12010004 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7587 NEWCASTLE DR CONTRACTOR. PERMIT NO: 12010004
OWNER'S NAME: NALBANT MEHMET AND MARZIYE f Ck �l � 7 fid�1� (S DATE ISSUED:01/03/2012
OWNER'S PHONE: 4082096816 , PHONE NO:
Cl LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.#
MECH f— RESIDENTIAL COMMERCIAL
Contractor Date m `?2U 1 Z
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF-REMOVE WOOD SHINGLE AND REPLACE
(commencing with Section 7000)of Division 3 of the Business&Professions WTIH
Code and that my license is in full force and effect. COMP SHINGLES CLASS A 24SQ
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
permit is issued. Sq.Ft Floor Area: Valuation:$13000
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:36617078.00 Occupancy Type:
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signat Date )1 Issued bye/!� - Date:
r OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant:_ v Date: �,Z0 Z
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
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(a)should I store or handle hazardous material.
permit is issued. Additionally,should I use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
forthwith comply with such provisions or this permit shall be deemed revoked. O authorized agent: 4-h�/ 2_
Date
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
1 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 I hereby affirm that there is a construction lending agency for the performance of Hork's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
c- ', and expenses which may accrue against said City in consequence of the Lender's Address
i ig of this permit.Additionally,the applicant understands and will comply
wiuu all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION
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 . . . . . . . . : 36617078 . 00
DATE ISSUED. . . . . . . : 01/03/2012
RECEIPT #. . . . . . . . . : BS000015636
REFERENCE ID # . . . : 12010004
SITE ADDRESS . . . . . : 7587 NEWCASTLE DR
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : NALBANT MEHMET AND MARZIYE
ADDRESS . . . . . . . . . . : 7587 NEWCASTLE DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : RICK PISANO ROOFING
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . .
CITY/STATE/ZIP . . . : ,
TELEPHONE . . . . . . . .
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 13, 000. 00 1. 00 0 . 00 1.00 0.00
1BSEISMICR VALUATION 13, 000. 00 1.30 0 . 00 1.30 0.00
1REROOFRES SQ FEET 24 . 00 336.00 0. 00 336 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 338.30 0. 00 338 .30 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 457.30 #6138
---------------
TOTAL RECEIPT 457.30
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 PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
CUPERT{NC} (408)777-3228• FAX(408)777-3333 • buildinclecunertino.org
PROIECT ADDRESL
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OWNER NAME 4_PT;�ru
E-MAIL
STREET ADDRESS M, STA ZIP C FAX
AP C N P ONE - _ ' E I
STREET ADD S STA f Z `A7C +,SC'f `J C
LOWNER ❑ OWNER-BUILDER 13 OWNER AGENT ❑ coNTRAcroR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGNEER I ❑ DEVELLo-PER ❑TENANT
CO N LICENSE NUMBER LICENSE TYPE BUS.LI #
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C ANYfLC
E-MAIL J FAX
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ST�tFfi-I ADD LL (7CITY ZIP ( I Z PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES XWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLAC$�YES IF NO, TPLYWOOD ❑ A- ❑ PLYWD �SB
7PCa
ROOF
❑ NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX -'12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF �iSPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK
Oka�
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating ilding construction. I authorize representatives of Cupertino to enter thove-identified propei-Ly for inspection purposes.
Signature of Applicant/Agent
SUPPLEMENTAL INFORMATION REQUIRED - ffig i
�.
Ifbuilding is associated with a Home Owner's Association,provide letter �z>ZIl`fS
of approval from HOA. N A
—Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications. _
%vide signed co u ertinos Tear-Off Policy.
— � PY of CP '
ReroofApp_2011.doc revised 03/02/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 7587 newcastle dr. DATE: 01/03/2012 REVIEWED BY: bobs.
APN: BP#. 'VALUATION: 1$13,000
"PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: PERMIT TYPE:
WORK remove wood shingle and replace with comp shingles.
SCOPE
FEE ID ROOF AREA
s.f.
1 REROOFFRES 2,400
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . Theseees are based on the prelinina information available and are only an estimate. Contact the De t or addn 7 info.
FEE ITEMS (Fee Resolution II-053 L f. 11 FEE QTY/FEE MISC ITEMS
Permit Fee: $336.00
Work Without Permit? 0 Yes No $0.00
Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item
Bldp,Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $338.301 $0.00 TOTAL FEE: $338.30
Revised: 12/04/2011
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•building(a-cupertino.orp
PROJECT JD ES APN#
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OWNER NAME PHONE E-MAIL
STREET ADDRESSC STATE, IP FAX
l_Li-
C RA TOR NA LICENSE NUMBER LICENSE TYPE BUS.LIC.#
' 1 "
CO AN NAM E-MAIL FAX
1
STREET ADDRESS --CITY,ST4 ZIP P
r
I UNDERSTAND AND AGREE TO THE FOLLOWING:
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. I understand and agree to comply with the re-roof policy stated above. I 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 Residential
Signature of Applicant/Agent: 94Dat; D
ReroofPolicv_201l.doe revised 02116/11
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: -j ,• �, (� PERMIT#
OWNER'S NAME: PHONE# -
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: 115j CITY/ZIPCODE <I�..�
*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:
Signature Date
Please check applicable subcontractors and complete 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
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date