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12020084 CITE' OF CUPERTINO BUILDING PERMIT `p 'ERMIT NO: t2020084 BUILDING ADDRESS: 10379 NORMANDY CT CONTRACTOR:' �Yl,(f� Y�'L. ( t DATE ISSUED:02/21/20 12 OWNER'S NAME: LAW KINCHO H ET AL tl PHONE NO: OtyNER'5 PHONE: 4082537195 LICENSED coNTRacTOR's DECLAR4T[ON BUILDING PERMIT INFO: BLDG ELECT PLUMB' License Class C�0 Lic.# 3 L G/ 3 MECH' RESIDENTIAL COMMERCIAL ' Date Contractor L v ��G ' JOB DESCRIPTION:RE-ROOF REMOVE SHAKE ROOF AND REPLACE WITH I hereby affirm that I am licensed under the provisions of Chapter 9 COMP CLASS A 255Q (commencing with Section"000)of Division 3 of the Business&Professions ROOF Code and that my license is ill 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 tar 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 Nvaluation:$6500 Sq.;FtFloor Area:permit is issued. APPLICANT CERTIFICATION Occupancy Type:I certify that I have readthis application and state that the above information is APNumber:36929019.00 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 kezp harmless the City of Cupertino against liabilities.judgments. PERMIT EXPIRES IF WORK IS NOT STARTED casts,and expenses which may accrue against said City it,Consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally',the applicant understands and will comply with all non-paint source regulations per the Cupertino Ivlunicipal Code,Section Igo DAYS FROM LAST CALLED INSPECTION. 9.18. — Date: Z— Z I– Date G f Z-- Issued kv �� Signature�'�� G� ® 01'VNER-gI1tL;DER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one offiinstallcd fs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: 1,as owner of tine property,or my employees with wages as their sole compensation, lwithout first obtaining all inspection,I agree to remove all new materials or will do the work,and the structure is not intended or offered for sale(Sec.7044, P Date: Business&Professions Code) Signature of Applicant: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS hiATER[.aLS 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[lave 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. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by con€pliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Cade,for the performance of the work for which this additionally,should I use equipment or devices which emit hazardous air permit is issued. y the Bay Area Air Quality will I certify that in the performance of 8€e work for which this permit is issued,I shall contmaiaminants as nfinece d h the Cupertino Municipal Code�Ch Ater 9.1 andagement District tthe 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 became subject to the Worker's Compensation provisions of the Labor Code,I must Owner or authorize n ��Date�rf 2 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 tt>3t there is a construction lending agency for the performance of n�ork's correct.I agree to comply with all city and conunty ordinances and state taws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of anis city to enter Lender's Name uponthe above mentioned property for inspection purposes.(We)agree to save indemnify and keep hannless the City of Cupertino against liabilities,judgments, Lender's Address costs.and expenses which may accrue against 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 regulatic�€ns per tile Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date_ Licensed Professional 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 CUPERTINO (408)777-3228• FAX(408)777-3333•build ing(&_cupertino.org APN# PROJECT ADDRESS -3 Q 41 P /4G PHONE E-MAIL OWNER NAME J CITY,-A STATE,ZIP�/ FAX STREET ADDRESS / lJ j. / 1 L rCO�NTRACTORAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# w3.� 32 & 1� LE-MAIL FAX ✓3 Z s STREET ADDRESS CITY,STATE,ZIP ! I L PIrN Cy 2 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 I/" 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 requiredy be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. : _ --- Signature of Applicant/Agent: Date: Z 2 Z ��Z Reroomolicv_2011.doc revised 02/16/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RTI N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# ��" �� OWNER'S NAME: o ,� ��1c /� 1�Avo PHONE -,,&J l 7 GENERAL CONTRACTO : - r, i)��- Csulc'r� BUSINESS LICENSE# ADDRESS:Ze - .-t s.�Cd:•� Lc.i ► CITY/ZIPCODE: I'l"AZO ,. *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 SUBCONTRACTOR HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. �----- I am not using any subcontractors: Date Signature Please check applicable subcontractors and complete the following information: 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 Date Owner/Contractor Signature CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . 36929019 - 00 DATE ISSUED. . . . . . . : 02/21/2012 RECEIPT #. . . . . . . . . BS000016060 REFERENCE ID # . . . 12020084 SITE ADDRESS . . . . . 10379 NORMANDY CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LAW KINCHO H ET AL ADDRESS . . . . . . . . . . : 10379 NORMANDY CT CITY/STATE//ZIP . . . : CUPERTINO, CA 95014-3109 RECEIVED FROM . . . . : J.M.V. INCORPORATED 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 ---------- ------------- ---------- ---------- ---------- ---------- -- ------- IBCBSC VALUATION 6, 500 -00 1.00 0 . 00 1.00 0 . 00 IBSEISMICR VALUATION 6, 500 .00 0 .65 0 . 00 0..65 0 . 00 IREROOFRES SQ FEET 25 .00 350 .00 0 . 00 350 .00 ------0 . 00 ---------- ---------- ---------- ---- TOTAL PERMIT 351.65 0 . 00 351 .65 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 351.65 VISA --------------- TOTAL RECEIPT 351.65 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 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION +' DATE: 02/21/2012 REVIEWED BY: bobs. ADDRESS; 10379 normandy dr. °��ALUATiON; $6,500 APN; BP#: PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PENTAMATION 1SFDWLR00F PRIMARY BFD or Duplex PERMIT TYPE: [.ISE; WORK remove shake roof and replace with comp roof. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 NOTE: This estimate does not include fees due to other Departments(i.e Planning,Public onl anestimate.Fire, Con fact the DeptSewer District, adtdn'l info. An District,etc.). These fees are based on the relinina in ormation available an MISC ITEMS 3 t ? FEE QTY/FEE FEE ITEMS = >r s ,..I;_ 5 t,r I_ Permit Fee: $350.00 Werk Without Pereriit? j Yes No $0.00 4 I BSE1SMICR $0.65 Select an Administrative Item ...._.:K;.._........i C � Iss'on Fee IaCBSC $1.00 TOTAL FEE: $351.65 SUBTOTALS: $351.65 $0.00 Revised: 1/19/2012 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333 -buildingacupertino.ora CUPERTINO APN# � PROJECT ADDRESS [/ 17 i�4 yL'�J�' PHONE E-MAIL OWNER NAME ti ` zll� L,�c�y/• / S CITY, STATE,ZIP FAX C t srRE�z'ADDRESS �,0 3 � �` %9/L��'1w/�� u c-� � �p/ PHONE E-MAIL APPLICANT NAME t 3 •w1�J FAX C��,SGA Q I rL�7GJ STItEE-I'ADDRESS Cl OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ APCFIITECT ❑ENGINEER ❑ DEVELOPER C1 TENANT LICENSE TYPE BUS.LIC.# LICENSE NUMBER PCOWANYNAI�e P L� 7FAX ZIP E-MAILRESSCITY.STATE C � G O ��2 /-/� '�� BUS.LIC./ENGINEER NAME LICENSE NUMBER FAX COMPANY NAME E-MAIL CITY,STATE,ZIP PHONE STREET ADDRESS USE OF ff-S_�FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) ��yy 7P�LYWD ::CDX SB PITCEL ROOF AREMOVE/REPLACE y�1'ES �FN PLYWOOD ❑ h" :12 CLASS:b THICKNESS: ❑ 5/SE: NO S: ICC-ES REPORT# PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER A DESCRIPTION OF WORK d agent to t on erty owner's alf. I have this application my signature the information I havto e provided ded islowing: I correct. I ha a read the Desthe property cription of Work er or eand verify it is accburate.pI agree to omply With all applicable local application P pr-p- .for inspection purposes. ordinances and state laws relating to building construction. I rize r res of Cupertino ino tc enter the above-identified ly p - Date: 11 Signature ofApplicant/Age _- = - .z SUPPLEMENTAL INFORMATIO REQUIRED -: _- s If building is associated with a Home Owner's Association,provide letter - - of approval from HOA. _Provide Planning approval to verify if there any restrictions. - Provide copy of Manufacturer's Installation Specifications. IS /Provide signed copy of Cupertino's Tear-Off Policy. = - ' ReroofApp_2011.doc revised 03/02/11