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B-2017-1694
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1694 6104 WILLOWGROVE LN CUPERTINO,CA 95014-4649(375 38 017) HOME DEPOT U S A INC ATLANTA,GA30339 OWNER'S NAME: HUNSINGER DAVID LAND YANT HUNSINGER MELISS DATE ISSUED:09/29/2017 OWNER'S PHONE:408-390-1230 PHONE NO:(770)433-8211 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#602331 Contractor NOME DEPOT U S A INC Date 09/30/2018 Y BLDG _ELECT _PLUMB MECH Y 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: INSTALL 60 MIL EVERGUARD TPO ROOFING OVER(E)BUILT-UP I hereby affirm under penalty of perjury one of the following two declarations: ROOFING(2400 S.F.). 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 /6 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25000.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 375 38 017 R3 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree tosave 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 per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature 'ate 9.29.17 Issued by:SEAN HATCH Date:09/29/2017 I hereby affirm that I am exe,, om the Contractor's License Law for one of the BE-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 for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:9.29.17 I hereby affirm under penalty of perjury one of the following three declarations: ALL RO RINGS 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 W(2rker'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 Daws 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, ections 25505,25533,and 25534. , Labor Code,I;must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: ' APPLICANT CERTIFICATION Date:9.29.17 I certify that I have read this application and state that the above information is COLS__UC__O LE .!! .YbA_c C correct.1 I agree to comply,with all,city and county ordinances and state laws I hereby affirm that there is a constr - _ g agency for the performance relatingkto building construction,and hereby authorize representatives of this city of work's for which this permit --: Sec.3097,Civ C.) to enteri upon the above mentioned property for inspection purposes. (We)agree Lender's Name to savelindemnify 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 nonrpoint`source regulations per the Cupertino Municipal , ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 9.29.17 Professional CONSTRUCTION PERMIT APPLICATION ' / COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION `� 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255 re,-,-.l Ds s (408) 777-3228 • building@cupertino.org PEMIT#B-c77.0/7 - /61X CUPERTINO ❑NEW CONSTRUCTION ❑ADDITION iicALTERATION ❑T.I. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS L I O 9 , II I 10 0 61-6-CVC 2CVC I APN 6 37 '. 7 . e .c3/ 7 OWNER NAME2 - v 5 r 4 6 of PHONE E-MAIL �1 tog•3`To -I23a STREET ADDRESS I / CITY, STATE,ZIP C �p 1 O c{ W1110067-606 C_A n7 E c-V'�c)2-RAJ 0 G/4 q 7 Z� ' CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE eli DAI( ' E'Po-r OSA 602 33I 3 I STREET ADDRESS CITY,STATE,ZIP I 21-4 56. - /a ��7 �j74-J i)Po G, �I t-5 7 7 E-MAIL PHONEID, 7 7 ` 1+550 BUS.LIC t 5l 3)6 0 ARCHITECT 0 OWNER El OWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTACT NAME r1 E-MAIL STREET ADDRESS I / CITY,STATE,ZIP PHONE • i067 c-�6C imc'- '1-� n - rAJm�r �r� 9�SgS -b �S,.o 4z7r - 7.Go DECRIPTON �j ' pc A �1% .I , ` ' - '� ` — )N /�_II 6 O itA 1 I TPD acct-(N3 4 e. p Jew L�r 5-Frit/ " 3J r IT- ( - Z 14 57/2 S . G1.--A35 A . ' SINGLE-FAMILY/DUPLEX ❑MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) REMODEL REMODEL,KITCHEN REMODEL OTHR GARAGE 0 ATTACHED BATHROOM SF SF SF SF 0 DETACHED EXISING ❑YES EICHLER ❑'YES SECOND STORY ADDITION OYES FIRE SPRINKLERS❑NO 0 NO 0 NO DWELLING SECOND DWELLING ❑AYES [(ATTACHED 0 DETACHED OTHER UNITS# UNIT ADDITON: ' ❑,NO SF I' POOLS! ❑FIBERGLASS ❑VINYULINED ❑GUNrrE ❑PREFABRICATED POOL-SF SPA-SF ;SPA ATTACHED ❑YES 0 NO TOTAL-SF ' RECEIVED Y: utZ..0s ai;v p a.,,; Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval /1 Al( I `* '+w � a.`�Ii* • RE-ROOFI EXISTING ROOF,TYPE:-'BUILT-UP ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) REMOVE/REPLACES NO IF NO I1 PLYWOOD ❑1/" 03/8" / 0PLYWOOD TYPE: PITCH. ROOF CLASS LI YES #OF LAXERS o/3 F; THICKNESS❑5/8" OTHER 7/16 IXOSB ❑CDX OTHER `Z5 :12 A PROPOSED ROOF TYPE:` UILT-UP=ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES DWOOD SHINGLES 0 OTHER *Provide a signed copy of the;Cupertin'b's Tear-Off Policy SF 2-4e10 Itof SQUARES Z 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. I agree to comply with all applicable!1ocal ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form to be made available for publicIrecord. Signature of Applicant/Age4:1 I IMPDate: SUPPLEMENTAL INFORMA a N RE•-. • D *New SFD/Second Dwell' .4 � P ultifamily Dwellings:A Dei:•:on.,- it is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide''a11 completed Hazardous M. •:- - i isclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of appr'opail from the Home Owner's Association II I' BldgApp 2017.doc revised 08/01/17 , \\ / REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 4,,5�:19fes ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•building@cupertino.org PROJECT ADDRESS 6 (O (4 1 I r I 10 tJ 3 p. IL5- LA) APN# OWNERNAME V I IN (�CJV PHONE E-MAIL ��-vt ] ��J Sr �-,Z �� , 3 qo• )230 STREET ADDRESS / ,,Lf ' I ' I (.2_,..„,..„,_ / 1 CITY,/- TE ZIP_Z7 f nJ 01" 1 G �O' f FAX CONTRACTOR NAME LICENSE NUMBER 60.2331 LICENSE BUS.LIC.# COMPANY NAME 1_40 WIC pL�pc)I.- , /> A E-MAIL FAX , STREET ADDRESS V /T CITY,STATE,ZIPPHO77 NE' +-1 5G o t2,✓i - * J - 7 ' 5 ! 'A--aDi>-off e/'� 7y l' -Q Z • �-FSSO 527 I UNDERSTAND AND AGREE TO THE FOLLOWING: ' 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all, needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri)!' 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced pnor to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—'i hur i);' 7:30 — 10:30am and 1:00—2:30 ! pm(Friday). : 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofmg material. - i. 6. New roof coverings shall not be applied without first obtaining all inspections and:written approvals from the building inspector. Any roofmg 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off,the following items will be verified: .i ; 1 a. Flat roofs shall have a minimum of IA"per foot of slope and must 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. 11 ! c. Proper spark arrestor installation. i ! I ' 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 paid beforenother ' inspection can be scheduled. I1 ! ' 1_ By my signing below,I certify each of the following is true: I am the property owner or authorized agent to act ion the property owner's behalf I understand and agree to comply with the re-roof policy stated above. ;Signature of Applicarit/Agent: Date: I ii r' ReroofPolicy 2010.docrevised 05(17/10 11 ' I al ULFB.R1306-Membrane Roofing' http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/showpa... ONLINE CERTIFICATIONS DIRECTORY ULFB.R1306 Membrane Roofing Page Bottom • Membrane Roofing See General Information for Membrane Roofing GAF R1306 1 CAMPUS DR PARSIPPANY,'NJ 07054 USA CSI Code 07 50 00 UL Evaluation Report No: ER1306-01 CSI MasterFormat®: DIVISION:07 00 00—THERMAL AND MOISTURE PROTECTION Sub-level 2: 07 50 00-Membrane Roofing Sub-level 3: 07 54 00-Thermoplastic Membrane Roofing Sub-level 4: 07 54 23-Thermoplastic-Polyolefin Roofing Codes and Acceptance Criteria: IBC(2015,2012,2009,2006),IRC(2015,2012,2009,2006),AC75,AC10 Product Covered: EverGuard®TPO,EverGuard Extreme®TPO EverGuard®TPO FB Ultra,EverGuard Extreme®TPO FB Ultra EverGuard®Freedom"TPO HW,EverGuard®Freedom"TPO with RapidSeam"Technology CLICK HERETO VIEW UL EVALUATION REPORT ER1306-01 UL Evaluation Report No: ER1306-02 CSI MasterFormat®: DIVISION: 07 00 00 THERMAL AND MOISTURE PROTECTION Sub-level 2: 07 50 00-'Membrane Roofing Sub-level Z: 07 51 001-'Built-Up Bituminous Roofing Sub-level 3: 07 51 13-.Built-UP Asphalt Roofing J Sub-level 2; 07 52 00-1Modified Bituminous Membrane Roofing Sub-level 3: 07 52 16'-Styrene;Butadiene-Styrene Modified Bituminous Sheet Roofing Codes and Acceptance Criteria: 1 IBC(2015,2012,2009,2006),IRC(2015,2012,2009,2006),AC75,AC10 Product Covered: GAFGLAS®Mineral-Surfaced Cap Sheet,Tri-Ply®BUR Granule Cap Sheet,GAFGLAS®EnergyCap"Mineral-Surfaced Cap Sheet GAFGLAS®Ply 4,Tri-Ply®Ply 4,GAFGLAS®FlexPly"6,or GAFGLAS®FlexPly"6 5L, 11 GAFGLAS®#75 Base Sheet,Tri-Ply®#75 Base Sheet,GAFGLAS®#80 Ultima""Base Sheet,GAFGLAS®Stratavent®Perforated Venting Base Sheet, GAFGLAS®Stratavent®Nailable Venting Base Sheet � Ruberoid®HW Smooth,Ruiberoid®HW 25 Smooth Ruberoid®HW Granule,Ruberoid®HW Granule FR,Ruberoid®HW Plus Granule,Ruberoid®HW Plus Granule FR,Ruberoid®EnergyCap"HW Plus Granule FR I i .1 it RUBEROID®20 Smooth,jRuberoid®Mop Smooth,RUBEROID®Mop Smooth 1.5 Ruberoid®Mop Plus Smooth 11 Ruberoid®30 Granule,Ruberoid®,130 Granule FR,Ruberoid®EnergyCap 30 Granule FR,Ruberoid®Mop Granule,Tri-Ply SBS Granule,Intec Flex PRF, Ruberoid®Mop Granule FR;I Ruberoid®Mop Plus Granule,Ruberoid®Mop Plus Granule FR,Ruberoid®EnergyCap Mop"Plus Granule FR 1 of 2 9/5/2017,8:44 PM ULFB.R1306-Membrane Roofing http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/showpa... Ruberoid®Torch Smooth,Tri-Ply APP Smooth Ruberoid®Torch Granule,Tri-Ply APP Granule,Ruberoid®Torch Plus Granule FR,Ruberoid®EnergyCap'"Torch Granule FR,Ruberoid®EnergyCapT"Torch Plus Granule FR Liberty'SBS Self-Adhering Base/Ply Sheet CLICK HERETO VIEW UL EVALUATION REPORT ER1306-02 Last Updated on 2016-10-04 Questions? Print this page Terms of Use Page Top ©2017 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow-Up Service.Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide Information, Assemblies,Constructions,Designs,Systems,and/or Certifications(files)must be presented in their entirety and in a non-misleading manner,without any manipulation of the data(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from UL"must appear adjacent to the extracted material.In addition,the reprinted material must include a copyright notice in the following format:"©2017 UL LLC". • 2 of 2 9/5/2017,8:44 PM