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Home My WebLink AboutB-2017-1940CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1940 1032 BUBB RD CUPERTINO, CA 95014-4939 (362 04 019) VISIONS ROOF DESIGNS SANTA CLARA, CA 95051 OWNER'S NAME: SATTERLEE CANDACE K TRUSTEE DATE ISSUED: 11/13/2017 OWNER'S PHONE: 408-691-9253 PHONE NO: (408) 247-5054 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C39 Lic. #615133 Contractor VISIONS ROOF DESIGNS Date 03/31/2019 X BLDG _ELECT _PLUMB 'affirm MECH X RESIDENTIAL COMMERCIAL 1 herebythat 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; COMP SHINGLE (22 SQ) 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 Compensation, as provided for by Section 3.700 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 Sq. Ft Floor Area: Valuation: $10124.00 permit is issued.. 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 362 04 019' representatives of this city to enter upon the above mentioned property for inspection' purpose's. (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 of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations per the Cu rti o Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatu Date 11-13-2017 Issued by: Kim Dunbar Date: 11/13/2017 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from',the Contractor's License Law for one of the RE-ROOFS: following two,[easons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 1, 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. salel(Sec:7,044', Business &'Professions Code) z 1, as' owner of'the property, am exclusively contracting with licensed Signature of Applicant: _ contractors to construct the project (Sec.7044, Business & Professions Cade).. Date: 11-13-2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. 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 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 employany'person iri 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:subjectto the Worker's Compensation provisions of the' the Health & Safety Code, Sections 25505 255 3, and 25534. Labor Code, I mdst forihwith comply with such provisions or this permit shall be deemed revoked: ,, „ Owner or authorized agent APPLICANT CERTIFICATION Date: 11-13-2017 I certify that I ,have •read. this application and state that the above information is CONSTRUCTION LE DING 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'c'onstructiin,',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 andkeep 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 oflihisipermit. Additionally, the applicant understands and will comply with, all non-poiinl 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 11-13-2017 Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • building@cupertino.org PEMIT #B - T - CUPERTINOREV# DEF# n NEW CONSTRUCTION ❑ADDITION F1ALTERATION ❑ T.I. F]MEP M RE -ROOF ❑ SWIlV v1ING POOL/SPA PROJECT ADDRESS / /"� `� � � t � APN A r OWNER NAME PHONE l e -6a 1 E-MAIL STREET ADDRESS 0_3'2, ]� _ b 'EJl�� J\ ( n I Ir C STATE, (y //' / (`T NTRACTO N ❑ OWNER -BUILDER COkNY ani CAn0() NAME VI5(00S ids LICENSE NUMBER LICENSE 615133 TYPE C-3 STREET ADDRESSS VU arle ^ ^ ^ / q 9Q')' T1 1Cn-r01CkVr(- E MAIL r'ans t �c��t I PHONE�O�-71,Y—S320 BUs. L�� 3 �6 7 ❑ ARCHITECT ❑ OWNER El OWNER AGENT ❑ CONTRACTORAGENT❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTACT NAME E-MAIL STREET ADDRESS CITY, STATE, ZIP PHONE DECRII'TO Afar,W rnill (c lviT 30 1 V !a' rven �s�a anco--175kc s 3 l/a Nc2owA SINGLE-FAMMY/DUPLEX ❑ MULTI -FAMILY ❑ INDUSTRIAL ❑ COMMERCIAL USE TYPE OCC SQ.FT. VALUATION ($) EMSTING USE I EXISTING SF NEW FLOOR SF I PORCH SF I DECK SF I DEMO SF I STORIES A TOTAL NET SF REMODEL BATHROOM SF REMODEL KITCHEN SF REMODEL OTHR SF GARAGE ❑ ATTACHED SF ❑ DETACHED OWING ❑ YES ME SPRINKLERS ❑ NO EICHLER 0 YES SECOND 13 NO STORY ADDITION 0 M 0 NO DWELLING UNITS A SECONDDWELLING ❑YES ❑ ATTACHED ❑DETACHED OTHER UNIT ADDITON: ❑ NO S F POOLS ❑ FIBERGLASS a VINYL -LINED 1] GUNITE [3 PREFABRICATED POOL - SF SPA - SF I SPA ATTACHED YES NO TOTAL - SF Commercial or Multi -Family Buildiga with Public Swimming Pools Lequires.Deyartment o En it nmental He4th oaal RECE TOTAL VALUATI N: L RE -ROOF EXISTING ROOF TYPE: ❑ BUILT-UP ROOF gASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ TILE OTHER (SPECIFY) REMOVE /REPLACE NO YES 7F NO I # OF LAYERS PLYWOOD ❑'� ❑ 3/8" �/ /� PLYWOODTYPE: THICKNESS ❑ 5/8" OTHER �P AIA ❑OSB ❑ CDX/V OTHER PITCH: / :1,L l5 ROOF CLASS A PROPOSED ROOF TYPE: BUILT-UP ROOP ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER *Provide a signed copy of the Cupertino s Tear -Off Policy SF 22CO #of SQUARES 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 to building construction. I authorize representatives of Cupertino to enterthe above -identified property for ' spection u s. I acknowledge and authorize all information contained on this application form to be made available for public r��rdy J / z Signature. of Applicant/Agent: iz Date: / J SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permitfor all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA -Provide a letter of approval from the Home Owner's Association BldgApp_2017.doe revised 08101/17 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 I L� (408) 777-3228 - FAX (408) 777-3333 • building�a cupertino.org PROJECT ADDRESS/0 '31/P�J�k w "N#J,,o L/ t I 3 (� ?-,-o OWNERNAME(_�LM_q �� PHONE �_ �G% j EMAIL STREET ADDRESs/ 3 2- CITY, STATE, ZIP �( CA FAX CONTRACTORNAME��J'j nr '^-��F , vel LICENSE NUMBER/5133 LICENS 1E5 _I BUS. LIC. �O�.L C ` J COMPANY NAME k l.S1C�ns S t .. / r EMAIL` ,/510n5 lt�iCti,C m .F STREET ADDRESS 2 (f % ^ t3� CITY, STATE, ZII'�� C`�/�; /'>/I4 �/� PHONi �/OS- % 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. To schedule inspections 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 out to the job site 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 roofmg 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/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 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 darbon monoxide detecto a required to be installed in accordance with Sections 8314 and R315 of the 2016 California Resident' de. Signature of Applicant/Ag Date:., RerooJPojicy_2014.doc revised 06/01/7 F CUPS SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 1030.0 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • building Cc cuoertinaorr ,a:... ,.,nom...._. i; 'L".:A..'�T.i\filr'�T=�Ti9;'LtiaF.T:��7:�Z�.'ra•'r.,x4mrr.s-�r+rrrix:,tz�r.+rsa,ra�r.a:�,..,,_.:��:; PURPOSE _ This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section 8314, 8315, 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 8314, 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 Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a.dwelling, unit including basements and habitable attics 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 riot 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 %nstalled 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 the cute signed below 0 .Address: 'So,56 ,56 9-2) 0.4 Pat -7-1, G+, 'Z�/C f Permit N'o. Specify Number of Alarms. # Smoke AJaLinis.j 41 # Carbon Monoxide Detectors = l have read and agree to comply with the termq anrr of th;c ktatAmonr Owner (or Ow`ner Agent's) Na i e: A �� IL Si nature. Date: 4a"ctor Name: 012 y >-v{ L'�- G •%'0 Signa IN /7 Smoke acrd COfonn.doc i-evised 0 1 /1 012 0 1 T