B-2016-1941 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1941
10140 PHAR LAP DR CUPERTINO,CA 95014-1114(326 39 006) BILL HAMILTON
ROOFING INC
CAMPBELL,CA 95008
OWNER'S NAME: KRAMER PETER R TRUSTEE&ET AL DATE ISSUED:05/13/2016
OWNER'S PHONE:408-446-2535 PHONE NO:(408)379-1303
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class ROOFING Lic.# 46 4400
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:
(PARTIAL)TEAR OFF;INSTALL OSB,30#FELT,COMP SHINGLE(4
I hereby affirm under penalty of perjury one of the following two declarations: SQ'S)
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 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:$4000.00
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 26 Number: Occupancy Type:
3
and state laws relating to building construction,and hereby authorize 326 39 006
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
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 reg ons per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST SPECTION.
Signature Date 05/13/2016 Issued by:MELISS
Date:05/13/2016
OWNER R E
ARATTO/
I hereby affirm 4t L.In exempt from the Contractor's License Law for one of the RF.-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
r. 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 mspecti d
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature ofApplicant:
contractors to construct the project(See.7044,Business&Professions Code). Date:05/13/2016
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERTR>/3 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
i. 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 Co Sections 255072553y,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall P
be deemed revoked. ��-
Owner or authorized agent:
APPLICANT CERTIFICATION Date:05/13/2016
I certify that I have read this application and state that the above information is CON TRUCTION LE AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a constructl6n 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. 1 understand my plans shall be used as public records.
Licensed
Signature Date 05/13/2016 Professional
RERQ®F PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 F%
CUPERTINO (408)777-3228•FAX(408)777-3333•buildinacDcupertino.om
T3- ZaA6 `f
PROJECT ADDRESS r' l APN#
So3
OWNERNAIAE PHONE / o� !�0:2�3 EMAl n ami/ _ i/.he
'Pe
STREET ADDRESSane nG uQ^ /ove CITY, STATE,ZIP FAX
CONTACTAIJJ�N ® V� Pa ��� D E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACroR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME- ' -• LICENSE NUMBER LICENSE TYPE BUS.LIC.9,
COMPANY N7&//
E-MAIL FAX
STREET ADDRESS.30114177c e% Rye. CITY,STATE,ZIP QD PHONE44
ARCHITECT/ENGINEER NAME LICENSE NUM BER ( (r BUS.LIC.R
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family. ROOF AREA: VALUATION: 06 OD
STRUCTURE: ❑
Commercial ,5 O
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE YES IF NO, PLYWOOD ❑ 'w ❑ PLYWD GtOSB PITCH: ROOF
❑ NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑CDX '12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF I/ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT^#
DESCRIPTION OF WORK: Ia 1i1 �/ _/ / /, _ rvo- .onl
�QeMoVeexal-Ine wood Shale ryaf 0 (VW G�j(,(;/� /(L(,�'•�r
nd i ne&O Owe hip Wo mor roof Cojor- Chesf�9,
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 ofWork and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relati building co ze representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: oto! ction. I thoriDate:
SUPPLEMENTAL INF Rh ATION REQUIRED QMCE USE ONLY
If building is associated with a I m Owner's Association,provide letter PLN CHECK TYPE s
of approval from HOA. ` OVER-THE C UI:NRR'. G
Provide Planning approval to verify if there any restrictions. EXPRESS PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD r' ❑-r ' nErr
Provide signed copy of Cupertino's Tear-Off Policy. �'oTrR
iReroofApp_2011.doc revised 03/16/11
V_
REROOF PEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPER•T�PdC� 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•build ing(aDcupertino.org
PROJECT ADDRESS oI i/O 9 at r / e so/ APN ft 3 Z_44 r 3 9 Lo 0-6
OWNERNAME PHO E E-MAIL.
STREET ADDRESS K, �Of�Q CITY. STATE,ZIP !/ FAX
CONTRACTORNAME VK/ LICENSENUMBER�f„/qoo LICENSE TYPE 3G BUS.LIC.#
COMPANYNAME ��,• �� E-MAIL �(7 FAX 000
Q7G .1306
STREET ADDRESS� 11 � IL . CITY.STATE,ZIP k// �n ��o® PHONE(�J/6,F)737Q '
I UNDERSTAND AND AGREE TO THE(FOLLOWING: 7
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday)to schedule the next day 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. Progress
and 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. Progress Inspection is required when approximately 50% of roof covering is installed.
7. 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.
8. 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 of$126.00. The re-inspection fee shall be Maid before another inspection
can be scheduled.
By my signing below,I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential 6Re.
Signature of Applicant/Agent: Date: —
ReroofPolicy 2011.doc revised 02/16/11
05/19/2016 07:416ilI Hamilton Roofing (FAX) P.002/003
DocuSign Envelope ID:2D94E6C1-A67A-4266-9A6D-842306 5EA7
SMOKE / CARBON MONOXIDE ALARMS
RTIFICATE
OWNERE OF COMPLIANCE
COMMUNITY EVELOP I DEPARTMENT-BUILDING DIVISION
10300 TORRE AVENUEP T9501"-3255 6
0
•CU ER INO,CA •,
CCSPE62Ti�1 �
(406)777-322 •FAX(403)777-3333-building0cuoerano.ora
Permit No.
Address -1Q/YQ to/hv- Dr-- b 50I #of Alarms e: Carbon Monoxide:
PER1VRx CANNOT BE ALE ¢lvD`";C0,11IPL LITHIS•OERTIFICATE
or✓'.... yVi...�.3_CY,.-q.Pvr�;:, saSr•;,.r� .;.•.`?h .:.. s;�.—:;,m�r:r:..:
:Ht1S::BEEN` aA7Ds13Fs7?firllf�tlA:n
;lr,:rj'' ':5,r:v."v'G"e— -6,.ys. 1..?-Gr`lYlii A��,•;S?�r-t.y:�! Jim:•'.:=:f"b:yy.;,:
:... .... .:.....:..... :.: ...':_:..7:�_i:_c{ �.a•� �_ r���•.�. `•.i`�'.o-�.�'�'r:g$}'�%:,u.jk Ydur.j`!�r
PURPOSE
This affidavit is a self certification for installation of all required Szxtolce and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R31 ,2013 CBC Sections 420.6 and 907.2.111 where no interior access for
inspections are required-
GENERAL INFORMATION
Existing single-family ar,d multi-family wellings shall be provided with Smoke.Alarms and Carbon
Monoxide alarms. When the valuationf additions,alterations,or repairs to existing dwelling units exceeds
$1000.00,CRC Section 8314 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 includ
,ing basements X X !
Within each sleeping room X
Ca;bon 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 wit11
CBC Section 420-6 and shall be approve by the Office of the State Fire Marshal.
Power Supply:In dwelling units with n commercial power supply,alarm(s)maybe 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 ce*9 finishes or there is no access by means of attic,basement or crawl
space.Refer to CRC Section 8314 and C1 C Sections 907.2.11.4 and 420.6.2.An electrical permit is required for
alarms�lhich must be connected to the b, ilding 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 manufa I rer'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.
0
i have read and agree to co m / with the terms and conditions of this statement
Owner(or owner Agent's)Name: 0 S led by.
Peter R. Kramer - n lu
Sire_ �..,,.......11
Contractor Nerne: C9ABB9CBSF8B4FC...
Siena, re........... ..•--•-•-•--..............................._.......LicA,,...................................Date: ...................
Smo%and COJorin.docr6nised 0S1!,W!4
05/19/2018 07:4213i I I Hamilton Roofing (FAX) P.003/003
DocuSign Envelope ID:2D94ES01-A67A-42B6-9A6D-B42308325EA7
WATER-CONSERVING PLUMBING FIXTURES
OWNFER CE�TJFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION �O
CU PERTIN O 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333-building Ocupertino.oro
Owner Name Kramer Permit No.
Address 10140 Phar Lap dr, Cupertino, CA 95014
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.9 do not apply. Skip the rest of the form and sign bottom of fonn.
[2 No Go to Question 2.
2. Do,---your real property have a licensed plumber certifying that,due to the age or configuration of the property or its
plumbing,installation of water-conserving 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 Buil ' Division.
P
Skip the rest of the form and sign bottom of form.
IN No Go to Question 3.
3. is,rater service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101-1 through 1101.8 do not apply. Ship the rest of the form and sign bottom of=01171
09 No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
7 No lily real property is built and available for use or occupancy afte•January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn.
2 Yes My real prope-t-ty 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 sip
bottom of form..
3, Please ctreckONS of the followi h e -:
nom.
2 My .property is a single family r-esiderdal real propery. See ChII 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 &-tures (regardless of whether
property undergoes alterations or improvements)-
0 My property is a multdfantiN residential 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 plumbing fixtures.
On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water-
conserving plumbing fixtures throughout z e building(regardless of whether property undergoes alterations or
inr rovements I.
P �
❑ My property is a commercial real property, See Civil Code Section 1101.3.
On and after January 1,2014,specified building alterations or improvemennts shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing.fixtures-
On or before January 1, 2019, all non-compliant plumbing futures shall be replaced with ,eater- conserving
plumbing fixtures throughout the building(i elardless ofwhether property undergoes alterations or improvements).
I,as the owner or ow'ner's agent of This property,certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above,tath water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 1101=8,the current California.Plumbing Code and California Green Building Standards Code,and manufactorer's
installation requirements,and that the water-con ervin7L plumbing fixtures comply with the requirements as indicated in the
table on the following age. Docu5I0ncp py:
Owner or Owner Agent's Signature: Date:
Upon completing and signing this e i 'return it to the Building Division in order to final your building pen-nit.
SD407:015.doc revised 08126115
II
I
DocuSign Envelope ID:2D94E6C1-A67A-42B6-9A6D-842308325EA7
SMOKE I CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE.
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO 10300TORRE AVENUE•CUPERTINO,CA 95014-3255
(403)777-3228•FAX(408)777-3333•buildnoto cunertino ora /
� ��� '" /�' Permit No
Address ,ttY-{7frj,7 � l�t of Alarms Smoket7 , Carbon Monoxide -
PERNUT CANNOT BE FINAL.ED AND C0IVIPLETEDkUNTIL THIS CERTIIa'ICA.TE
HAS BEEN T, AND RTT1jR1_T .,1 TO THE EUILDINC 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 8314,2013 CBC Sections 420.6 and 903,211.2 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 907.2.11.5 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
bedroom(s) I
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 a fo nia Building
and California Residential Codes.The alarms have been tested and,are operational,as of a e sig
below.
I have read and agree to comply with the terms and conditions of this state e f
Owner(or Owner Agent's)Name. Domed Eby -
Peter R. Kramer Si nature.... .............J1�" 3/2016
............ a e:
Contractor Name: as cB5F8B4FC,.
J':,Mnature...... ..............................Lie.#. `6`4 .M..Date:
Smoke and W fonm.doc revised o3/18/14