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B-2017-0482CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0482 843 SEPTEMBER CT CUPERTINO, CA 95014-4125 (362 12 009) PRINCIPLE ROOFING INC CUPERTINO, CA 95014 OWNER'S NAME: LIAW ERIC TRUE-YUAN i DATE ISSUED: 03/27/2017 OWNER'S PHONE: 408-218-8536 I PHONE NO: (408) 898-7298 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-35 Lic. #956887 Contractor PRINCIPLE ROOFING INC Date 01/31/2019 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 SHINGLES - (27 SQ) I hereby affirm under penalty of perjury one of the following two declarations: r. 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, a$ provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i Sq. Ft Floor Area: Valuation: $13000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 362 12 009 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. Additionally, the applicant understands and will comply with all non ;point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18: i 180 DAYS FROM LAST CALLED INSPECTION. Signature i'�_ - Date 3/27/2017 Issued by: Abbyyende OWNER-B Tn,DER DECLARATION Date: 03/27/2017 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. 1, 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) z. I, as owner of the property, am exclusively contracting with licensed - Signature of Applicant: +L—V 1117- contractors to construct the project (Sec.7044, Business & Professions Code). `'' Date: 3/27/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. 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. 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 Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making tliis 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: 3/27/2017 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 againstliabilities, judgments, costs, and expenses which may accrue against said Ci 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 3/27/2017 Si g Professional F REROOF PERMIT COMMUNITY DEVELOPME14T APPLICATION DEPARTMENT • BUILDING DIVISION 10 300 TORRE;'AVENUE • C P RTINO, CA 95014-3255 UPER1'°INO {403.} 777-3228 * FAX (408) I. G 77-3333 a bt%"sidingQagu,�p rdno,orq 1'"o X'T 1ITk�Ri55 " [ —3 S'ME'. OWNER v a"IdC}tid� _ E -MAR. / a3RiSS iRFI i _ .. CITY,. STA7E.Z%r ! f,iX � CONTACT NAME � ta - - PHONE E-MAIL r� Z, S-YACET ADDRESS CITY, ZFP FAX _ COVItiiL=-1hfALM%0 3tNCL"IT AfICFiNTRACTORAGEN13I O iNfNr.Ert ID TL.Avj' r"IfY'cPT£ D'rEViLOPEN iRAGENT rC70:'1,1PAN— I1.71C ICAEjaticSfjIr J „ LkERBu's�� 7ANIr ��9" - r000 FAY,'�. STi kil-CADDR€4SS f Gj� SG is' C~13 K STATE, ZIP 1� �"M� , - L - v� PHONE' � . ARC`k:it"::G"%7L•'i*:GCk�Ei?ItNr ME TCONIPANY',"NIF,, HUS .IC 4 - H -MA --H, VWX SRUIT A OriRESS NsE [, Z PHONE tr�iplea 0 Mlisti-Family _. VALUATION t()FAJIL�A d STRUCTURE L] Commercial E 11 B1JJL:,'-R ROOF 0 ASAIX SrtiCE.AKTi� MWdQJ,HINGLES OT3E :ifS!FKiCi}EXSIINK2OO ` Rl.A3K tTk2 iitLPLAC,"k Hil':F,11'�Oy�"' i LS i%CDC%U z" PL}}i f) LlSi3 I'!'t'CF3 ROOF v : 1 L No::1 7 iiisLA ESS S;k" i'i7'F C tJX C. (A5 r PROPUSEDROUP TYPE. EIi3U'IL'r-tll Root, 4 /,S`l'lfALTStjjNG.LFk %CC° -E 1S 1M'P()A 1' r' 01A10 DSJSI',KrS 0i4'C117I)'s£{UNGLRS ontsR DESCRIPTION01-WORK- xi f'ly my signature below, I certifyto cacti of the fal loiS'Inx i a61t the ope n} ownr or a uthoTized agent t0 act on the property ONIMer'S behalf I have .read this a ppplicak€Ou and the € iformation [have provided 1S co ric, i have rend the Description Oi WoriC'a nd verify it is accurate. i ajzrCL i0 comply with all applicable loca3 ordinances and State laws relH1mg t0 building c onstiuclion. � 8utilbr€• i' i4''j'3rC,tieltttikdVC5 U1 (.:kltltrr£iI'lCi bO erik{:r tite �'B3t1VSi-i;fC itktf ttii }71'E7I7i;rt!' i'Ur IitSj?€.C%6CSSi (3ittfaOSCS Signature oi'Appl'ica ntfAAenc _ Date:� � ������ SLPPI ENIF'NTAL T.N'F R TION TtEQUI3 ...._ If Wilding is a.,isociated ivith a Home O. vnees A.ssochcati letter iI.r#,.�a° �`.€$E�kC`S"a',#`"F,". FifiT.`i"fkE$:.Ti.I.;la' M n, provide ofujoproval front110A. .0 , c7vwtiaico'i''kTFA I .EIT.tt,�erNt�PL����vt�u Provide Planning approval: to verity ifthere ally restrictions. �_.. ts�a t �g � fj,« NVNO PLAN AWNttaML Provide eopy of lManufacturces Installation Spec"kticatio . 0'.ji'TatatxAM G� rasak jl�t i' Provide signed _cojoy ofCupertino's Tear -Off Policy, . 0 ItdL'P t?fA17j.7 ,2011.&)c revis cl 03. 1611 REROOF TEAR -CFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P,E,, C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - C I JPERTINO, CA 96014-3255 C.UPEftTM0 1 (408) 777-3228 i FAX (408)";'77-3333 - buildinaOcumrtino.oro ?ROJE(',r ADDRESS mkwF1ZNAMF I'VIONE TR,EETADDRT­SS CITY STA FAX I CN"l O-RACTOR NAME MISE, N11ABER BUS LIC 9 COW AN" Y NANIE STIU.'Mr I UNDERSTANE 1. The re-rodf prqject shall comply with 61 2. An inspection request can be scheduled Please schedule inspections online or co 2-30pin (Friday) to schedule inspection. day of the inspection only after that pt available within. one hour, Tlie hours fc, and 7:36-10:30amand 12:30 2:30 (Fr 3. Tear -Off InIpeection, is required. Any Unless new plywood roof sheathing is y. completely knocked down or removei 4If plywood is installed, a plywood Naili 5. Roofing shall not. be applied without fir building inspector. Any roofing which require the removal of all new material E. A Final Inspection and arovat shat completed. To receive a final sign -off, a. Flat .roofs shall have a nfinimu, b. Listings From approved testing available on-site to review at t] c. Proper spark arrestor installati4 NOTE: If you call for a tear -off or p)y� charged a re-inspeeficia fee. The re-insi scheduled. By Iny signing below, I -certify each of the follow property owner's behalf I understand and agree' smoke detectors and carbon -nionoxide detectors the 2016 Cali fornia Residential Code, Si2nature, of Ariplicant/Agent: OTY. S1 STE, ZIP I 11110IN11, AGKEE TO THE FOLLOWING, applicable provisions of the 20 16 California Codes. [-(408) 777-3228 from 7:3 )0-3-30pin (Mon,Thurs) or 7:30 - For Tear -Off and Nailing Inspections, you ntust also call on the iscofthe work iscompleted, The building inspector will be t7 this service are: 7:30-0:30am and 12:30-3:30 (Mon -`i burs) Jay). Final Inspections will.be given a two hour window, and allY dr -rotted -wood shall be replaced prior to this inspection.. I oposed throughout, all the nails/fasteners shall be either prior to this inspection. - obtaining all prior inspection and written approvals from the applied without first obtainitijg, an approved inspection will awn to the sheathing so a proper inspection can be performed. )e obtained froit the building inspector when the re-rocifi ng is e following items will be verified: of W' per foot of slope and demonstrate .there is no ponding. gencies; for all pre -manufactured. products used shall be time of the inspection. vents painted, gutter/downspouts installed, debris retnoved. t� #od nailing inspection and the work is not complete, you will be ction fee shall b �d before anotLer ins aection can lae is true: A am the property owner or authorized agent to act on the comply with the re-roaf policy stated abo�x, I also Linderstand that required to be installed in accordance witil Sections 8314 and R315 of Date:, RerooJ71olicy.2014-110C ­ViSed 12 15=16 SMOKE.! CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE `' COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building( cupertino.orq PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED,SIGNED,AND RETURNED 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 2016 CRC Section R314,R315,2016 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,R315, 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: 1 AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s)-(Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide ala,.uts 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: 54.3 $&/rrit4fizie, CI , C4 -et-a-4'?& Permit No. /3,Z-i/,- - 4,2_ Specify Number of Alarms: #Smoke Alarms: I 4 ( #Carbon Monoxide Detectors: I 2 I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: Signatu � (r 9 -.,.. \— ------- Date: . Contractor Name: • j C� =� i�G-L 'Tr 0,Wc4 Signature —1:77..._‘_____25_ Lic.#.. 5 iDate: Smoke and COform.doc revised 01/10/2017 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE c9, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION I IP RI IIT�tC> 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq(a,cupertino.orq Owner Name eL L At„! Permit No. 13 - 046' Address 8 43 S' tErhskele-- at, al-feee frail A4 l. Is your real property a registered historical site? ❑des Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ©'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? ❑ 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. I '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. 1-4/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 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.. 5. PP1eeee check ONE of the following: Eli My property is a single-family residential realrtY ro e . See Civil Code Section 1101.4. p p - 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 (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 fixes. 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:_ o�'—" -- Date: 7,4,�/ Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 01/05/17 - ._ .:. :...s::.i_.::..::�-:"<•:.t,:'"i:'z:r;r.`_i:,:F.:w,Sj:;;x_:.r£ii:._.:.::..,x_:":'.:i::J:.:':...`.i;r_:%:�iE::.iF::::: :::rl::.i:::`::: [:i�: -m BUILDING PER11 IT CANNO . 3E: 'ARCED.AND C©7.V PLETED 1 f�TI 'T IS'+ : _ ,>��-:q..."� �`.�:...:.;:✓�x_,ca-« ; ,i-:Zn ' �'- R IR ESJ3EE . IG1VED,AmYiEURA�D;�4rF:% .L?`1-7i4 � ✓ "-cmet1u. 1 „ eit� /51 'Mnzr: y - >�f-;":11 .7R FY•�:_'�` r � ;r-K- Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type - 2013 CPC Ch.4 2013 CPC Ch. 4 2013 CPC Ch.4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3 /Flow Rate 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 (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/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. • SB407 2015.doc revised 08/26/15