Loading...
12050107 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20215 NORTHGLEN SQ CONTRACTOR:FOUR SEASONS PERMIT NO: 12050107 ROOFING OWNER'S NAME: DIANE RENNA PO BOX 1668 DATE ISSUED:05/11/2012 OWNER'S PHONE: 4089739013 SAN JOSE,CA 95109 PHONE NO:(408)278A330 4C LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL CONIMERCIAL License ClassC—S'7,/� ' ,)Lief "l [.# o-( O'1 RE-ROOF 13 SQ-TEAR OFF EXISTING,CAL SHAKE Contractor I2 I NC' Dale —I I �2 ROOFING SYSTEM, INSTALL 30# FELT UNDERLAYMENT I 1 hereby affirm that I am licensed under the provisions of Chapter 9 INSTALL GAF GRAND CANYON CLASS A (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 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 whichthis permit is issued. Sq.Ft Floor Area: Valuation:$6500 1 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 APN Number:31639005.00 Occupancy Type: permit is issued APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and stale laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, n1" costs,and expenses which may accrue against said City in consequence of the J G granting of this permit, Additionally,the applicant understands and will comply Issued by: v[ Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. _//��Z RF.-ROOFS: Signature - Dale _ All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection.I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant eNTO Dale: I hereby affirm that 1 am exempt from the Contractor's License Low for one of _ the following two reasons: ALL ROOF COVE E CLASS"A"OR BETTER I,as owner of the propeny,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE: construct the project(Sec.7044,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will 1 hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should 1 store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2 55end 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dare: permit is issued I certify that in the performance of the work for which this permit is issued,I shall not employ any person many manner so as to become subject to the Worker's Compensation laws of Cali forma. If,after making this certificate of exemption,I CONSTRUCTI .ENDING AGENCY become subject to die Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 cenify 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,and expenses which may accrue against soul City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant undersiarnds and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Dale CITY OF CUPERTINO. 3 ITEMS OF 9 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31639005 .00 DATE ISSUED. . . . . . . : 05/11/2012 RECEIPT #. . . . . . . . . BS000016789 REFERENCE ID # : . . : -12050107 SITE ADDRESS . . . . . : 20215 NORTHGLEN SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DIANE RENNA ADDRESS . . . . . . . . . . : 20215 NORTHGLEN SQ CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : FOUR SEASONS CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323 COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING ADDRESS . . . . . . . . . . : PO BOX 1668 CITY/STATE/ZIP . . . : SAN JOSE, CA 95109 TELEPHONE . . . . . . . . : (408) 278-0330 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 6, 500 .00 1 . 00 0 . 00 1.00 0 .00 1BSEISMICR VALUATION 6, 500.00 0.65 0. 00 0.65 0.00 1REROOFRES SQ FEET 13 .00 182 . 00 0. 00 182 . 00 0 .00 ---------- ---------- ---------- TOTAL PERMIT 183 .65 0. 00 183 . 65 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 i 1 t 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•building(&cuoertino.orD At- 1J ! I � PROJECT ADDRESS � oa 1 s Nor-t try �eP SQ • APu" OWNERNAME - PHONE E-MAIL tone. Rennes STREETADDRESS Sc2- CITY. STATE.ZIP FAX CONTRACTOR NAME LICENSENUMBER LICENSE TYPE BUS,LIC.0 /J o C-3? COMPANY NAME/7)V" S�ScI1S 1`001/, E-MAIL FAX 5T0.EF.T ADDRESS CITY.STArE.ZIP PHONE sot o - Jr. Tose Cc:. QSIIZ 1/0 2_7ri''V.7n1 I UNDERSTAND AND AGREE TO THE FOLLOWING: I. 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. F" 4. If plywood is installed, a plywood Nailine.lnspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofingwhich 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. Proeress 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 1/<" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactuied 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: 1 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. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: Ren...fl'oh,r 201 Lduc rrroed D?/l6111 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION / 10300 TORRE AVENUE •CUPERTINO. CA 95014-3255 C UPERTINO (408)777-1 228.• FAX(408)777-3333• buildinona cuoertinoorp /] /� ,('� U I o2, 1f1:)KI.55 ;ZOa /S No., t4 1-A SQ . AVN. dune een n a I1L MAIL tCB—g3L.Z7 013 ------ -- - - - - - __ . . .-.! �IoalSr �or rnioA S., cn,', SrA11.211' - Pr=r�no� CA .4SoLV }� Iredo z�e� 487 � )B'o�3sy.. ----• pILS{_--------- �— .:_ -' oA'm ria 61.I(Ilfx ❑ UNFI:H A(iCr! p coYINACION ❑CUN W!oNAcli]r ❑ AR('ulnrl ❑ 1.11;IN11i, ❑ ur:';C:.ul'r.l: ❑ Lll'ffSE NU\Itl CN Llch'_CSIi rvF'li nus ur n X133 L6IAII. I-A\ CI ll,51 A It.ZIP 1.1IUNII LICE SII NuMIJI t HU, A i.-NIAll. FA 1111,]FAFE,ZIP D SI D or Duplex xNluf i-Family. R(wF ANr-A� �-� VAw:crwN, 10 S • 6 p Soo --- : r: H. ❑uullF SwF ❑_v,unn sluvclnv ❑wuou slues ❑w(x)D Sllrx LLs fr utlulu :rel 1' l — O� , vlu IF a Pu'wu(al ❑ ui ❑ PluvD ❑Doll encu II Ar ❑ n AA' k4 pa!� 11nfA,lil LI CUA i�Z�' —__ !YI^.: ❑P.L'll.I-tll'NIAF :\.SPIN A SIIINC,[.F5 ❑u'(x1U SI IAAIS ❑WODU SI INGLES ❑w ill:I a C.IIS NI'.)1IR! .-.__–_— �a�–o-hi• P.Xi.S-��no ('nl� �• _ SI�S��'1 .arc b-lo\' I nil,town UI We Iullo ng: 1 len the prolxity owner or audlorucd agent to uet an the piurwIIN v"I'a,o.'lall ,ca,a In _a •. Ivo 1- lion I ha'c Pro\idcJ a collect I halt read the rhscsiption of%\bd-wild v•riry it is aceur.ar I Lgnc;u rel IpP \' 1'11 r,pl icubl :' ,1I I \s«luin�w bui!Jmp emrs ion. ' Ihoriee resematieer of Culpltinu lu nwrlh' abo.e Iden-11, pl ..m 6lin lc,uun pal P,.r, SUPPLEMENTAL INFORMATION RE I.D- OFFICK USE O.M1 hiumc 0\v Ile: Association,pluv idc letter PLAN CHELK 11 PE HOUI LSO SLIP .�- ;,,,o':al !VIII fIUr'\, ❑ OVER-THE-C0UN1'ER ❑ Elill-DING HAS Nt:\'IE%l II:Cfe fa:\'!Cil(I.IIUIIi. . ❑ 6YPI{!-u ❑ 1•f_U.\LC,:YL.\]NE,'IF.11' -_ cop_ ;.i i'.:::;tl bC11:1ef o MSI IISI;UII Slx:ilicalions. ❑ SFASDARU ❑ koll@:PI' - ,, .i C(:;xl:inn's lc:u-Uli l'ulicV. ❑ 011iI:N: Hp:va/:I;:/• Jar!_.:...r rt:ie.:i ai.':, -.