B-2017-2042 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-2042
10314 EL PRADO WAY CUPERTINO,CA 95014-2624(342 30 023) JOE FERRANTE
„ CONSTRUCTION
. SAN JOSE,CA 95123
OWNER'S NAME: RICCI FAMILY REVOCALBLE TRUST AGREEMENT THE DATE ISSUED: 11/28/2017,
OWNER'S PHONE:650-224-7388 PHONE NO:(408)267-2960
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#684380 .
Contractor JOE FERRANTE CONSTRUCTION Date 02/28/2018 11/28/2017 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:
(N)RE-ROOF;TEAR-OFF;INSTALL OSB;WOOD SHINGLES-(44 SQ)
I hereby affirm under penalty of perjury one of the following two declarations:
i. _ l-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
14 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
permit is issued. Sq.Ft Floor Area: - Valuation:$15000.00
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 342 30 023
•
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 lia.'•'-s,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said Ci onsequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant u i.= stands and will comply with all non-point
source regulations 1-r the C A%ertin•-Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
ature '®, Date 11–-2.-gr) / Issued by:AbbyAyende
Nor4 ,, Date: 11/28/2017
• .► _D_ DE 1,4_12•T •►
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 roofi.;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 inspec'. agreremove all new materials for
compensation,will do the work,and the structure is not intended or offered for in,. on.
sale(Sec.7044,Business&Professions Code)
2. I;as owner of the property,am exclusively contracting with licensed `e of Applicant: i
contractors to constrict the project(Sec.7044,Business&Professions Code). g '• )1-Z b 7
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
s. Iertify 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 opdevices which emit hazardous
air contaminants as defined by the Bay Area Air •uality Management District I
Worker's Compensation'laws of California. If,after making this certificate of will maintain compliance with the ertino icipal -ode,Chapter 9.12 and
' exemption,I become subject to the Worker's Compensation provisions of the t •Health&Safety Cod. ections 15,2.,and 25534.
Labor Code,I trust forthwith comply with such provisions or this permit shall '1•t•
be deemed revoked. • Ow*r authoriz •ed agent: , .�/-at
APPLICANT CERTIFICATION P:7" V ff Z � W
I certify that have read this application and state that the above information is 1 IVTI, , EIDI • L Y
correct.I agree to comply with all city and county ordinances and state laws I Tereby affirm that there is a const ction lending agency for the performance
relating to building contruction,land 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 ekpenses,which may accrue against said City in Lender's Address
r 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,Sectiori 9:18. I understand my plans shall be used as public records.
' Licensed
Signature . Date Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
r ,
:,4"j 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 '
' A; r (408) 777-3228 • building@cupertino.org PEMIT,:B-2 no 1 - 2 40L['Z
CUPERTINO REV4 DEFx
❑ NEW CONSTRUCTION ❑ADDITION E ALTERATION ❑T.I. ❑MEP ®RE-ROOF ❑SWIMMING POOL/SPA
PROJECT ADDRESS APN A
OWNER NAME PHONEE-MAIL
0)11/114.. I.1 e &co--LV-I--177 P>s6 .
STREET ADDRESS CITY, STATE,QIP '
.. . ________14,4101e144---/A------------— -- – o91., --� rpt- — --- – – —--- ...—
'CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE
SOr rfaz.. 74 f S2- crt,2/L,ctrif4. I(M L,T to,i q s7 0 "g .
IS REET ADDR5-.51�ESS n o - P if A� CITY STATE, ZIP c wr)Z . I
E-MAIL ' PHONE BUS.LIC:
11/1 Fg.41A.0 14-01--tom 006 fmZa 5r9-7(0 4 b3(oq
0 ARCHITECT 0 OWNER.❑OWNER AGENT 0 CONTRACTOR AGENT❑ENGINEER 0 DEVELOPER 0 TENANT
CONTACT NAME E-MAIL
STREET ADDRESS ,Q/� CITY,STATE,ZIP PHONE
5-5140 (,roi0)-a )41-1 r D 5 c. 604 1S)2 'os 8;z-ct r .
DECRIP ON
piNGLE-FAMILY/DUPLEX ❑MUL TI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL
`EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES a TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5)
REMODEL REMODEL KITCHEN REMODELOTHR GARAGE 0 ATTACHED
BATHROOM SF i SF SF SF 0 DETACHED
EXISING ❑'YES EICHLER 0 TES SECOND STORY ADDITION DYES YES
FIRE SPRINKLERS 0;NO _ ❑ NO 0 NO
DWELLING 'SECOND!DWELLING ❑yam„❑ATTACHED❑DETACHED OTHER
UNITS O' UNIT A�DDRON:. ❑NO+ S F
'POOLS' 0 FTBERGLASS 0 VINYL-LII4ED 0 GUNITE 0 PREFABRICATED
POOL-SFSPA-SF I SPA'ATTACHED 1171 YES 0 NO TOTAL-SF --� I,;ii
RE IVSD BY: , ' / , )' T TA,kVALUATION:
Commercial or Mull i-Familu Buildings wilt PublicSwinunino Pools requires Dem:mownl of£nvironmenlal Heath anvroval 4/14 n J I OP1 '(I )70
11
RE-ROOF EXISTING ROOF TYPE: E BUILT-UP ROOF Q ASPHALT SHINGLES WOOD SHAKES Q WOOD INGLES Q TILE OTHER(SPECIFY)
REMOVE/REPLACED NO I IF NO' PLYWOOD ICJ'" 0 3/8" ' PLYWOOD PITCH: ROOF CLASS
YES r OF LAYERS f THICKNESS Q Sib" OTHER POSB •' OTHERLi. :12 A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF?ASPHALT SHINGLES 0 WOOD SHAKES OWOOD SHINGLES •OTHER
'Provide a signed copy of the Cupertino's Tear-Off Policy SF9- ;of SQUARES 94-
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 P- ription of Work and verify it is accurate. I agree
to comply with all applicable local ordinances a sta laws relating'to"building construction. I authorize representatives of Cupertino to
enter the above-identified property for ins ctio ur oses. I acknowledge and authorize all information contained on this application form
to be made available for public record.
SignatureofApplicant/Agent: Date: ))-2,(1')q .
SUPPLEMENTAL INFORMATION REQUI D '
*Neto SFD/Second Dwelling Units/Multifamily wellings: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
BlekApp_2017.doc revised 08/01/17
\v / 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
CIJPERTth[G�
(408)777-3228•FAX(408)777-3333•buildinq@a.cupertino.orq B- / ti. - Z0%,-E
PROJECT
0 °71`SS'r t r4- APN# 3'4'1 — SO `O 2
07476_ 72.1 met PHO °t N -'Z�i- -7'31;t
'3�t E-MAIL
STREETS
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FAX
CONRACTORN ` E�E � ix) LCETPE BUS.
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, _ tC ^v
E-MAIL FAX
COrN7fd?}% ems / 414Cc - L..L 71.41
STREET DRESSeezzoki ./� C STATE, PrIachPE-.1
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall.comply with all applicable provisions of the 201.6 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:'30p'm(Friday) to
schedule inspection. For Tear-Off and Nailing Inspections, you must also call on thel day of the
inspection only after that phase of the work is completed. The building inspectorvill 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 112:30-2:30 (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 priorto this inspection.
Unless newt plywood roof sheathing is proposed throughout, all the nails/fasteners shalrbe 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. Anyiroofing 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 ••°'o ing is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand .. • gr=- o comply with the re-roof policy stated above. I also)understand that
smoke detectors and carbon mono e •- -cto are required to be installed in accordance with Sections'R314 and R315 of
the 2016, California Residential C e.
Signature of Applicant/Agent: A Date: )/—"Ii ' )
ReroofPolicy_2014.doc revised 06/01/7
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
cg, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO,CA 95014-3255
vUPERTINO
(408)777-3228•FAX(408)777-3333•buildincacupertino.orq
PERMIT CANNOT BE FINALED .1NTIL THIS CERTIFICATE HAS BEEN:
COMPLETED,SIGNED.AND RETURNEDTTO THE B I.LIMNG DIVISION
PURPOSE u.
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 Alaiins 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
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 commercialpower supply, alarm(s)maybe solely pp y, 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 907.2.114 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 herebycertify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer'sdnstructions and in compliance with the California Building
and California Residential Codes The alarms specified below h-ve been tested and are operational, as of the
date signed below• r > ":,
Address )03)`t 2.2 141 dV 1°13 Permit No. 247)7 7rlN2
Specify Number of Alarms 7 #Smoke Alarms #Carbon Monoxide Detectors M—
I
`-- 1
I have read and agree to comply with the t- -nd conditions of this statement
Owner(or Owner Agent's)Name:
t/it. ) Signature . ... .. . Date:
Contractor Name: -
Signature ic.# _ Date: 14'.-"2"-.)7-
Smoke and COform.doc revised 01/10/2017