B-2016-3255CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3255
22415 PALM AVE CUPERTINO, CA 95014-2711 (357 93 029) ABOVE ALL ROOFING
SOLUTIONS INC
CAMPBELL, CA 95008
OWNER'S NAME: AGARWALANURAG AND GARG MMA I DATE ISSUED: 12/12/2016
OWNER'S PHONE: 408-431-8287 PHONE NO: (408) 2924188
DOX01eli.1 -7 1; 1 1
License Class -CU Lic. #794435
Contractor ABOVE ALL ROOFING SOLUTIONS INCDate 04/30/2017
I hereby affirm that I.am licensed under the provisions of Chapter 9 (commencing
with Section 7000), of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
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.
i .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.
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
and state laws relating to building construction, and hereby authorize
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
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations the Cupertino Municipal Code, Section 9.18.
Date 12/12/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Sec.7044, Business & Professions Code). T
I hereby affirm under penalty of perjury one of the following three 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
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
permit is issued.
s. I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Worker's Compensation laws of California, If, after making this certificate of
exemption, I become subject to the Worker's Compensation provisions. of the
Labor Code, I must forthwith comply with such provisions or this permit shall,_
be deemed revoked.
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize 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 may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature , Date 12/12/2016
BUILDING PERMIT INFO:
X BLDG —ELECT —PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
RE -ROOF - TEAR -OFF BUILD-UP - COMP (2800 SQ)
Sq. Ft Floor Area: I l Valuation: $13000.00
"N Number: Occupancy Type:
357 03 029
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an i pection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 12/12/2016
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6:95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino . unicipal Code, Chapter 9.12 and
the Health & Safety Code, Sectio 5505, 25533, and 25534.
i
Owner or authorized agent:
Date: 12/12/2016
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
REROOF PERMIT APPLICATION
'l COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
£UPETtNO
(408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org
PROTECT ADDRESS -y / ,,FL e ` APN r /�� / �i Vp
OWNER NAME g }[�% l f �� a /� 1y/(� �° rll � �/ `d
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STREET ADDRESS a�LNF tG�� CITY, STATE, ZIP/� / FAX
CONTACT NAME t PHONE E-MAIL Ift go
STREET ADDRESS / f p CITY, STATE, FAX
❑- oANER ❑ OWNER -BUILDER ❑ OWNER AGENT E CONTRACTOR ❑ CO\7P ACTOR AGENT ❑ (ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR+ ^p LICENSE NUMBER-7��G Z �r LICENSETYPE BUS- I
COMPANY N�AyME�99fVV�C', ' (�fI1O� E 7�?j y^/
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STREET,p��DRESS �i
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0� rJ % dr �i A' / V 1✓ CITY, STATE, ZIP n/I L PHONE
ARCHITECT/ENGINEER NAME LICENSE NTUMBER BUS. LIC. R 7
COMPANYNAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
USE OF �T_SFD or Duplex ❑ Multi -Family
STRUCTURE: ❑ Commercial
ROQFAREA.:
C�J
VALUATION: 0 ��
s
EXISTING ROOF TYPE: BUILT-UY ROOF ASPHALT SHINGLES
*WOOD SHAKES ❑ ROOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE /REPLACE LYES
❑ NO
IF NO,
;=LAYERS:
PLYWOOD
THICKNESS
❑ %" ❑
11518"
PLYWD El OSB
TYPE: El
PITCH: ROOF
12 CLASS: l}" A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALTSHINGLES
❑ WOOD SHAKES ❑WOOD SHINGLES- ❑ OTHER
ICC -ES REPORT r
DESCRIPTION OF \VO
ZO )
By my signature below, I certify to eae e fol m-• din the property owner or authorized agent to act on the property o er's beh .. I have read this
application and the information I pr is co c I have read the Description of Work and verify it is accurate. I as e to con "with all applicable local
ordinances and state laws rel to ding cons c ' n. I authorize r resentatives of Cupertino to enter the abov-ide feed pro for inspection purposes.
Signature ofApplicantlAgept�Ite;
SUPPLF,,�I`ENTAL INTFORMATION REQUIkEB----'
If building is associated with a Home Owner's Association, provide letter
Of approval from HOA.
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear -Off Policy.
ReroofApp_2011.doc revised 03116111
CUPEPCTINO
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
(408) 777-3228 FAX (408) 777-3333 • building(c)cugertino.ora
PROJECT ADDRESS
APN
OWNER rAMij 1" PHONE � � !97 E-1ZAIL
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STREET ADD t- - / e _ /�
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CITY, STATE, ZIP �v �6% l ��
FAX
CONTRACfORNAME
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LICENSE NUMBER %(,y LICENSE TYPE
/ r
BUS. LIC.
COMP NAME/�{/t�
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E-MAIL
FAX
STR7Wg � CG
CITY, STATE, ZIP j�1
PHONE
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 Inspections, you niust 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 12:30-3:34 (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 1/" 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 ani 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 R3 15 of
the 2013 California Residential Code.
Signature of Applicant/Agent: Date:.
Re7-0ofPohey_7014.doe revised 01115114
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
rfi
PERMIT CANNOT BE F.INALED UNTIL THIS CERTIFICATE HAS BEEN
COMPLETED
,SIGNED., ,,'�NED, AND RT I UIMED TO THE BUILDING DIVISION
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 repa'rs 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: i
AREA
!SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of
the bedroom(s)
I X
X
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.
I
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
installed in accordance with the manufacturer's instructions and in c
and California Residential Codes. The alarms specified below have 1
date signed below.
Address: 2. L �/ S—
Specify Number of Alarms: _�]
N
# Smoke Alarms:
n(s) referenced above has/have been
,liance with the California Building
tested and are operational, as of the
Permit No. Iy 6- 7 3 Z S'"�
# Carbon Monoxide Detectors:
I have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
laGAfwAL
Signature ....1✓:c..'. `' ...........................................................:.......................Date:
.. � ! �'�'i?a'.
.ANuP,AG
g
CooName:
�5 ""ni r2., "r- c r�
- �
Tr'
Signature./•.w?.... �: u :` ... �...... Lic.# �... .................Date
Smoke and CO forrn.doe revised 09127/16
a._
Owner Name
Address i
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(@cupertino.
117 A (1 A- f.W A
1. Is your real property a registered historical site?'
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest
No Go to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or
plumbing, installation of water -conserving plumbing fixtures is not technically fez
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Build;
Skip the rest of the form and sign bottom of form.
No Go to Question 3.
3 Zo / 6� -- 3 2� �' 5�
the form and sign bottom of form.
Division.
of the property or its
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.
I No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before Januaryl 1, 1994?
❑ No ' My real property is built and available for use or occupancy after Januay 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..
Please check ONE of the following:
oci 1VIy property is a single-family residential real property. See Civil Code Section1101.4.
On and after January 1, 2014, building alterations or improvements shall requ'I all non-compliant plumbing fixtures
to be replaced with water -conserving plumbing fixtures throughout the buildings 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 shi ll require non- compliant -
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-coimpliant 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. l
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 lle replaced with water- conserving
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or nmprovements).
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 110 1.8, 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 age.
Owner or Owner Agent's Signature:
Date: 0//2:t/'�f
Upon completing and signing this Certificate, pleaee return it to the Building Division in order to final your building permit.
i
SB4072015.doc revised 08126/15
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the
sho-,vn, it is not required to be upgraded.
SB4072015.doc remised 08/26/15
Non -Compliant
Water -Conserving Plumbing Fixture
PlumbingFixture l
(Fixture Complying with Current Cade Applicable to New Construction)
Fixture Type
Maximum Water
Usage/Flow Rate
2013 CPC Ch. 4
2013 CrFC
Ch. 4
2013 CPC Ch. 4
Wafer Usage
/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,
average flush volume of two reduced
flushes and one full flush
Urinals
Exceed 1.0
Gallons/flush
0.5 gall
Pns/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also ceI-tified
to the performance criteria of
gallons per minute
U.S. EPA WaterSense Specification for §howerheads
(A hand-held shower is considered a shod
verhead.)
For multiple showerheads serving one shower,
the combined flow rate of all
showerheads and/or other shower outlet
controlled by,a single valve shall not
exceed 2.0 gallons per minute @ 80 psi,
or the shower shall be designed to
allow onlyone shower outlet to be in ope�ation
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 018
gallons
per minute i@
20 psi
In common
and public
use areas:
0.5 gallons
per minute
@ 60 psi
1.8 gallons
per minute
60 psi
j
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 uO
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
iper 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/flow rate is equal to or lower than the
sho-,vn, it is not required to be upgraded.
SB4072015.doc remised 08/26/15