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B-2017-0708CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0708 19651 DRAIKE DR CUPERTINO, CA 95014-2433 (316 32 029) ACME ROOFING OWNER'S NAME: CRAFF FERNANDO DANIEL AND VIRGINIA CARMEN T OWNER'S PHONE: 408-203-0205 LICENSED CONTRACTOR'S IIFf T ARATT(1N License Class C-39 Lic. #1001790 Contractor ACME ROOFING SERVICES INC Date 03/31/2019 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. I hereby affirm under penalty of perjury one of the following two declarations: t. 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 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 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 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 Code, Section 9.18; Date 17 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 2. 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. s. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purpose's. (We) agree to save indemnify and keep harmless the City of Cupertino against (,liabilities, 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 Code, Section 9.18. Signature Date 5/3/2017 SERVICES INC LOS BANOS, CA 93635 DATE ISSUED: 05/03/2017 PHONE NO: (408) 482-3883 PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REROOF; TEAR -OFF; INSTALL MOD BTT (32 SQ) Sq. Ft Floor Area: Valuation: $12000.00 APN Number: Occupancy Type: 316 32 029 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Abby Ayende RF -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. _Signature of Applicant: Date: 5/3/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, S ctions 25505, 25533, and 25534. Owner or authorized agent: Date: 5/3/2017 CONSTRUCTION LENDING AGENC I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional )qc REROOF PERMI I AF FLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building@cupertino.org PROJECT ADDRESS K—, 7 77 s+ `J� i C) "9 (°JI, ar JE( [/�'' OWNERNAME y^�p PHONE80 1 t9 �` LeiQn - T I� i r '� ��GiJ-.A AIL �} f, � eE ,,./..� f 441�i1 STREET ADDRESS CITY, STATE, ZIP c FAX �` i nv CONTACT N. E PHO jp E-MAIL / e 2- �i1P�D STREET ADDRES CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUII.DER ❑ OANTTERAGENT ❑ CONTRACTOR 01 CTORAGEI.TT ❑ ARCHITECT ❑ ENGLNEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME j�� LICENSE NUMBER LICENTTSE�TYPE BUS. LIC. 9 Cr COI�IPANYNA_ME E-MAIL F FAX t Q STREET ADDRESS CITY, STATE, ZIP PHOh , f� a o�� ARCHITECT/ENGI!�T FR NAME LICENSE NUNMER BUS. LIC. r COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family ROOF AREA: VALUATION: ❑ ConLnercial 2- 00 dc-) STRUCTURE: EXISTING ROOF TYPE: ' UILT-UP ROOF KASPILALT SHINGLES ❑ WOOD SHAPES ❑ wooD SHINGLES ❑ OTHER (SPECIFY} R£MOVE/FcEPLACE�Y-ES IF NO, • PLYWOOD KL%" ❑ ff PLYWD ❑ OSB PITCH: kQOF a ❑ NO LAYERS: THICKNESS: ❑ 5/8' TSPE: CDX l� CLASS: THER PROPOSED ROOF T`:PE: IXBUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER- ICC -ES REPORT r DESCRIPTION DESCRIPTION OF WORK: ,-e . v� 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 to ing con truction. I author" representatives of Cupertino to enter the above-ide tified property for inspection purposes. Signature of-Applicant/Agent: Date: SUPPLEMENTAL IITFORMATIOIT REQUIRED T T Q _ � OFFiCIiiSE ONLY Pr A� CxECKTiPI ° ' 1toUTIAG:5LIP — If building is associated with a Home Owner's Association, provide letter II\ ER THE COULTER __: - BLTII.DI �GPL�, . REi'IEi� of approval from HOA. Provide Planning approval to Jeri 5f if there any restrictions. x__ .�, .....r.T......«.=..=a-. a7�.- - - REss _ PLS L �ti PLAn REVIEi3', — Provide copy of Manufacturer's Installation Specifications. ❑ sTai.DARn _ ,_ FIRE DEPT <. Provide signed copy of Cupertino's Tear -Off Policy. orlT�R: Reroof4pp_2011. doc revised 03116111 J e -n n �t ;.t. REROOF TEAR -OFF POLICY COMMUNITY. DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., 6.B.O., BUILDING OFFICIAL cup RTIN O1 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 1 (408) 777-3228 - FAX (408) 777-3333 - building 0-) PROJECT ADDRESS ke APN # Inn OWNER NAME PHONE - 0 2 015 E G?ms=s p STREET ADD SS_ CITY, STATE, ZIP �Q FAX 1� 1 • 1`i7 4 CONTRACTORNE LI CENSE N[JMBER LICENSE TYPE BUS. LIC. � COMPANY AME E-MAIL FAXGm STREET ADD SS( 72- ,l" C STATE, ZIP c� P HO ,fix /7 v I UNDERSTAND AND AGREE TO THE FOLLOWING: i 1. The re -roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request can be scheduled iip to one business day before the requested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm (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 one hour. The hours for this service are: 7:3040:30ama and 12:30-3:30 (Mon-Thurs) and 7:30-10:30ama. and 12.:3072:30 (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 di own to the sheathing so a proper inspection can be perforined. 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 eaci of the folio«ini i5 true: I am t116'prop o«rier or authori"zed"agent to act on fire property owner's behalf. I understand and agree toi comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide etec rs are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residential Code _ !7 of Applicant/Agent: %vz_llff,6� Y 4 1-- Date: Re oofPohcy_2014.doc 7•el ised 12115116 IM SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE NT DEPARTMENT - EIUILING DIVISION COMMUNITY DEVELOPMENT CA95014-325I5 10300 TORRE AVENUE - CUP=m'' ' (-322BF7A-X40B) 777-3333 - b inq Ino.OM 777� 408)� Smoke and Carbon Monoxide Alarms f Or PURPOSE a self -certification for the installation of all required SMO .11.2.whe-re no interior access This affidavit is Sections 4:220.6 and 917-21 compliance -qith'2016 CRC Section R314; R3151 2016 CBC S for inspections are required- ard and Carbon GENERAL INFORMATION f amily dweDin n s shall be provided with Smoke Al ellin units exceeds- alrdly and Multi- or repairs to existing Existing sino-le-f alterations, 0 0 . When the valuation of additions, .5 and 420.6 -require that Smoke Alarms and/or Monoxide alarms. R314' 8315, and CBC Sections 907.2-11 $1000.00, CRC Se the following' locations* Co �ALAI�fvi Carbon Monoxide Alarms be installed in tl SMOKE ALARM AREA X 1-11 ediate vicinity of the separate sleepil,- area in the door) X Outside of each se 0 of bath,00m X shall not be located withiand n-Loke alarms habitable atticsbedroom(s) �tcj,,cjintg basementsX On every level of a dwellino,- d that Within each sleepino- 100n' t contain fuel_bun-dn_ appliances an which do no smoke alarms shall comply with de alarms are not required in dwellin's Wl Carbon Monoxide monoxide alarms combined with smo Carbon rshal. attached garage. Ca do not have ar, 0 ed by the office of the State Fire Ma Section 420.6 and shall be approv battery operated. CBC -we, supply, alarm(s) maybe solely b alterations do commercial power repairs or al Power Supply' in dwelling ,its with no con ry operated where basement or crawl vellin, units, alarms are, permitted to be solely battery by means of attic, In existing dN 0 ceiling fir-dshes or there is no -rn-Lt's required for not -result in the removal of wall and ce o s 907.2.11.4: and 420.6.2. An electrical Pe space. Refer to cRC, Section R7014 and CBC Section. alarms which must be connected to the building w1nr1g' referenced above has/ha-,,e been -Ler of the above -referenced Property, I hereby certify that the ala-rm(s e with the California Building As owi *ti-, the ma"Llfacturer's instructions and in comp fiance operational, as of the installed in accoldance'vT1 a Residential Codes. The alarms specifiedbelow have . been tested and are op and California Permit No. date signed below- 1z 'zf- t 10, Address' Carbon Monoxide -,cxide-DetectHs "c' Specify Number of Alarms: owner (or owner Agent's) Name: 'I -- Name: Smoke Alarms: )rnply with the terms and conditions of this statement I have read and agree t Mt .. . signat................. .... ...../ ......... Date_> Lic.# .... ...... WiWaiwt-AMIMM Smoke and Cofoj-ni.doc revised 01/jo/'_0E WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION Ppq�5 lIn CUr?)tiEiTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ,� (408) 777-3228 • AX (408) 777-3333 • building-)cupertino.org Owner Name iZ�d'�c(✓IA" P of Permit No Address �� i N:)f'ec. _t '3 r 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 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 fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. ❑ No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. X No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. j4 Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sectio_ns 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of forn.. 5. Please check ONE of the following: - My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My propertyis a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall 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 throughout the building (regardless of whether property undergoes alterations or improvements). ❑ Mypropeity is a co77777iercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall 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 throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or o -w ler's agent of this property, certify under penalty of peijuiy 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, and manufacturer's installation requirements, and that the tva,t�e onseiving plumbing fixjures coi with the requirements as indicated in the table on the following page. /,� / /% Owner or Owner Agent's Signature: Date: ;4 Upon completing and signing this Certi icate, please return it to the ui ing Division in order to final your building permit. SB407 2015.doc remised 01/05/17