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12030097
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11688 OLIVE SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 12030097 OWNER'S NAME: SCHMEER JACK A AND CORALIE B 1703 CATHAV DR DATE ISSUED:03/192012 \OWNER'S PHONE: 4089730282 SAN.IOSE,CA 95122 PRONE NO:(408)251-3565 7 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT(✓ PLUMB r License Cl ass _ /1 Lic.N � �15(/O' 'MECH I- RESIDENTIAL I- COMMERCIAL C C'rFn F:, hereby allinn d [1 am licensed raider the pmyisiams of Chapter 9 306 DESCRIPTION: RE-ROOF TEAR OFF EXISTING SHAKE ROOF AND (commencing with Sectien 7000)of Division 3 of the Business&-Professions REPLACE Code and(list my license is in full force and effect. WITH I7SQFT GAF GRAND CANTON COMP CLASS A 1 hereby affirm under,penalty of perjury one of the following two declarations: 1 have and will maintain a certificate of consent to self-insure fit Worker's Compensation.as provided for by Section 3700 of die Labor Code,for the performance of the work for vvhich this pemni(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 die work for vvhich this Sq.Ft Floor Area: Valuation:$9000 permit is Issued. APPLICANT CERTIFICATION APN Number:36654102.00 Occupancy Type: I certify that I have read(his application and state dat die above information is correct.1 agree to comply with all city and county ordinances and state Imus relating to building cons(mction,and hereby authorize representatives of city to enter upon the above mentioned property for inspection purposes. (We)agree to sae PERMIT EXPIRES IF WORK IS NOT STARTED indenaiN and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WJDAY, AYS OF PERMIT ISSUANCE OR gFiling of this permit. Additionally,the applicant understandsand will comply 1.8M LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Sectio9.18. DG -i2 Issued rl2' Date: Sign`amre -Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that 1 am esentprfrom the Contractor's License Lay for one of All roofs shall be inspected prior to any roofing material bcing installed.If a roof is the following two reasons: installed without first obtaining an inspection,1 agree(o remove all new materials for 1,as owner of the property,or my employees with wages as their sole wmpensatiou, inspection. will do the work.and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signpure oofAppli.-mr, Date: L as owner of the property,an exclusively contracting with licensed contractors to �- construct doe project(Sec.7(144.Business&, Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1 hereby affirm under penalty of perjury one of the following three Ideclarations;hve wiHAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 Of the performance of(he 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 llealth& Section 3700 of the Labor Code,for die performance of the wort:for which this Safely Code,Section 25532(a)should I store or handle hazardous material. Additionally,should 1 use equipment tar devices which emit hazardous air pemnit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify thin in the performance of die work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as no become subject to(lie Worker's Health&Safety Code.Sections 25505,25533,and 25534. Compensation laws of California. If,after making this cenificate ofexemp(ion,I become subject to the Worker's Compensation provisions of(lie Labor Code,I most Ow er ized a ent: forthwith comjily with such provisions or(his permit shall be deemed revoked. Dale>3, APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certiN that I have read this application mid state thin(the above information is I hereby afftmm that(here is a construction lending agency for the perfnn once of work's correct.I agree m comply with all city and county,ordinamaes aid state laws relating for which this permit is issued(Sec.3097,Civ C.) R,building construction,and hereby authorize represemmives of this city to enter Lender's Name upon the above mentioned propenv for inspection purposes.(We)agree to sae indemnify and keep harmless the City of Cupertino against liabilities,judgments. Lender's Address costs,and expenses which may accrue agains(said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply- ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Sectial 9.18. 1 understand niy plans shall be used as public records, Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654102 .00 DATE ISSUED. . . . . . . : 03/19/2012 RECEIPT #. . . . . . . . . : BS000016311 REFERENCE ID # . . . : 12030097 SITE ADDRESS . . . . . : 11688 OLIVE SPRING CT' SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SCHMEER JACK A AND CORALIE B ADDRESS . . . . . . . . . . : 11688 OLIVE SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5141 RECEIVED FROM . . . . : CASTILLO'S ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO 'LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO'S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------—----- ---------- ---------- ---------- ---------- --------— 1BCBSC VALUATION 9, 000 .00 1 . 00 0 .00 1. 00 0 . 00 1BSEISMICR VALUATION 9, 000 .00 0 . 90 0 .00 0 . 90 0 . 00 1REROOFRES SQ FEET 17 .00 238 .00 0 .00 238 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 239 . 90 0 . 00 239 . 90 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- ----- ------- CHECK 239 . 90 #17707 --------------- TOTAL RECEIPT 239.90 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 REROOF TEAR-OFF POLICY 2 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B4O.. BUILDING OFFICIAL 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (/4J08)777-3228• FAX(408)777-3333///''^•bt'uilding(g)cuoertino.org PROJECT ADDR[SS (ag QI; Vk" s ,� C • APNa OWNE:RNAME Oc s1: I V er-- PBONE E-MAIL STREET ADDRESS CIN,ST E.ZIP v('Oq FA.0 tin CONTRACTOR NAME \ ICENSENUMBER LICENSE TYPBUS.LIC.# NI 5 COMPANY NAME E-MAIL FAX STREET ADDRESS O� CIN.STATE.ZIP ea 9EJOPONE X15 I 1 UNDER AND AND AGREE TO T FOLLOWING: o/ 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/<" 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 Cali forma" or is tial Code. q Signature of ApplicandAg Date: ReroojPolicv_2011.doc revised 02/1611I CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION Im ADDRESS: 11688 Olive Springs Ct. DATE: 0 3/1 912 01 2 REVIEWED BY: gs APN: BP#: "VALUATION: $9,000 •PERMITTVPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAM1IATION 1SFDWLROOF USE: PERMIT TYPE: WORKTear off existingshake roof and replace with 17 s of Grand canyon comp. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,700 dfin h. Plan C.h:.k Plumb. Plait Cheek Eler.Plan Check 41mh. Pernrir Fee: Plund,.Pennon Nee: Fla. Permit Fra Urhor:l lrrh.hap. Other Phmth hrsp. Other F.lec. hap. Li t'f.h.Ines FeePlama, Insp.Fre: Ein'.IKPI). Fee: NOTE: This estinnate does not include fees due to other Depurrmentc(i.e. Planning, Public Warks, Fire,Sanitny Seu•er District,School District,etc.). Thane fees are bated on the prelininan in orntation available and are onA,an estintare. Contact rhe Dept for addu7 info. FEE ITEMS (Fee Resolution 11-053 Ejj 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Pee: Snppl. PCFee Fhimb.:it tech.:Flet. Permit Fee: $238.00 Suppl. brsp Fee Flurnh.-Meeh.%Flet 1'Iunrh.:;t teeth.:Llu Permit Fee. Crawirucliun 'I•o.i': Adnrinrsirative Fre: Work Without Permit? O Yes E) No $0.00 ,ldramed Planning Fees: Travel Dopanernatiort Fees: Strong Motion Fee IRSEISHICR $0.90 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $239.90 $0.00 TOTAL FEE: $239.90 Revised: 1/19/2012 Septic Tank Sheet Metal Shcet Rock Tile �� Owner/Contractor Signature Date REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 GUPERTINO (408)777-3228 - FAX(408)777-3333 •buildirm(c cuperino.oro .PROTECTADDRESS I " I 1 1 Y I 'gyp �✓ �/l OZ OWNERNAh1E ^ e PHONE cl -72- , (�.a E-MAIL S=- ADDRESS ,/ CFTY, STATE, •J / o� - FAX _Ueper11 W . APPLICANT NAME PHONE E-MAIL V i 17i T ADDRESS 1 CrTY,SLATE, (T�I PAX . ❑OWNER ❑ OWNER-BUUDER ❑ OWNERAO CON =X ❑CEnMACTOR AGFNt' ❑ AR=CT ❑FNOIN©t ❑ DEVELOPER ❑TEXA CONTRACTOR NAME LICENSE NIMBER I LICENSE I BUS.LIC. COMPANYNAME <v�,N�� N Q3E-M FAX SrREETADDRESS \ CTTY,STATE,ZIP n PHONE1-35�5 ARCHTTECTIENOD,FJ:..R NAME UMSE NUMBER BUS.LIG 0 COMPANY NAME E-MAB. FAX S P=ADDRESS CrrY,STATE,ZIP PHONE USE OF /S FD or Duplex ❑ Mulb-Family ROOF AREA: VALUATION: S UCTURE: ❑ Commercial Ll !EQ 1 , EXISTAIG ROOF TYPE: ❑BUMT-UP ROOF ❑ASPHALT SHINGLES eeWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES ffNO. PLYWOOD ❑ K" ❑ _ PLYWD ❑ OSB PITCH: IZ ROOF A ❑ NO q S ❑ 5/a" E' ❑ PROPOSED ROOF TYPE: ❑BUR.T-IIP ROOF ASPHALT SHAIGI FS ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT 0 DESCRB'TION OF WORK: `1 e AD A I *61 By my signature below,I certify to each of the following: I am the property owner or authorized agent to ac:an the property own ds behalf. I have read this application and the information I ave p ided is correct I have read the Description of Wark and verify it is accurate. I agree to comply With all applicable local ordinances and sale laws relatin m ding serueion. I au entaives of Cupertino tc enter the i ntifyjl _pert;for inspecion purposes. SignatureofApplicant/Afon 1 Dam: 1 SUPPLEMENTAL I40RMATION REQUIRED roc-mss '- '_ "- DPt'tce'dSF�:on �"'g` r If building is associated with a Home Owner's Association,provide letter dam- xDur�G;sL'� yr-L of approval from HOA. _Provide Planning approval to verify if there my restrictions. � aTR4`ss"` c�.ECvnNB7erPynnxEVTEa, �i - ai --arta Provide copy of Manufacturer's Installation Specifications. - a _ Provide signed copy of Cupertino's Tear-Off Policy. _ - .' el%o� '• _ ` - ReroafApp_2011.doc revised 03/07111