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B-2017-0987CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0987 7961 WOODLARK WAY CUPERTINO, CA 95014-4936 (362 03 022) TIP-TOP ROOFING CAMPBELL, CA 95008 OWNER'S NAME: SUNG ALAN AND CHEN REBECCA OWNER'S PHONE: 408-655-5441 License Class CJa Lic. #681060 Contractor TIP-TOP ROOFING Date 11/30/2017 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. 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. �1 [4 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. 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 v' �9 " e Date 06-22-2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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. 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 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 06-22-2017 DATE ISSUED: 06/22/2017 PHONE NO: (408) 655-2639 BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: RE -ROOF; TEAR -OFF; INSTALL OSB; COMP SHINGLES (26 SQ) Sq. Ft Floor Area: I Valuation: $15580.00 APN Number: Occupancy Type: 36203 022 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 06/22/2017 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. ,,� Signature of Applicant: a2- �� r �' Date: 06-22-2017 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 Cod7Stins 25505, 25533, and 25534. 191/Owner or authorized agent: `-Lz, q Date: 06-22-2017 CONSTRUCTION[ L•ENDf_NG 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 cDcupertino.orq l3-20(-4- o 9,?7 PROJECT ADDRESS Z p� ` J ./j nG t4 w14-1 APN # OWNER NAME �j / _ `t PHONE 4r J ; y� E-MAIL STREET ADDRESS S6`�r CITY, STATE, ZIP C J j=/LTj FAX CONTACT NAME 1f Z E -MATT i i T/19 7�Of%%2G27>�iid /V STREET ADDRESS /J��/l�Dv� 6`t CITY, STATE, P/I TE,ZI/J/G7•1,� r *AGENT FAX ❑ OWNER ❑ OWNER -BUILDER I f ❑ OWNER AGENT CONTRACTOR 1:1 CONTRACTOR ❑ ARCHIrECT ❑ ENGINEER ❑ DEVELOPER ❑ TENAh7 CONTRACTOR NAME, //��� nlC LjR91Q;�EjJtAhI9F,i� /ti LIC V C/ / (�(E-MAIL BUS. LIC. #1 3� COMPANYNAME FAX STREET ADDRESS /o/�� CITY, STATE, ZIPv PH ARCHITECT/ENGLNE-ERNAME 1 ICENSE NL14BER BL S. LIC. COMPANY NAME E-MAIL FAX STREET .ADDRESS CITY, STATE, ZIP PHONE USE of SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial ROOF nRE AREA: EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES Y wOOD SHAKES ElWOOD SHINGLES ❑ OTHER (SPECIFY) (❑ REMOVE/REPLACE DYES ❑ NO IF NO, # LAYERS: PLYWOOD '/," ❑ THICKNESS: 135/8" PLYWD PnOSB TYPE: 13CDX PITCH:ROOF jt :12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT -UT ROOF ASPILALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: le �� / L%Q' (�'%N ,, e L1fJ�' i 7C 52 �t .Cd /00— _(4 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 building onstruction. I vthoriz reppresentatives of Cupertino to enter the above-ide tified property for inspection purposes. Signature of Applicant/Agent: D+ I " 4 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. OFFICE USE ONLY PLAN CHECK TYPE' ROUTINGSLIr ❑ OVER-THE-COUNTER ❑ 'EXPRESS ` ❑ 'STANDARD ❑ BUILDINGPLANREVIEW ❑ PLANTING PLAN REVIEW ❑ FIRE DEPT ❑ OTHER: ReroofApp_2011.doc revised 03116111 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(d)cupertino.ong PROJECT ADDRESS C} /� j / (%�© �1G� s/ �/ �/ APN # OWNERNAME f , / l P STREET ADDRESS q / „ /� fi i_� �/ CITY, STATE, ZIP(oC+ v`1 Q v 1 j ru FAX CONTRACTOR NAME •/1'H2 Z//A0A:5� v`/�- LIvi&ER/ Cr(� ( LICE 7K BUS. 2 2 'j J J J COMPANY NAME �//V d ' �Ci % GV `� E 47- y�©Y' /�,.� �J�9Si6J� �iC %���/ FAX STREET ADDRESS O //� %N �� � Z /� CITY, STATE, ZIP ��la dJ �i'/1 PH(�'E� 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. To schedule inspections 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 out to the job site 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/" 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 detectors are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residential Code Signature of Applicant/Agent: Date: el 221 ReroofPolicy_2014.doc revised 06/01/7 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE ss;6 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq4cupertino.orq PERIYIIT'C�AN70T'BE FINALED UNTiL THIS'CERTIFIC TE HAS ET!. 2 D `� �s CONIPLFr� D,SIGNEAN 4 T2ETURNED T,O THE BUI DING IDITrIS Oi � � 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 X X bedroonl(s) (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unif 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 hail 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. � ;3 Address: � '�'' ( ODQGII:�K �y C er,04,11 Permit No. L3-2./4-41d'7" 11 Specify Number of Alarms: #Smoke Alarms: I I #Carbon Monoxide Detectors': I 02. l;have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: I-t `0, J l un 4144/ Signature %' `00.fik97iw,eiL ' ^ Date: Contractor Name: Signature Lic.# Date: Smoke and COform.doc revised 01/10/2017