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11120035 (2) '' CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10251 PARLETT PL CONTRACTOR. PERMIT NO: 11120035 OWNER'S NAME: GUTTADAURO LESLIE T AND ROBIN UZ �-'C TE ISSUED: 12/05/2011 ER'S PHONE: 4082532449 PHONE NO: LICENSED CONTRACTOR'S DECLARATION r r'/q�+� �/ BUILDING PERMIT INFO: BLDG ELECT "' PLUMB Cl�` License Class C� Lie.4 'f 3(P4� r r r MECH RESIDENTIAL COMMERCIAL Contractor Z&Y'Nfy. 5'01/2- Date ��✓�� 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVE EXISTING TILE;REPAIR&REPLACE (commencing with Section 7000)of Division 3 of the Business&Professions WITH SAME TILE CLASS A 19SQFT Code and that my license Is in full force and effect. I 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 Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$8000 permit is issued. APPLICANT CERTIFICATION APN Number:31646054.00 Occupancy Type: 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 upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. /]D �'+ Signejp oN Date Z,;? —9—t( Issued by: Date: OWNER-BUILDER DECLARATION RE-ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Si nazure of`Afplicto / 4 Date: m 1,as owner of the properly,aexclusively contracting with licensed contractors to ��'� zr construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERT GS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE. Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)should I store or handle hazardous material. 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 1 certify that in the performance of the work for which this permit is issued,l shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I t become subject to the Worker's Compensation provisions of the Labor Code,I must Own •a thor'zed gen forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of%ork's correct.1 agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save Wm mnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accme against said City in consequence of the ng of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional • CITY OF CUPERTINO 3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31646054 .00 DATE ISSUED. . . . . . . : 12/05/2011 RECEIPT #. . . . . . . . . : BS000015497 REFERENCE ID # . . . : 11120035 SITE ADDRESS . . . . . : 10251 PARLETT PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : GUTTADAURO LESLIE T AND ROBIN ADDRESS . . . . . . . . . . : 10251 PARLETT PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2016 RECEIVED FROM . . . . : SOLIZ ROOF REPAIR, I CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : THD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 000.00 1. 00 0. 00 1 .00 0. 00 1BSEISMICR VALUATION 8, 000.00 0.80 0.00 0.80 0.00 1REROOFRES SQ FEET 19. 00 266.00 0.00 266 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 267.80 0.00 267 .80 0.00 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 • I112- REROOF PERMIT APPLICATION � COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 ILJI \\U ® CUPERTIWO (408)777-3228 • FAX(408)777-3333 • buildingacuoertino.or0 / PPOMCTADDRESS 10251 rle \ 11 �/1 •� ��V� �If(v OWNER NAsIE gob I A 111ONE.15- E-MAM STREET ADDRESS CffY,STATE,ZIP FAX E-MAIL STREET ADDRFS a� h_ l �A 'C+C ( anxc?Ov ❑ OWNEA ❑ OWNER-BIBLDEA I/ ❑ OWNEXAG COM1UC cR ❑CONTaA=RAAG ❑ ARCICTECT ❑ENGINEER ❑ DEVELOPER ❑TENA CO CI'ORN ala/1z- LCENSE NIIIVj I- LICENSF03E,3 BOS.LIC.0 /\ CVEaAn WL Q>L>� /J'+P r ` (� E-MAIL FAX AAtnBTF'.Cr/ENGINEER NAME LCENSE N[R.SBER �V BUS.LC.0 COMPANY NANCE E-MAIL D FAX STREETADDRESS CrrY,STATE,ZIP PHONE usB OF ❑ SFD or Duplex ❑ Muld-Family ROOF AREA, vALOATION: sraucrvRe: ❑ Commercial E)CSTINO ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER (SPECIFr y e/ / //G REMOVEMEPLACE t;ES IF NO, PLYWOOD ❑ N" 11 PLYWD 9-DEB PITCH ROOF 11 C NL El 5/8 TYPE ❑ CnX :12 S A PROPOSED ROOF TYPE: ❑BUE.T-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT 0 DFSCRTFTION OF WORK: `-n1&- � / t, �/ 1� �}%ol ny- lPITip 301bs - asp /�s By my signature below,I certify to each of the fallowing: I am the property owner or authorized agent to act an the property owner's behalf I have read this application and the information I have provided is carruct I hav m the Description of Work and verify it is accurate. I agree to eymply with all applicable local ordinances and state laws relannngg jA' uilding construction. I o .he of Cupar an ;..,nter the above-identified prope,tr for inspection purposes. Signature of ApplicanUAga.»C /i 6 `� Date: /02—,I -/� SUPPLEMENTAL INF ON REQUTED vv :usaaNLw; -'- _If building is associated with a Home Owner's Association,provide Totter aI..L%emP. 'a'P-i'A- : Rtu„^ruicsuP of approval from HOA. C7 ON"Tex- C.hrvTLR BIMTmac Ptah xi e-¢w, _Provide Planning approval to verify if there my restrictions. -9 F2PN0"8$: - 'L Q-PCA,eNB+s P.D;tt�'.Ii�vvtEx� _Provide copy of Manufactures s Installation Specifications. _Provide signed copy of Cupertino's Tuar-Off Policy. ReroofApp_201 Ldoc revised 03/07111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION • ADDRESS: 10251 Parlett PI. DATE: 12/05/2011 REVIEWED BY: gs APN: BP#: "VALUATION: 1$8,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK [Rqffiqy2_existinq tile . Repair. Replace with same tile. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,900 Me,It 11Av7 Check Phunh. Man Cheek tiler Plan(.hccir ,Meeh. Perwa Pee; Plumh. Permit Fee: Elec. Permit Fire: ofller:11r,,e.Inv), 011ie) Phone laq) 011nabtcp. E17- zlioeh.Ince. Fire: I'luinh. lnsp.Fee: thee.Ing). Fee: NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Thesefees are based on the preffindina information available and are only an estimate. Contact the Dept for addn'l Info. FEE ITEMS (Fee Resohaion 11-053 EiT. 711,111) FEE QTY/FEE MISC ITEMS Plan Check Pee: Snpp/. P('l'Ca Permit Fee: $266.00 Suppl. /asp f lrnnh.: 1-loch.%1sXec Pltimh_!tdeclr,%lilac Permit F'C(- Constrinrlion Tar Adntinisirative Fee: Work Without Permit? C) Yes (D No $0.00 Advanced Planning Fees: Travel Docnmcntation Feely, • Strong Motion Fee: IBSEISMCR $0.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $267.80 $0.00 TOTAL FEE: 1 $267.80 Revised: 10/01/2011 REROOF TEAR-OFF POLICY 2 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-building0cuoertino.ora PROJECTADDRESS /op APN p O"ERNAME C f^ �PHI EMAIL STREET ADDRESS r J FAX SR _ 616 Pro _C> CONTRACTO AM !Z D P / LICENSENUMB23� LICENSE TYPE BUS.LIC.0 (a COMPANY NAME E-MAIL F RCO l2e rt' .5; zw, e trGle fq5' STREET ADDRESS / /[]� J,•,�� / �� CI STYE, �eir PH Fyf/1` YJ �C-I UNDERSTAND AND AGREE LT�COlTHE FOLLOWING: �'C.t'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/e" 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, 1 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 detectoN are requrr d to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/A en • O Date: RerooJPo1icv_201 Ldoe revised 02/16/11 .1 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 U P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 6 S / G>rY e PERMIT# OWNER'S NAME: Rnbin (Id&4aavro PHONE # 4e GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: 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 ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors. Si atare Date Please check applicable subcontractors and co Tete the following information: V 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 /2-e Septic Tank Sheet Metal Sheet Rock Tile ® 1.2 r/Cont actor gnature Date