B-2017-2029 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-2029
19337 SAKURA WAY CUPERTINO,CA 95014-3436(375 03 012) LUNNEBORG '
ROOFING INC
CAMPBELL,CA 95008
OWNER'S NAME: YAN KAM FUNG AND CHUNG YEE FUN DATE ISSUED: 11/27/2017
OWNER'S PHONE:650-660-3364 PHONE NO:(408)402-1465
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class,C-39 Lic.#679725
Contractor LUNNEBORG ROOFING INC Date 04/30/2018 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:
RE-ROOF;TEAR-OFF;INSTALL METAL SHAKE ROOF SYSTEM-(26
I hereby affirm under penalty of perjury one of the following two declarations: SQ)
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. '
r 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. Sq.Ft Floor Area: Valuation:$18000.00
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 375 03 012
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 applicantunderstands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
e
ig urDate 11/27/2017 Issued by:Jasmine Archbold
Date: 11/27/2017
OWNER-BUILDER DECLARATI:40
I hereby affirm that I ant 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
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 t<•: inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed • ®s- : re of Applicant: �� - -
contractors to construct the project(Sec.7044,Business&Professions Code).
'b ate: 11/27/2017
i
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!
aintain a Certificate of Consent to self-insure for Worker's
Compensation,as p'rovid'ed 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 1 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 • J/
be deemed revoked, { -r o':authorized age : _ �
�
APPLICANT CERTIFICATION it: •: ~1 27 20
I certify that I have read this application and state that the above information is I•s LE DI► adk CY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a •nstruction len•ng age cy 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, 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-poirit source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. - I understand my plans shall be used as public records.
•
Licensed
Signature Date 11/27/2017 Professional _
. ,: '` REROOF TEAR-OFF POLICY
VCOMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL t f-\r Za 2-9‘
CUPERTINO' 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinci(a cupertino.orq
PROJECT ADDRESS I 3 7 S,..r �— APN# .515—,_(5 ____O k 2
OWNER NAME G J , / / PHONE 65-0 �I—^3 E-MAIL
STREET ADDRESS/q 3g /�� CITY,STATE, `15v/� FAX
CONTRACTOR NAM SLim LICENSE NUMBER LICENSE TYPE BUS.LIC.#
COMPANY NAME// ', 1 E-MAIL FAX
W� r�P.i s i/kewPai �v`F NVekt/ . liar, -q/43'1)
STREET ADDRESS i , %� CITY TATE,Mit, PHO
/32 J�4 D� r AL
� `M a r-ifvd �f C'3toi Qt.
' 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 73 O. :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 12:3(43:30 (Mon-Thurs)
and 7:30-10 30am and 12:30-2:30 (Friday). Final Inspections will be given two liour window. '
3. Tear-Off Inspection is''required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plyw000diro,',of sheathing is proposed throughout, all the nails/fasten;ers;shall b ;either
completely knocked-down or removed prior to this inspection. 'i I , ,
,
4. If plywood is installed,;a.plywood Nailing Inspection is required.
5. Roofing shall not pe applied without first obtaining all prior inspection and written approvals from the
building inspector! ;Any roofing which is applied without first obtaining an approvedinspection will
require the removal of all new material down to the sheathing so a proper inspection cant be performed.
6. A Final Inspection and approval shall be obtained from the building inspector;wh In the re-roofing is
completed. To receive is final sign-off, the following items will be verified: ; i i
a. Flat roofs shall have a minimum of I/"per foot of slope and demonstrate';there ins no ponding.
it 1
b. Listings from approved testing agencies for all pre-manufactured product's used shall be;
available on-site to review at the time of the inspection. ;' ; , it 1
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 riot coi fete you will be
charged a re-inspectionfee. The re-inspection fee shall be paid before anotherinspection 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 j'I also,understand that,
smoke detectors and carbon ino oxide ors are required to be installed in accordance with S`eetiolp R31�41and 8315 of
the 2016 California Res den •' 1 Cod !11: � i,,; I,
Signature of Applicant/Age Date " �2! II
J ' 'I 1 .' j
RD
2014 aoc revised 06/01/7
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
r ,,
... . 'I. 10300 TORRE AVENUE • CUPERTINO,
U O, CA
'',yz -,. ;. (408) 777-3228 • buil din g(l)cupertino.org PEMIT>B'- f.(:)1,3- -2,0
CUPERTINO REVS DEF,'
• ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.1. E MEP ,RE-ROOF ❑SWIMMING POOL/SPA
PROJECT ADDRESS 33 j 0 I APN - --/ � o -
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OWNER NAME ` PHONE • E-MAIL
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CdtClI 6 ro GILD S sc�Y
STREET ADDRESS CITY,STATE,ZIP
CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME . LICENSE NUMBER LICENSE TYPE - .
•
(V1AAA.(LL-v%A tJ i a.etk sJ g►�• S yc74p✓ &9-c72 C3• j
ISTREET ADDRESS CITY,STATE, ZIP
/eat-G: -,4. dfikc t2 Z h-dre CA- 9J
E-MAIL PHONE 1. BUS.LIC#�,,kEw R,�er .F ® y, .4/roe— circ 40052—D
0 ARCHITECT ❑OWNER.❑OWNER AGENT 0 CONTRACTOR AGENT❑ENGINEER 0 DEVELOPER 0 TENANT •
CONTACT NAME E-MAIL
STREET ADDRESS CITY,STATE,ZIP • PHONE,
DECRIPTON • '
?-e..1._ SQ-- 3.c21 .
•
SINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I
XISTING USE EXISTINGSF NEW FLOOR''SF PORCH SF DECK SF DEMO SF STORIES 7 TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5)
REMODEL REMODEL KITCHEN REMODEL OTHR (GARAGE 0 ATTACHED
• BATHROOM SF .SF 5F 5F 0 DETACHED I. '
FIREEXISISPRINKLERS 0 ES EICHLER 0 YES SECOND STORY ADDITION El YES
0 NO
DWELLING SECOND DWELLING ❑YES 0 ATTACHED 0 DETACHED OTHER ,
UNITS4 UNIT ADDITONe; ❑NO SF
POOLS 0 FIBERGLASS ❑VINYL-LINED 0 GUNITE 0 PREFABRICATED
POOL-SF SPA-SF I SPA.ATTACHED❑YES 0 NO I TOTAL-.SF
MEIVED BY: I, il ..
,TO''"LNIII.c4iy ALINZl ULft.
Conmterrial or Mulli-Fantilu Buildiups with Public Smiattnfnp Pools requires Devartsient ofEnvironnteutal Heath aooroval 91Aw' ` ` p/ J
RE-R0 OF EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES WOOD SHAKES E WOOD SHINGLES E TILE OT'IIER.( SPECIFY) C' ''''''''''41-.4---
l
REMOVE EPLACEEl NOL IF NO / PLYWOOD ❑' "" ❑3/B" ' PLYWOOD TYPE: ! l PITCH: RO ASS
❑YES' F OF LAYERS h
THIKNESS LI OTHER ❑OSB ❑CDX OTH ER . I A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF D ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER Me ( ' I. '
*Provide a signed copy of the Cupertino's Tear-Off Policy SF J2 ;of SQUARES 2 (49
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on'title pr,operty 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 fo inspection .urposes. I acknowledge and authorize all information conaihed'!on this application form
to be made available for public recor .
•/ A. I
Signature of Applicant/Agent: �� //:"Date: � 074/Z
SUPPLEMENTAL INFORMATI• t REQ 'RED ! 1
*New SFD/Second Dwelling Units/Multifamily Dw:llings: emolition permit is required prior to issuance of a building,permit for all new construction.
*Commercial-Buildings: Provide a completed Hazar.oua 4aterials 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
i ,
Bldg9pp_2017.doc revised 08/01/17
SMOKE / CARBON MONOX[DE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION r. wa
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building a(�cupertino.orq
Mfi a�kPERMIT G".O1% INALED�I�iL
GL�PLI�„�TEI)�SIGNEb ,TIR1iD T4HE B
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 shallnot 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
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 9.07.2.11.4 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 alann(s) referenced above has/have been
in t lied 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: I et ? ' 111<(-02-(4 Permit No.201 —Z o' '
Specify Number of Alarms: #Smoke Alar . #Carbon Monoxide Detectors:
I have read and agree to comply with the terms and conditions this statement
Owner(or Owner Agent's)Name: k ,_ of
t N I \�I_ ♦ x ...a.i._.+� ♦; .,.Y AF.'' 'r' i:1 .1 V. A.�- v;4:v;4: , �'
01011
-( Signature
Contractor N ,Ptme: I
Signature Lic.# Date:
Smoke and CO form.doc revised 01/10/2017