B-2017-0633CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS:
1515 POPPY WAY CUPERTINO, CA 95014-5306 (366 15 028)
CONTRACTOR:
C & C ROOFING
PERMITWO: B-2017-0633
SAN JOSE, CA 95116
OWNER'S NAME: NARAYANAN SRIDHAR AND NARASIMHAN NIRANJANA
DATE ISSUED: 04/24/2017
OWNER'S PHONE: 408-829-5756
PHONE NO: (408) 298-1868
LICENSED CONTRACTOR'S DECLARMON
BUILDING PERMIT INFO:
License Class C-39 Lic. #499282
Contractor C & C ROOFING Date 10/31/2018
_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:
I hereby affirm under penalty of perjury one of the following two declarations:
REOROOF; TEAR-OFF; INSTALL OSB; COMP SHINGLES - (24 SQ)
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.
z I have and will maintain Worker's Compensation Insurance, as provided for by
>'!
/5F Section 3700 of the Labor Code, for the performance of the work for which this
CO
permit is issued.
Sq. Ft Floor Area:
Valuation: $13375.00
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
366 15 028
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 this permit.
Additionally, the applicant understands and will comply with all ll non-point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
7
Signatureepi �r�G'(fG ( �,_�..— Date 4/2412.412
Issued by: Abby yende
Date: 04/24/2017
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 Business &Professions Code)
owner of
z. I, as owner of the propertyam exclusively contracting with licensed 'Signature
ofApplicant: e� v�,
� C/�
contractors to construct the project (Sec.7044, Business & Professions Code).`
Date: 4/24/2017
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
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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. I 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
a. 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
Worker's Compensation laws of California. If, after making this; certificate of
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
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: 1r(21""—
APPLICANT CERTIFICATION
Date: 4/24/2017
1 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.
Signature Date 4/24/2017
Licensed
Professional
tA;
REROOF € ERMITAPPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • build ing(d_)cupertino.org
PROJECT ADDRESS m.
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APN
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CITY, STATE, ZIP Fp Y
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CONTACT NAME q / _
PHONE E-MAIL
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FAX
❑ OWNER ❑ OWNTER-BUII.DER ❑ OWNERAGENTI' CONTRACTOR ❑ CONI'RACTORAGEI.*f ❑ ARCHITECT ❑ ENGLNEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME / LICENSE NUMBER
LICENSE TYPE
BUS. LIC. 'I
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COMPANY NAME p_
E-MAIL
FAX
STRE T ADDRESS ter^ eCITY,
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STATE, ZIP
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PHONE
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ARCHITECT/ENGD,=R NAME LICENSE NUNffiER
BUS. LTC. ;r
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
1
PHONE
USE OF ❑ SFD or Duplex ❑ Multi -Family
ROOF AREA:
VALUATION:
STRUCTURE: ❑ Commercial
,
7 e
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPILALT SHINGLES LK\� WOOD SHAPES ❑ WOOD SHINGLES El OTHER (SPECIFY)
REMOVE MEPLACE YES
❑ NO
IF NO, �^
r LA"YERS'' e1UG
PLYWOOD '/:" ❑
THICKNESS: ❑ ,/8"
PLYWD OSB
TYPE: ❑CDS !�
PITCH:
- - 112
ROOF
CLASS: A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER I ICC -ES REPORT t
DESCRIPTION OF WORK:
�® �p
Ire n I /ice /L- S/
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 tobuildingconstruction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent:®//j ��.� ��2�y� � '� Date: _17e °
SUPPLEMENTAL INFORMATION REQUIRED
; OFFICE IiSEonLY:
Fran CHECk1iTE
IiolJTirec:sLlP
If building is associated with a Home Owner's Association, provide letter
O\ ER -THE COUNTER
BUILDING PLA -REVIEiV '.
Of approval from HOA.
` Provide Planning approval to \ eniy if there any restrictions.
�EXTRSS
I] _pLNNuq
Provide copy of Manufacturer's Installation Specifications:
D STANDARD
FIRE DEPT
Provide signed copy of Cupertino's Tear -Off Policy:
Cl _ OTHER:
ReroofApp_2011.doe revised 03/16/11
+t: UPE.RTING
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 • buildinana.cupertino.org
PROJECT ADDRESS
APNT f
/L6
OWNTTER NAME
s
I PHONE �-^
E-MAIL
STREET ADDRESSCITY,
STATE, ZIP
FAX
CONTRACTORNAME IE
LI ENSE NUMBER
LICENSE TYPE
BUS. LIC.
!ate zC,Z_
COMPANYNAME
E-MAILFAX
O -1
STREET ADD Ss
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CI �S�TATE, ZIP 9
PH qE
Vola
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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: 7:311710:30am 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 fi-oin 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 froin 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/doNvnspouts 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 signingbel'o� ; I certify each -of the'follo« mg is true`. I ani the property o«Ther 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 ADDlicant/Agent: Date: /� —_-2 Z/ f
ReroojTo1icy_?014.doc revised 12116/16
wzwaamm
Address 1 S/
SMOKE / CARBON MONOXIDE ALARMS
O1f� NER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(Wcupertino.org
U/A Y_ CCY&P-71 A10, ( 4
PERMIT CANNTO'I' BE FLNALED AND COMPLETED UNTIL THS CERTIFICATE
ETAS BEENFD`ANI3 REQ I7REDCi THE BUILDIN.DiISION ...:.
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 8314 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 R SMOKE ALARM, CO ALARM
AItR4Ajj-AtvA Nf3 _ori M')AA%
Outside of each separate sleeping area in the immediate vicinity of the X X
Contractor Name:
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.
I have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
�j
V.-............
AItR4Ajj-AtvA Nf3 _ori M')AA%
Si nature.......f. V..... "................................. Date:..5./1 J...t.
..............................................................
Contractor Name:
�Atv,At ►1—
Signature.. Lic.# ... /...-I.ZB.L........... Date: .- >s-1...
Smoke and COfonn.docrevised 03/18/14
CUPERTINO
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 • buildinp(al-cupertino.org
Owner Name Nlf-BA1,Y_AA1-6 N444d'/I(/V,1A Y,1If64-fi/PermitNo.6-1011-06;—
Address 19/ S_ APP " � C'0,tf 4 %1Af0 CA 7Sj1744
Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
/ Owner' Signature:
O No Go to Question 2.
Date:
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.
Sign below and skip the rest of the form.
Owner' Signature:
dNo Go to Question 3.
Date:
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
ff"No Go to Question 4.
Date:
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. Sign below and skip the rest of the form.
Owner' Signature: Date:
Rr 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. Refer to the attached.
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 (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.
SB4072015.doc revised 02/04/15
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/We, the owner(s) 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
reauirements. and that the water -conserving plumbing fixtures comply wv4h the requirements as indicated in the table below.
Owner's (or Owner Agent's) Signature: 1V Date: b /!T, /_�! �
Upon completing and signing this Certificate, please
it to the Building Division in order to final your permit.
1. I,'the existing plumbing fixture water usageiuow rano ,s equa. ,,. _0.,.
SB407 2015.doc revised 02/04115
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow
Rate
Fixture Type2013
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.
_ _ _ _ _ ___
.,,.„ A. fianrr chnwn
it isnot reauired to be upgraded.
1. I,'the existing plumbing fixture water usageiuow rano ,s equa. ,,. _0.,.
SB407 2015.doc revised 02/04115