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HomeMy WebLinkAboutB-2017-2070CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-2070 11157PALOS VERDES DR CUPERTINO, CA 95014-4722 (356 17 006) JIREH INC LOS GATOS, CA 95031 OWNER'S NAME: LUPIEN BROOKS H AND CELIA R TRUSTEE OWNER'S PHONE: 408-252-1824 LICENSED CONTRACTOR'S DECLARATION License Class C-39 Lic. #800707 Contractor JIREH INC Date 10/31/2019 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: m. 1 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 rformance of the work for which this permit is issued. 4 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. 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. Date 12/4/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. 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: m. 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. 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 t 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. Signature Date 12/4/2017 ISSUED: 12/04/2017 PHONE NO: (408) 298-9399 BUILDING PERMIT INFO: X BLDG ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REROOF; TEAR OFF; INSTALL OSB; COMP SHINGLES (24 SQ) Sq. Ft Floor Area: I Valuation: $11400.00 APN Number: OccupancyType: 356 17 006 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyAAyende Date: 12/04/2017 RE -ROOFS: - All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. Onature of Applicant:(f�� Date: 12/4/2017 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 compliancewith the,Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(akshould I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay AreaAir Quality Management District I will maintain compliance with the CupertinomNunicipal Code, Chapter 9.12 and the Health & Safety Code, Sections 35505, 25533, and 25534. mer or authorized agegt: ' Date:2/1 4/2017 CONSTRUCTION LENDING AGENCY 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 DECL.AR_ATION I understand my plans shall be used as public records. Licensed Professional CUpII=R'nNO. P,_Wq--_2_0-1-0 REROOF PERMIT APPLICATION 1 COMMUNITY DEVELOPMENT DEPARTMENT • 136ILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-. 255 (408) 777-3228 • FAX (408) 777-3333 • building(),cupertino.org PROJECT ADDRE S ; TAPN,� / �fA V 6 J OWNE 1 VD�J lv • �oj P °) ` r 6 E-MAIL STREET D CI STA ,ZIP r FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,'STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUIIAER ❑ OWNER AGENTCONTRACTOR 11 CONTRACTOR AGENT El ARCHITECT 11 ENGINEER,, 11 DEVELOPER El TENANT CONTRACTOR NAME LICENSE BER LIC NSE BUS. LIC. # WC COMPANYNAME E- IL FqX �j STREET D S CITY, STAIA,ZIP AS,/ ARCHITSCT/SNGINEER LAAME LICENSE NUMBER BUS. LIC. # COMPANY NAME &MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF U/SFD or Duplex ❑ Multi -Family ROOF AREA: VALU TION: STRUCTURE: ❑ Commercial /� V EXISTING ROOF TYPE: ❑ BUILT-UP ROOFi ❑ ASPHALT SHINGLES 2? WOOD SHAKES 'E WOOD SHINGLES 11 -OTHER (SPECIFY) REMOVFIREPLACE ErY,S IF NO; PLYWOOD ❑ /." ❑_ PLYWD I/OSB PITCH: ROOF 11 NO #LAYERS: THICKNESS: El 5/8- TYPE: ❑ CDX ' 12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ElASPHALT SHINGLES ❑ WOOD SHAKES 0 WOOD SHINGLES ❑ OTHER ICC -ES REPORT # i 1 DESCRIPTION OF WORR- c.Y,l &*&Al � .sn� � W� `� �07L, DSJ 01 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. la gree to omply with all applicable local ordinances and state laws relating to bui di ` struc � ' . I authorize repr sentatives of Cupertino to enter the above-iden ' led roperty for inspection purposes. Signature of Applicant/Agent: 1 Date: SUPPLEMEN AL IN ORMATION REQUIRED �.x�u{�i `„r�� M a � �, ..�� I t,,on Icy !��'��.a Fq 4+9 �� s � �p ysg,�a If^Ft usEoolvLY; �t ; If building is associated with a Home Owner's Association, provide letter P) AN CHECKTYPE� I r fi ROUTINGSLIP a _ of approval from HOA:'A I OVERTHI<COIINTERYJt 51 3;❑BUILDINGPLANREVIEWx r Planning approval to verify if there any restrictions. �.i.4i t f fl- .Cz`C 1$FA }(' -+. D C s✓ �� v. "jr�i't. .sfzf 11 t. ❑ ` _Provide i EXPxEssis r• 4 � cu�.i-- .;�`� � Tr 57 �'.S �, 4 �y�. PLANNINGPLAN`REVIEW�,"�e* 7 � L,y !'� � t - �.H � r�,�..� �e� � �`.,5 f,� ti . Provide copy of Manufacturer's Iristallation Specifications. �c. Provide signed copy of Cupertino's Tear -Off Policy. fil, (t+ "�.4}i.. ReroofApp_2011.doc revised 03/16/11 Lsi.rass s REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 1.0300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildinala.cupertino.ora PROJECT ADDRESS, f s7a T'& &_ d� A APN # -,00 I - � - / .1 OWNERNAME /` ®!�C! le `' PHONE E-MAIL ST SS Cc ,� ., Add ���nn .& - CITY, TE, 1 9.5,01. FAX CONTRACTOR NAME j ' LICEN' NUMB 07 LICr,SE T1 PE Cr# j BUS. LI00 CO NAME ' V E-MAIL STRE SS - CITY TATE, c I PHONE I UNDERSTAND AND AGREE TO 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 7:30-3:30pm (Mon -Thug's); or 7:302 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 (r1VIon- hurs) 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,nspection. Unless new plywood roof sheathing, is proposed throughout, all the nails/fasteners shall be either, completely knocked -down or removed prior to this inspection. I 4. If'plywood is installed, a plywood! Nailing Inspection is required. 'i 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, inspe ction will 'require the removal of all new material down to the sheathing so a proper inspection can .be performed. l 6. A Final Inspection and approval §hall 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 %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 arrestorlinstallation, 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: Iain the property owner or authorized agent to' act on the prope'r'ty 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 detector are required to e installed in accordance with Sections R31.4 and R315 of the 2613 California Resideniial Signature of Applicant/Agent:' Date: I;, 17 Reroo7Policy_2014.doc revised 01/15/14 SMOKE i CARBON MONOXIDE ALARMS O EER CERT(F[CATE OF COMPLkNCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTIN© 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildina(a cuoertino.oro PURPOSE 0 This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with.2016 CRC Section R314, 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 and CBC Sections 907.2.113 and 420 6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA I I 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 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 dta%elling 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 907.2 114 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 specified below have been tested and are operational, as of the date signed below A , n /1 Address - Permit No 2,0-76) Specify ?Number of Alarms: - Smoke Alarms. 1 �� "Carbon Monoxide Detectors. 1 have read and agree to comply with the terms and conditions of this starement Owner (or Owner Agent's) Name: Signature Date: Contractor Name:� 7►�. 7 Signature.. .. Lica Date:/' //o Smoke and CO fonmdoc revised 12115/16