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B-2017-1595 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1595 1609 POPPY WAY CUPERTINO,CA 95014-5306(366 15 036) DAN ELLIOTT'S ROOFING COMPANY SAN JOSE,CA 95159 OWNER'S NAME: SHIAH YII-CHERN AND HUANG YU-YEN TRUSTEE DATE ISSUED:09/18/2017 OWNER'S PHONE:408-834-2164 PHONE NO:(408)559-7327 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class CC=39 Lic.#611338 Contractor DAN ELLIOTT'S ROOFING COMPANY Date 01/31/2019 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 OSB;COMP SHINGLES(26 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 _4 0. 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:$14739.00 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 366 15 036 representatives ofthis 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. n, _-------- Signa, ', ..� •'/ I te 09-18-2017 Issued by:Kim Dunbar Date:09/18/2017 OWNER-BUILDER'DECLARATION 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. ;I,as owner of the,property;Or my employees with wages as their sole installed without first obtaining an inspection,1 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) 2. 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:09-18-2017 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 acid 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. ' I 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 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 25505,255 3 and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed'revoked. ", / ' Owner or authorized agen ; } APPLICANT CERTIFICATION Date:09-18-2017 • I certify that I have read this application and state that the above information is CONSTR CTION LENDING 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 iand keep harmless the City of Cupertino against liabilities, judgments,costs,sand expenses which may accrue against said City in Lender's Address consequence of the'grarting 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. 1 I understand my plans shall be used as public records. • Licensed Signature Date 09-18-2017 Professional \,,\;, REROOF PERMIT APPLICATION mo . � 3 ,, f/ COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION - ,r,L / - 10300 TORRE AVENUE•CUPERTINO,CA 950144255 `e. 4.: ', k_ (408)777-3228•FAX(408)777-3333 buildinqacupertino.org CUPERTINO f I. 5 I- ,:r.. PROJECT ADDRESS k.(0©� „, 0 1 I ^ # , AFN ,. (to co /s- __o3 i OWNER NAME 1i‘n11 1 V\ V 1 M l /\ t( ` 4 k © 57 J�.��`64 E-MAIL STREET ADDRESS Tpo CITY,STATE,ZIP 1 FAX 1 CONTACT NAME r- I EMAIL � Vs-� 1 I D —SSR= I �Z� I STREET ADDRESS - /ti- / "DO ^ CITY,STATE,ZIP cc A v,-- ^ cv Crg r treg 'pi ( „� ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER Q DEVELOPER 0 TENANT CONIRACTORN I LICENSE NUMBER LICENSE TYPE BUS.LIC# Don /el/ 1 &A3;cs --3c( �e-ifdt) /1 C2;•h,�5 K664 o 4 e ltio � c®� 'C�i F�/D 73k,7 S ,ADD ! �/ ✓ c- 1Y 1A�i-/� V �• v`///...<,. I'- . ... --.... a ARCHITECT/ENGINEERNAME i LICENSE NUMBER BUS.LIC.N ' COMPANY NAME E-MAIL -- ii STREET ADDRESS CITY,STATE,ZIP PHONE 1 USE OF 111.SFD or Duplex 0 Multi-Family ROOF AREA: 6 zt VALUATIQN: / !!A'P �,/ D STRUCTURE: 0 Commercial A!D� / !� 3 9 6 EXISTING ROOF TYPE: 0 BUILT-UP ROOF 0 ASPHALT SHINGLES to WOOD SHAKES ❑WOOD SHINGLES 0 OTHER(SPECIFY) REMOVE/REPLACE fI YES IF NO. PLYWOOD El " ❑. PLYWD 0 OSB PITCH: ` f_ ROOF ? 0 NO #LAYER$: THICKNESS: 0 518" TYPE: 0 CDX `- '12 CN ASS: I PROPOSED ROOF TYPE: ❑,BUILT-UP ROOF IIASFHALT SHINGLES 0 WOOD SHAKES 0 WOOD SHINGLES ❑OTHER ICC ES RESORT# <` 7 DESCRIPTION'OF WORK: X"\1-Let l Lz/ab `I U S ) EE ;,D �-�-2 �'�-a:11, rp.,,,,I JehL( q.5 s `1'- 1 i)-P r� �a s s- cam,vm ►-e 2- . ii 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 itis 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 inspection purposes. Signature of Applicant/Agent: Date: • I SUPPLEMENTAL INFORMATION REQUIRED (*rTim tis$ONLY 1 If building is associated with a Home Owner's Association,provide letter PLAN CtI2CII TYPE .r ROUTING SLIP of approval from HOA. ❑;;OVERTJD-COU?.7ER 0 BUILDING PiaANREVIEW Provide Planning approval to verify if them anyrestrictions. — 0 Ixuss 0 PING PLAN REVIEW ' _Provide copy of Manufacturer's Installation Specifications. 0 M,/ ©'.MEDEPT _Provide signed copy of Cupertino's Tear-Off Policy. 0 olukR q 1 ReroofApp_2011.doc revised 03/16/11 /\lC e- ti'i)-,f) .1 . 2: I` i?... REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING.OFFICIAL 11�ER T!@C 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 C (408)777-3228•FAX(408)777-3333•building a(�.cupertino.orq 1-4_,,, PRO2CTCC////ADD E„�S ? _(•/t/// APN# 3/,Q(_ ^_ /�^ 0 3 I(J ,� oefiy (�Wy ERN�,A E (y / PHONE � `(J E-MAIL S jt lADD�E5 1 ry k/� Vl/STL� ' 7✓l/1 1 V� FAX+I��J <�!(a ti OR4///B 7 �� LI.�� ER LICEN TYPE �' $U ID. / fr C�,y'1PANY N,7I . #' �C; E-MAIL� / ,� FAX n G(/�ios/ / T��J.q dTan,ef1�o�/^�aTi�y*QriX�yI� `7D�SJSg 736 BYRE_E'I'AD[�ESS�y i \.J STATE, �css . �•',l�l /Vi i oaY `1�'ON �]�7/-73 A 7 /1(/�f9 -7 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 7:30-2:30pm (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 12:30-3:30:(1VIon-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 lie verified: a. Flat roofs shall have a minimum of/4" 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 are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residential o`e. Signature of Applicant/Agent: Date: 9-/ 7 ' I RerooJPolicy_2014.doc revised 06/01/7 I COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DiVISION cupERT1No 0300 TORRE AVENUE•C'UPERTINO.CA 9soi4-3255 ' (408)777-3223'FAX(408)777-3333•hoil:.lintrAimPertinmorq PERMIT CANNOT BE FINALED UNTIL Tins CERTIFICATE HAS BEEN COMPLETED,$1GNED,'AND RF:ru WW1)TO THE BUILDING DIVISION PURPOSE ' I-his affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for complioncc,.:jib 3916 CRC Section R3]4.1231.5.2016 CLIC Sections 420.6 and 907.2.'1.1.2 where no interior access for inspections are required. GENERAL INFORMATION • . FAis ti iv;single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon \lea, xicle alarms. When the valuation of additions.alterations,or repairs to existing dwelling units exceeds s l 900.00,CRC:Section P314,R3-15,and CBC Sections 907.111,5 and 420.6 require that Smoke Alarms and/or Cm hen Moi-ardde Alarms be installed in the following locations: • ..... ...., . I ... . _*AREA ! SMOKE ALARM CO AIARM ! I out,ide of each,tvarate sleeping area in the immediate N icinity of the i X i X I I I bedmaini,$).-(Smoke alarms shall not be located within 3 feet of bathroom door) 1 I 1 I ()never:.level ot a dwelling unit indudiila ba5c.ments and habitable attics T x 41 X -I 1 .CN if h in each sleeping room 1 X i l ' 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 alardS shall comply with, Ci3C.:iection 429.6 and shall be appmved by the Office of the 5tate FireMarshal . . Rawt.,r Sdpply:In dwelling,unitswo no commercial power supply,alarms)may be solely battery operatt!d. In existing dwelling units,alarms are permitted to be'solely battery operated-wh.ere repairs or alterations do not result in the removal of wall and ceiling finishes or there ism)access by Means of attic,basement or crawl -pace.Refer to CRC Section 12334 and CBC Sections 907.2.11.4 and 420.6.2.An electrical permit is required for alarms I.V111(11 must be connected to the building wiring. As ow net of the above-referenced propeity,1 hereby certify that 11w alarm(s)referenced above has/have been installed in accordance with the manufacturr's instructions and in compliance with the California Building • end California Residential Codes.The alarms specified below have been tested and are operational,as of the dale signed below -a.i.' Address: a.a 974, ,o,,, , /.Aeo..e.... / Permit No. ,,,,%',;,,•74,67?.5.' • .. .. .. Specif!, Number of Alarms: 0p2 ....Alit:Ts.:., . ..(42, • ,,S.*l)onlyl000xldql)qtoctors: NEM . _ I have read and ogee to cornaiy with the terms and conditions of this statement Ownt4(tr Owner Agent s)Name , i /-Lvr Yi f C-14 F-p0/I,V 1/4.5-1?-) 1 :. . ' `737-e,-:„.„ Ai--/-'-'• 7-Pr :-\' - - - - , , ,..L", ,iir7 Nt.s.___ _g:/-41. kt.,.522,...4?!±. ...,—,.:.....::.L.,.....:—...,\=•• :-.... ..,,,,-,........ .,...-‘,4—,,....-n-P-1:52:-.... -.',./ ,R14 ail ojt-.2-iiki i.• il- D,,• f •••• Ila ' i 'I ..,' • ',!..') • .., ' Sienatut•,..,lbw .... .... 4* ..... ....Lic.#.:-,>-.)(L.2.. ).")..... PC14\ 6/161-n• Rc47.4 • 11 ., . . .. , . S'Inke II nd(.0 ten1:1.........ii Ci fil fir2i)tr 4,01AA 5-e.... t , 0 . . .. . . • . - , • . : i .• . . . . .. _ . . . . • . . _. ... _ _ . . _....,_.. _ . . . • ... , . . . _____ . . • - . . . ; . • . . - i