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B-2017-0690CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0690 11755 RIDGE CREEK CT CUPERTINO, CA 95014-5155 (366 04 044) JIREH INC LOS GATOS, CA 95031 OWNER'S NAME: WEE FREDRIC C Y TRUSTEE OWNER'S PHONE: 408-398-5170 LICENSED CONTRACTOR'S DECLARATION License Class C-39 Lic. #800707 Contractor JIREH INC Date 10/31/2017 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. DATE ISSUED: 05/03/2017 PHONE NO: (408) 298-9399 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REROOF; TEAR -OFF; INSTALL UNDERLAYMENT; COMP I hereby affirm under penalty of perjury one of the following two declarations: SHINGLES - (28 SQ) 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. z. I have and will maintain Worker's Compensation Insurance, as provided for by Ac --Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $11500.00 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 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 Cupertinolylunicipal Code, Section 9.18. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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). APN Number: Occupancy Type: 366 04 044 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende Date: 05/03/2017 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 inspection. Signature ofApplicant: Date:/5 3/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL 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. 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 Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, a,0115534. Owner or authorized agen 4T;k/ % - Date: 5/3/2017 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. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(5)cupertino.org D-wa- 0GA0 qk PROJECT ADDRESS �lj�jee— APN # OWNERNAME /Q _I I PHO E-MAIL — L. D STREET ApD �$,� � u 64 /�- CIT STA ,ZIP O FAX CONTACT NAME PHO % SP x� F �L G✓ ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME r. LICENSE N MBER LILJNSET BUS. LIC. # COMPANY NAME E- IL FAX ,. STREET 3_ CITY, STA ,ZIP ' --��� Ad PHO. �y� -MARCHPPECT/ENGINEER s 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: n /, STRUCTURE: [I Commercial ! �,OV EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES FOOD SHAKES ❑ WOOD SHINGLES 11 OTHER (SPECIFY) REMOVE/REPLACE ❑YES IF NO, PLYWOOD ❑ w,❑ PLYWD El PITCH: ROOF ❑ NO # LAYERS: THICKNESS: El 5/8" TYPE: 11CDX 1 .12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES []OTHER ICC -ES REPORT # DESCRIPTION OF WORK:.— 4a ©Fr _Iw6 "mec�� 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 to buiI A I authorize repr entatives of Cupertino to enter the above -identified prperry or inspection purposes. �struct' Signature of Applicant/Agent: Date: Z� SUPPLEMEN AL IN ORMATION REQUIRED OFFICE USE ONLY PLAN caECK TYPE ROUTING s rp If building is associated with a Home Owner's Association, provide letter ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW of approval from HOA. Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING FLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear -Off Policy. ❑ OTHER , ReroofApp_2011.d6c revised 03/16/11 10M CUPERTINO 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 a()cupertino.org PRO DI,E,S l ATN # IO O O OWNE AME e E-MAIL S DRESS CIT TAT IP / I s eA /y�0, FAX CONTRACTOR NAME g, LICEN! ) OBE , LICrSET E BUS, LIC COMZ SNANZE / I S CT- Ci 0 E-MAILFAX / OS vl C �} C� U& / - / ,7 I STRE ,kTSL S CITY TATE, \ , - 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 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 '/4" 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. 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 e installed in accordance with Sections R314 and R315 of the 2013 California Residential Signature of ApplicanVAgent: Date: , U RerooJPolicy_2014.doe revised 01/15/14 } SMOKE_/CARBON-M-ON_OXI.DE-ALARM-S -L 104.4,./ OWNER CERTIFICATE OF COMPLIANCE 4.41:19,4. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinciRcupertino.orq Permit No.,/3 02—(26 96 Address II 7-55 &Cj hu-k k #of Alarms Smoker Carbon Monoxide: ' 1. PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO TH I 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 , inspectionb care 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 51000 00, CRC_Section 8314 ancLCBCSections_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 X X bedroom( s)• On every`level of a dwelling,unit including basements X X Witt n each sleeping;room X • 11 Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not havel an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply,with CBC Se;ction420.6 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 res-Ulti.n 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 whieh 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. ` have read and agree to comply with the terms and conditions of this statement Ow er(or Owner Agent's)Name: ; o , Signature Date:l... Contractor Nam • Signature Lic.# Date: Smoke and CO fonn.doc revised 03/18/14