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B-2017-0864CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0864 10532 MERRIMAN RD CUPERTINO, CA 95014-3922 (342 16 094) CUPERTINO ROOFING INC SAN JOSE, CA 95129 OWNER'S NAME: MORRISON DONALD F JR TRUSTEE DATE ISSUED: 06/01/2017 OWNER'S PHONE: 415-931-0332 PHONE NO: (408) 973-9427 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic. #Z Contractor CUPERTINO ROOFING INC Date 03/31/2018 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; TEAR OFF; INSTALL OSB; COMP SHINGLES (30 SQ) I hereby affirm under penalty of perjury one of the following two 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. -have and will maintain Worker's Compensation Insurance, as provided for by 1� Je non 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $18143.00 J/ permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: Type- information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 342 16 094 342 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 agai st said City in consequence of the granting of this permit. 'cant WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the ap understands and will comply with all non-point source regulations p the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/1/2017 Issued by: AbbyAvende OWNEi2-BUILDER DECLARATION Date: 06/01/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF-ROOFS: All roofs shall b@.,inspected prior to any roofing material being installed. If a roof is following two reasons: 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) C 2. 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: 6/1/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL R OF COVERINGS TO BE CLASS "A" OR BETTER 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. 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. 1 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 Luse equipment or devices which emit hazardous air contaminants as defined by thellay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupe 'no Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Cde, Sectio s 25505f;5533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: v APPLICANT CERTIFICATION Date: 6/1/2017 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 CONSTRUCTION LENDING AGENCY 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 6/1/2917 Professional I CUPERTINO 'b-ZOR- 0-L4 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org PROJECT ADDRESS ^ + b r M e� APN C (41 OWNER NAME ^t ( P'A 1. E-MAIL STREET ADDRESS 2 D b S Q r S_ �t p f 2 CIT TAr,ZIP C A 41 ) I' FAX CONTACT NAME �1 ` , N PHONE r , c ` 2 `r Cl E-MAIL STREET ADDRESS / I,+� CITY, STATE `t� � ! FAX ❑ OIVNEER ❑ OWNER-BUMDER ❑ 01,VNERAGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME�1 VIN 1 ' n LICENSE NUMBER Y LICENSE TYPE C [� BUS. LIC. I V }�) I COMPANY NAME r) ` E-MAIL b l FAX STREET; 0DRSESS2 1 <_1 �' kjZ CITY &(f - Z;P PHONE ARCHITECT/ENGINEER NAME I L ICENSE NTUT4BER I BUS. LIC. 1 COMPANY NAME I E-MAIL STREET ADDRESS I CITY, STATE, ZIP FAX PHONE USE OF SFDorDuplex ❑ Multi -Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial O ' 10 I EXISTING ROOF TYPE: ❑ BLIILT-UP ROOF ��5 ❑ ASPHALT SHINGLES �1 WOOD SHAKES ❑ROOD SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE ❑YES IFNO, PLYWOOD ❑ w, ❑ PLYWD­_�5 OSB PITCH: ROOF ❑ NO ' LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX ' 12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT -UT ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT DESCRIPTION OF WORK: > b 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 info yuPa ion 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 relaf 6 to b ilding cons ctlon. I authorize representatives of Cupertino to enter the ab ve-identified property for inspection purposes. Signature of Applicant/Agent: V 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. I — Provide signed copy of Cupertino's Tear -Off Policy. ReroofApp_2011.doc revised 03116111 CUPERTIN'O 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(alcupertino.ora PROJECT ADDRESS S 3 Z- b 3- �% -V I +,�, 7f7APN#v T 1 Z,—'to, oG© OWNER NAME on yM0�-, IS c� PHONE E-MAIL STREET ADDRESS ?, /b S,,�-� r > .0 - CITY A(i£=%IP FAX CONTRACTOR NAME S' LICENSENUMBEl+4Z�-L � i 2-� i J LICENSES BUS. LIC. COMPANY NAME E-MAIL FAX STREET ADDRESS j d 1 ^ CITY, STATE, ZIP / "� ' PHO' Eq t,,j 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 7:30-3:30pin (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. 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 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/downspouts installed, debris removed. 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 tors are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residential Code. _ j ' Signature of Applicant/Agent: o- Date: C' I ReroofPo1icy_2014.doc revised 12115/16 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a cupertino.org 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: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom (s) — (Smoke alarms shall not be 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 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: ��� / A Qr r� h^kh Permit No. Specify Number of Alarms: 4 Smoke Alarms: 1 1,/ 1 4 Carbon Monoxide Detectors: l have read and ar/reeV6 d0m' * 4th the terms and conditions of this statement er (or Owner Ag nYs Name: can Sinre...........:..................................................................................................... Contractor Name: G" X Signature.. .... ........................................... Lic.# ...J..63..4...T.......... Date:OqA Smoke and COfa•m.doc revised 01110/2017 , CUPEq6TINO Owner Name O Address (0 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777.-a228 - FAX (408) 777-3333 - building(a-_)cupertino.org OY-f I -S'C7;?7 , Perrr '2 1 ff f/; 4? y ti R-') 0 / -7-0 1- �' 6 4 1. Is your real property a registered historical site? kN es Civil Code Sections. 110 1. 1 through 1.101.8 do not apply. Skip the rest of the form and sign bottom of form. o 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? ❑ Yes Civil Code Sections 1101.1 through 110 1. 8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip therest of the form and sign bottom of fonn. — I�To 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 fonn. C'_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 fonn and sign bottom of fonn. ;�'Ii'es 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 fonn.. 5. Please check ONE of the following: ❑ My property is a single family reside7ldal 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 niUltifamily 7-'eside77tial 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 comrrlercial 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- conseiving 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 peijuy 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 re uirements, and that the Nvater- e qn'' g robing fixtures comply with the requirements as indicated in the table on the following page. / I Owner or Owner Agent's Signature: Z,4!� I ,/ 21—% Y—' Date: Upon completing and signing tliis Certi icate, please return it to the Building Division in order to final your Aild.Xgg permit SB4077015.doc revised 01/05/17 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the tigure shouni, it is not requirea to ee upgraciea. SB407 2015.doc revised 08/26/15 Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usa a/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 Rafe 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 i 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 tigure shouni, it is not requirea to ee upgraciea. SB407 2015.doc revised 08/26/15