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11110056CITY OF CUPERTINO BUILDING PERMIT [BitILDING ADDRESS: 10665 MINETTE DR CONTRACTOR: KEVIN SULLIVAN PERMIT NO: 11110056 ROOFING NER'S NAME: JEFF WINDHAM 1696 VALLEY OAKS DR DATE ISSUED: 11/102011 NER'S PHONE: 4089731938 GILROY, CA 95020 PHONE NO: (408)842-1057 — / 0?1 CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL �tLICENSED License Class_Lie. t! So3'7�5� RE -ROOF 18 SQ, REMOVE EXISTING INSTALL ASPHALT In / SHINGLES FOR LESS THAN 2:12 SLOPE, OVER 2:12 COMP ^,,'_',, _ Contractor 90p r�JG?/ Date_ LL I0 —LC SHINGLES 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Cade 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 Sq. Ft Floor Area: Valuation: $10000 performance of the work for whichthis permit is issued. 1 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. APN Number: 37532036.00 Occupancy Type: APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY F M LAST CALLED INSP TION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued b Date: granting of this permit. Additionally, the applicant understands and will comply y with all non -point source regulations per the Cupertino Municipal Code, Section 9.18 7 RE -ROOFS: Signature Date Y O All roofs shall be inspected prior to any roofing material be hg installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. OWNER -BUILDER DECLARATION Signature of Applicant 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the fallowing two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7014, Business &Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for tie performance of the work for which this / permit is issued: Owner or authorized agent: Date -11 /!4 44 ---TCCDt��1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in my manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, 1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensuion provisions of the Labor Code, 1 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address 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 on the above mentioned property for inspection purposes. (We) agree to save emnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION ,::tis, and expenses which may accme against said City in consequence of the 1 understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date 0 • 3 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37532036.00 DATE ISSUED.......: 11/10/2011 RECEIPT #.........: BS000015285 REFERENCE ID # ...: 11110056 SITE ADDRESS .....: 10665 MINETTE DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: JEFF WINDHAM ADDRESS ..........: 10665 MINETTE DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 395.50 --------------- 395.50 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- MC VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF RECEIVED FROM ....: KEVIN SULLIVAN CONTRACTOR .......: KEVIN E. SULLIVAN LIC # 23810 COMPANY ..........: KEVIN SULLIVAN ROOFING ADDRESS ..........: 1696 VALLEY OAKS DR CITY/STATE/ZIP ...: GILROY, CA 95020 TELEPHONE ........: (408)842-1057 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BCBSC ----------------------- VALUATION 10,000.00 ---------- -------------------- 1.00 0.00 1.00 ---------- 0.00 1BSEISMICR VALUATION 10,000.00 1.00 0.00 1.00 0.00 1REROOFRES SQ FEET 18.00 252.00 0.00 252.00 0.00 TOTAL PERMIT ---------- ---------- ---------- 254.00 0.00 254.00 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 395.50 --------------- 395.50 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- MC VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF 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 (408) 777-3228 - FAX (408) 777-3333 - buildinaCD.cuoertino.org PROJECT ADDRESS n^? I 94966 �(J Dn ,!" APN0 OWNER NAME 1 Jim' PHONE -2i/^_ 2,p O -2,E-MAIL STREET ADDRESS /C77v7gft6 CITY, STA E, ZIP FAX CONIM 1:y 1 V 47�/ LICENSE NU BE0. � LICENSE TYP BUS. LIC.0 COMPANY NAME /w E-MAIL X 0 ,1 , FAX STREET ADDRESS /Q / 1 I A �( CITY. I UNDERSTAND AND AGREE TO THE FOLLOWING: 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/<" 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 behalf, 1 understand and agree to comply with the re -roof policy stated above. 1 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 RerooJPoliev_201 l.doe revised 02116/11 0UPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE# GENERAL( BUSINESS LICENSE # ADDRESS: 6k6 CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALCONTRAC RS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. / I am not using any subcontractors: ` Signature Date Please check applicable subcontractors and complete the following information: Contractor Signature // S Date 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 Contractor Signature // S Date CJ • • CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 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 arelinduary Information available and are only an estimate. Contact the Devi for addn 7 Info. FEE ITEMS (Fee Resolution 11-053 Eft 7/1/1/) 20777 fargo dr. DATE: 1 111 012 01 1 REVIEWED BY: bobs. INADDRESS: APN: BP#: "VALUATION: $4,000 *'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: Flee. Imp, Fee. PENTAMATION 1SFDWLROOF PERMIT TYPE: WORK remove existinq built up roof install new single plv. SCOPE 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 arelinduary Information available and are only an estimate. Contact the Devi for addn 7 Info. FEE ITEMS (Fee Resolution 11-053 Eft 7/1/1/) tfeeh. Plan (h o is Plumb. !lion Check flea Plan Che<rh Mu:n, Ferurii Fere: plunib. Permir Fee: F.7ay. Perour Fee: 01/je • :if •uh. 6ap. t )Ibu' Plumb hup. ONuu 67ec. ha>p. Alech. Inap. Fee: Plumb. Irsp. Fer: Flee. Imp, 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 arelinduary Information available and are only an estimate. Contact the Devi for addn 7 Info. FEE ITEMS (Fee Resolution 11-053 Eft 7/1/1/) FEE QTY/FEE MISC ITEMS Plein Check Fec: Slsppl. PC Fre Phonh_111ech.!Llec Permit Fee: $140.00 Suppl, Insp Fee I'lrunb_ >ti/ech.2iluc f'Irrnrh.%Mech.:/s1er.. Permit Fee: (onstrrrction Tac Administrative /-lee: Work Without Permit? ()Yes 0 No $0.00 Advanced Planning Fees: Travel Docionentation Fees: Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $141.501 $0.001 TOTAL FEE: 1 $141.50 Revised: 10/01/2011 CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777.3333 • building cuoertino.org IV 1a 1 I0D5-7 • Pce ro ofApp_2 011. do c revised 03107111 a r � a y 1" y 1: � y}•r , y l a3' I • 1' 1' II' •® USE OF L . • or Duplex ■ 0 Commercial I - EXISTING ■ MINGLES ■ WOOD SNAKES OWOODSHNOLES ■ J • a y ■ • ■ .'Iai•l.•N a. ■ •P. ■ •u. ■ 1 ■ r vn ■ ■ ! • ry r A • i� ' J WAW s 1. SUPPLEMa4TAL INFORMAUON• P •If `ry '..'41••11 building is Owner's 9 Fy-� J4JV Am. of approval from • Provide Planning approval to verify if there my restrictions, Provide copy GfMauufacturtr's InstallationProvide FS`"' t .p.. 'ty.-R.x 66 sr v✓f signed copy ofCupertino's • - • Pce ro ofApp_2 011. do c revised 03107111