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B-2016-2431 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO:B-2016-2431 1009 NOVEMBER DR CUPERTINO,CA 950144122(362 13 052) WILLIAMS-TYLER INC SAN JOSE,CA 95118 OWNER'S NAME: CRUZ ANTONIO J JR AND MERLE ISABELLE Y DATE ISSUED:08/01/2016 OWNER'S PHONE:408-309-6057 PHONE NO:(408)277-0800 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 399 Lic.#501852 Contractor WILLIAMS-TYLER IN •Date 10/31/2016- X_BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH X RESIDENTIAL_COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: RE-ROOF;TEAR OFF;INSTALL OSB;COMP SHINGLES-(25 SQ) 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 ection 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$10350.00 APPLICANT CERTIFICATION 1 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 13 052 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 18Q DAYS OF PERMIT ISSUANCE OR Additionally,the ap nt understands and will comply with all non-point source regulatio. p he Cu ertino M ci al Code,section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.. Signatur Date 8/1/2016 Issued.by:Abby&-ende Date:08/01/2016 OWNER-BUILDERDECLARATION 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 forinspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed r Signature ofAppiic contractors to construct the project(Sec.7044,Business&Professions Code).I'–Date:8/l/2016 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 2. 1 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&Safet�:7 n 533 and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized age APPLICANT CERTIFICATION Date: /18 /2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING 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. 1 understand my plans shall be used as public records. Licensed Signature Date 811/2016 Professional R'EROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777.3228•FAX(408)777-3333 building(Wcupertino.org 2,0 PR07ECT ADDRESS. `fV 'ja „ / r7 APN# l - 1` -M l OWNERNAME � j PHO(/ _ 3 � ✓ E-MAIL STREET ADDRESS t r f(�,\C1 j� 1 a ��- CITY, STATE, CONTACT NAME i3 �Ol PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT- ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME y�r � e, LICENSE NUMBER 5 of "� Y e r LICENS �►��ClBUS. LIC.# '21CM COMPANY NAME E-MAIL -NZ_U0 STREET ADDRESS CITY,ST Ev PHON , ? 3c, ,6_0UiL $ J ARCHITECT/ENGINEERNAME CENSE NUMBER BUS.LIC.# 2 !J COMPANY NAME E-MAIL- FAX STREET ADDRESS CITY,STATE,Z.IP PHONE USE OF FD or Duplex ❑ Multi-Family ROOF AREA:: VALUATION: ,®C STRUCTURE: ❑ Commercial �/�(450 EXISTING ROOF TYPE: 11 BUILT-UP ROOF El ASPHALT SHINGLES 1�WOOD SHAKES ❑WOOD SHINGLES l]OTHER(SPECIFY) REMOVE/REPLACE 2< IF NO, PLYWOOD %" ❑ _ PLYWD OSB PTTCH: ROOF ❑NO I #LAYERS: THICKNESS:- ❑ 5/8" TYPE: ❑ CDX '12 CLASS: A PROPOSED ROOF TYPE: 0 BUILT-UP ROOF ICC-ES REPORT# ASPHALT SHINGLES ❑WOOD SHAKES El WOOD SHINGLES OTHER DESCRIPTION O'NL-4,z- .d �,z- ��"\ IL IXC 1 3 C) C_" PIC M/ 8S Tb 6 ed J 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 III rovi d 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 relatin o buil ' I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicantlAge : Date SUPPLE ENTAL INFORMATION REQUIRED ol<FiC�us�alVLY, ,T If building is associated with a Home Owner's Association,provide letter FLANt HECKTYPE y . xouTiNc SLm of approval from HOA. GI ctvEx 21 coviaTER �,xuILDmICPL�v REviw F" Provide Planning approval to verify if there any restrictions. 1 ExphEss PL'ANNII\G PLAN RI vIE w Provide copy of Manufacturers Installation Specifications. Q STANDARD Provide signed copy of Cupertino's Tear-Off Policy. t?TxER ReroofApp_201 Ldoc revised 03/16111 Y REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL GUPER7{NC3 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(a).cupertino.ora PROJECT ADDRESS [O 9 t'bo p-y APN#. _ OWNER NAME PHO14Vr.3✓ 7I{Y STREET ADDRESS Luc)c)C% Acvc k f CITY,STP FAX rtcA_ CONTRACTOR NAME f(� @ C LICENSE NL�4B ^�/ LICENSE�Y? BUS.LIC.# COMPANY NAM �L�1 a C, J t� !' elycly�J e- � FAX STREET ADDRESS % 1 �4` �1 / Cs � CITY, T TE ZI�'j��, .- \ PH 7 7 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 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%"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 carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: Date: ReroofPoiicy 2014.doc revised 01/15/14 . a , OMER, OF NtE OW � f COMMUNITY pEVELOPMENT:DEPARTMENT m BUILDING DIVISION i 1 10300 TORRE AVEN;U'E,CUPURTW,0,=CA 05014 3255 (408)777-322.8,'FARC(0,8)777-3333►iWANii�rRA�ingrtino,arp f . f �1LJl�I���l� ii 'leis affidavit is a,s0If-certificatior!for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2- 113' CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for uispections are reel iiiired. G K At lNFO�ATl l tXTS; -s� g g19-fa y and rnulti-fanil.y dwellings shall be p'ravEded with Smokce Alarms and Carbo7 o oh fide a arms When the valuattO,of additlOns,alteratio n,or repairs i o ex g dwelhinig marts ext e,d f {`0'.©`0 CSC Sect.oma XX4.and CBC Sections 507.2.11.5 imd 420.6 rec� zre- that Smoke Ala,rms a�7d/o�C��an I ono fide Ala��s ,e Mg1alled in the following locations: >ti A 5 OWE AIt.AM1 G COAT Quit ircfie of earl}sepa7a e sleepdrtg area ift the immediate v�cinrty 01 the �� liecl�t�om��r_ Om e firer 1! e16-f a.clwelln ,unit inclrselr basements I I ii MIeac-hsl' e ilii Hoorn I Carbo tiao'rxYde ala rns arr nut're ringed in ` d reklings wlinch do riot cortitarn fug14,urm-mingap yfianitces au d,mat do niot lW-wre,En, atfi shed ga?za, e. Carb ri!rLrnol2a icle ala�rztns,comb i,}:'4 I wL'+t;ll?S�l�tlO� e a91aT i!S S R�a'll C0 1?p?ly l=11 w CB°C Sec oii€va 6I and slnallf be a,4;;l'ov'ed by time Office of the State Fire IYlars;A, 1''ower,S t ly:.k d meliTlk ,v naa with iso co, .,,�ercnal p(D werr su pyly,,alar���(ks)}rstay be solely,b e y opera ed., In exit .;aag,d 'e g uqdiisr alarm,o,are pe-rrn flied to,be solelty b'afttnyy op:er'ated where re-panrs ur alteragorlm,& not renft fiv dig rernav'al of wale aavad cdhfiS firds on theEe its ra access,by u m of attic,Naseme--,a i OT,crawl sipace.,.Refler to}C C.Sect our,13,1.1 and CDC Secli6ias, 17.2.31.4 and,4PI 6;.2..An elect�r cal pen:� e k p fist regr�m d fog alla,r n,,s wh cl��mu t be emi ected for thet, r ldng-wbirii&. As,owner of thke-a b.ave refexencect property,,thereby certrfy that flee ala=rii�(s)referenced ab vvve �gas,//kave be-e1 in-sta fed in aemmQu lee whin t11e znaa u4a0utxer`s znis:tnuchons>wtdll in compkiance with {,e Cal-diarni m B:uig�dll%b axa Cailifont'la R11sk6umiial Cedes.7 he alari l have b:eert tested arid,are o,perat all,,a&Ed,#hej date sitAedi b elblwv.. i 46 : � 4 have read,ands a rem b ea r:f,r wcth-t ie:terms and,conditions;of t!us>st f, menti U FF St n'�EUr�f.gpj 4.. _. a WATER-CONSERVING PLUMBING FIXTURES OWNED CERTIFICATE OF COMPLIANCE COMMUNITY DEV1.OF'M€t+tT DEPARTMENT#13UILDING DIVISION C1Cl I t a 10300 TORRE AVENUE•CUPERTING.CA 95014326 {408)777-3228 m FAX{408}7'771=3333-buj1dinaQcuDert no.org owner lame �- Permit No .Address ( 1. Is your real property a-registered historical site? 0 Yes Civil Cade Sections 1141.1 through 1141.8 do not apply. Skip the rest of the:form and sign bottom of form. 00'to(question 2. ` � 2. Does your teat'property have a licensed plumber certifying that,due to the age or configuration of the property or its plumbing,=' talla#ion of vate%cortservi 9:p lUM mg fixtures is not technically feasible? 11 Yes civil Code Sections 1141.1 through 1101.8 do,not akAy, D `fhe licensed plumber's eertif"ieation has been provided to the Building Division. �, y�� Skip the rest of the form and sigh bottom of form: p o Go to Question 3. 3. Is water service permanently disconnected for your bti l€ti_ng? 0 Yes Civil Code Sections 1101.1 through 1101.8 do ttot appy Skip the rest of the-form and sign, bottom of form. -No Go to Question 4. 4. Is your real property built and available for use o occupancy on or bcf€�re January 1,1994? 0 No My real property is built and available for use or occupancy affef January 1.1994, Civil Code Sections 1141.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. x3= < Yes Ivly real property is built and availablefor use or occupancy on or before January 1, 1994. Civil Code Sections 111#1.1 through 1141.8 apply Click one of the.thr&e following statements and sign bottom of forret.. 5. Please check of the following: �y propeq r is asingle fiamity re&ddendgl real property. See Civil Code Section 1241.4. On and after January 1,2414,budding alterations;or improvements shall require all noxa-compliant.plumbing fixtures to be replaced with water-ccinseruing p nbing fhctures throughout the buildinrg.On or before January 1,2€}17,all non- compliant plumbing. Mures shall be repplatxed with water-conserrviing. plumbing fixtures (regardless of whether property undergoes alterations or inlpxovemients�. . GI My property is a rnuFtfumilyeienl real pr aperty Sec Civil Code Section 1141.5. n and after.January 1,2414,specified liuildir g alterations or improvementsshall require.non-compliant plumbing fpctures to be replaced with water-conserving plumbing f x urea. On or befog January 1,2419,all non-compliantplumbirtg fixtures shall be replaced with water_. conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). CI My property is a commercial real.property. See Civil Code Section 1141.5. On and after January 1,2414,specified building alterations or improovements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing frxtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless,of whether property undergoes alterations or improvements . Las the owner 1 or owners agent of this property}certify under peanalty ofpeury tlu�t rnon-e►mptia�nt plbirtg aresvi11 be , replaced prior to date specified above with:water-conserving plumbing fixtures int accordance with Civil:Code Sections 1101.1 through 1.1(}14,the current California Plumbing Code and California Green Building Stan€lards.Codc,and anufacturer's installation ret}uirm ants,and that the water-conserver gplursrbing fixtures comply with the requirenienGs as indicated in the table on the followin age. Owner or Owner,Agent's lar ttr� U0on completing and signing'this Ceftifizate,gleasc return it to the Badding Division err order to final your built#ixrg pemlit I3 f172(1J5.cioe revised 0-6126115 BilitLl�Ii G PERMI] CA1�T+IOT�E Il�T MD AND C(�_ PLETED Tt TCL TIIIS lb i Non-Compliant Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) T i Type Maximum Water Usage/Flow Rate I Water Usage 2013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch. 4 Fixture T e /Flow Rate 2013 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3 Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1,28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 E 0.5 gallons/flush Gallons/flush _ Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-.held shower is considered a showerhead.) For multiple showerheads serving one shower,the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets— Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons i per minute 20 psi � P @ P I I In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi _ Faucets— Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase Maytemporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi,and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable,aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown,it is not required to be upgraded. SB4072015.doc revised 08126115