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11120054
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20083 LAS ONDAS WAY CONTRACTOR:R E ROOFING& PERMIT NO: 11120054 CONSTRUCTION INC OWNER'S NAME: YOSHIKAWA HARUNORI&MASAKO TRUSTEE 15230 CLVDELLE AVE DATE ISSUED: 12/07/2011 ER'S PHONE: 4084461067 SAN JOSE,CA 95032 PHONE NO:(408)626-9320 nLICENSED CONTRACTOR'S DECLARATION r C. G r �J �.1 BUILDING PERMIT INFO: BLDG ELECT PLUMB License Classy Lic.N -7 4�5 ` 5 r r, r _ I Z MECH RESIDENTIAL COMMERCIAL Cc tract Date 1 hereby a rat 1-1--am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REROOF,SFD,24 SQ,TEAR OFF WOOD SHAKE,INSTALL (commencing with Section 7000)of Division 3 of the Business&Professions COMP SHINGLES Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 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 Sq.FI Floor Area: Valuation:$15500 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36932031.00 Occupancy Type: i 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. enting o r*ss permit. Additionally,the applicant understands and will comply with all non-1 s r ulatioo,^p the Cupertino Municipal Code,Section �7 9.18. _ / Issue Date/,--Z-7— Si re Date I �- OWNER-RUILDER DECLARATION RE-ROOFS: roofs s be inspected prior to any roofing material being ins Iled.If a roof is 1 hereby affirm that 1 am exempt from the Contractor's License Law for one a insmlled with first obtaining an inspection,I agree toFeJ ¢ve al new materials for the fallowing two reasons: inspection. I,as owner of the properly,or my employees with wages as their sole compensatio , '�J�1 SII, will do the work,and the structure is not intended or offered for sale(Sec.7044, ignature o icane Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1 hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's 1 have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain perfounance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Cade,Section 25532(x)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. 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 1 certify that in the performance of the work for which this(ded sued,I sh FHeallhSafetyCaae;6 coons 25505,25533,and 2553not employ any person in any manner so as to become subjWorker's /Compensation laws of California. If,after making this certxemption,1 41 a tor�et ager 12 I I i become subject to the Worker's Compensation provisions r Code,I ust Date: forthwith comply with such provisions or this permit shall revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.1 agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address nify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date • CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: TraciC COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36932031 . 00 DATE ISSUED. . . . . . . : 12/07/2011 RECEIPT #. . . . . . . . . : BS000015515 REFERENCE ID # . . . : 11120054 SITE ADDRESS . . . . . : 20083 LAS ONDAS WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : YOSHIKAWA HARUNORI & MASAKO TR ADDRESS . . . . . . . . . . : 20083 LAS ONDAS WY CITY/STATE/ZIP . . . : CUPERTINO, 95014-3132 RECEIVED FROM . . . . : R E ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING & CONSTRUCTION INC ADDRESS . . . . . . . . . . : 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 15, 500. 00 1 . 00 0. 00 1. 00 0 . 00 . 1BSEISMICR VALUATION 15, 500. 00 1 .55 0 . 00 1. 55 0 .00 1REROOFRES SQ FEET 24 . 00 336 .00 0 . 00 336 . 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 338 .55 0 .00 338 .55 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 338 .55 4042 --------------- TOTAL RECEIPT 338 .55 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL .604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION V • ADDRESS: 20083 las ondas way. DATE: 12/07/2011 REVIEWED BY: bobs. APN: I BP#: *VALUATION: $15,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK tear off wood shake install comp shingles. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,400 I' _ i ' i` .. • a i bteuh. Phor Check Plumb. Pion Check Eiee.Plnrt Check ;LIoch. Pengh Fee: Plumb. Per Mir Fee: Fiat, l'ernri:Fire: Other Hoch,htep. cwhev Plumh Insp. Li Other Eyes. Insp. vech.Imp. Fee: Plumb, Imp.Fe": Fier.Insp. Fee: NOTE: This estimate does not Include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District etc. . These fees are based on the prellidna In ormatlon available and are only an estimate. Contact the Dept for addn'l Into. FEE ITEMS(Fee Resolution 1/-053 E'/f 711111) FEE QTY/FEE MISC ITEMS Plan C;Gach, N'ee: Supp/. PC Fee Phnnb.iAdech.:2slec Permit Fee: $336.00 Supp/. 111.sp Fee Pirnnb.,•'Mech.r'F.'lec P6mrh. HJrclr.:'fiper.. Permit Frye: Construction 74c 4d�ni i�7rrrtive Fee. Work Without Permit? © Yes 0 No $0.00 Advanced Ple7nning Feeds: Travel Documentation Fres: Strone Motion Fee: IBSEISMICR $1.55 Select an.Administrative Item • Bldg Stds Commission Fee: IBCBSC 1 $1.00 1 1 SUBTOTALS:' $338.55 $0.00 TOTAL FEE'. $338.55 Revised: 10/01/2011 REROOF PERMIT APPLICATION (�111\b 2 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 R\\u ® GUPERTIN6 (408)777-3228• FAXX`(408)777-3333 b_uidldingg0cuperino.org PRO]ECT ADDRESS 2 V 6 O ( V/Yv1%� > ' ' 1 �p OWNER NAME \I U kZ 1 ' U 7l �UV A, PHONE44- L I' E-MAB. C ST=ADDRESSTUU O,V CIN,STATE,ZIP V"1 lJ^ (/, FAX It 1 ICU O APPLICANT NAME PHONE E-MAII. � (� sok-b26- 1`�i Ye Too a3-!- STREET ADDRESS I� l / 1 �(Iy ^ , � CnY.STATE,ZIP % U(- - Q (Z FANU L1p/.{p— 3Z A V S ❑OWNER ❑ OWNER--aUtLDE0. ❑ OWNER'AGENT CONTRACTOR 13 CONTRACTOR AGENT ❑ bCHITE• Crl ❑ENGINEER ❑ DEVELOPER ❑TENANT Q i CONTRACTOR NAME V (ry LICENSE NUMEEI ! -2 LICEN Bus.LIC.Y n c V\E-MAILOMPANY NAME C/ E-MAFAX STREET ADDRESS 23 STATE,L@ r� T �j (I PHONE AACERTECT/FNGINEER NAME LICENSENUMBER /a1 1„7 Bus.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS V CITY,STATE,ZIP PHONE USE OF SFD Duplex 0 Muld-Family ROOF AREA. r�I, t VALUATIO 14 , STRUCTURE: tfullercial �2 P'� T I u u , EXIS 1NO ROOF TYPE: ❑BUB.T-UP ROOF ❑ASPHALT SHINM asWOOD SHARES ❑WOOD SHNGLES ❑OTHER(SPECTER REMOVE/REPLA YES IF NO, f PLYWOOD A" ❑ PLYWD ❑ OSB P=. ROOF ❑ # ❑ :12 CLus A PROPOSED ROOF TYPE: 0 BUa.T- 11 11� FS [n'ROOF ❑ASPHALT SHAIra PC ❑WOOD SHAKES ❑WOOD SHPI(BFS L ICC- REPORT 0 V� DESCRIPTION OF WORK: u UIW ta 6fif'I jIk e Li By my signature below,I certify to each of the following: I am the property owner or sutbori cd agent to act on the property owner's behalf. I have read this application and r o I have If u correct I have read the Description of Wark and verify itis accurate. I agree comply with all applicable local ordinances en state laws rely buil tructio represetmetives ofCupertino tc anter the above-iden'Ted pert,for inspection purposes. Signature ofA IicanUAgent �\� _ Dare: l L I (I SUPPLEMENTAL RMA:-f ION REQUIRED wb�'tr�-nassway_r,t -- - -lt _If building is associated with a Home Owner's Association,provide letter t"R'g'ER. "RAzxT�faasi:eP r i=r�i[ of approval from HOA. 011V6.Ttak.-�titF1'a:R ;R IB &VMw a i Provide Planning approval to verify if there any restrictions. aAmjwns6i �`,,. 57 "'xa'A1�B 10 _Provide copy ofMenufactmer's Installation Specifications. raj A,.. ,•+R t, RYY� F} e signed copy of Cupertino's Tear-Off Policy. „'t ReroofApp_2011.doc revised 03/02/11 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION • ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333-buildincAcuoertino.ora PROJECT ADDRESS V V APN p OWNER NAME �I(( �' U4 1/ �V PHONE III. -, -MAIL STREET ADDRESS_ `/\IN( QI A 9'� W r`,� CITY, STATE,ZIP ` 1'•��' ` �l� I FAX ry CONTRACTORNAME 1 `o '/ �f�L�,CI N � LICENSE NUMBER �I�I LICENSE VTY BUS.LIC.p COMPANY NAME ,- E-MAIL L ` FAX STREETAODRESS t„'I �L.�\ y y'f'� 1 CITY,STATE.ZIP GISI/1 PHON%() ` yt32 /1 I UNDERSTAND C/SvTIAND AND AGREE TO THE FOL`LOWLING: K�J 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/<" 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 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 be h u So and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon mono ' rs are rqquirc4 to be installed in accordance with Sections R3 4 and R315 of the 2010 California esidentia] C Signature of Applicant/A Date: ` << Reroo/Polie.v_201 Ldoc revised 02116/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 D U P E RTI N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: '2,(9() N D A5 PERMIT# 2 6 U t'1 OWNER'S NAME: I PHONE# U Z6— 5 GENERAL CONTRACTOR: BUSINESS LICENSE# ( 15 ADDRESS: 3o 01Y)'E-"kz CITY/ZIPCODE: 5 c`�-I2 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FIN PANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR ) ALL SU Cat AVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I 2,11 ( ` am not using any subcontractors: nature Date Please check applicable subcontractors and complete the following information: 6/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum / Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date