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B-2017-0643CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0643 21073 CHRISTENSEN DR CUPERTINO, CA 95014-1652 (326 54 006) GOGREEN ROOFING CORPORATION SANTA CLARA, CA 95054 OWNER'S NAME: TURNER ROBERT C TRUSTEE & ET AL DATE ISSUED: 04/24/2017 OWNER'S PHONE: 408-343-8495 PHONE NO: (408) 343-8495 LICENSED CONTRACTOR'SD A aTION BUILDING PERMIT INFO: License Class C-39 Lie. #980023 Contractor GOGREEN ROOFING CORPORATION Date 01/31/2019 X BLDG _ ELECT _PLUME I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECH X RESIDENTIAL COMMERCIAL 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 CDX; COMP SHINGLES - (25 SQ) I hereby affirm 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 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: $17920.00 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 326 54 006 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. 9 f Signat� %`� Date 04/24/2017 Issued by: Kim Dunbar Date: 04/24/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1. 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) z. 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: 04/24/2017 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 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 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 material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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�nt/.A` �.. ' APPLICANT CERTIFICATION Date: 04/24/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance:, correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, Lender's Address judgments, costs, and expenses which may accrue against said City in 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 I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 04/24/2017 9 Professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT * BUILDING DIVISION 103(}0 TORRE_AVENUE - CUPERTINO, CA 96014-3255 (408) 7777-3228 i FAX (408) 777-3333 building aacupertinb.orcl -D& `f' -3 PROJECT ADDRESS 1 o-7 3 Chf 1 i 4'�'f�l V PjP.�+✓i �f- APN# C�IY _y `9 � lJ OWNER NAivfE p C� C PHONE E-MAIL STREETADDRESS CITYSTATE, LIPG °rll�to ca, 'TS -48 1 FAX CONTACT "NAME ` 6 L✓ rCy�%a't �g - CL% FIi ` �y td , �K"Ou�� taj -• "E:MAiL STREET ADDRESS. CITY st&E;, ZIP gg FAX OWNER CJ OWNER --BUILDER Ol9NERAGENT ONTRACTOR DCONTRALTO&AGENT I3- ARCHITECT 13 ENGINEER IJ DEVELOPER 13 TENANT CONTRACTORNANIE LICENSENUMBER LICENSE -TYPE HUS" LIC.m COMPANY NAME y� er /j EER E-MAIL FAX STREE ADDRESS 331 be Iw cr � � � � / CITY, STATE, ZIP � �tia � G�� p� �� c� �-� � i�, FHO> � ARCHITCT(EN437MI RNAME .LiCENSENUMBEK -HUS.LIC,1# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 99'SP'D Or73apleX 0 multi- .Mily STRUCTURE:. - 0 ConmIercial ROOF AREA: VALUAVON: EXISTING ROOF TYPE: E3 BUILT-UP ROOF 0 ASPHALT SI•IINGLES S : WOOD SHAKES. OWOOD SHINGLE$ P' OTHER (SPECIFY) '- i 1`•e— REMOVElREPLACE ff4TS I3 -NO - .IF No, .#LAYERS: PLYWOOD f 0 THICKNESS: 0 518" PLYWD I3 OSB TYPE: C'D f PITCH: '12 ROOF LASS: . 'A PROPOSED ROOF TYPE: ❑.BUILT-UPROOF KASPHALTsmom ,0 WOOD SHAKES. (3 WOOD SHINGLES POTHER _ ICC-ESREP'ORTAR4I�. DESCRIPTION OF WORK: ,,. z (rMcrQk - 'Ie roof 11J 1145411 K11) By my 7-6) t7e be17, 1 certify to each.of the following: I am •the prolserty owner or authorized agentta act on the propeity owner's behalf. I have read this. application and the information I haveprovided is correct. I have read the Description of Work and.verffy it is-accurate..I agree to comply with all -applicable local ordinances and state laws relating to building construction, I authorize representatives of Cupertidr to. enter the above4dentified property for inspection purposes. Signature of ApplicantlApriv Date: Vit W 1-7 SUPPLEMENTAL INFORMATION REQUIRED If building is associated with aHome Owner's Association, provide letter of approval from HOA. Provide Planning approval to verify if there any restrictions. Provide copy of Manufacturer'slnstallation Specifications. Provide Signed copy of Cuoettino's Tear -Off Policy,Jj ors ic�L?sz ol�L� _ PLA ROUTINGSLIP F1 QmmP-fr .CGVNTM'0R 0F elms %NJb3Ria 0 BUILDINGPi AN RENUNY © P1)LN 1NGPi AN MVIVV } .FMEDRPT Ret oofA, p",20J1.d6c revised 03116111 2431112 REROOF I TEAR-OFFPOLICY COMMUNITY bEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERTZALvAIJOR, PAE., C.,B4O., 13(JILDING.-OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 ,t408) 777-3228 - FAX (408) 777-3338 -buj1ding0cuD8rtIr!g.Qrq PROJECT ADDRESS Z 013 64 c -16n5ey, D APN# OWNER NAME PHONE E-MAIL STREET ADDRESS- CITY, STATE, ZIP 'FAX CONTRACTOft NAME,, 60 ree"I IOWA.., LICENSE NUMBER0' - 0-23 110 NSE TYPE BUS, WC _P COMPANY NAME 41" E-MAIL FAX STREET ADDRESS S313 (t, WvA CITY, STATE, ZIP ro 4 PHONE(4,0,1 )3'y3- 'SlyclS_ 1 UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re! -roof pr jeot shall -comply with all appli0ableprovi �ns, of the 2016 Californiatodes. 0j sio 2. AA - inspection request can be scliQdulodup, to one bitsinessday before,the requested inspection date, Please schedule inspections online or call (408),777-3228 from 7-30.3:30p. in (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 available within onehour. The hours for 30antind 12 vai r this service are: 7:30-10: :30-3:30 (Mon-Thurs) and -7-3 0--10:30am and 11:30=2:30 {Friday). . Final Inspections will be given -a two hour window. 3. Tear -Off -Inspection is required. Any and all dry -rotted woodshall be replaced prior to this inspection. 'Unless new plywood roof sbeathiner is proposed fliroughout, A the; nails/fastenerg, 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 ing shall not be applied without obtaining all prior -inspection and written approvals- froin the building. inspector.Any roofing which is applied. without fist, obtaining an approveoi, 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 thebuilding inspector when ther.o-roofing is completed. To receive. a final sign -off, the following items will be verified, a. 'Flat, roofs shall have a minimum of V4" 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 arrestorinstallation; vents painted, gutter/downspouts installed, debris removed. 7. NOM If you call for a tearwoff or plywood nailing inspection and the work is not. complete, YOU will be charged a re -inspection fee. Them-inspection fee shall be paid before anotheri-aspection, can be scheduled. -By my signing below', I Certify each of the following is true: I am the property owner or authorized agent to ad 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 Sections 8314 and 8315 of the 2016- California Residential- Code; Signature of Applicant/Agent: Date- ke,-oq)Vofley__,7014.doc revised 12115116 SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C U P ERTI Pi O 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - btfildino snr caoertino.aa PURPOOZ 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 907.211.2_ 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 8314, R315, and CBC Sections 907.211.5 and 4.20.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the follow=ing locations: AREA. I SMOKE ALAMM CO ALARim Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a durelling unit including basements and habitable attics I 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 taint 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 8314 and CBC Sections 907 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 vvith 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: 9! O?5 dAY S Permit No._ �Zo of:; — Ctr't Smoke and CO fb m.doc revised 0111012 Owner Naive Address WATER -CONSERVING PLUMBING FIXTURES, OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 950143255 (408) 777-3333* I. is Your real property. a registered historical.site? 13 Yes Civil Code Sections 110LI, through 1101.8 donotapply. Skip the rest of the fonn and. sign bottom `of form. No ladtoQU-=on 2. Does Your tlicensed pluniber certit4ngftt, due to the age .or con:%uration oftheproperty v Its plumbing, installatiozz of wa plumbing &tures is, not technicallyally, feasible? ri 0' Ya CjvjlCb& sections 1101.1 through 1101.8 do .not apply. 13 'The licensedplumbef'scertification basbeenprovidodlo the lluildipgDivisjon. Skip the rest of the form andi bottornofform SISM [3 No: -Go to Question I 3. JS water service permaaentydisconnectedfor your building? El Yes. Civil Code Sections l,101.1,through lIO1.8-d0 notapp - ay. Skip the rest ofth6 form and sign bottom of forbl. 0 No Go to Question 4. 4. is your real property built =&available for use or occppwcyon or before January 1, 1904? No UyrcalTroperty it, builtand available for use or occupancy after January 1, 1994, CkCode Sections 'llol I through 1101.8 do not apply. Skip the rest of the form and sign bottom of form E3 Ye§ ky real property is bunt and -available for -use or occupancy onorbefore January 1, 1994. Civil Code Sections:1101. gh,1101.9 apply. Check one of the three following statcmentsand sign boltoxxx of -form.. J throu 5. IeasecheakQ, T1� of the following: ' 'Code Section 1101.4. On and .after January 1, 2014, building :alterations or improverxxe�ats shall require all non-conatliantp lurnbmig fixtures to be.replacect with water -conserving pluxubing fixtures throughout the building. On or before January 1, 2017,,Z non- contpliarit phuabiag fig -lures :shall be replaced with nsw&& plunYbift& fixtures (regardless of'whether property undergoes alterations or:iinprovements). C1 Ivry property is a multifamily iiesident0freal property See Civil Code Section 1101:.5: On and after3anuary 1, 2014, specified building alterations or improvements shall require non—compliant plumbing-flxtures to be. replaced with water -conserving pltzabi4gfixtures. On orbeforeJanuary 1, 2019, all non-compliant plumbing fixtures shallbereplaced with water - conserving plumbitt fixtures throughout the. building (regardless of whetherproperty-undergoes alterations or improvernents), El Mypropertyis a. commercial real property. Set- Civil Code Section 1101.5. 01and-after January l. '. 2014, specified buildingalt=tions or improvements shall require non- compliant plumbing fixtures to bareplacedwith water-consmvingplumbijag fixtures. On or before January 1, 2019; all noxi-co4liaotplumbing fixtures. "I be repl4d6d with. water conserving, plumbing fixtures throughout the building (regardless of whether, property undergoes alterations cr iniprovcments). 'Luft owner or own ce s. agent penalty & ft genrof this property,, pen o pMury tnon-compliatitpl=bingfxtures wiUb-- -replaced priorto'dale s with peciftd,above)xitli plumbing fixtures inaccordanm-with Civil Code Sections 1101.1 current -fl r — , � Cal. Building Standards Code, and manufacrurees Tbio Ugh 1101:5;, the Call 0 Plumbing' installation requirements, and that the, fixtures comply with the regiiirernents as indicated in the (Owner or-Cwn,6tAgotiCsSigetature:. If 111111 JJ to final your S3407Z0I5.;foc revUa 0110511 7