B-2017-0815CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0815
10480 IMPERIAL AVE CUPERTINO, CA 95014-5930 (357 19 086)
ADVANCED ROOFING
& RAINGUTTERS
FRESNO, CA 93725
OWNER'S NAME: QI LING AND HU MINZHI
DATE ISSUED: 05/23/2017
OWNER'S PHONE: 310-913-4479
PHONE NO: (559) 441-7800
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C-39 Lic. #900629
Contractor ADVANCED ROOFING & RAINGUTTERS Date 07/31/2017
X BLDG —ELECT —PLUMB
MECH X RESIDENTIAL COMMERCIAL
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.
JOB DESCRIPTION:
REROOF; INSTALL COMP SHINGLES (9.5 SQ)
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 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
Sq. Ft Floor Area:
Valuation: $1750.00
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
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
357 19 086
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.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature L -7,'6t 11,1 1Z 5 Date 05/23/2017
Issued by: Kim Dunbar
OWNER -BUILDER DECLARATION
Date: 05/23/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RF -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 (Sec.7044, Business & Professions Code)
z. I, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 05/23/2017
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. 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
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 this 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{ -r7„` a 1,,:y Air & 5 (il/Wt t.6A
APPLICANT CERTIFICATION
Date: 05/23/2017
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.
Licensed
Signature Date 05/23/2017
Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO. CA 95014-3255
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CUPEitTI .o 1 (406) 777-3226 < FAX (408) 777-3333 • buildm cupert!no org
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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
CUPfRTiNO
(408) 777-3228 - FAX (408)777-3333 - butdingCd7cupertino or
I M fill: FOLI.OV ING:
1'he re -roof proiect shall compl} with all applicable pros isions of the 2016 California Codes.
?. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-1-228 from 7:30-3:30pm (Mon-Thurs) or 7:30-
0prn (Frida}°) to schedule inspection. For] Gear -Off and Nailinu Inspections. you must also call txt the
day of the inspection only after that phase of the "ork is completed. The building inspector will be
available within one hour. fhe 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). I. inal Inspections k,, ill he given a two hour w indoka.
3. Tear -Off Inspection is required. _env and all dry -ratted �v ood shall be replaced prier to this inspectic"�n.
Unless new plywood roof sheathing is proposed throughout. all the nails/fasteners shall be either
completely knocked -down or removed prier to this inspectiOm.
4. If pl} wood is installed. a plywood Nailing Inspection is required.
Roofing shall not be applied without first obtaining illi prior inspection and written approvals front the
building inspector. An\ 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.
b. A Final Inspection and appro,"al shall be obtained front the building inspector when the re -roofing is
completed. To reccivc a final sign -oil: the following items will be verified:
a. Flat roods shall have a minimum ol'' per loot ol' slope and demonstrate there is no ponding.
b_ Listings from approved testing agencies lir all pre -manufactured products used shall he
available on-site to review" at the time of the inspection.
c. Proper spark arrestor installation. vCuts painted. 21,11ter do knspouts installed. debris removed.
7. NOTE: If you call for a tear -off or plvgood nailing inspection and the wvork is not complete. lou will be
charged a re -inspection fee. Fhe re -inspection fee shall be paid before another inspection can be
scheduled.
13v ni} signing belo�4. i certit4 each of the f��llowing is true: 1 am the propert% ox>ner car authorized agent to act on the
property owner's behalf. I understand and agree a co npl� » iih the re -roof polic} stated above. I also understand that
sntc�ke detectors and carbon monoside erectors e rrj luired to he in,talled iliac cordance �,� ith Sections R31 t d R31 of
the 2016 California Residential Code.
Signature of Applicant Agent: Date:
_'"11l1'"' !_'-'_'t"' ;_' 1? Ili
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I M fill: FOLI.OV ING:
1'he re -roof proiect shall compl} with all applicable pros isions of the 2016 California Codes.
?. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-1-228 from 7:30-3:30pm (Mon-Thurs) or 7:30-
0prn (Frida}°) to schedule inspection. For] Gear -Off and Nailinu Inspections. you must also call txt the
day of the inspection only after that phase of the "ork is completed. The building inspector will be
available within one hour. fhe 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). I. inal Inspections k,, ill he given a two hour w indoka.
3. Tear -Off Inspection is required. _env and all dry -ratted �v ood shall be replaced prier to this inspectic"�n.
Unless new plywood roof sheathing is proposed throughout. all the nails/fasteners shall be either
completely knocked -down or removed prier to this inspectiOm.
4. If pl} wood is installed. a plywood Nailing Inspection is required.
Roofing shall not be applied without first obtaining illi prior inspection and written approvals front the
building inspector. An\ 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.
b. A Final Inspection and appro,"al shall be obtained front the building inspector when the re -roofing is
completed. To reccivc a final sign -oil: the following items will be verified:
a. Flat roods shall have a minimum ol'' per loot ol' slope and demonstrate there is no ponding.
b_ Listings from approved testing agencies lir all pre -manufactured products used shall he
available on-site to review" at the time of the inspection.
c. Proper spark arrestor installation. vCuts painted. 21,11ter do knspouts installed. debris removed.
7. NOTE: If you call for a tear -off or plvgood nailing inspection and the wvork is not complete. lou will be
charged a re -inspection fee. Fhe re -inspection fee shall be paid before another inspection can be
scheduled.
13v ni} signing belo�4. i certit4 each of the f��llowing is true: 1 am the propert% ox>ner car authorized agent to act on the
property owner's behalf. I understand and agree a co npl� » iih the re -roof polic} stated above. I also understand that
sntc�ke detectors and carbon monoside erectors e rrj luired to he in,talled iliac cordance �,� ith Sections R31 t d R31 of
the 2016 California Residential Code.
Signature of Applicant Agent: Date:
_'"11l1'"' !_'-'_'t"' ;_' 1? Ili
SMOKE I CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING, DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 9MI4-3255
(408) 777-3228 - FAX J408) 777-3333 - btdIdin9C0CU13Wbk.0Ar
PERNUT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN
COMPLETED, SIGNEDL ANDREILHNM To WE BUILDING DIVISION
I
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.
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 location.-,:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedrooms} — Smol~e alarms shall not lie located within 3 Feet of bathroom door)
X
X
On every level of a dwelling unit including basements and habitable. attics
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 commerci a] 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 t1tat the alarm(s) referenced above has/have been
installed in accordance with the manufacturef 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. iC>4 Xt —X--ItA
_r _tL&a501 Permit No.j? 20— 1:3
Specify Number of Alarms: 4 Smoke Alarms: # Carbon Monoxide Detectors:
I have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agents) Name:
MAI 1+tA
ZR
. . . . . ............. . ........ ...... —
-Contractor Name:
....... ...... I ............. UCA — oat,/:
&noA-e and COform. doe rn4sed 01/10,12,917
WATER -CONSERVING PLUMBING FIXTURES
tiWNER CERTIFICATE OF COMPLIANCE s OCOMMUNITY DEVELOPMENT DEPARTMENT # BUILDING DIVISION
CUPEATIM0 10300 TORRE AVENUE - CUPERTINO. CA 95014-3255
FAX (408) 777-3333 tMWLng@cM0ftqM
O%vaer Name, 4-A EejnLt jig.
5 - av V7 - o 9
U
PERN11T CANNOT BE FINALED AND COMPLETED LINTEL TEILS CERTWICATE
HAS BEENSLQ� RE! AND UIURNLII TO TiE BUILDLNG DIVMON
Please refer to the attached California Civil Code Sections 1101.1 .- 1101.11 which are part of this Certification form,
1. Is your real property a registered historical site'?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
1 17
Owner' Signature;Date: -,-.I
No Co to Question 2. lqr4
2. Does your real property have at licensed plumber certifying that, due tel the age or configuration of the property or its
plumbing, installation of water -conserving, plumbing fixtures is not technically feasible?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
0 The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the foraL
Owner' Signature:H-U- Date'.
No Go to Question 3. Ayx�
3. Is water service permanently disconnected for your building?
0 Yes Civil Code Sections 1101.1 through 1101.8 (to not apply. Sign below and skip the rest of the form
Owner' Sienaturc- A4 R -N Date: 51.>-6
;e No Go to Qustion 4. '
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
0 No My real property is built and available for use or occupancy g1ler January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
lar
owner, Signature: �... -j a1-1 Date:=
Va1M'a'bl!fbTrfisc or occupancy on or before Yes My real property is buAand. ' I &, January 1, 1 �94.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
My property is a single fandly residential real property. See Civil Code Section 1,101 A.
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 be -fore January 1,
2017, all non-compliatn, plumbing fixtures shall be replaced with water -conserving plumbing fixtures (re gardle
ss
of whether property undergoes alterations or improvements),
171 My property is a niyltifaynitv 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).
0 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-consciving plumbing fixtures.
SB407 2014.dor revised 03/18114
On or before January 1, 2019, all non-compliant plumbing fixtutes 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 perlury that non-compliant plumbing fixtures have been replaced
with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current
California Plumbing Code and California Greun Building Standards Code, and manufacturer's installation requirements, and
Hiatt the water -con E!jnt.2
!u
jp�ftig fixtures con1ply with the requirements as indicated in the table below.
'MAIMS,
vAill —inpleung arta signing mis Lertiticate, please return it to the Budding Division in order to final your permit.
1. Tr the existing plumbing fixture water utmvc/flow rate is equal to or lower than the figure shown, it is not requimd to be upgraded_
SB40 7 2014. dav rrv&ed 03118114
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Fixture Type
Maximum Water Usage/Flow Rate
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
Water Usage
tFlow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 43
2013 CALGreen Div. 5.3
Single -Family
Multi -Family
Commercial
—Closets
Residential
Residential
Water
Exceed 1.6
Single flush toilets: 1.28 gallonsiflush
(T'Dilets)
Gallonstflush
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
avers flush volume of two reduced flushes and one full flush)
Urinals
Exceed 1.0
Gallons/flush I
0.5 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 gallom per ininute (q), 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
Faucets–
Exceed 2.2 gallons
1.8 gallons per minute @
..psi
1.8 gallons per minute
1.8 gallons per minute rr 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. Tr the existing plumbing fixture water utmvc/flow rate is equal to or lower than the figure shown, it is not requimd to be upgraded_
SB40 7 2014. dav rrv&ed 03118114