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B-2017-1817 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1817 1126 YORKSHIRE DR CUPERTINO,CA 95014-4917(362 08 005) WESTSHORE • ROOFING INC SAN JOSE,CA 95131 OWNER'S NAME: OKAMURA CLARENCE Y AND DAISY S TRUSTEE DATE ISSUED: 10/24/2017 OWNER'S PHONE:408-456-0200 PHONE NO:(408)456-0200 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#787221 Contractor WESTSHORE ROOFING INC Date 11/30/2018 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-(33 SQ) I herebyaffirm 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 erformance of wmit is d. have and will maintain Wfororkerhich's Cthisompperensation Insuraissuence,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$22429.00 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 . 362 08 005 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_upertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. s rature t :• / ,/ Date 10/24/2017 Issued by:Abby Ayende Date: 10/24/2017 OWNER-BUIL i ER DEC ARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1, 1,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 sp ction. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensedrature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). 'Date:10/24/2017 ' I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE.CLASS"A"OR BETTER i! 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 pdrmit 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 I3. 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,1 become subject to the Worker's Compensation provisions of the the Health&Safety Coi,Sections 25 105 25533,a 25534. • Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. er authorized agent: — . APPLICANT CERTIFICATION ate:10/0/24/2017 I certify that I have read this application and state that the above information is CONSTRUC"ON LE i ING 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. I understand my plans shall be used as public records. Signature Date 10/24/2017 Licensed Professional ` " • CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 g ��Vis, ' �� (SP-- CUPERTINO 777-3228 • building@cupertino.org PEMIT#B- CUPERTINO REV a DEF h ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.I. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS+)1 2- �nOe t��\ APN a `5 r ^ ' h8 _005 OWNER NAME I I 1 r IXl PHONE JIIYn!// E-MAILi .0 Lra2. N)C12 LW 0 laWet �lU' g'f���-d2®G► eqULwQ S ��� Mw c6,h. STREET ADDRESS CITY, STATE,ZIP Cc_re er4 k na c4_ 9 ig CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAMELICENSE NUMBER LICENSE TYPE POQI 1 n�(Cr (466/WC end 72-'7 2Z/ C.S e ISTREET ADDRESS CITY TATE, IP 2Ztj 5A tOr-6/NQ P c �n„-oo-e 64 . q I 1 E-M t . 0.m P1.1 HONE©,,il�lr, --Q Z 0 V BUS.LIC: pa0� w- j s�'err Mr e :0 ARCHITECT 0 OWNER 0 OWNER AGENT CONTRACTOR AGENT ENGINEER 0 DEVELOPER ❑TENANT • COpTACE ME E-MAIL--��Q� (�� p �O C�A d'0-e ��eir0 1 STREET ADDRESS ' ATE,ZI PHONE i 501 A.v PC 2aPY -�, Si538' Gn 9ce CA, DECRIPTONi ' ke erre-- rr_M v.oG S3 g, C 0 AI - I AS,4(ci CO nni0 NAV ra 11 s4 J e' i s 1p-er 1- • -_DINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK.SF DEMO SF STORIES# TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5) • REMODEL REMODEL KITCHEN REMODEL OTHR . GARAGE ❑ATTACHED BATHROOM SF SF SF SF ❑DETACHED • EXISING ❑YES EICHLER ❑ YES SECOND STORY ADDITION ❑YES FIRE SPRINKLERS 0 NO ❑ NO ❑ DWELLING SECOND DWELLING 0 YES ❑ATTACHED DETACHED OTHER UNITS# UNIT ADDITON: ❑NO 5 F POOLS ❑ FIBERGLASS 0 VINYL-LINED 0 GUNITE ❑PREFABRICATED POOL-SF 'SPA•SF I SPA ATTACHED ❑YES ❑ NO l TOTAL-SF REC BY: WId4- 1TQTAL VA_LULTIONCCommercial m•Multi-Family BuildingstuitG Pu61ic Svivviug Paols requiresDepurtmrrrt o(broironnrenla!Healh apvrovnl T2Z 1-1L f7/�`jl f 1 RE-ROOF EXISTING ROOF TYPE: El BUILT-UP ROOF XASPHALT SHINGLES WOOD SHAKES❑WOOD SHIN LES❑ ILE OTHER(SPECIFY) REMOVE/REPLACE❑NO IF NO 1 PLYWOOD 4„ ❑3/8" PLYWOOD TYPE: PITCH: 12 ROOF CLASS YES #OF LAYERS THICKNESS❑S/8" OTHER ':4 O5B u CDX OTHER A PROPOSED ROOF TYPE:❑BUILT-UP ROOF DASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy SF aof SQUARES 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 construction. I authorize representatives of Cupertino to enter the above-identified property for ii ection p rp • s. I ackno ledge and authorize all information con fined n this application form to be made available for public record. © � 7 Signature of Applicant/Agent: t Date: SUPPLEMENTAL INFORMATION REQU ED "New SFD/Second Dwelling Units/Multifamily Dwebings:A Demolition permit is required prior to issuance of a building permit for all new construction. "Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. _ "Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. "HOA-Provide a letter of approval from the Home Owner's Association • • BldgApp_2017.doc revised 08/01/17 ' '\ 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 CUPERT{hIC} (408)777-3228• FAX(408)777-3333•buildinq ac cupertino.orq PROJECT ADDRESS j F G.( \ o 1 7 t E n APN# (� 01-00S og EMMAII q q IJOWNER NAME PHONE 6_0200 STREET ADDRESS CITY, STATE,ZIP FAX 6•-i CONTRA r 61\- , rl�w fit-NAMfLICENS1x1 Z I LICENSE�1 P3 BUS.LIC: COMPANY NAME ('p ' , O$ i D_r I �rff77 f E-MAIL! ILL �� FAX ect4 STREET ADDRESS q- A Fui.0�A`�) CITY,STATE,ZIP � L ci5 3 PHONE JI/, fir ` 0n 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 7:30-2:3Opm(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 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 a e equired to be installed in accordance with Sections R3 4 and R315 of the 2016 California Residential Code. /6 24. 17 Signature of Applicant/Agent: �(r`, ' \fl- ��' Date: Reroo olio 2014.doc revised .fR Y 06/01/7 _. . ......: . ....; . 11,7, rIfiggi I SMOKE' I Cil_RPON lifiCNOY2:4 ALAS _.".:,.„."......- ,...----,,-,',., E "-- ....,..."yt Itr,y• N,A,7..,,17,. cw Irigi i UtillgtA k.;:L'ki 1?-14-7A I ',.;.-1- ti_AALfil-Lls-I.Lia.,:z: I • COMM!NITY D=\EI OPP.iiENT DEPARTkEP.-17..5UILDIKi DiVISI Oil I ti'l-tZtei I ' : 0300 TORRE AvENUE-CUPERTINO CA5.45E11.1-3255 • I OM 777-3224^FAX(408)777-3,V.2-5uildint-Octmet no.orc, Permit No.Z°/ 1 if 8/ INN . . .' Address If2-4-',• __y41-,1-5kori-(..., , 1,,y- 4 of Alarms Smokeb Carbon Monoxide: . . . . PERMIT CANNOT BE FIN..4LED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN&CBE°AND RErtiM0 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 907.211.2 where no interior access for inspections are required. GENERAL INFORMATION ; Existing single-family and multi-family dwellings shill be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation ofadditions,alterations,or repairs to existing dwelling units exceeds 51000.00,CRC Section R314 and CBC Sections 907.2.11.5 and 4,20.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: ---,--- ----- AREA i SMOKE ALARM t CO ALAR : -1Mi I 1. I Outside of each separate sleeping area in the immediate vicinits.•of the N ..:..,., bedrooni(s) I I ____ t N , . I On every level of a dwelling unit including basements f A. I , Within each sleqping room. 2 _ ._ Ca.rbon 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,baseinent 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 ai.arms 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 have been tested and are operational,as of the date simed below. ... . :nava read and agree to cochtv with le tar. -an:.co,difions of this statement Ownerlor Owner A ant's)Name: • / .I„ seud-e 1 ' . i; t / I t 24,2-40,,gze _j):°14-1Li i•-•0..4\ ! signaturq... _.,_. 4-4-t.i1--' 2,....,- ..._ ,._ ,..- .. -,4.- -,._.....,-__ Date) A/91121 ,-..-. . : canaar..:er Name: i • Signature tic,:..' .., Date: ...._......,....... , . Stnnkv and CO fiwgi.Lfar,72pisrti 03,7.5 2.: . 4