Loading...
12050198 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10362 LEOLA CT CONTRACTOR:DAN I'LLIOTT'S PERMIT NO: 12050198 ROOFING CO OWNER'S NAME: MIKE WU PO BOX 26878 DATE ISSUED:05/25/2012 OWNER'S PDONF.: 6508592328 SAN JOSE.CA 95159 PIIONE NO:(408)559-7327 ❑ LICENSED SSED CONTRACTOR'S DECLARATIONJOB DESCRIPTION RERESIDENTIAL11COMME:RCIAL License Class//++� Lie,# e/c, RE-ROOF 27 SQ- REMOVE ALL SHAKES, REPLACE FLASHING Contractor Date & VALLEY, INSTALL 15/32 OSB INSTALL LANDMARK PRO I hereby affirm that I am licensed under the provisions of Chapter 9 LIFETIME 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 which this permit is issued. Sq.Ft Floor Area: Valuation:$9794 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 ol'the Labor Code,for the performance of the work for which this APN Number:37504024.10362 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read Ilus 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 state 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 DAY ' indemnify and keep harmless the City of Cupertino against liabilities,judgments, LAST CALLED INSPECTcosts,and expenses whidh may accrue against said City in consequence ofthe granting ofthis pemhil. Additionally,the applicant understands and will comply Issued by: 70M 7 Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. n 215,_1 Z_ RE:-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material berg installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATIONWU Signature of Appli©nr Date 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ,ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER L as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec7044, Business& Professions Code) 1,as owner of the property,am exclucvcly contracting with licensed contractors to IIA%,ARDOUS MATERIALS DISCLOSURE: construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Ilealrh&Safety Code.Sections 25505,25533,and 255341. 1 will I hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal(bde.Chapter 9.12 and the declarations: IIea11h&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 I use equipment or devices which emit hazardous Compensation.as provided for by Section3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance ollhc 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 Ilealth&Safety Code,Sectio hs 2550 25 3 and .341. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Dale permit is issued I certify that in the perlihmhance of the work for which this permit is issued.I shall ' not employ any person inany manner so as to become subject to the Worker's Compensation laws of Cali forma. If,after making this certificate of exemption.I CONSTRUCTION LENDING AGENCV become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agencyfor the performance of forthwith comply with such provisions-or this pemhil shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097.Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify'that I have read this application and state thin 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 ,AR('lll'fF:C7"S DECLARATION indemnify and keep hamiless the City of Cupertino against liabilities,judgments, costs,and expenses whidh nhay aceme against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO 3 ITEMS OF 15 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37504024 .10362 DATE ISSUED. . . . . . . : 05/25/2012' RECEIPT #. . . . . . . . . : BS000016921 REFERENCE ID. # . . . : 12050198 SITE-ADDRESS . . . . . : 10362 LEOLA CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MIKE WU ADDRESS . . . . . . . . . . : 4170 ALTA MESA CITY/STATE/ZIP . . . : PALO ALTO, CA 95014 RECEIVED ;FROM . . . . : DAN ELLIOTT CONTRACTOR . . . . . . . : DAN ELLIOTT LIC # 21466 COMPANY- . . . . . . . . . . : DAN ELLIOTT'S ROOFING CO ADDRESS . . . . . . . . . . : P 0 BOX 26878 CITY/STATE/ZIP . . . : SAN JOSE, CA 95159 TELEPHONE . . . . . . . . : (408) 559-7327 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 9, 794 .00 1.00 0. 00 1 .00 0.00 1BSEISMICR VALUATION 9, 794 .00 0. 98 0. 00 0 .98 0. 00 1REROOFRES SQ FEET 27 .00 378 . 00 0. 00 3.78 .00 0. 00 TOTAL PERMIT 379. 98 0. 00 379 .98 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 REROOF TEAR-OFF POLICY 0 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•buildinaCdcuoertino.org PROJECT ADDRESS L O JQ M AP\a OwNE P E-MAIL �l STREET ADDRESS CITY.STATE,ZIP FAX CTORJC:A4�E�/' IA LICENSE NUM LIC�SE BUS.LIC.a cill �T CO / // MAIL / FAX I ,1, C r p � r t.n or C STREE ADDRESS �'( G STATE,,] t 5J/Z {i_0���^ 73-74 17 L I UNDERSTAND AND AGREE TO THE FOLLOWING: (� 7- 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. 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: 1 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. 1 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 Residelj Cod . _ _ Signature of ApplicanVAgert < Date: 2 Rw'nu/Pr ficr 10/Ldn c revised U7// 111 CITY OF CUPERTINO 3 ITEMS OF '15 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37504023 . 10371 DATE ISSUED. . . . . . . : 05/25/2012 RECEIPT #... . . . . . . . : BS000016921 REFERENCE ID # . . . : 12050201 SITE ADDRESS . . . . . : 10371 LEOLA CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER MIKE WU ADDRESS . . . . . . . . . . : 4170 ALTA MESA CITY/STATE/ZIP . . . : PALO ALTO, CA 95014 RECEIVED FROM . . . . : DAN ELLIOTT CONTRACTOR . . . . . . . : DAN ELLIOTT LIC # 21466 COMPANY . . . . . . . . . . : DAN ELLIOTT'S ROOFING CO ADDRESS . . . . . . . . . . : P O 60X26878 CITY/STATE/ZIP . . . : SAN JOSE, CA 95159 TELEPHONE . . . . . . . . : (408) 559-7327 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - ---------- ---------- ----- ------- 1BCBSC VALUATION 9, 794 .00 1. 00 0. 00 1 .00 0.00 1BSEISMICR VALUATION 9,794 .00 0. 98 0. 00 0 .98 0.00 1REROOFRES SQ FEET 27.00 378. 00 0. 00 378 .00 0 .00 TOTAL PERMIT 379. 98 0.00 379.98 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 1, 857 .80 14234 --------------- TOTAL RECEIPT 1, 857 .80 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 toS�O -SSS-x2,31 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 C UPERTINCI (408)777-3228•FAX(408) 777-3333•building(&cupertino.org qS �i0-'Itr111i, 1 AlMeiFAS PN„ , �a • c + � s o —I oa XAMF — n\NI N , 1.11,NL. I MINI] "IV \UTAlI s 'I \ :I' N;\Alli ` �1Tt `� I•ild - Cc) SIIt IiRr:\111)IN.SS Z�Cb 1 V ` y`q f•I'rY..l',',,"li- ZII' o s \ ��z .1:,,5 _�J 1�36 i n1'"III, ❑ n'\"" i.......11P:N ❑ t'WI*-N Mil!Nl' W lUN'IHMStIN 00WIN.At:11'l,AIIIiP'I' ❑ ANC1 11iS ❑IgJfilrilJ[H ❑ IJIiA'lil!11'ik ❑ 'I'P?IARl LICH, a:NII\ml^Ili 1.1('IiNS14'Il'I'1:. ItIW.I.I,' 07 ( r�AW •v a:\.ur.`jln� >, 1I 3Y MAll 1:11 -5'r1t1.:1::r,lyl,l<ptiti <:1"I',". ..',,'l l.;,ll•---. —Olt /✓.-t/V 6 s� , C 257 ' "'t'"�5SP-73 z7 ,\Nlllll U:1'/i.\GINP.IiIt KA.\1[ • % `r'^1` LIOIiNSENIIMH1R RI IN 1.1, 01 't•AII`,Apl1"NAAII_ IE-iMAII, WibI I' AT 1111116% f:I'1' ri?./II' Pill`NF. III I t 111 lP 11111CIY'I�ICSMtill I-Fa1111IC . nnuP Ali l( y�\ \; 11 IN V Pdl ll .noaH r "I'VII., 111 -111'lir\111 ❑As1111ALr SHINIdJ.iS �VA!11111 YI bAAF6 ❑VA'n:Il1 sI11Nl alis ❑.yIIIFIi IsI`f'IPA') 1t111.1.A,r Q i,7s It N11 1'1.1'VVIN q) ❑ /_" ® IS 1'1.1'V1'11 p qSH I'1'PCII - - 10,1P l ❑ ;an , 1,1vP:us� 'rulcl�nrss' ❑ a•x"• 2 1 'rrrl'> ❑ rax A rl.Ass ",: 9.1 r;lillmxry:'I'1'14:: ❑111!11:1'-Ia`I, Is C5� 10ASPIALISIIINl11.Fs ❑w',"I MAKES ❑N9 urU SIIINUI,HS ❑rrll IT: 1rq.rS Imp"nI 01111 it 1191n\I,1:N\1.1:11 �h _ I lI n0'""lame Ucl<nc, ctrl ilb hr r.1ch of the 1i111ou•in`: I nm the 1m x:1ip ne•ncr nr nlnhrnin:d x. 6 I I µal la aU n the properly un'nc's f elm l: I lolec IcnJ Iles IPuh ell nnJ Ih�lnl ln.11inn hove provided i'ennccL - eml The.Uc<gipnon al Work.....I I II'c it al.Ill is I u nl'n'n.c Ind<Ia In"rcLrlinF,l+hl'Ji Inlcli\ 1' nl Enc.to cangll\ wills all npplic lhk loc:ll ve 1 m'senial l\es el(:Ilp Im,10 enter lhl'1hn\'c-idcnll mJ pnlpctl\ 111 ine xclinn pnputaca 'Sil:unllnl'.of AppGrunl/,'q;cnl; � 4 I Z SUrl'I WEN'I'AL INFORMATION REQUIRED— --- — -- (IFINlP.USN',ONIA( _. !I hnilding is assr,cialcd u'ill1a Home Owner's Association,prol'ide IcllerPIAN CIIC(IK'I'VI•F, eolrnNc sl,u• of approval I}om HOA. I 11'F;IT I'I I F.fOUN FFtR ❑ Illin'timc PLIN NR1'IF;l1' Prm•idc Planning approval to ccrilj if Them anv icsiriclions. ❑ P,]I'NPFe ❑ PLn N]INr:PI.,IN NE1•IC11' Pro\'idc cop\•of h'InnIIGIcIllicrs Installation Specifications, ❑ .rrnNnngp ❑ Iq NF'.ooa•r Plnrlife signal cape of Copertino's'real-Off Poliev. II ❑ Oa'IIEN: licron(App ?Illi.Juc 1evurd2/16,11