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15080056CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRES§6bMVALLEY GREEN DR -APT Cij?� CONTRACTOR: NEMMER ROOFING PERMIT NO: 15080056 OWNER'S NAME: KORET VC I LP 5348 AUDUBON PARK CT DATE ISSUED: 08/10/2015 OWNER'S PHONE: 6505923960 FREMONT, CA 94538 PHONE NO: (510) 919-2930 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL y License Classnn� Lic. # % �� ! BLDG # 298-304 REMOVE (E) ROOF, INSTALL NEW OSB PLYWOOD, 30# TARPAPER AND LIFETIME COMP Contractor e,� Date g— 2— S ASPHALT SHINGLES (102 SQ S) 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: 1 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 Sq. Ft Floor Area: Valuation: $48039 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 is issued. p 0 1 c� APN Number: ©t 3A6 09 ^T Occupancy Type: permit i Jit APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPE TI N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, / costs, and expenses which may accrue against said City in consequence of the l �� granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source re lations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtalnin an inspectio , I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectipqs 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent Date: 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date Aug 06 15 10:25a Nemmer Roofing 5105734736 p.8 REROOF PERMIT APPLICATION 1-50W0,56, 101111110116 J COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING C VISION 10300 TORRE AVENUE • CUPEERTINO, CA 95014-3255 (SOB; CUPERTINO 777-3226 • FAX (406) 777-3333 • buildino.aScupertino.cro Lti; m-, .,.A -l`3 3 - 30 PROJECT ADDRZSS AV 396 t/ O'A?l:RTTAI�E J HOA E-MAJL S7F-MT ADDRESS C , STATE, ZIP FAX CONTACT NAME P:iCNE E-MAIL S:-RFF' ADDRESS CITY, STATE, Z[F FAX I❑ O•J•'Nrx ❑ cW1''ER-3=EA ❑ ONT'ER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCIIrECT ❑ ENGINE R ❑ DEvMLJPER ❑ TENAS7 CONT ACT✓R N 9ELICENSE NLT1BER LICENSE TYPE BUS, UC. Z m jj e COM?AWNAME' E-MAIL�C MAIL FA �{,J,.� i� / \ CJ cJ+ / STREET A DDRESS CITY, S TATE, ZIP ON F, ,�. cr , ys�� s;� ARCIC i EC7VENGINEER N.10ME LICENSE NUMBER BITS, LIC CO)1QA\'Y YAMS E-MAHL FAX I STMT ADDRESS I CITY,STATE.ZIP PHONE ,,.v,A� USE OF E)SFD Dr Duplex (L�'viulti-Fa-lily ROOF AREAyV CCMM VALUATION: STRUCTUR: ❑ CCrnmercial �vvv�yy��((11 I r1_1 EXISTrNG ROO_ T M: ❑ BUILT -L? ROOF ❑ ASPHALT Sl -INGLES AWOOD SHAKES ❑WOOD SHINGLES ❑ OTHER (SPECJFr; RM40VE /REPLACE AYES IF NO. PLYWOOD ❑ h" ❑ FL,. -WD VLCsn PITCH. ROOF ❑ NO it L.AYERS6 THICKNESS: ❑ sw- TYPE C CDX • 12 CLAS. • A PROPOSED ROOF TYPE; ❑ 3ULLT=JP 8003 [AiSPHALT SFUNGLES ❑'NOCD 5HAKES 11WOOD Sh7N21-ES OTIMR ICC -FS REPORT p DESCRPTION OF t:'OR]C 1 Q c-;>.s—A n$ �,/� Q T �r By my si.-natLre below, l certify to each of the followirg: I am the pro=•erty owncr or authorized aeent to act on the property owner's behalf. I have read this application and the iriformat ion: have provided is corTect. I hn•e Tea:[ the Description of Work and vccfy it is accurate. I agree to comply with all applicable ICCEI ordinances and state I [,vs relati-:g 'o ng construction. 1 at t ri eserta'ives of Cupertino to enter the above -identified property for inspection purposes. Sigrature o`ApplicantlAgent:Date: 9-3-15 SUPPLEn'IEI;TAL 1N: ORI,IATION REQUIRED„ j t If buildin; is assceiated t�'ith a Horne 0)vners Association, provice letter -PIAN t ElFCSF TY�ff �;, ,r 7 TM� y 7, ROU3IAG.SI 'i N of approval from HOA. 'x ,3 vEFt THF�COUNTER 1 ?' t y .�.i :T3L'TLDIhGPLATI ItEy1:i'tV I 1 Provide Plannina approva' to verify if theee any restrictions. "r t t : ❑` �' ; `"yds S PI.Amm"GPLM P.revide copy of Manufacturer's Installation Specifeztio-s. F k r'• r 51.".1 REt7E14 _ 1 tSTAA'DAILDi.TIREDEPI`,+%C- _ Provide signet copy of Cuperino's Tear -Off Policy. or1aER .l.r +.0 s-n.l �h .[ •L J; T�J" .'rt f, ::1 -I .1: ReroojApF_201 J.doc revised 03/16/11 CITY OF CUPERTINO 150�QC6b FEE ESTIMATOR - BUILDING DIVISION igADDRESS: 20875 Valley Green Dr DATE: 08/06/2015 REVIEWED BY: PAUL -1111 APN: 326 09 064 BP#: *VALUATION: 1$48,039 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Multi-FamilyDwellin USE: g Building is >3 Stories ® Yes (E) No PENTAMATION 1 R2ROOF PERMIT TYPE: A WORK BLDG # 298-304 REMOVE E ROOF INSTALL NEW OSB PLYWOOD 30# TARPAPER AND SCOPE LIFETIME COMP ASPHALT SHINGLES (102 SQ'S) FEE ID ROOF AREA s.f. 1 REROOFMRES 10,200 NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District etc.. These tees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7� FEE QTY/FEE MISC ITEMS 11an Check Fee: Other Irasr;. C mei Erna w I.W<sp. 01her Elec. l up. L_j UC.ch, Inv), )-ce: I'll nh, h?S >, Fee: 1'. r'C'. Asli,,..,' r ': NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District etc.. These tees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7� FEE QTY/FEE MISC ITEMS 11an Check Fee: ;Su/)pL .PC.' 1 ee Permit Fee: $1,7 0 SLdppl, kisp Fee Constructionkax .4.41 2ini.4trative, reef .'.: Work Without Permit? 0 Yes (j) No $0.00 ,4dv(ince&P1unnin,q Fees-: D`ldvel Df)C'Zl7P7E'nration Fees: Strong Motion Fee: 1BSEISMICR $6.25 Select an Administrative tem Bldg Stds Commission Fee: 1BCBSC $2.00 SUBTOTALS: 1 $1,742.251 $0.00 TOTAL FEE: I25 Revised: 07/02/2015 Aug 06 15 10:26a IV Nemmer Roofing 5105734736 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 408) �77,n7-3228 - FAX (' 'R 4]08) 777-3333 - buildinaQcupe-tinc.org - . ,/'-- , 4 ZA-, 173 P.9 PROJECTA..{{DD)�RESS _�i �j %� -7- APn° OWNER I.AM PHS' E I E-MAIL ST.EEr ADDRESS ITY, 7ATE, 2'.P �© FAX CONTRACTOR 94E! /-_J LICENeE N.BER LICENSETYPE C BL'S LIC D ccb12A vNIANI r-MA.L PAX STFLEF7 ADDRESS r SATE, ZIP 7 PHO L I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled un 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 730- 2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you ;rust 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: 7:30-10:30atn and 12.:30-3:30 (Mon-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 prier 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 neve 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 ,He re -roofing is completed. To receive a final sign -off, the following items will be verified: a. Flat roe's shall have a minimum of 1/4" per foot of slope and det-onstrate 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 _e -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 cr authorized agent to act on the property owner's behalf. I u3lderstand and agree to comply with tl e re Too: policy stated above. I also ur_derstand that smoke detectors and carbon monoxided9tectors are re uired i installed in accordance witla Sections R314 and R315 of the 2013 California Residential Cod Signature -of ApplicantlAgent: Date! _3 fes ReroofPo1icy 201 a.dcc revised 01/13/14 CUPERTINO Address ;�o T 2.S PURPOSE SMOKE / CARBON MONOXIDE ALARMS ' OWNER CERTIFICATE OF COMPLIANCE q COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION l' 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 2(4'0$)) 77-3228- FAX (408) 777-3333 • buildingCcDcupertino.org 7 j c� Permit No. 7 5c) xG e� J`� ~' # of Alarms Smoke: 56 Carbon Monoxide: Z PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 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 and CBC Sections 907.2.11.5 and 420.6require 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 bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-buming 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 in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: Sinature....... .... .. .G........ .%( .!®........:.................................. Date: `'�1• ... Contractor Name: U � IJe,� "'z f 7 3 Signature ...................... ... ................................Lic.#...........�............/......... Date: Smoke and CO form.doc revised 03118114 5 CUPERTINO Owner Name K r) ✓, WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE ' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 9q, fl.,T 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 408) 777;3228 • FAX (408) 777-3333 • buildingacupertino oro Address .2 O C% 7 S &-+rVw— ,./ S(opo 56 PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN SIUNEL AND RETURNED TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1 – 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: O Go to Question 2. B(/lcll r- 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. Sign below and skip the rest of the form. Owner' Signature:Date: XNo Go to Question 3. el`Lt r r c 3. Is water service pennanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: o 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. Sign below and skip the rest of the form. Owner' Signature: Date: Yes My real property is built and for available use or occupancy on or before January 1, 19 4. Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached. L E PWW CIE�_Jly ❑ 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 q whether property undergoes alterations or improvements). y property is 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). ❑ My property is a commercial 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. SB407 2015.doc revised 02/04/15 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). UWe, the owner(s) of this property, certify under penalty of perjury 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 water -conserving pljunbing fVpores comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: -14-41. Date: OIc# vf=i Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. t. it the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets - Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets - Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. t. it the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doc revised 02/04/15