B-2017-1635 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1635
10751 CARVER DR CUPERTINO,CA 95014-3608(375 35 005) BILL HAMILTON
ROOFING INC
CAMPBELL,CA 95008
OWNERS NAME: YI JONG YE ET AL DATE ISSUED:'09/21/2017
OWNER'S PHONE:408-358-1984 PHONE NO:(408)379-1303
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-39 Lic.#644400
Contractor BILL HAMILTON ROOFING INC Date 04/30/2018 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 NEW 50 MIL SINGLE PLY COOL
I hereby affirm under penalty of perjury one of the following two declarations: ROOF-(17 SQ)
1. I have and will maintain a certificate of consent to self-insure for Worker's
forompensation,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:$16000.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 375 35 005
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
Additionally,
accrue against said City in stands and of the comply
with
of this non-point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per sertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
.--
Si'gnfeDate 9/21/2017 Issued by:Jasmine Archbold
( Date:09/21/2017
•WN t-: I • i -.. ARATION
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.
r
sale(Sec.7044,Business&Professions Code)
ISMir,Age
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applic.+.�✓ ffrs_
contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/21/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
t. 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 Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of 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,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. / -
Owner or authorizedag-nt:
APPLI ANT CERTIFICATION
Date:9/21/2017 �/^
I certify that I have read this application and state that the above information is CONSTR " ti AGENCY
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 DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Signature Date 9/21/2017 Licensed
Professional
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REROOF PERMIT APPLICATION.,
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COMMUNITY DEVELOPMENT DEPARTMENT*13 6 I LDING DIVISION
• ,,t,„•,.\,, 10300 TORRE AVENUE*CUPERTINO,CA 85014-32SE ,
- - (408)777-3228*PAX(408)717-3333.buildiricitaCUPertiriobrci
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PROJECT ADDRESS ‘ ---- .
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OWNER 0 OWNERAURDEIL 0 OWNER..AGENT th CONTRACTOR 0 GONTILACTO12 AGENT U AtenrretT U ENGINEER 0 DEVELOPER 0't-ENNor
"• CONTRACTOR.NAME LICENSE'NUMBER (0111/414
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coNIPANY NANTEid\ [A.- -
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• ARCHITECT/ENGINEER NAME LICENSE NUMBER . BUS LIC Fl
COMPANYNAME E41L FAX
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STREET ADDRESS CITY,STATE,ZIP PRONE
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USE OF A SFr)or Duplex ID Multi-Family ROOF AREA VALUATION:
STRUCTURE: 0 Commercial iii2 i at
4 1
EXISTING ROOF TYPE; Cl EDILT-11P ROOF U ASPHALT SHINGLES U WOOD SHAKES '`0W-00_D.SHINGLES ICI OTHER(SPECIFY)Iii tr- 'inn//9 1
t utA vi vt.
nEktovontErLAon AYES IF NO, PLYW000 0 Vi" 0 . ICYWD 0 t)sn InTar, el
ROOF
- 0 No #LA YEAS- THICKNESS: 0 5/s- TYPE. 0 CDX 2S_____:12 CLASS- A
r-1 ___ 50 r4-1,1 Ve ICC-Es aupottr4
PROPOSED ROOF TYPE: 0 BUILT-UP ROOF 0 ASPHALT SHINGLES El WOOD SHAKES LI WOOD SHINGLts ,,OTHER ?V-L,
, .
DESCRIPTION OF WORK.
k , /V "''''''tW.10 q t o\ttSA-11/A AztAr i f r Vet fin) , .1,vts-C \ Now t)VA:ii 116 pvc,
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Bs,my signature below,I certify to each of the following: lam thepropeny°wile r 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 to h '.'-.-: •4 ,..- '''• I authorize representatives of Cupertino to enter the ahoy,identified property for inspection purposes.
,
Signature of Applicant/Age,-."-- .1,-.-i i.-e:A V,a 11"..1 r,„, , bate- ,
SUPPLEM .L INFO•L -TION REQUIRED •• .. OPFJCEESEONIat
P1krierv1, ` --'--"--- -.„
If building is associated With a 1-10THe-Owner's Association,provide letter PLAN .7- -rv.. gOOTING SLIP., , .
of approval from HOA. C3 ovERAit,aciona ' - 'El sincoliNG PLAx,n.EVI,VW ---
Provide Planning approval to verify if there any restrictions, 0 tSS-- : -- ' 1:1 tio*Nov4g, oxvolv ' '
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Provide copy of Manufacturer's Installation Specifications. 0 sTANIii4D '' • , ' -P-FIKIJAtti''. -
Provide signed copy of Cupertino's Tear-Off Policy,
•
- Re_roofApp_2011 doe revised 03/16/11
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REROOF TEAR-OFF POLICY .
rk COMMUNITY DEVELOPMENT DEPARTMENT*BUILDING DIVISION
ALBERT SALVADOR,P.E.,C.B4O,,BUILDING OFFICIAL
- - —
CVFtT1140 10300 TORRE AVENUE.CUPERTINO'CA 9014-325
Pt
(408)771-3228•FAX(408)777-3383 0 buildingOdupertino.ern - ?:..) —2-otl-- ko3 -'
PROJECT ADDRESS "®\ (Akar
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OWNER NAME S k......_
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STREET ADDRESS ;i „rf---LA or ,. 4, of, CITY,STATE,Lie LOS 6k r - L pq , FAX
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CONTRACTOR NAME
LICENSE
NUMBER Lvitti)b LlerdN'SETYPE C31 BUS.CIC,fl g-1115•
,COMFAI,'.4Y NAME ly 11 11,amk.\AD , E-MAIL -
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TREETADDAESS .i ' ITY,STATE,ZIP NIONE
atiV tiOrriW1 Altr c ii. 0$1,1 eA4 61,506g 110g--511-IN'--0
I UNDERSTAND AND AGREE TO THE FOLLOWING:
I. The re-roof project shall comply with all applicable provisiona of the 2016-California Codes,
2. An inspection request can be scheduled up to one buSiness daV before thexeouested inspection date.
To schedule inspections call-008) 777-3228 from 7:30-330pm(Men-ThatHs)or 7:30-2130Pm(FridaY)to
schedule inspection. For Tear-Off and Nailing Inspection you must also call on the day of the
section 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:7:30-10:30ant and 12:30-330 (Mon-Thars),
and 730-10:30am and 12:30;2:30 (Friday). Final Inspections will be given a two hour window. z
3, Tear-Off ins.ection is r, I'aired. Any and all dry-rotted wood shall be replaced prior to this inspection. ..
Unless new plywood roof sheathing is proposed throughout, all The nads/fastenen shall be either
completely-knocked-down or removed prior to this inspection
4. If plywood is installed, a plywood Nailing Inspection i 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 elf all new material down to the sheathing so,a proper inspection can be performed.
6. A Final Ins s ection and a* i royal 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'1/4"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/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 he
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 detectors are required to be installed in acoordance with SectionsR.3 14 and.R,115 of
the 2016 California Residential Code.
Signature of Applicant/Agent a e.
ReroofPoky 20.14.doc revised 06101/7
.f'
rThn
SMOKE / CARBON MONOXIDE ALARMS L.
OWNER CERTIFICATE OF COMPLIANCE '
wyr.,9, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION (7
CUPERTINO10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq cupertino.orq �7�,
�, Permit No. 6 /7 635
Address Cir ''#of Alarms Smoke: , 6 Carbon Monoxide: .
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN_SIGNED ANDRETURNED TO THE BUILDING DIVISION
PURPOSE
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 420.6 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 X X
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 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:
Signature. .... Date: ....
Contractor Name:
Taft wt( l inn V-04Act Sign_ Ur � 4.1M'_ Lic.#. .w WI.&0 Date: quail/
Smoke and CO form.doc revised 03/18/14
„\\17Lily. SMOKE CARBON MONOXIDE ALARMS
rk OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildincicupeitino.org 11
f2) c 0-27
Permit No.
Address I --151 0.0L)Riex 1)-(, #of Alarms Smoke: Carbon Monoxide:
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
PURPOSE
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 420.6 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 X X
bedroom(s)
On every level of a dwelling unit including basementsX 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 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:
Signature Date:
Contractor Name:
::-.)11*1( V4002 S fure Lic.# ......Date .
Smoke and CO form.doe revised 03/18/14