B-2017-0866CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0866
10381 MEADOW PL CUPERTINO, CA 95014-2625 (342 29 019) CUPERTINO ROOFING
INC
SAN JOSE, CA 95129
OWNER'S NAME: LOUGHLIN J GORDON AND CAROL S TRUSTEE & ET
DATE ISSUED: 06/01/2017
OWNER'S PHONE: 415-931-0332 1 1 PHONE NO: (408) 973-9427
License Class C-39 Lic. #Z
Contractor CUPERTINO ROOFING INC Date 03/31/2018
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.
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.
z. 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
P5,
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-mn%s�per the Cupertino Municipal Code, Section 9.18.
Signature Date 6/1/2017
OWNER -BUILDER DECLARATTON
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
t. 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)
z. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
t. 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.
a. 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 6/1/2017
BUILDING PERMIT INFO:
X BLDG —ELECT —PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
REROOF; TEAR OFF; INSTALL OSB; COMP SHINGLES (32 SQ)
Sq. Ft Floor Area: I Valuation: $20700.00
APN Number: Occupancy Type:
342 29 019
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Aygnde
Date: 06/01/2017
RF -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without fttsLo taining an inspection, I agree to remove all new materials for
inspection.
Signature ofApplica�it
i�iilFZilil
ALL ROOF COVERINGS TO 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 Cede\, Sections 25505, 25533, and 25534.
Owner or authorized agent:
Date: 6/1/2017
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 cupertino.or
PROJECT ADDRESS d,'J �' P "IS/ p w P a c
V
CSQrve
APN # 312 2 —0
OWNER NAME
PHONE r` 3 j-033 E -MAP
0n i I
C � 1 `� 1
STREET ADDRESS i d V, r} et Z V CITY, STATE, Zip FAX
CONTACT NAME S PHONE i/ L �^ Z J Z Y�I R E-M)kIL
STREET ADDRESS I v Z ,cz 2
CIT, STATE, ZIP . FAX
❑ OWNER ❑ OwNER-Bun DER ❑ OWNERAGEN� CONTRACTOR ❑ CON'TRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME T
J cZ' �t Sty i
LICENSE NUMBER
b
LICENSE TYPE
IBUS. LIC. # L6-�s,0-v
COMPANY NAME E-IvLAIL
FAX
STREET ADDRESS r O f , CITY, STATE, ZIP '
l
PHONE 9 R
l
ARCIIITEC'flENGINE/ER NAME LICENSE NUMBER
BUS. LIC.
COMPANY NAME
I EALML Y
FAX
STREET ADDRESS
�
CITY, STATE, ZIP
PHONE
USE OF --� SFDorDuplex L Mul=i-Farnily i ROOF AREA: I VALUATION:
STRUCTURE: ❑ Commercial — —_S z - C, Z-,) —
EXISTING ROOF TYPE: ❑ BUTLT-IIP ROOF ❑ .ASPHALT SHIT:GLES WOOD SHAPES ❑ WOOD SI)INGLES ❑ OTHER (SPECIFY)
REMOVE REPLACE ❑vES IF NO,
-- ❑ NO -L YERS:_--�-
PLItVOUD ❑ r'." ❑ FI-W✓D LJ OSB PITCH ROOF
THICKNESS: ❑ 3/8, T}'PF,:_ ❑ CDa. `T
1 CLASS:
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD El OTHER
ICC -ES REPORT #
t£HINGLES
DESCRIPTION OF WORK: �� � � G_ Q O S� � L� S_ � �� �•�-CI \ C� S � I ��. S��
By my signature below, i cenifyto-e4oh 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 1 have rovided is collect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state law;: relatin to bui din const tion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
If building is associated with a Home Owner's Association, provide letter
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear -Off Policy.
oFF CE USE ONLY "
rLANcxEcxT1TE
xouTlnG Silr "
❑ OYER -THE -COUNTER
D . EXPRESS
❑ STANDARD
❑ BUILDING PLAN REVIEW
❑-, PinnNinc PLAN REti IE«
❑ FIRE DEPT
❑ OTHER:
Reroof4pp_2011.doc revised 03/16/11
4
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
PROJECT ADDRESS t r
APN #
OWNER NAME -ba Yl\
�fC riV- �' `� (s�
,
P1104 I z q,3 I , b S7 -4E -MAIL
STREET ADDRESS %
Z (J t5
} / /-
✓ Lt l (r �``� Z
CITY, STATE, ZIP
FAX
CONTRACTOR NANIELICENSE
I
NUMBER
LICENSE TYPE
BUS. LIC. r
COMPANY NAME Cf ,v f �`) J r L n`
E-MAIL
FAX
STREET ADDRESS b S Z
��` ��
CITY, STATE, ZIP , '
PHONE / _2 ! 2
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. 'I"ne 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 dr 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-dozin or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Rooting 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 perfonned.
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 1/" 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 e tors are required to be installed in accordance with Sections R314 and R315 of
the 2016 California Residential Code.
Signature of Applicant/Agent: Lv�/ lDate:
ReroofPolicy 2014.doc revised 12/15116
CUPERTINO
Owner Name C.c f f6
Address _ _t o 3 8
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 • buildino(a)cupertino.ora
'39 1,." Permit No.
1O17-056(40
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections. 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn.
KNo Go to Question 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?
X 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.
❑ 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.
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.
XYes 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. Please 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 (regardless of whether
properly undergoes alterations or improvements).
My property is a nwltifarnily 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-conseiving 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 conaniercial 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).
I, as the owner or owner's agent of this property, certify under penalty of peijury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water-conseiving plumbing fixtures in accordance with Civil Code Sections 110 1. 1
through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's
installation requirements, and that the water - n plumbing fixtures comply with the requirements as indicated in the
table on the following age.
Owner or Owner Agent's Signature: Date: L
upon compienng ana signing inns t_ernrrrcate, please return it to the building Division in order to final your building permit.
SB4072015.doc revised 01/05/17
J
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow
Rate
Fixture Type
Water Usage
2016 CPC Ch. 4
2016 CPC Ch. 4
2016 CPC Ch. 4
/Flow Rate
2016 CALGreen Div. 4.3
2016 CALGreen Diva 4.3
2016 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
(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
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 @ 6O 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
W -s:
@ 60 psi
t-H"bove are unavailable,
Whe`r'e faucets meeting
aerators or other means
the:a.bove are
maybe used to achieve
unavailable, aerators or.
__
reduction: _ `=
other means ma Y be `
_f`.
used to achieve
seduction.`