B-2017-1256CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-1256
1424 S STELLING RD CUPERTINO, CA 95014-5245 (366 17 094)
PRINCIPLE ROOFING
INC
CUPERTINO, CA 95014
OWNER'S NAME: EHARA TOSHIO AND KAREN
DATE ISSUED: 08/01/2017
OWNER'S PHONE: 510-456-8572
PHONE NO: (408) 898-7298
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C-39 Lic. #956887
Contractor PRINCIPLE ROOFING INC Date 01/31/2019
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; INSTALL OSB; COMP SHINGLES (27 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
erformance of the work for which this permit is issued.
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: $16000.00
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
366 17 094
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.
l:. ture Date18/ /2017
Issued by: Abby yende
OWNER -BUILDER DECLARATION
Date: 08/01/2017
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
t. 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)
,j_
egature
z. I, as owner of the property, am exclusively contracting with licensed 49
of Applicant: U L_�_
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 8/1/2017
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 ofthe 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
perms 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.
Oeor authorized agent:
49POe"r
APPLICANT CERTIFICATION
Date: 8/1/2017
I 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 8/1/2017
Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
COPER TING (408) 777-3228 - FAX (408) 777-3333 - buildinq(&cuperfino.orq
PROJECT ADDRESSAPN
1424
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OWNER NAME Ta,&H
COMPANY NAME
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STREETADDRESS
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LICENSE NUMBER
CONTACT NAMEh�GK
COMPANY NAME
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CONTRACTOR NAINIELICENSE
poov,rae_
NUMBER
9 5-089
LICENSE TYPE
C A19
BUS. LIC, f4 BOG?12 8
COMPANY NAME
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E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHrFECTIENGINEER NAME
LICENSE NUMBER
BUS. LIC. #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE, OF 7SFD or Duplex [3 Multi -Family
STRUCTURE: ❑ Commercial
ROOF AREA
VALUATION:
rXISTINO ROOF TYPE: 13 BUILT-UP ROOF 13 ASPHALT SHINGLES T'XVOODSHAKES El WOOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE /REPLACF 2(YES
El NO
IF NO.LYWOOD
1 9 LAYERS
ordinances and state laws relating to build' construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
PL V
FTHyiKNESS-
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11 518-
PLYWD WO'Sn
TYPE ❑ CDX
PITCH:
:12
ROOF
CLASS A
PROPOSED ROOF TYPE: BUILT-UP ROOF
63"ASPHALT SHINGLES
El WOOD SHAKES
El WOOD SHINGLES
❑ OTHER
ICC -ES REPORT #
DESCRIPTION OF WORK: j I
net or authorized agent to act on the property owner's behalf. I have read this
By my Signature below, I certify to each of the following: I am the property owner
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 build' construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: •
Date: 1c,
SUPPLEMENTAL INFORMATION REQUIRED
PO
—
If building is associated with a Home Owner's Association, provide letter
X,
orapproval from HOA.
OVER-TH&COUNTER
�IVIJXD NGTQ',
Provide Planning approval to verify if there any restrictions.
EXPRESS"'
'IPLANNINO�Pb
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Provide copy of Manufacturer's Installation Specifications.
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Provide signed copy of Cupertino's 'rear-OffPolicy.
Reroqf4pjL201 Ldoc'revised'03116',l /
I
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 - buildingecupertino.oEg
PROJECT ADDRESS/
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OWNER NAME
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CONTRACTOR NAME
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LICENSE NUMBER
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COMPANY NAME
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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 un to one business day before the,repuested 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 1230-3:30 (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/4" 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 >iot 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'Seetions R314 and 8315 of .
the 2016 California Residential Code.
of Applicant/Agent:
Date:-.
ReroofPolicy_2014.doe revised 06101/7
CUPERTINO
WATER -CONSERVING PLUMBING FIXTURES
OWNED CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 -'FAX (408) 777-3333 • buildingCcDcupertino.ora
Owner Name TO ,Srfi-o Pennit No. ,r:'
Address 1424 STEGJ�i� 720
1. - Is your real property a registered historical site?
❑ iYes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sip bottom of form.
& No 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 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.
Ga' 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 fonn.
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.
C�Yes 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.. '
Pse check ONE of the following:
10 My property is a single fancily residential real property.
On and after January 1, 2014, building alterations or it
to be replaced with water -conserving plumbing fixtures
compliant plumbing :fixtures shall be replaced with
property undergoes alterations or iunprovements).
❑ My property is,a i761tifamily residential real properly.
On and after January 1, 2014, specified building alterati
plumbing fixtures to be replaced with water -conserving
On or before January 1., 2019, all non-compliant plumbi
conserving plumbing fixtures throughout the building (r
improvements).
❑ My property is -a comniei cial real property. See Civil C
On and after January 1, '2014, specified building alterati
plumbing fixtures to be replaced with wafer -conserving
On or before January 1, 2019, all non-compliant ph
plumbing fixtures throughout the building (regardless o
Civil Code Section 1101.4.
7ements shall require all non-compliant plumbing fixtures
ighout the building. On or before January 1, 2017, all non -
.r -conserving plumbing fixtures (regardless of whether
Civil Code Section 1101.5.
or improvements shall require non- compliant
robing fixtures.
Fixtures shall be replaced with water-
rdless of whether property undergoes alterations or
Section 1101.5.
or improvements shall require non- compliant
nbing fixtures.
hg fixtures shall be replaced with water- conserving
ether property undergoes alterations or improvements).
I, as the owner or owner's' agent of this property, certify under)
penalty of perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water-conseiving I
lumbing 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-conseiving plumbing
fixtures comply with the requirements as indicated in the
table on the following age:.
Owner or Owner Agent's Signature:
Date: vv a�
Upon completing and signirig this Certificate, please return it to the Building Division in order to final your building permit.
SB4072015.doc revised 01/0S/�
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
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 Usage/Flow
Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rafe
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 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
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 figure shown, it is not required to be upgraded.
SB407 2015.doc revised 08/26/15
CVPER.TINO
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 • buildingO)cuoertino.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 R314,2016 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 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 shallcomply 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
11 and California Residential Codes. The alarms specified below have been tested and are operational; as of the
date signed below.
Address:
Specify Number of Alarms:
Permit No. iaaeI -z - 125-6
r�
# Smoke Alarms: 1 4. 1 # Carbon Monoxide
ii
I have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:!
.'; .1 . @@
l�
Signature............. .................................................................................................:.i.Date: p/S
.................................................................................................................................. :
Contractor Name:
Signature.......... —........ ............................... Lic.# .... ate:
Smoke and CO foyrn.doc revised 12115116