B-2017-2087 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-2087
10377 AVENIDA LN CUPERTINO,CA 95014-3946(342 45 039) STRONGER BUILDING
SERVICES
SAN LEANDRO,CA
94577
OWNER'S NAME: CHEN HUAAND FANG XUN DATE ISSUED: 12/06/2017
OWNER'S PHONE:408-891-6158 PHONE NO:(510)487-8363
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-39 Lic.#955618
Contractor STRONGER BUILDING SERVICES Date 12/31/2018 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 OSB;WOOD SHAKES-(38 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.
r2. 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:$25000.00
APICANT 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 45 039 •
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 IOR'
Additionally,the applicant un. stands .nd will comply with all non-point ,
source regulations per the I upe i,o unicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
pSignature ')/A , �i' • Date 12-06-20107 Issued by:Kim Dunbar
ii Date: 12/06/2017
• .k •-B IARD _ARAT II►
I hereby affilir:t I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two sons: All roofs shall be inspected prior to any roofing ma,- ial b ing 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 inspecti: , .gr•- o re n ove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspe
.on.
sale(Sec.7044,Business&Professions Code) IP ir •
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: 12-06-20107
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF CO E•1 NGS 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
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 _.,lity anage •ent District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino nici.•I ! ,de,Ch•pter 9.12 and
' exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Section 25 1 ,2 .. ,and 2.534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent.. ' �� ,M,
APPLICANT CERTIFICATION Date: 12-06-20107 ,��
I certify that I have read this application and state that the above information is CONSTRUCTI1 LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a con tion lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is d(Sec.3097,Civ C.)-
tdenter 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-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Signature Date 12-06-20107 Licensed
Professional
` CONSTRUCTION PERMIT APPLICATION
\��/ COMMUNITY DEVELOPMENT DEPARTMENT •• BUILDING DIVISION
%' F 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255
�.hs ZU C _2 0
s (408)777-3228 • building@cupertino.org PEMrr its_ 5"4-
+CUPERTINO REV# DEF#
❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.I. ❑MEP -ROOF p SWIMMING POOL/SPA
PROJECT ADDRESS i 01)1 7 A-\ra,r1 I do, Li I APN It 3(12..... /15.,.._ y� •
OWNER NAME PH NE E-MAIL U
\--t 0 int Che 1 ? q 1 (a o 5 C fl i 1 y ciC Ghon- e® _
STREET ADDRESS CITY, STATE,ZIP
' Itadym. tl b . . ❑OWNER-BUILDER II E) " ,i,„"9 ottA : :L -=., tit r a , `
SYYI�tQ J 16Lv red .11i ' ,95 � I _ � '
9►I leleKS6n -'bi 'dim(
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ro. C` '-,-_ '
E-MAIL Y�� p � �'^ PHONE' A 0 p BUS.LIC q
('ter l o 3 l\\_. (� T '
.❑ARCHITECT 0 OWNER El OWNER AGENT ❑CONTRACTOR AGENT❑ENGINEER❑DEVELOPER 0 TENANT
CONTACT NAME ' ,;' E-MAIL
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTON i /
0V ,-P\ ISA-- ii (n1 Imo C`'lcta7 no (.4.3e,c, �/• ,�/
1 n 1) 'NIQ_u7 ' '6s o cA
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tele. ,ems 1)taArn k_oL' ( it d Pfl c Mod
. '\6S4-6-A Past.ASAH -I-(a. kIF:q.lataLS,k ficiLs . , ..
GLE-FAMILY/DUPLEXINDUSTRIALEl' ❑MULTI-FAMILY 1'0 COMMERCIAL '
IEXISI•INC USE EXISTING SF NEW.FLOOR SF PORCH SF !:,DECK SF DEMO SF STORIES# TOTAL NET SF I
USE TYPE OCC SQ.FT. VALUATION($)
,
REMODEL; REMODEL KITCHEN REMODEL'OTHR GARAGE ❑ATTACHED
'
,BATHROOM SF SF ` SF r. I SF 0 DETACHED
... jE USING,I'1 ❑YES • EICHLER ❑'YES . SECOND STORY ADDITION ❑YES
' FIRE SPRINKLERS❑NO .' , ElNO I II;,II;. ❑NO
DWELLING SECOND
DWELLING, DYES ATTACHE �DETACHED
OTHER
. ;UNITS#, � UNITADDTLON: ❑
•" ' 'POOLS)i! ❑FIBERGLASS ❑,VINYL-LINED 0 GIINI7.11';❑irREFABRICATED
POOti-SF,,. SPA-SF ' 'I SPA ATTACHED DYES I'D NO TOTAL-SF
6 ;f. ,I RE u •
ALUATION:
Commercial or Multi-FamBV Buildings.with Public Swimming Pools requires Department of Environmental Heath approval 4_ ____VAL
`,„�
RE-ROOF EXISTING ROOF TYPE: 0 BUILT-UP ROOF n ASPHALT SHINGLES[US'GOOD SHAKES Q WOOD SHINGLES I=1 TILE OTHER(SPECIFY)
REMOVE/REPLACED NO 1F NO PLYWOOD ❑' 0 / - PLYWOOD TYPE: :121 ROOF CLASS
Me ❑
I ' rs rl OF LAYERS THICKNESS❑5/B" pH;ER B COX OTHER PTTCEI A
PROPOSED'ROOE,❑BUILT-UP ROOF ['ASPHALT SHINGLES❑WOOD SHAKES['WOOD SHINGLES 0 OTHER �I
' *Pmvrde'a signed,m of the Cu ertino's Ta �Off Policy iK" �Ola
By my signature blelow I'certify to each of thie following: .I am the property owner or authorized agent to act on the'property owner's behalf. I
have read this applicaantion' d the informati n 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 ordinar�cesland!sta •'laws relating to.building construction. I authorize representatives of Cupertino to
enter the above-ideritified'.property for inspection ., .�,ses. acknowledge and authorize all information contained on this application form,
'to be made avarlable'for,public recor P i ;� r� i' I„
Signature of Applicant/Agent: A I Lib n
Date: , �I I L� 1---
., -
SUPPLEMENTAL INFORMATION RE REDI` i i i
II
,*New SF.D/Second Dwelliung Units/Multifanuly Die lhngs:.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 Appro a1.Letter or Meeting witlil; f
Planning prior to submittal of Building Permit application. '
*HOA-I Provide a letter of approval from the Homle'Owner's Association i I
, III:? , ,I ,
it , 1:', ,
i B1dgApp 2017.doc revised 08/01/17
" 11{ i' 4: II 1 ,
\�,,1/ 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
GUPERTINO / 2 or .
(408)777-3228• FAX(408)777-3333a�
•buildinc cupertino.orn J J 1
PROJECT ADDRESS ` o Ave
n f /� )n-
APN# S ^ 03�y-OWNER NAME .\__)V v V Iav PHONE ! E-MATL
6
STREET ADDRESS V, f\t, V n 1 r CITY, STATE,ZIP FAX
CONTRACTOR NAME `L LICENSE NUMBER LICENSE TYPE BUS.LIC.
IC)YQv' vo Cc r o L- - & 5 s
COMPANY NAME - . E-MAILFAX
STREET ADDRESS CITY,STATE,ZIP PHONE
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 (Mon-Thurs)
and 7:30-10:30a`m 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 be verified:
a. Flat roofs shall have a minimum of 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. 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 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. 1 understand and agree to compl with the re-roof policy stated above.; I also,iunderstand that
smoke detectors and carbon monoxide detectors ar- -:u' ed to be installed in accordance with Section R314iand R38 of
the 2016 California Residential Code. 1111111t. I
Signature of Applicant/Agent: A, Date: h
ReroofPolicy_1014.doc revised 06/01/7
Page l o:
STRONGER BUILDING I
Air
111111111r-1161711110
44.
To whom it may concern:
This letter is to inform you that we authorize Mr.Gabriel Trejo as our agent,for the purpose of
Getting roofing permits and business licenses on behalf of the company
If you have any questions or concerns please feel free to call me at 415 823 6355
Best Regards.
Ismael Avila
Stronger Building Services Inc.
3.1119 San ,Benito St Hayward CA 94544 License 955618 Tel 415 823 6355
13Z�1�
out:blank 12/6/20
CUPERTtNO
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(alcupertino.oro
..... ..... ......_.., _.........
P I IT:CA OT 3E NA EI :: TNTiIJHIS CERT I iCA
€)luLTi, STIL'Ei). Aj$q�D;TL� TO PRE BIJTI IiTli T3SIfl
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
bedrooms) - (Smoke alarms shall not be located within 3 feet of bathroom door)
X
X
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 907.2.11 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 alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and u1 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 J007 AVB gIJc t� Ci4?P r-`t,`r o , CA q.S_01 ' Permit No. -Lztq — -L47
Specify Number of Alarms T Smoke Alarins `7;7 # Carbon Monoxide Detectors
i have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
U F C,
/
I Signature... Date:
Contractor Name:
Signature Lica Date:
Smoke and COform.doc remised 01/10/2017