08110079 CITY OF CUPERTINO
BUILDINr-IvISION PERMIT O1V;TRr�,CT RIN1�'QLLMe TIONw
FBUILp1NG ADDRESS: PERMff NO.
7560 WATERFORD DR WESTSHORE ROOFING
OWNER'S NAME: PERMIT ISSUE DATE
M(1R
NE: O.TF G'FIJ 1.'V F 1.'T nFa —
A CONTROL NO.
(408) 694-0060
111C
HI'IECTIENGINEER: BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
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' ups LICENSED CONTRACTOR'S DECLARATION Job Description
W G I bcrcby diner,diner,Nal I am Ikm ad under Provid (commerical
ons of CIMPel9(commeng
- with Seem.70M)ofDivisot 3ofmc Business and Pmfcssm.Code.and MY license Is
"c Ca In font and amt7',z) RE-RF RMV 1LY WDSHKS& 1LYRWDSHNGLS/INSTL 15/32"
j z license Clua Ls.N Dr
Dam�Conuactery/P_ Md OSB;CLS A 31SQ TIMBRLINE PRESTG LIFETIME
ARCHITECTS DECLARATION
U 1 urdersund my plans shall lost uacd u While records
Licensed Pmlmolumal
OWNER-BUILDER DECLARATION
s� I Mmby affirm that I am exempt from Ne Convectors License Law for the
ia o following rtunn.(Section 1031.5,Business and Professions Cads:My city or county
$ which requires i Permit to coiuuact.abet,improve.demnlW,or repair any swctum
iy prior to its issuance.also requires the applicant for such permit to file a signed sutemem .
s< mu o pro
he is licensed pursuant W da, or the ccomacWYS License Li.(Chapc,9 Sq.Ft.Floor Area Valuation
5
% O (commencingonSection]00o)of Division 3 of the Business and Professions Code)a
..y S dont he is clmp,Nerefrne and the basis for Ne alleged exemption.Any violaum of 15200
Section 1031.5 by any applicants for a permit spbjens the applicant la a civil penally of APN Number Occupancy Type
..more than five handed dollars(SSW), 36616008 . 00
❑I,asowm of shepeoprrty,ormY wplaym with waguu Ne'v sole mnpensation,
will W Newak Nd the iWsiWe is sol Wended aORcmd(sole(See.7o6/,Bud^•••
sod Pmfessam Code:The O mrana's License Law dean net apply W in Owner of Required InspeCL10DS
property who builds Lir i mproves demon.and who does such work himsel r or through his
own employees,provided that inch irepmwernenu,ma rt mounted orORerell ferule B.
however.the building a Impmvement is sold within ones yeas of comPlmim.the Owna-
Wilda will bow she burden of proving Nat as did rot Wild or improve for purpose Of
sale.).
❑1.as owner of she properly am asclusively contracting with licensed conuactna N
constmet the pried(&M.7W.Business ail Pmfeaaian Cade:)The a mmcta'.U.
ave law does not apply ban owns of property who builds or improves Neem,and,
who convects for such pmjem with a com isms)licensed pursues[he the Contractor's
License Law.
❑lunucmpsunderSee .B&PCrormismamn
Owner Data
WORKERS COMPENSATION DECLARATION
I hereby of ran under"ally of perjury oro of the fallowing declua0aas
law and wnl maintain acorifoe of Concent loself-iuum forworkce.conpcm
don,u provided for by Sadon 31W of she Labe Code.for the performance of Ne
wok for which this permit is issued. -
I haw and will maintain WorkeYs Compensation Inmm nce.u required by Section
3M)mf the Labor Code,for the performanc of the work For which this permit is Issued. '
My Wands CIo'mpewlian Imer.carrier and Policy+mPumb�o are:
Cartier,SN I'O F--,A✓1 4 Policy No.:[.IO d
CEKTIFICXTEOFEKEMPTIONFROMWOM T
COMPENSATION INSURANCE
(13m;session need nut Wcompleed if ie permit isfaroahuMreddoilars(SIW)
or less)
1 cowry that in the performance of Ne work for which this Permit is issued.I shell not
employ any pcssn in any maarcrao as W becomo subject to Ile Workere Compenso m -
lawsofCahromia.Dal
Applicants
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you Noulo
bcoorme subject W me Workers Compensation provisional of the labor Code,you most
.J z faMwith comply with inch poviumns or this"mit shall W deemed rooked.
z O CONSTRUCTION LENDING AGENCY
(-. 1 herohy.Mm than these I,.construction lending agency for the mr..nm Lir
C the work fa which this permit is issued(Ser.3091,Civ.C.)
0 tinders Name
Undoes Address
U 0 T certify Nat I Mw rural this application and sus this the above information is
coma I agree in comply wish all city Lid county Ordinances and sum laws mladog to
.0 Wilding orientation,sold hereby sumance representatives of Nu city to color upon Ne
W above-mendead property for inspection purpaes
gy (Wo)agree to sow,indemnify and keep hamless the City of Cupertino against
rA
liabilities,judgments,case and expenses which may in any way aceme against said City
V Z in conequmce of the granting of this permit
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOVR LATIONS.
Ty roofs
g Lia of ppHcam/conm mor D
HAZARDOUS MATERIALS troure DISCLOSURE Type Of Roof
Will til applicant no latae bpal Co a.Chapter
9.1 or handle Heartlou masrid _
az dcOnetl by de Cupertino Municipal Code.CTaplr 9.12.and the Health and Safety
Code,Scction 25532(.)1 All roofs shall be inspected prior to any roofing material being installed.
❑Yu o
Will Na applicant fuam building os upam use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
I huardous air contaminants u defined!by the Bay Area Air Quality Management all new materials for inspection.
suint
❑Yca No
I have read the by /anrwsmmemdsrequirsmenuundsr Charml&95 Of Ne Califon
ma Headm&Safmy Cade,Sevum, 05.25533 and25534.I underaund"itme building �f[[
does al currently haw a hand man is 4 my responsibility W notify the oceupenu of me /I QaS
roqumuncnts wh' be sett trance err,Cmtincslo ora 1 ature of Applicant Date
nen umadva lase 1 b All roof coverings to be Class'%{"or better
CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36616008 . 00
DATE ISSUED. . . . . . . : 11/20/2008
RECEIPT # . . . . . . . . . : BS000006665
REFERENCE ID # . . . : 08110079
SITE ADDRESS . . . . . : 7560 WATERFORD DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . .. MOE JEFFREY E ET AL
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5234
RECEIVED FROM . . . . : BEN FOWLER
CONTRACTOR . . . . . . . : PAUL FOWLER LIC # 21417
COMPANY . . . . . . . . . . : WESTSHORE ROOFING INC
ADDRESS . . . . . . . . . . : 2245-A FORTUNE DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95131
TELEPHONE . . . . . . . . : (408) 694-0060
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- -- ---------- ----------
1BSEISMICR VALUATION 31 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1REROOFRES SQ FEET 31 . 00 403 . 00 0 . 00 403 . 00 0 . 00
--------- --- ----- ------
TOTAL PERMIT 403 . 50 0 . 00 403 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- ------- ------ ------
CREDIT CARD 403 . 50 MC
---------------
TOTAL RECEIPT 403 . 50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- --------- -------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards
and manufacturers specifications on re-roofing.All roofs are Class "A"per Cupertino
municipal code 16.04.080.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
• 5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 "per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O.report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name:: 29Akno
Job Site Address: —+56o V a by -Fo d "d y-,
Roofing Company Name: W eStSVI81"2 20yT I/t P�
Applicant's Signature: Date:L4G/�
• Greg Casteel
Building Official
Revised 07/30/08
6) 007q
CITY OF CUPERTINO
REROOF
I OF
•CUPEkTINO PERMIT APPLICATION
APN # Date: I 1 Z6 a g
Building Address: } 5-(4 0 l/f o�' c� r
Owner's Name: Moe- Phone #: Z�7
I •
Contractor: W lZ i vt y i rlC , Phone #: e( 56 -C)Wo
Fax#: Y6 -62 3 3
Cupertino Business License #: Contractor License #: �g Z7i1
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles Asphalt Shingles
1 Wood Shakes ❑ Wood Shakes
�Y Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings Z ❑ Provide I.C.B.O. Report#
To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: pev,4 v„Q I 1w y4 y Budd shv\1 e01 I 1K y e ✓ wvud SLS 'LPj3�
"5 /t 11 16132 ` 501ar 058 31 /. cict% /t ROOF
-Tv1tCq1l 71'VV*trh\Me FrJsil�m LiLejj1nt .
Residential ACommercial ❑
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation I. S Zoo
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
;�aCITY OF CUPERTINO
REROOF
CUPEI,TINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RERO0FRES Re-roof Residential B 1SFDWLROOF
/ 1BSEISMICRE Seismic Residential B
1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
•