The URL can be used to link to this page

Home My WebLink AboutB-2017-2061CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-2061 10562 ESQUIRE PL CUPERTINO, CA 95014-1318 (326 44 029) SIGNATURE BUILDERS INC BELMONT, CA 94002 OWNER'S NAME: LIU HSING-CHIEN AND TAI HUI-JIVE I I DATE ISSUED: 12/01/2017 1 OWNER'S PHONE: 408-733-9698 LICENSED CONTRACTOR'S DECLARATION License Class C-39 Lic. #686668 Contractor SIGNATURE BUILDERS INC Date 04/30/2018 1 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 Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. -1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 ofthe Labor Code, for the performance ofthe 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.t-�he tCupertino Municipal Code, Section 9.18. Signature % ,cyNi"�— Date 12-01-2017 OWNER -BUILDER DECLARATION I hereby affirm that I ant exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner ofthe 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 construcbthe project (Sec.7044, Business & Professions Code). I hereby affirm under penalty;of perjury one of the following three declarations: 1. 1 have and will maintainla Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the perforinance,ofthe work for which this pennit is issued. 2. 1 have and will mainiaiti'Worker's Compensation Insurance, as provided for by 'Section 3700 of the Labor Code, for the performance ofthe 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 WorkeCs Compensition'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., APP LICANT CERTIFICATI ON 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 consfruction;, 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. Sig PHONE NO: (650) 598-5444 BUILDING PERMIT INFO: BLDG _ ELECT _ PLUMB MECH X RESIDENTIAL _ COMMERCIAL DESCRIPTION: .00F; TEAR -OFF; COMP SHINGLES (35 SQ) Sq. Ft Floor Area: I Valuation: $13800.00 APN Number: Occupancy Type: 326 44 029 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 12/01/2017 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 y� inspection. Signature of Applicant: Date: 12-01-2017 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 25505, 25533,,aand /f2�5534. Owner or authorized. agent: Date: 12-01-2017 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 DECLARATION I understand my plans shall be used as public records. Date 12-01-2017Licensed Prnfnccir CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin4(a)cupertino.oro PROJECT ADDRESS I U S r 0 n IF ELA ^ r APN # � L� — r � L — -� 1 `FS OWNER NAME vi (` ) w\ (_ '�, psi 1 v L'• I PHONE o $f),;,3 /� ? �J v / E �` �) Wim'! STREET ADDRESS 0�+� r (1 :• I � fG , CIIyY, ST E,ZIP' �O FAX CONTACT NAME C C7 f, ^ ao PHONE a vSy��S 1 E-MAIL en IlliPiib� I) CI �.7 STREET ADDRESS / T � 1A \ � I � ` _ \ R - ;TTY, S TE,6Z nip�^ O 1 FAX CC,ONTNTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR NAME n D LICENSE NU B (1 L LICENSt f BUS. LTC. # o I T COMPANY NAME ` E-MAIL f FAX 1 ,ZIP �toj�gt4l (�1 Own a (F� '�� D b5'V T ID-5�% \ J A STREET ADI SS 4. �u ' / r-, CIT TATE,ZIPd. - / `f PHONE s5 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex ❑ 'Multi -Family ',ROOF AREA: VALUATION: , El Commercial �+ 2 �, gV V ' STRUCTURE: , 1 rri EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES �THER (SPECIFY) REMOVE /REPLACES IF NO, I4LAYERS: PLYWOOD 11.%;" 11PLYWD El OSB PITCH: t ROOF ❑ NO THICKNESS: ❑ 5/8" r TYPE: ❑ CDX :12 _CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF VASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER i ICC -ES REPORT # i DESCRIPTION OF WORK: � s • �o� S Pe, %41A-1 s �. C �I 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 fhave 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 bu' d' con n. I a thorize representatives of Cupertino to enter the above -identified property for inspection purposes.. Signature of Applicant/Agent Date: 1 2- . SUPPLEMENTAL INFORMATION REQUIRED r' oFF>CE usE oivLY t i;`' If building 1S associated with a Home Owner's ASSOC13t10ri, provide leiter = PLAN CHECK TYPE' �f ' it _� ROUTING OVER TH&COUNTER I r ❑ BUILDING PLpN REVIEW $t �` _ of approval from HOA. pp Provide Planning approval to verify if there any restrictions. 1Y ` ❑ REVIEwa } PANNING ri AN _ Provide copy of Manufacturer's Installation Specifications. ❑, STANDARD ❑ IFIRE Provide signed copy of Cupertino's Tear -Off Policy. x I ❑ olcER� t a ReroofApp 2011.doc revised 03/16/11 �-CA CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aagupertino.org / N b ® ? 8 PROJECT ADDRESS S ( S / APN # / OWNER NAME PHONE r.� 1D r E rA�I ' M �/ I 0. W W STREET ADDRESS Q S I N ��' -7 /I LA tC CITY�.$TATE,�I; A�f U FFAX CONTRACTOR NAMEG Ir'�-�'rl • •1 '�S LICENSE NU E ,,662 LICENSjd 4 YPFj t./�� BUS. LIC. # COMPANY NAME) �N t V 1 I tel/ l �'+� I (� SE -MAIL �b10 Ck M 0\ lr+ FAX —D vIf�Y✓� 7 2,0 �� 1�/ STREET ADDRESS - ` �� • O I �11 ST TE, Z CA 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-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: 7:30-10:30am 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 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'anproval shall be obtained from the building inspector when the re -roofing is completed. To receive afnal 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. Ialso'understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and R315 of the 2013 California Residential Code q. i Signature of Applicant/Agent:/�� Date. ReroofPolicy_201'4.'doc revised 01/15/14 SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CI.DPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (403) 777-3333 • bui!dbgCa)Wr)riino.prct PERMIT CANNOT BE FINALED UNTIL THIS CFRTMCATE HAS BEEN tOMPLE—TED, SIGNED, ED, AND RETURNtD TO THE BifiILD]'NG DIVISION 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 -- (Smoke alarms shall not be located livithin 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 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 specified below have been tested and are operational, as of the date signed below Address: ' 05 to2-E LA i nf, F1 I cA C6 Permit No. B 2-0,1.-7 - X(o Specify Number of Alarms. 4 Smoke Alarms 2. 4 Carbon Monoxide Detectors. i �- 1 ha„e mart anrt n fn rmmly with Ma tertnc Anti rond0ions of this state nent Owner (or Owner Agent's) Name: t ht. f 711 i1 L. 1 Lt / 5i nature...`'.a..... d_............................................................................... Date:' Contracto arae: Sinature ............................................... . ...... Lic*...... ................,............ Date:................... Smoke arxl Wjbrm.doc revised 11111 012017 ;k� 'r}