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B-2017-0447 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-201770447 10606 GASCOIGNE DR CUPERTINO,CA 95014-3844(375 22 026) WESTSHORE ROOFING INC SAN JOSE,CA 95131 OWNER'S NAME: LIN JON RAND REN C DATE ISSUED:03/20/2017 OWNER'S PHONE:408-687-9210 PHONE NO:(408)456-0200 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C39 Lie.#787221 Contractor WESTSHORE ROOFING INC Date 11/30/2018 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: RE-ROOF;SWEEP CLEAN(E)B.U.R.;INSTALL OSB;COMP ROOF I hereby affirm under penalty of perjury one of the following two declarations: SYSTEM(CARPORT FLAT W/PVC)(17 SQ'S) i. 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 �PPerformance of the work for which this permit is issued. 2. Thave 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:$15000.00 APP ICANT 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 375 22 026 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 regulations p-_ e Cupe '-. "u.cipal Code,Section 9.18. 180 DAYS FROM LAST CAL I I SPECTION. Signature Date 03/20/2017Issued by:MELI p_s,- `�. Date:03/20/2017 0 ' UILDER DECLARATION 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 roofmg 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'• ion,I agre- ove all new materials for compensation,will do the work,and the structure is not intended or offered for -ecflon sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applic.. • contractors to construct the project(Sec.7044,Business&Professions Code). Date: 1 I .0 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. 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 Code,Se tit t 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agen v� APPLICANT CERTIFICATION Date:03/20/2017 I certify that I have read this application and state that the above information is s Ih TI N t V I hereby affirm that there is a construction lending agency for the performance 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 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. I understand my plans shall be used as public records. Signature Date 03/20/2017 Licensed Si 9 Professional j \ REROOF PERMIT APPLICATION 2. t7. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIONR ..s1.19,.. ,, 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq icupertino.orq CUPERTINO /3. ZO< 9_0i'y?-- PROJECT ADDRESS 0 bob 6 A,6 to i 5 h C 1[ ' APN# '3 ° --,..,S--- s z Z s 1 24. OWNER NAME 011 t ` % ONE 64 y q Z I O E-MAIL STREET ADDRESS C 060to (2�5 col)lf'1 e V C CITc.CTAATEZIP, -.(etA (A 7501 FAX CONTACT NAME 4 ( , e ' 1)m N PHONE ei 5....6 o?do I E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT A-CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAMEOr LICEN 4,441_• LICENSE rE , BUS.LIC.# . :t c- 2-f tr ( ?- COMPANY NAME a t,, ,/+� �/ 11V e 5fi$ktv 1 C yvO4,l�� 'tib FAA/V 6 _0 ai5 STREETADDIj SSt b�_/1 ' /+V of O f v PHONE r1�I{ 6Zoc, ARCHITECT/ENGINEER NAME Y LICENSE NUMBER BUS.LIC.#`� eJ COMPANY NAME E-MAIL FAX STREET ADDRESS .. CITY,STATE,ZIP PHONE USE OF 0 SFD or Duplex 0 Multi-Family ROOF AREA: (� VALUATTION: STRUCTURE: 0 Commercial 1 - 7' `- '6 / d 0 EXISTING ROOF TYPE: BUILT-UP ROOF 0 ASPHALT SHINGLES 0 WOOD SHAKES 0 WOOD SHINGLES 0 OTHER(SPECIFY) REMOVE/REPLACE ❑YES IF NO, PLYWOOD %d' 0 I PLYWD OSB PITCH: ROOF 0 NO #LAYERS: I THICKNESS: 0 Vs" I TYPE: 0 CDX I 3 :12 CLASS: A pp ICC-ES REPORT# PROPOSED ROOF TYPE: 0 BUILT-UP'ROOF SPHALT SHINGLES 0 WOOD SHAKES 0 WOOD SHINGLES R.OTHER 1. IJ DESCRIPTION OF WORK: // Roc(c 5in.e ep , In5hi /7 "1 ywvv01 frisk /n f, Pondd ttie Y' hotn.5e. . f 05f4ii wi'vx 1-e 9 kt*id owtd Cowif s11-jle5- l 1 : 1 PI 'V wiMIbra+ © ✓v •P/a }"" f 1d wed 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' .ct. 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 buil...I cons I.. tion. I authorize representatives of Cupertino to enter the above-i entifi property for inspection purposes. Signature of Applicant/Agent:/��/��� Date: !/° / SUPPLE ,� T•.: 1 FORM ION REQUIRED OFFICE USE ONLY If building is as Iated with a Home Owner's Association,provide letter PLAN CHECK TYPE- ROUTING SLIP of approval from HOA. a OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW- Provide Planning approval to verify if there any restrictions. 0 EXTRESS ©.PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ■ TAn ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ReroofApp 2011.doc revised 03/16/11 rf 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 CUPERTINO (408)777-3228• FAX(408)777-3333• buildino cupertino.orq PROJECT ADDRESS I 0 („06 1 APN# —a 2-C OWNER NAME evC" v oi\ Lt`f` PHONE 01 �c7 . to E-MAIL STREET ADDRESS t O!_O Co A SC © N� Fri,u ATE,ZIP / C64/- ^ qO FAX CONTRACTOR NAME izt, 0 / LICENSE NUMBER LICENSE TYPE BUS.LIC.# vvf COMPANY N53 4 E-MAIL FAX C�/�6 Z 2 2, STRIYET ADDRF�S A - CITY,STATE,ZIP PHONE J J 2Zy S { 5GLA to c14 157 3 ) c/sh _o z-o 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. 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 replacedprior 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 I/"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 .- ectors a -require. -.= '• tailed in accordance with Sections 8314 and R315 of the 2016 California Residential C. e. l3 /4— Signature of Applicant/Agent: _ /�� Date: T ReroofPolicy_2014.doc revised 12/15/16 WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228• FAX (408) 777-3333 • buildingRcupertino.org Owner Name _71T, A L., Vt Permit No Address 10 g e2 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Vo Go to Question 2. 2. Does 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 isnot technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. ® No Go to Question 3. 3. Is water service permanently disconnected for your building? ' ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. io Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. es My real property 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 sign bottom of form.. 5. lea check ONE of the following: My property is a single-family residential real property. See Civil 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 fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily 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 the building (regardless of whether property undergoes alterations or iunprovements). ❑ My property is a commercial 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 the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with 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 manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following Daae. r . I Owner or Owner Agent's Signature: VV''L Date: 0(2 I Upon completing and signing this CertificVe, please return it to the Building Division in order to final your bui ding permit. SB4072015.doc revised 01/05/17 1. If the existing plumbing fixture water usage/r1oti� rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture PlumbingFixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 !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 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 per minute @ 20 psi 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 May temporarily 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/r1oti� rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 08126115 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS �`� " �' (- 0 7 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION HLE 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin-g(akupertino.org PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide -Alarms for :compliance with 2016 CRC Section R314, R315, 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 ALA! iV Outside of each separate sleeping area in the immediate vicinity of the X X I bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics X_ I Within each s eeping roam --- -- - — ---- --I-- — 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 CBCSection 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. n Address: /�1 �ll� ��S�a� ►� �- X11 �r,� AJC 64-Y lG Permit No. Specify Number of Alarms: v # Smoke Alarms: I V I 1 # Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: r ®A `� Signature ..�� Date: 4. ............................................................................................. Contractor Name: Signature...................................................................... Lic.#........................................ Date:................... el? Smoke and COform.doc revised 01/10120.17