B-2017-1302CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-1302
21686 NOONAN CT CUPERTINO, CA 95014-5912 (357 19 073)
ROOFS BY REVEILLE
INC
SAN JOSE, CA 95128
OWNER'S NAME: PANELL PAUL C AND JAN C TRUSTEE
DATE ISSUED: 08/08/2017
OWNER'S PHONE: 408-234-9140
PHONE NO: (408) 621-2601
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C-39 Lie. #1016519
Contractor ROOFS BY REVEILLE INC Date 07/31/2018
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:
RE -ROOF; TEAR -OFF; INSTALL OSB; COMP SHINGLES - (27 SQ)
I hereby affirm under penalty of perjury one of the following two declarations:
r. I have and will maintain a certificate of consent to self -insure for Worker's
Com_ pensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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
Sq. Ft Floor Area:
Valuation: $12500.00
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
35719673
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
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.
Signatur . Date 08/08/2017
Issued by: Kim Dunbar
OWNER DECLARATION
Date: 08/08/2017
-BUILDER
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RF ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
following two reason's:
'I. 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)
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: 08/08/2017
I hereby affirm undeiupenalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1. I have andtwill 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
s. 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
maternal. Additionally, should I use ay Are Air 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.
Owner or authorized age
APPLICANT CERTIFICATION
Date: 08/08/2017
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 08/08/2017
Professional
,AERO®F PERMIT T APPLICATION, .
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333!, tqk!g(&cdpertino.om
PROJECI"ADDRESS v* It-cal coort- `O
APN #� ci
'
BUS. LIC_ 9
PHONE �Wr
E-MATEOWNER
�
StZAoS Ww*pD
U
CITY, S
G�[J cntl
FAX
CONTACT NAM " ^
VAX
PHONE
ETARa
a.L
CITn�_A
FAX
- ❑, Ow'-XR ❑ OWNER.BUILDER, ❑ OWNER.AGENr k CONTRACTOR ❑ CONTRACTOR AGFNT -❑ ARCITITFCT ❑i.FXGT: FFR ❑ ntiVF1 6PFR ❑ TF�fNANT
CONT OR N E
L[CENSE'N(Jirt[3ER
TYPE
BUS. LIC_ 9
�-L
lob 6s,LEVI
COQ ANY N- ME
e
A1AIL
eu e
VAX
STREET A R S „
TY. STATF ZIP'
PHONE
3
ARCHITECT/ENGINEER NAME1 0 I
lyes
LICENSE NUMBER
BUS. LIC: !
COMPANY NAME
EMAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE,
USE OF, F Or Duplex ❑ `Multi -Family
ROOF AREA;
VALUATIONt ,
STRUCTURE: ❑ commercial,
J
ReroOpp_'DII c oc r evisec
1219 hTST01 a I Irillf awl 1 lj��
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING',OFFIC.IAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - buildina(ftuvertino.org W
RROJFCTADDRESS
APN 9
9 D-;3-3
OWNER NAME
�Uo'
PHONE
E-MAIL
STREET ADDRESS
la.6-4&VI hLvam rr,
CITY, STATE,21P
q501
FAX
CONTRACTOR NAN F
LICENSENIBER
WI
LICEINISETYPE
BUS, LIC. 0
W.
405 LUJ9
COMPANY -NAME
E-NIAR,
e
FAX
PHONE
STREETj) PbPESS,
060q4
�LTY,'SLTA TE,ZIP
I UNDERSTAND AND AGREE TO THE. FOLLOWING:
1. The re -roof project shall comply with all applicable provisi..6ns of the -2016 California Codes.
2. An inspection 'request can be scheduled up to one bushiness day before ,the: requested inspection,date.
To schedule inspections call (408) 777-3228 ,from'7:30,-3:-30pni,(Moi�-'-Thtits) or 7:30-2:30pm (Friday) o,
schedule.inspection., For Tear -Off and Nailing , Ins ectio svbu,tritist'also, 'all. o the.day of the'
Inspections, c n,
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 ,30awand 12-:3.0-3:30 (Mon4huys)-
and 730-10:30am and 12:30-2:30 ()Friday). Final Insi)edi6tis, will ;be'give'n a two hour` Window.
3. 'Tear-Qff Inspection is. required. Any and all dry -rotted Wood shall be replaced prior to this inspection.
on.
Utfl.6s -new plywood, roof sheathing is proposed throughou't..a llAh e4iii I Is/fasteners shall, be-eithet
completel kn w
cked-don or removed prior to this -inspection:
ly _011
4. If plywood is, installed, a plywood Nailing Inspectionis re4uired,
S. 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.1rispeetion and approval shall be obtained from' the building, ins'p'ector when the re -roof n
completed. :To i-eceirvea'fihal sign-6ffthe following item- s,will! �be-_verified:
a. Flat roofs shall have a minimum of 1/4" per foot .-of.slope-anq 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, debrisyiernovcO.
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 j2aid before another inspection cant be.
scheduled.
By n s - igning below,, I certify each of the following is true: lam the .property owner or authorized agent to . act ion the
,p owner's bebalf. I understand and agree to comply with the, re -roof policy, stated above. I also understand stand.that,
smok6 deiecio ,c
ab -o' n mQnoxidete"citors'are required to'be ifistalled" in ac brdanc&with-Secti6is R,344�and:R3:1`S of,,
the 2016 California 'dent de.
' I
.!
Siplatute OfA0:PIicant/,A" Dat e:.',
ReroofPolicy_2014.doe, revised 0610117'
FILLi
\\ SMOKE / CARBON MONOXIDE ALARMSjKiw5 '1hI" •
IV/ OWNER CERTIFICATE OF COMPLIANCE
,r
�zz.,,s COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building a(�.cupertino.orq
1 PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN °, '
l COMPLETED,SIGNED,AND RETURNED TO THE BUILDING DIVISION 1
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
bedroom(s)—(Smoke alarms shall not be located within 3 feet of bathroom door)
On every level of a dwelling unit including basements and habitable attics X X
Within each sleeping room X 1
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 th/ I I i f - J me ,.„-- L 'ermit No. DI
Specify Number of Alarms: #Smoke Alarms: #Carbon Monoxide Detectors: 11
1 have read and agree to corn ly with the and conditions of this statement
wner(or Own ent's)Name:
4zLL�
/(/t - " Signature Date: :, .: .
Contractor Name: I
_`r/ / .40,5r7/g Signature .. is/ Lic.# Date:3/. /"
Smoke and CO form.doc revised 01/10/2017
t ,F7
WATER-CONSERVING PLUMBING FIXTURESFT
\
/ OWNER CERTIFICATE OF COMPLIANCE
41.iPJs COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO. 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333 •building@cupertino.org
Owner Name: �(� J /�G Lam✓ Permit No:
Address: • /r ✓ _f/ 1/2A3
96°'I
CODE REFERENCE(S):
Senate Bill 407(2009)%California Civil Code Sections 1101.1 through 1101.8
2016 California Green Building Standards Code(CALGreen)Section 301
BACKGROUND:
As of January 1, 2014, SB 407'requires non-compliant plumbing fixtures to be replaced with water conserving
plumbing fixtures when a property is undergoing additions, alterations or improvements. Applicants seeking to
obtain permits for any these types of work will be required to replace noncompliant fixtures prior to final permit
approval or issuance of a certificate of occupancy by the local building department. This law applies only to
properties built on or before January 1,1994.
Per Civil Code Section 1101.4,for any single-family residential real property, on and after January 1,2014,building
addition, alteration,or improvement will require all non-compliant plumbing fixtures to be replaced with water-
conserving plumbing fixtures. See list on the following page for scopes of work that are exempt from these
standards.
Per Civil Code Section 1101.5, for any multifamily residential real property and any commercial real property, on
and after January 1„2014, specified building addition, alteration or improvement will 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 (regardless of whether
property undergoes alterations or improvements).
Type of Property(choose one): 56 Single-Family 0 Multi-Family 0 Commercial
Property Information: YES NO
1. Is your real property a registered historical site?If YES,skip the rest of the form and sign bottom of form. ❑
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 0
fixtures is not technically feasible? If YES,skip the rest of the form and sign bottom of form.
.3.
Is water
service permanently disconnected for your building? If YES,skip the rest of the form and sign
bottomfo ❑
4. Is your real property built and available for use or occupancy on or before January 1,1994? If ❑
NO,skip the rest of the form and sign bottom of form.
I/we, as the owner(s) 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-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, andmanufacturer's installation requirements, and that the water-conserving
plumbing fixtures comply with the requireme as indic in the table on the following page.
Owner or Owner Agent's Signature: � �� Date: t9-V-/
*Upon completing and signing this Certificate,please return it to the Building Inspector at final inspection in order to final your building permit.*
SB407 2015.doc revised 08/16/17
&.�Y¢1'iv x^ us p .'�J
;ffAlgtilgdOSZIAaihkKsgaftifki*7.2Wg.s.istrPA4LWOtf
n
Non-Compliant • Water-Conserving Plumbing Fixture
Plumbing Fixture! (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/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 Rate 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
Gallons/flush 0.5 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