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12050226CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 20102 NORTIICREST SQ CONTRACTOR: FOUR SEASONS ROOFING PERMIT NO: 12050226 OWNERS NAME: VINCEN'I'C LIN PO BOX 1668 DA'Z'E ISSUED: 05/31/2012 OWNER'S PIIONF.: 4082528842 SAN JOSE. C\ 95109 PIIONF NO: (408)279-0330 Iii;- LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r PLUMB r License Clercs GJ -Lic.4 y79/0,10 Contractor IrS4 Date 1 hereby affirm Ihal I am licensed under the provisions of Chapter 9 (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 Mn 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 tabor 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. APPLICANT CERTIFICATION 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 to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnity and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date S" — J/— /7- 11 2 ❑ OWNER -MILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: I, 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 (Sce.7044, Business & Professions Code) I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project(Sec.7044. Business & Professions Code). I hereby affirm under penally of perjury one of the following three declarations: I have and will maintain a Cer iBcale 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 limy 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. I certify that in the perfommnce of done work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Worker's Compensation ImvS of California. If, after making this certificate of exemption. I become subject to the Worker's Compensation provisions of the Labor Code, I must fortMvith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I 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 to building construction, and hereby authorize representatives of this city to enter upon the above mentioned properly for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: TEAR OFF EXIS"TING CAI. -Sl IAR 17 ROOFING SYSTEM. INSTALL 309 FELT UNDERI.AYMENTS ANI) INSTALL GAP GRAND CANYON SI TINGLES. COLOR'STONEWOOD CLASS A Sq. Ft Fluor Area: I Valuation: $6500 APN Number: 31637011.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: 3I- /--I- RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed- Ira roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date ALI, ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safely Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cuperlinu Municipal Code. Chapter 9.12 and the Ileallh & Safety Code, Sections 25505, 25533, and 25534• Owner ora horn nl: Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pedbmmance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCI IITF.CI"S DF.CLARArill ON I understand my plans shall be used as public records. Date I Licensed CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - building(Dcuoertino.orD PROJECT ADDRESS O I ^ V APN p OM'NERNAME PHONE E -NAIL s - STREET ADDRESS CITY. STA .ZIP FAX e o CONTRACTOR NAME LICENSE NUMBER LICENSE fP � (,,, BUS. LIC. n COMPANY NAME E-MAIL FAX STREET ADDRESS SO2 'n S CITY.STATE Z.IP �q. PIIF. ON t{O$-.'t Nor o5B w SI 2 0330 I UNDERSTAND AND AGREE TO THE FOLLOWING: 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. 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. 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 5126.00. 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. 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/ _ Sienature of Aonlicant/Aeent: % Date: RoonlYolier 201 L.dor rrrised //2/16/11 ��������//�� CITY OF CUPERTINO Iti�l'r`7///I FEE ESTIMATOR - BUILDING DIVISION FEE ID ROOF AREA (SX) 1REROOFFRES 1,450 ADDRESS: 20102 Northcrest Sq DATE: 05/31/2012 REVIEWED BV: Sean imbi APN: BP#: 'VALUATION: $6,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: Tiler. Insp. Fce PENTAMATION 1SFDWLR00F PERMIT TYPE: WORK Tear off existing.cal-shake roofing system, install 30 # felt underla ments and install GAF Grand SCOPE Canyon Shingles, color: Stonewood. FEE ID ROOF AREA (SX) 1REROOFFRES 1,450 NOTE: This estimate does not includejees due to other Departments (ie. Planning, Public Works, Fire, Sanitary Sewer District, School DictrirL err k Thew lees are bated an the nreliminary information available and are on/v an estimate. Contact the Deal for addn 7 info. FEE ITEMS (roe Resohdion 11-053 Elf 7/1/11) A loch. /'Inn Check Phunb, Pleur Cheek Elec. Plan (.7n'ek d lrrlr. P•nuil Fee. Phrnrh. Pond[ Fre: /ileo. P", mf P,,• : Orber Mech. In'J" Olher Plumb Insp. (Idrer /iter% hrcp. Hoch. la,p. For: Phnub. /rr¢. Fee: Tiler. Insp. Fce NOTE: This estimate does not includejees due to other Departments (ie. Planning, Public Works, Fire, Sanitary Sewer District, School DictrirL err k Thew lees are bated an the nreliminary information available and are on/v an estimate. Contact the Deal for addn 7 info. FEE ITEMS (roe Resohdion 11-053 Elf 7/1/11) 'FEE QTY/FEE MISC ITEMS Plan Check ret: Suppl. PC Fee 1'h nn 6./d •1c•ch. /ls I cc Permit Fee: $210.00 Supp/. hisp tee 1'lunrh.%:Llech.iri ler. 1'lrrnrh./.ddrrh.!llcc Permit ree: Coiwructiun Tax% ildministratice Fec: Work Without Permit? 0 Yes (j) No $0.00 ddvimced 1,1urv,ing tees: A "1 ravel Documen(ntion Fees: Suone Motion Fee: 1BSEISMICR $0.65 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $211.65 $0.00 TOTAL FEE: 1 $211.65 Revised: 05/01/2012 3 ITEMS OF 15 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31637011.00 DATE ISSUED.......: 05/31/2012 RECEIPT #.........: BS000016963 REFERENCE ID # ...: 12050226 SITE ADDRESS .....: 20102 NORTHCREST SQ SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: VINCENT C LIN ADDRESS ..........: 20102 NORTHCREST SQ CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 1,058.25 --------------- 1,058.25 VOICE ID DESCRIPTION -- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION --------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF RECEIVED FROM ....: FOUR SEASONS ROOFIN 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 15.00 210.00 0.00 210.00 0.00 TOTAL PERMIT ---------- ---------- 211.65 ---------- 0.00 211.65 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 1,058.25 --------------- 1,058.25 VOICE ID DESCRIPTION -- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION --------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF o I REROOF PERMIT APPLICATION 12 C0!-1M.UNI1 Y DEI/ELOPMENT DEPARTMENT' BUILDING DIVISION 10300 TORRE AVENUE '1600IERfNb! CA 65014-3'255 C . - ,q ZZ iJPERTIN 0 (408) 7�7_3�2r6 ILI j�08) �i�_�33 k C5 -2— OPAL. pes-� AIVN L MAIL C. c 4 ar� - --- __ � __ - - - — ------- -- cl ll%IEIZII- TAN ciw,sr%rF., zip LJINCK,WEN: CUM 171UKAGLIS7 0 nKciizjicr El •,uim:ik 0 ENUNWER LICENSIETYPEO IRIS. LIC E hiki. i i IAX C"Y % I A I E. ZIP, 1-110NI: r) ( q ucI(NsIs.Nu.%Iw:]t I'Lis LlC- Ii W. S1 L) u. Dup!­� x %lulli-I'Wilily RWF AM AlION it ]IL.)! Elwou!'SILAKES I],.% (X)I) oilliil�tII'CI: 1) 0 .18 12 Cox it _:LI ill. KIXII H x"S%I.1 s]; I GLIB El W(X)D SI IAMIS El WOOD SIONGLUS ❑UIIII!µ I(c I 41 i.nLh%:pIoFVrtyu'1I.:0fWJU1U( Ln_- •zf intww"Iwn I ItLw rjioNduJs co,iuct. I hu%crtad the Dmcriptionot'Wolk mid verify it is intonate.. I ugrec w coinph wish ail appficablu , AlhojWjWrMn mt .Uves6fcUly:llino tOCfLwrthe at)uve-iJ.11 lief pi '1I­%Vit]fA!1V<,Li0IIi1U.N111 I)alc I'AL INFORM,%TION REQIIOFFILT U>lr. ONILN v.i0, I ilum'_ 0,:�L',' ovn.iv".ou.NTER ❑ jjuIi'ut.NcpIANm.vIi." t:!;: '(J\ ZI IIci"r STANDARD 0 ylkytiur 0111ilt: