B-2017-1128CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-1128
10142 DENISON AVE CUPERTINO, CA 95014-2427 (316 28 011)
C D ALL ROOFING
SAN JOSE, CA 95127
OWNER'S NAME: NGUYEN DUC LONG AND DANG KIM DUNG TRUSTEE
DATE ISSUED: 07/13/2017
OWNER'S PHONE: 408-446-1042
PHONE NO: (408) 898-6605
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C-39 Lic. #1003820
Contractor C D ALL ROOFING Date 05/31/2019
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; COMP SHINGLES (16 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.
2. 1 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: $8000.00
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
316 28 011
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.
Additionally, the applicant understa�n sen wil comply withal[ non -point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations per the Cu e IFfo Municip I Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 7/13/2017
Issued by: Abby Ayende
Date: 07/13/2017
FR-BJTLDER F L Ti
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
RE -ROOFS:
All roofs shall be inspected prior to any roofmg m tenial bein ' stalled -I a roof is
installed without first obtaining an inspection, ee emove all new ma rials for
compensation, will do the work, and the structure is not intended or offered for
insp
sale (Sec.7044, Business & Professions Code)
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: 7/13/2017
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
e lth & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shal
be deemed revoked.
Owner authorized agent:
APPLICANT CERTIFICATION
a e: 7/13/2017
1 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 LENDINGAGENCY
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 7/13/2017
Professional
�W'
r"Y.1ss`G�,
s
REROOP PERMIT .APP UCATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingQcupertino.org
PROJECT ADDRESS
APN 4 31r (-
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OWNER NAME PHONE E-N4AIL
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STREET ADDRESS CITY, STATE, ZIP FAX
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CONTACT NAME
PHONE 1 AIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
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❑ OWNER ❑ OWNTM-BUILDER ❑ OWNER AGENT &� CONZTRACTOR ❑ CONTRACTORAGE'r ❑ ARCHITECT ❑ ENGP.TEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR N.A vM LICENSE NUMBER
LICENSE TYPE
BUS. LIC. r
COMPANY NAME
E-NLAIL
FAX
C C
STREET ADDRESS
CITY, STATE, ZIP
PHONE
4r ® C' C7 �2
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ARCFITECT/ENGINEER NAI4fE LICENSE NUMBER
BUS, LIC, r
COMPANY NAME
E-14AII
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex M"It;-Family ! ROOF AREA.:
VALUATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE-4:� L BUILT-UP ROOF dASPHALT SHIT?GLES ❑'NOOD SHti:ES ❑ WOOD SHLNGLES ❑ OTHER (SPECIF1�
REMOVE/REPLACE CJ YES IFNO,
PLY)VOOD ❑ w, ❑
PLYWD ❑ OSB
PITCH:
ROOF
❑ NO ;LAYERS:
THICKNESS: ❑ j1S"
TYPE: ❑ CDX-
:12
CLASS: A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ Rr00D SHAKES ❑WOOD SHINGLES ❑ OTHER ICC -ES REPORT
DESCRIPTION OF WORK:
�T-�• A 67 0 .�^� C Oy- ASS �i o�� '� `�' T114`\ �+ CD k_ t
By my signature below, I certify to each of the following: the opera' owner authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is corre ha v r the Desc ' tion of RTork and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construc n. I th e repr ntatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date: ---- " --
SUPPLEMENTAL INFORAATI QUIRED
< .,
_ If building is associated with a Home ner s Association, provide letter
PLAN CHECK T1 E
; ROUTING SLIP a;
❑ O\ ER THE COUNTER
BUIL REVIE\i` '
of approval from HOA.
pp rova
-.. Provide Planning approval to verify If there any restrictions.
}PRESS
E z
DINGPLAn
P �r
LAN
E
I
Provide copy of Manufacturer's Installation Specifications.
❑ sTANnARD
❑ FIRE
DEPT
Provide signed copy of Cupertino's Tear -Off Policy.
❑ OTHER
ReroofApp_2011.doc revised 03/16/11
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 • buildina(a cupertino.org
PROJECT ADDRESS
APN #
rU1LAL
k "i
OWNERNAME�,,) C_
4 PHONE jj (� ( E_h1AIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTRACTOR NAME
7
LICENSE NUMBER LICENSE TYPE
BUS. LIC. #
COMPANY NAME2
{(�
E-MAIL
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FAX
O f 'r
ADDRESS
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CITY, STATE, ZIP
5 �
PHONE
LED pS `
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 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.
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 siding below, I certify each of the following is
property owner's behalf. I understand and agree to r
smoke detectors and carbon monoxide d or re rec
the 2016 California Residential CodeZ
I am the property owner or authorized agent to act on the
Titl - policy stated above. I also understand that
to be install'e'd in accordance with Sections R314 and R315 of
Date: —�;7, 3
ReroofPolicy 2014.doc revised 0610117
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(okupertino.org
PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN'
COMPLETED, SIGNED, AND RETURNED TO THE 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
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 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)
X
X
On every level of a dwelling unit including basements
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: jr) I LA 2- DJCL!:�A 0 c�,.-sermit No. t3 2,9 6
Specify Number of Alarms:
# Smoke Alanns:
# Carbon Monoxide Detectors:
l have read and agree to comply with the -terms and conditions of this stat6ment
O. n (or Owner Agent' s) Name:
- -.
D
�Signature
..... : ate:
._.
Qontractor Name:
Signature.......... ..'.' `....,. Lic.# ...�..�7..r�......Date: �Zi
.......... .............
ir
C / Smoke and CO forna.doc revised 09127/16
CUPERT1140
Owner Name
Address
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 • building(Dcupertino.orq
Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form.
Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the restofthe form.
Owner' Signature: Date: y �^
M,/No Go to Question 2.
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 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form.
Owner' Signature:
r Question
No- - . Go to 3. -- -_ _- - - - -
Date:
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
/] No Go to Question 4.
Date:
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. Sign below and skip the rest of the form.
Owner' Signature: . Date:
� Y 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. Refer to the attached.
b. 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,
27, all non-corripliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
�_Y_
hether property undergoes alterations or improvements).
property is a multifamily 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
mprovements).
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 -conserving, plumbing fixtures.
SB4072014.doc revised 03/18/14
On or before Jar nary 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).
UWe, the owner(s) of this property, certify under penalty of perjury 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 Green Building Standards Code, and manufacturer's installation requirements, and
that the water -conserving' plumbing fixtures comply with the requirements as indicatedin-the table below.
Owner's (or Owner Agent's) Signature: %, Date:
Upon completing and signing this Certificate please return A- Building Division in order to final your permit.
1. If the existing plumbing fixture water usage/riow rate is equal to or lower roan LIM tlgulo WW W.1, IL .� 11 ,... .- -- -ra
SB407 2014. doc revised 03/18/14
Non -Col mpliant
Water -Conserving Plumbing Fixture
PlumbingFixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 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 f6r 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_sha_ ll be designed to
allow only one shower outlet t0 be in opera on 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
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.
..t_ _ 1: -.-......
- : i.f --;-4 fn T,P 11YIQYAfiP.(i-
1. If the existing plumbing fixture water usage/riow rate is equal to or lower roan LIM tlgulo WW W.1, IL .� 11 ,... .- -- -ra
SB407 2014. doc revised 03/18/14