B-2016-1687CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1687
11673 WESTSHORE CT CUPERTINO, CA 95014-5148
CASTILLO'S ROOFING
(366 53 010)
SAN JOSE, CA 95122
OWNER'S NAME: KAO REGINA WEI ET AL
DATE ISSUED: 04/04/2016
�, d (/ y �
OWNER'S PHONE(q A � 05 - OU
PHONE NO: (408) 251-3565
LICENSED CONTRACTOR'S DECLARATIONf
BUILDING PERMIT INFO:
; -3 n,!` #43045F
License Class ic.
X BLDG
Contractor CASTILLO SRDOFING Date 11/30/2016
—ELECT _PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
I hereby affirm that I am licensed under the provisions
JOB DESCRIPTION:
of Chapter 9 (commencing with Section 7000) of
Division 3 of the Business & Professions Code and that
TEAR OFF SHAKE, INSTALL COMP. (GAF) GRAND CANYON. (E) SOLID SHEETING TO
my license is in full force and effect.
REMAIN. (16 SQ'S)
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
S Ft Floor Area
q t
A4
Valuation: $8500.00
Compensation, as provided for by Section
3700 of the Labor Code, for the performance
APN Number:
Occupancy Type:
of the work for which this permit is issued.
z.,,
,, I have and will maintain Worker's
366 53 010
4 Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the
performance of the work for which this permit
PERMIT EXPIRES IF WORK IS NOT STARTED'
is issued..
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
APPLICANT CERTIFICATION
180DAYSF;7X CALLS ; INSPECTION.
I certify that I have read this application and
state that the above information is correct. I
Issued by: Alex Uallelunea
agree to comply with all city and county
ordinances and state laws relating to building
Date: 04/04/2016
construction, and hereby authorize
representatives of this city to enter upon the
RE -ROOFS:
above mentioned property for inspection
purposes. (We) agree to save indemnify and
All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an
keep harmless the City of Cupertino against
pection, I agree to remove all new materials for inspection.
liabilities, judgments, costs, and expenses
which may accrue against said City in
Sgnaturf--- e-ofApplicant: f
consequence of the granting of this permit.
Date:
Additionally, the applicant understands and
will comply with all non -point source
regulations per the Cupertino Municipal Code,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
Section 9.18.
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code,
Signatures_
Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter
Date
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
OWNER -BUILDER DECLARATION
Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
I hereby affirm that I am exempt from the
Contractor's License Law for one of the following two
___ - --- l _
reasons:
Owner_or-authorized agen : i
� �--
1. I, as owner of the property, or my employees
Date:
with wages as their sole compensation, will do
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of work's for which this
the work, and the structure is not intended or
permit is issued (Sec. 3097, Civ C.)
offered for sale (Sec.7044, Business &
Lender's Name
Professions Code)
2. I, as owner of the property, am exclusively
Lender's Address
contracting with licensed contractors to
construct the project (Sec.7044, Business &
ARCHITECT'S DECLARATION
Professions Code).
I understand my plans shall be used as public records.
I hereby affirm under penalty of perjury one of the
Licensed Professional
following three declarations:
1. I have and will maintain a Certificate of
Consent to self -insure for Worker's
REROOF PERMIT APPLICATION Huffak
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 IA
(408)777-3228 • FAX (408) 777-3333 building cupertino.orQ
L9 19
PROJECT ADDRESS I 6 s
AP
+N —,S3 — 010
OWNER NAME s PHONE /0 -MAIL
STREET ADDRESS l a ( CITY, STATE, ZIP j FAX
PHONE o /® E -MA.
CONTACT NAME I 's d
STREET ADDRESS }� �® 4
CITY, SIE, �- j
'1 �l
❑ o,A%,FR ❑ OWArER-BUILDER ❑ OWNER/A�GENTS' CONTRACTOR ❑ roNTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER
LICENSE TYPE(p -
BUS. LIC.
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
I CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME LICENSE INUMB ER
BUS. LIC:
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF FD or Duplex El Multi -Family
ROOF AREA:
VALUATION:
C] Commercial
f
STRUCTURE:
a 6
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES - OOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE /REPLACE: YES
IF NO,
PLYWOOD El w, ❑
PLYWD ❑ OSB
PITCH:
ROOF
❑' NO
m LAYERS:
CICNESS: 13518"
TYPE: El CDX
12
CLASS: A
PROPOSED ROOF TYPE: ❑ BUILT-UP IjOOF IE ASPHALT SHI GLES ❑ V✓OOD SHAKES ❑ WOOD SHINGLES ❑ OTHER I ICC -ES REPORT
DESCRIPTION OF WORK: _ i �d
- 6
a
M
By my signature below, I certify to each of the follo-,ving: I am the property owneir or authorized agent to t prop �o� ner' ehalf. I have read this
application and the information I have provided is correct. I have read the Description of Wort: and ver' - it accurate. I agree o comply with all applicable local
ordinances and state laws relating to buildiff;-Dwnptructiori. I authorize representatives of Cupertino to enter the abo e -i en ti Ne y'rgperty for inspection purposes.
Signature of Applicant/Agen . Date:
SUPPLEMENTAL aTFORMATIONREQUIRED
If building is associated with a Home Owner's Association, provide letter
� OS'ERTI3E-COU'�TER
-
B�ilL`DII�G PS,Ai\;,RE'4TIE�'V
_
of approval from HOA.
PP
_ Provide Planning approval to verify if there any restrictions.
�
EY3ItESS
�
PJ 3%\IIrGpyAla RE�iE«
Provide copy of Manufacturer's Installation Specifications.
sxANDaRD Y �� ":
_`
.
Provide signed copy of Cupertino's Tear -Off Policy.
oTli> R
,
f � f
ReroofApp_2011.doc revised 03116111
CUPERTINO
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) 777-3228 - FAX (408) 777-3333 bulldln4 incuoertino.orq
PROJECT ADDRESS
I4:
r .APN f
VANERNAME f - jj
PHOIF /��_jti E-MAIL
STREET ADDRESS �
�
CITY, STATE I� ` �
I FAX
CONTRACTOR NAME `� `„
LICENSF NUMB LICENSE TYPE 11
(_.
I BUS. LIC. n- °2 S
cam-
COMPANY ISAh2F
FAX
STREET ADDRESS ,� �
t.
CITY, STA E, ZIP � r
PHOt� � � °`--"
I UNDERSTAND AND AGREEITO 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 up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-3228 from 7:30-3 ):3 (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: 7:30-10:30am 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 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.
erformed.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/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/do«�nspouts 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 are -inspection fee. The re -inspection fee shall be paid before another inspection can be
scheduled.
By my signing below, I certify each of the follovwing 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 SectionsR31� and R315 of
the 2013 Californi _esf =ice C ; � ode. /-\, , f / / Z f / /
Signature of A
Date:
Reroo)ToZicy_2014.doc revised 01/15/14
CUPERTINO
PURPOSE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(i.cupertino.org
Cl F
{`--'
IP �
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 8314 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
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Lac.,... �..a` Dafe: ..
�# �.... p...., z y` . .......
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
alanns 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
1 hnm- ,-Part and arrrPP to rmmnly with the terms and conditions of this statement
er {or Owner Agent's) Name:
C.
Si nafUre.:.... ......... ......L, ...-......
....................... ........................................ .?. ate::...:..............
~Qq_ CfPcfor_Name:
f N Y
Lac.,... �..a` Dafe: ..
�# �.... p...., z y` . .......
Smoke and COform.doc revised 03118114
�7
WATER -CONSERVING PLUMBING FIXTURES _
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CtJPEi2TIC+f — 1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(-cuperiino.ong
caner_ame, i`v'i e� iPe t 0.
CAc�ress
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.
(2 Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its
plumbing, installation ofwater-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.
�} 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.
No Go to Question 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 110 1. 1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
((Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
{5D Please check ONE of the following:
❑ Myproperty 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 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.
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 owner's agent 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 watp conserving plus birig fixtures comply with the requirements a in 'cated in the
table on the following page. �1 _ o t /I w V,o 1, _ __ .
er or_uwtj /_ ge.ni s_�lgnaiure:; l �Q«
Upon completing and signing this Certific e, please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08/26115