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B-2017-0137CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0137 7555 HOLLANDERRY PL CUPERTINO, CA 95014-5039 (362 26 059) ALL COUNTRY ROOFING INC SAN MARTIN„ CA 95046 I OWNER'S NAME: LIU KEN H AND TRACY E TRUSTEE I I DATE ISSUED; 0 112 512 0 1 7 CIZ+iiL►�.'J�1s�."j� �I�I.�:ir�l�:�+��!.1.�7 161,161 D100 01 ► 110 M st r t_: s► License Class C-39 Lic. #9ZVM Contractor ALL COUNTRY ROOFING INC Date 12/31/2018 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business & Professions Code and that my cense 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. 2.--4 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 per the Cup9_rtJWWunicipaI Code, Section 9.18. �kwAi7itr7 hereby affirm that I am exempt from the Contractor's License Law for one of the two reasons: 1, 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 (See.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed G contractors to construct the project (Sec.7044, Business & Professions Code). PHONE NO: (408) 893-2365 BUILDING PERMIT INFO: X BLDG —ELECT _ PLUMB _ MECH X RESIDENTIAL — COMMERCIAL JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following three 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. 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. 3. 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 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 per the Cupertino Municipal Code, Section 9.18. Signature Date 1/25/2017 ; TEAR -OFF; INSTALL 30 LB FELT; ASPHALT SHINGLES - SQ) Sq. Ft Floor Area: I Valuation: $10500.00 "N Number: Occupancy Type: 362 26 059 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for lisp tion. Signature of Applicant: _ Date: 1/255/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS_ MATERIALS DISCLQBURE I have read the hazardous materials requirements under Chapter 695 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 Municipal Code, Chapter 9.12 and the Health & Safety Code, Seetio 25505, 25533, and 25534. Owner or authorized agent: Date: 1125/2017 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. 3057, Civ C.) Lenciees Name Lender's Address ARCHITECT'S DECLARATTON 1 understand my plans shall be used as public records. Licensed Professional CUPERTINO 1-6-2o1� -Ol`b-�- REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228! FAX (408) 777-3333 • buildingP—cupertino.org PROJECT ADDRESS )/ AV I APN # Z n . ,, % v row S �� % OWNER NAME J P13QN 6 2 3 1 7 7- E-MAIEL [ ! STREET ADDRESS 1 �j / ITY,vST? ZIP FAX CONTACT NAT ME PHO rye -MAIL STREET ADDRESS STREET CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 4D CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 61 LICENSE NUMBER C�� LICENSE TYPE - BUS. LIC.# `` (45+3 t / COMPANY NAME F MAIL FAX CI, ATE, ZIP STREET ADDRESS S �� ,Gym PHO 6 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: a 21-11, p��7e STRUCTURE: Fl Commercial '1�5' EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ;3-' I HALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE YE$ IF NO, PLYWOOD ❑ w, ❑ PLYWD El OSB PITCH: 1 Z ROOF `� ❑ NO # LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX ' CLASS: �/ PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF E ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: 1 / l m >�� e � ,� ; S Na tory ) - o. I 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 to build nstruction. I authorize representatives of Cupertino to enter the above -identified property` for inspection purposes. / Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY pLANCHECKTYPE ROUTING SLIP _ If building is associated with a Home Owner's Association, provide letter of approval from HOA. I] OVER-THE-COUNTER BUILDINGPL.AN REVIM Provide Planning approval to verify If there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. 0 STANDARD � FIRE DEPT Provide signed copy of Cupertino's Tear -Off Policy. 0, OTHER: -- ReroofApp_2011.doc revised 03116111 a 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 aEcupertino.org PROJECT ADDRESS APN # OWNERNAME C @ l rPHOfa��Ig3_ �� MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTRACTOR NAMELICINSE NUMBER y° LICENSE TYPE BUS. LIC. # COMPANY -NAME ,Q J/ � g� E-MAIL FAX STREET ADDRESS , CITY`STATE, ZIP PHO I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2016 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/" 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 2016 California Residential Code. Signature of Applicant/Agent: Date: / � ReroofPolicy_201-�oc revised 12115116 Owner Name Address WATER -CONSERVING PLUMBING FIXTU OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 77 7- 228 • FAX (408) 777-3333 • building(d.cupertino.org No. /J! d1,3 1. Is your real property a registered historical site? j ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form andlsign bottom of form. I!r No Go to ,Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration ofI the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ 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. j lay 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 andjsign bottom of form. 5Ao Go to Question 4. j 4. Is your real property built and available for use or occupancy on or before January 11, 19949 ❑ 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. '� yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. i i Ple se 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 plumbing fixtures shall be replaced with water -conserving plumbing fixtures i(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 pro perty undergoes alterations or improvements). ❑ Myproperty is a commercial real property. See Civil Code Section 1101.5. j 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). 1, 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 Pluinbing 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 pate. Owner or Owner Agent's Signature:'" Date: I / f2l/ i oo I Upon completing and signing this Certificate, please return it to the Building Division in order to final your SB4072015.doc revised 08126115 taM 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figi�re shown, it is riot required to be upgraded. SB407 2015. doc revised 08/26115 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum WaterjGsa a/Flow Rate 2013 CPC Ch. 4 2013 C', C Ch. 4 2013 CPC Ch. 4 Water 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 0.5 gallons/flush 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 i (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: i0.5 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 imust 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi I the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable; aerators or reduction. other mean's may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figi�re shown, it is riot required to be upgraded. SB407 2015. doc revised 08/26115 PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with. 2016 ,CRC Section 8314, R315, 2016 CSC 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 dwell ng units exceeds $1000.00, CRC Section R314, R315, and CSC 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 bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) I X X On every level of a dwelling unit including basements and habitable attics X X Within each slee in -room X _ J Carbon Monoxide alarms are not required in dwellings which do not co�ltaul 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. Pouter Supply: h -i dwelling units with no commercial power supply, alar (s) maybe 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 420.612. 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 b date signed below. Address: __� 5W H61jOL H Orr y P j n(s) referenced above has/have been diance with the California Building tested and are operational, as of the Permit No.0 01 �_®I'� 7 Specify Number of Alarms: # Smoke Alanns: Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner(orOwner A ent'ss) Name: I 2' � R" Signature ... ....... ....... ..... ....... ......... ... ........ .......................................Date: 11.7.....' Contractor Na ri i^ 90ignature....... ... ................................................. Lic.# ....... .. -9'-.-Datej6j Smoke aiad CO fo777l.doc i•ei ised 0111012017