDING PLS REVIEW Provide Planning approval to verify if there any restrictions. EXPRESS 0 PLA NNING PLAN REYIER, Provide copy of Manufacturer's Installation Specifications. sT�n :aRD la4tRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. • oTIIER RerbofApp 2011.doc revised 03/16/11 4\14,0,,,,/ REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BULDING DIVISION .r.;; ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•.buildinq(aicupertino.orq C72N 2c 16 ` , PROJECT DRESS /� ` _f it- 1 a 1 < o 4- - 7 S- 6 / 1 - 0/4 ANY; OWNER NAMEP ONE E-MAIL ,��r� o ar ea e1 / 3 6. STREET ADDRESS CITY,(TATE.ZIP FAX AS CONTRACTOR NAME 1 LICENSE NUMBER LICENSE IBE BUS.LIC.a COMPANY NAME J E-MAIL FAX PDX.- 6a FI.v't STREET ADn&FS41 C3/g if C L s. 1L T to.v,etc, lIt .� I P Fif 66 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 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 Inspection,you must also call on the. day of the inspection only after that phase of the work is completed. The biilding 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 givens a two hour window. I 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'A"per foot of slope and demonstkate there is no ponding. I 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 bepaid before anot ler inspection can be scheduled. • By my signing below,I certify each of the following is true: I am the property owner or autForized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated abo =e. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance wi h`Sections R3 14 and R31 of the 2013 California Resident', Cede. ,t Signature of Applicant/Agent: �. - _ "/ Dat': 0 i i. RerodfPolicy_2014.doc revised 01/15/14 1 .•,,,,,,,1 i / WATER-CONSERVING PLUMBING FIXTURES , rily) OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION 10300 TORRE AVENUE'CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228.FAX(408)777-33 33 a buitdincacupertino.org , a , -2_o[6 - '- ‘,S-1-i Owner 14=4 eo iv ec,_--; A-4412w AL_ Permit No 1,-) AddresS‘ (9. (?-1 6 1.-e Y4--wit C P6 ez-.7 D/C._ c7 / ) 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. Citj 1121/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? El 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. Iri.j.21/1\110 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. -,.., ?, i.ta 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. E*7/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 se check OM of the following: 47--;;:;--- MyprOporty is a single-family residential real property. See Civil Code Section 1101.4. /6 On and after January 1,,20'14,building alterations or improvements shall require all non-compliant:plumbing factures to be replaced with water-conserving plumbing factures 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 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). 0 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 1101.5,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. _ 1 — _.----- —7\ re, .. ' )1/r31/4 Owner or Owner Agents olgnature:,5-1 \ ,------------- Liatff:3 , A-Z2 --L Upon completing and signing this.Certificate,please return it to the B ' ding Division in order to final your building permit. SH4'0720adoc revised 08/26/15 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE yT.xgs� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERT1110 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinqAcupertino.orq r nen' R VITECANNOT-4BE FINAISE YTIN TIL THIS GFIRTIFICATEHAS��+EN �` CSO 1 QED;ST(TNvi 0,: _ ova P O 11 B EMD: 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 ' V SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of X X the 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 specified below have been tested and are operational, as of the date signed below. Address:- f'Y/B-N/k-.) is 7 1)/e__ ce.)��,�c-c ctu j C4 Permit Na 0, gots-cif Specify Number of Alarms: #Smoke Alarms] i 1 #Carbon Monoxide Detectors: I I I have read and agree to comply with the terms and conditions of this statement ;Owner(or Owner Agent's)Name: nSignature Date: t(I13�(( Contractor Name: Signature Lic.# Date: Smoke and COform.doc revised 09/27/16