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Home My WebLink AboutB-2017-1502CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10090 PASADENA AVE APT B3 CUPERTINO, CA 95014-5939 (357 17 089)10090 PASADENAAVE STE B2 CUPERTINO, CA 95014-5939 (357 17 088)110090 PASADENAAVE STE B1 CUPERTINO, CA 95014-5939 (357 17 087)110090 PASADENAAVE APT B4 CUPERTINO, CA 95014-5939 (357 17 090) OWNER'S NAME: BROWN JOHN H AND BARBARA J. H. TRUSTEE CONTRACTOR: PERMIT NO: B-2017-1502 BILL HAMILTON ROOFING INC CAMPBELL, CA 95008 DATE ISSUED: 09/07/2017 I OWNER'S PHONE. 408-930-3016 I ( PHONE NO: (408) 379-1303 111 IN ►. )XV -4U it 1M.1 1 License Class C39 Lic. #844400 Contractor BILL HAMILTON ROOFING INC Date 04/30/2018 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. I have and will maintain a certificate of consent to self -insure for Worker's BUILDING PERMIT INFO• X BLDG —ELECT —PLUMB _ MECH X RESIDENTL4,L _ COMMERCIAL JOB DESCRIPTION RE -ROOF, TEAR -OFF - INSTALLING COMP SHINGLES - (44 SQ) Compensation, as provided for by Section 3700 of the Labor Code, for the 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: $31000.00 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signatures ire , / -e_ / Date 09-7-2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: m. 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. i. 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. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. APN Number- Occupancy Type: 357 17 087 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION by Abby Ayende RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 09-7-2017 IV ir ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 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 Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25 5, 25533, and 25534. f. Owner or authorized agent:, "Z– Date: 09-7-2017 Y I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Signature Date 09-7-2017 Pmfamaie 411 E:' PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION Mm. 10300 TORRE AVENUE . C:UPERTINO, CA 95014-3255 clip -t -'No (408) 777-3228 • FAX (408) 777-3333 a building"Mcupartinp org � 20Mo "I PROJECT ADDRESS >�erE ja y�y/ APV y cJ fdCd Q� f �.! ! df C• l rd�IL 0 Vi (ER NANO E VIS l - I� ISj `L_ W Vo�d I F'iiONE. .. _ r E•Prf:ilL STREET .ADDRESS V t1 ((i f� �' CITY, STATE, ZIP tr FAX iid�93®-?f� CONTACT NA,Y,tE PHONE - - E-MAIL _ STREET ADDRESS CITY, STATE, ZIP FAX . Oi4'NE{I. I .II OWNER -BUILDER 0 ONWER AGENT W! EONTI-IcTop- n OoN-r ACTOR AGENT . - I� fiitcmTEcT 171 6EVE[,{5Pr1F. 0 CONTRACTfl}LN&ME LICEhSENUMBER - {. � -j � I E1TIIt (SPECIFY') LICENSE'TYPE9,s� / BUS. LIC r V /�/�j -. COMPANY NAME pate: / E-MAILFAX '414A 6 1� ..__ F� Q j PITCH: r_ I 2 ROOF CLASS: - PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ® ASPHALT SHINGLES El WOOD $HAp: 0 wt OoD.sHINELES STREET ADDRESS `� 1 �L �i✓� �7 i�{ �r s �%�. CITY, STATE.ZL G� �y/��j t td�✓G PHt72vE q( /��/ ;.3 J)37 � ARCHrFFCT)ENC,jNEERNAME BER BttS. LIC, P COA,P:ANY NA i4E TE-MAJIL .- - FRk STRC£T ADi3RE5S TATE, ZIP PHONE USE a,• SFD or Duplex n Multi -Family ROOF AREA: VALUATION . ��3�E?- STRUCTURE: fi I9 Ccarlmercial 17�> q (�.✓ E`..iISTIiVG ROOF TYFE: (i &[.JILT JP ROt}€ As"i'FIAL'. SHINGLES tVOt3D SHAk.^rS Ii3�OODSIi%3€FL S,.... I E1TIIt (SPECIFY') ordinances and state laws relating to tI 11Id' g n nsLruction+I authorize representatives of REMOVE/REPLACE M'YES 11 No IF NO. # LAN ERC: pate: PLYWOOD ❑ I:" THIC7:hRSS: CI StS" ..__ PLYWD I� OSB Tzm b cDx PITCH: r_ I 2 ROOF CLASS: - PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ® ASPHALT SHINGLES El WOOD $HAp: 0 wt OoD.sHINELES � OTHER ICC -ES RE3'ORT # DESCRIP T' ON OF WORK; * l� Q v t� -�x,1 h -. s _.... f -i _. _ b. f �_ r%'Pill, f6' By my signature Gelow, I certify to each of the fol-Iovving: l air; the property oumer er authoriz-d agent to act an lite property owner's behalf. I have read this application and the information Chat e provia .d is correct. I have read the Description of%rk and !-eri6r it is aceurata. I agree to comply with all applicable local ordinances and state laws relating to tI 11Id' g n nsLruction+I authorize representatives of Cupertino to enter the ab -id ntifie for inspection purposes. Signature afApplicant/Agent: pate: SUPPLEMElNr'[`AL ;f FORla2 MIT REQLTIRED 1f building is associated with a ` atne Iner's Association. provide letter z� Ixtir 3f approval froin 1-IOA. Y C F I j - iRT�G�IwT'�Z 6 ' _ Provide Planning approval to verify ifthere any restrictions. .. .Ms,?'rXl'c Provide copy of Manufacturer's Installation Specifications. Provide signed crap} of Cupertino's Tear -Off Policy, � � nTal�li Rerccf P IOI X.aoe ter>iseti'{ 3:'Id,'lI el Monta Vista Woods HOA 10090 Pasadena Avenue #13-1 Cupertino, CA 95014 September b, 2017 To whom it may concern at: BillHamilton Roofing, Inc, 230 Harrison Avenue Campbell, CA 45008 The Monta Vista Woods Home Owners Association has approved CertainTeed" Landmark Series shingle roof system in the Georgetown Gray color. John H. Brown President, Monta Vista Woods HOA fl WATEr.-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE 44,1,1 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �®/1 (4087777-32 (408)777-3333• buildinq(c�cupertinrq o / / / 5/- Owner Name Permit No. Address l oO'YD p,S'cde f1L,A Are, eer-HnOl, 95 / 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 plumbmg,installation of water-conservmg 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 foam-and-sign bottom-of form.—-- _� 12/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. IE-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. 1 /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: ❑ 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 ffi f es to *a're aced"`wiili waTer-conservm `lumtim T tires: p g p g p______.-_g- 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). le 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 plumbmg 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 Plumbmg Code and California Green Building Standards Code,and manufacturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agents Signature � '� ;r`, , a – _ Date 9/b//7 Upon completing and signing this erti.'cate,please' rn it to the Building Division in order to fmal your building permit. SB4072015.doc revised 08/26/15 \ SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE wyc.,ss COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq(c_cupertino,orq Permit No. /9,-/3 Address � #of Alarms Smoke: �, Carbon- Monoxide: PERMIT CANNOT BE FINALED AND COMPI HAS BEEN SIGNED AND RETURNED T PURPOSE � This affidavit is a self-certification for the installation of all reg1 Jy/72. 9i 6,4 r compliance with 2013 CRC Section R314,2013 CBC Sections 42 inspections are required. ,�._. GENERAL INFORMATION j Existing single-family and multi-family dwellings shall be prof' Monoxide alarms. When the valuation of additions, alteration 9.--,C %r/tO /37 / $1000.00,CRC Section R314 and CBC Sections 907.2.11.5 and,C G �? Monoxide Alarms be installed in the following locations: '1 � �% 't�d AREA 4-1-e'" Outside of each separate sleeping area in the immediate vicinity ,. A bedroom(s) 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-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 finishesorthere is oaccess; g-m_ of=attie;haserr nnorcrawl- - ap e;Rele-r e= eetron- -and-CBC`Sectior-ns 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: a �dr'i,C'( jZ.i/}it, Signature 3.34A Q �..�,a�r.'i<i'�°'�' Date:��/�, J' Contractor Name: Signature Lic.# Date: Smoke and CO form.doc revised 03/18/14