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B-2017-0249CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21845 GRANADAAVE CUPERTINO, CA 95014-2817 (357 16 127) CONTRACTOR: ZEUS ROOFING PERMIT NO: B-2017-0249 HEI SAN JOSE, CA 95122 OWNER'S NAME: LEE YI-MING DATE ISSUED: 02/13/2017 OWNER'S PHONE: 408-515-0416 PHONE NO: (408) 482-0070 LICENSED CONTRACTOR'S DECLARATION ARATION BUILDING PERMIT INFO: License Class= Lic. #958136 Contractor ZEUS ROOFING Date 02/28/2017 X BLDG _ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: RE-ROOF; TEAR OFF; INSTALL OSB; COMP ROOF (16 SQ'S) i. 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. _ z. %,. `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: $9600.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 357 16 127 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 this permit. Additionally, the applicant understands and will comply with all ll non-point WITHIN 180 DAYS OF PERMIT I DAN CE OR source regulations pe the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM SPECTION. Signatur Date 02/13/2017 Issued by: MELISS Date: 02/13/2017 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, I 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) z. 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: 02/13/2017 I hereby affirm under penalty of perjury one of the following three declarations: 1. 1 have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 z. 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 a. 1 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 Worker's Compensation laws of California. If, after making this certificate of 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 exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, offs 23'505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall J be deemed revoked. Owner or authorized ages . APPLICANT CERTIFICATION Date: 02/13/2017 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 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 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 DF. RATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 02/13/2017 Licensed Professional I CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building()cupertino.org MN Z,0 ► ' ()Z1-�' PROJECT ADDRESS/ 21R)45OWNERNAME APN # % �� PHO S a 1 LEE -515-0 C- �® � b E-MAIL STREET ADDRESS 44 C— CITY, STATE, ZIP FAX CONTACT NAME 1pPHO 1 f,. E-MAIL STREET ADDRESS , CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BuiLDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMESpCLrnG Y LICENSE NUMBS LICENSE TYPE �� BUS. LIC. # COMPANY NAME S ,Cn j nV E -MAH. ® w-Q•i'2I%OLL Do, Q7 FAX STREET ADDRESS® �� `4`, ernCITY, STATE, ZIP ® e �C1 PHONE C ® , ®® ARCHITECT/ENGINEER NAME LICENSE NUMBER SIZ BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family ROOF AREA: VALUATIONT: `®() V STRUCTURE: ❑ Commercial I (_ tl6 O EXISTING ROOF TYPE: 0 BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES X WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE ❑YES IFNO, PLYWOOD:" ElPLYWD J9 OSB PITCH: ROOF ❑ NO # LAYERS: THICKNESS: 5/8" TYPE: ❑ CDX 4- ' 12 CLASS: PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: ®tnbTatl t oUt X ;_ST; ma wood 5 les I 2 jan.-r 9 a 3 Q )L l 3 ® �- �xoAr S�i L3 tS ctM ' 6 - ILS 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 �tion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED OFFv10E DISE ONLY PLAN CHECK TYPE ROUTING SLIP If building is associated with a Home Owner's Association, provide letter VEit-THE-COUNTER ❑ REV IE -,v of approval from HOA. Provide Planning approval to verify if there any restrictions. EXPRESS µBUlLDINGPLAN" `PLAnNING PLAN REVIEW, Provide copy of Manufacturer's Installation Specifications. 1=l 'ST" ❑ FIRE DEPS' Provide signed copy of Cupertino's Tear -Off Policy. R- ReroofApp 2011.doc revised 03116111 FA CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT a 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 - building@cupertino.org PROJECT ADDRESS j APN # 1 i ci OWNER NAME PH �1 t _®�i1� E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTRACTORNAME c LICENSE NUMBER S� Q LICENSE TYPE BUS. LIC. # Q �Q ,39 COMPANY NAME y c e� E-MAIL qn � 1 gJ FAX YICA STREET ADDRESS(9 ���� 60 It W eQ- CITY, STATE, ZIP_94A.- S 0.5e CCL PHOI 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. 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: 7:3040:30am. 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. 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. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 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 d� are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residential Co e. Signature of ADDlicant/ARent: Date: 2- —13 ReroofPolicy 2014.doc revised 12/15116 PURPOSE This affidavitis 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 I Outside of each separate sleeping area in the immediate vicinity of the X X bedrooms) - (Smoke alarms shall not be located within 3 feet of bathroom door) — On every level of a dwelling unit inchadin basements and habitable attics X X Within each Slee ing 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 8314 and CSC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for s alarms which must be connected to the building wiriing. 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 specified below have been tested and are operational, as of tlae date signed below. Address: ;geeify Number of Alarms: owner (or Owner Agent's) Name: Contractor Name: 4.A) 4 dl-) 4 V # Smo Permit No.4Z .A -®�� q # Carbon Monoxide D l have read and agree to comply with the terms and conditions of this statement Smoke and CO for-7ra.doc revised 01/1012017 f CUPERTINfy ;Owner Naive WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 a building(a)-cupertino.org f y Permit No Address q% 0 C ►i� ` ys� 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through l l01.8 do not apply. Skip the rest of the form and sign bottom of form. CD a 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 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. % 9 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. J 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. 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.. 5. Please�check ONE of the following: s 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 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 water- nserv_i g plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signatur Date: Upon completing and signing this Cer e, please retunl it to the Building Division in orderto final your building permit. SB407 2015. doc revised 08126115 1. If the existing plumbing tixture water usageiriow rata i5 ugUeLl LU Vl 1V,Nti 1- - _- SE407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 /Flow Rate 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 ppsi 60 Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen Faucets per minute 60 psi May temporarily increase @ 60 psi May temporarily psi 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 11.8 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. _�L-- ,.i,e �n rP �hn,x,,, it i z Tint renuired to be uDgraded. 1. If the existing plumbing tixture water usageiriow rata i5 ugUeLl LU Vl 1V,Nti 1- - _- SE407 2015.doc revised 08/26/15