12060147 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10560 RED FIR CT CONTRACTOR:FOUR SEASONS ROOFING PERMIT NO: 12060147
OWNER'S NAME: NOVERR DAVID AND LINDA A PO BOX 1668 DATE: ISSUED:06/25/2012
OWNER'S PHONE: 4082577764 SAN JOSE,CA 95109 PHONE:NO:(408)278-0330
Ar LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Glass C-34 Lie a 4-)a 1 o8{{�� r r r
((��nE� 6/ MECH RESIDENTIAL COMMERCIAL
Contractor 1-J1t. wc, Dale . Zi S-• /2
-�� JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE,INSTALL COMP
1 hereby affirm that 1 am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions SI IINGLES CLASS A 13 SQFT
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 ofconsent 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[his permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.FI Floor Area: Valuation:$4500
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:35905008.00 Occupancy Type.
APPLICANT CERTIFICATION
I certifythat I have read[his application and stale that the above information is
correct. I agree to comply wills all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property fur inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the Igo DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section /o
9-18- Issued b Date: C�<c �'— /'1
Signature Date 41r'Z
❑ OWNER DILDE:R DECLARATION RF.-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the sticture is not intended or offered for sale(Sec.7044. Signature of Applicant:_ Date`-Z.7 /07—
Business
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Scc.7044,Business&Professions Code). ALL ROOF COVER 'GS TO BE CLASS"A"OR BETITR
I hereby affirm under penally of perjury one of the following three
declarations: DA/.ARDOUS MATERIALS DISCLOSURE;
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California health&Safely Code,Sections 25505,25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilealth&
I have and mill maintain Worker's Compensation Insurance,as provided for by Safely Code,Section 25532(a)should 1 store or handle hazardous material.
Section 3700 ollhe Labor Code,for the performance of the work for which this Additionally.should I use equipment or devices which emit hazardous air
contaminants as defined by the Rey Area Air Qualily Management District 1 will
permit is issued. maintain compliance with The Cupertino Municipal Codc.Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws ofCulifomia. If,alter making this certificate of exemption,) Owner a ri; c 6-7..x-/Z
become subject to The Worker's Compensation provisions of the Labor Code,I must -'ice Date:
lurthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRlICT10N LE:NDINC.AGENCY
APPLICANT CERTIFICATION 1 hereby aflirin that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ CJ
correct I agree to comply with nll city and county ordinances and slate laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
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[his permit.Additionally,the applicant understands and will comply ARCIIITF.CT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code.Section 1 understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 10560 red fir ct. DATE: 06/25/2012 REVIEWED BY: bobs.
APN: BP#: -VALUATION: $4,500
'°PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2R00F
USE: 3 Stories Q Yes O No PERMIT TYPE:
WORK tear off existing wood shake install comp shingles.
SCOPE
,1 k�/r. I'Inn l.Pns:k Plump. P/un Che,A lac,:. 1'Lm L'In e:k
11.;.1,. I'.-trail Foy-' l'Gun{r, l'ennil Fre: lair. !1a'niil Frr_
Ulbrr,1lrrh. /,nry' (hher OumG Imp. Li 1 /llhcr 6kr. l"'j'
l;"h. ln.p. I',a' Phur.h Gere. Fv,, Flrr_Leq,./;"
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn 7 info.
FEE ITEMS (Fee Resolution I1-053 E(l.' 7111/1) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 Fi6fl s.f. Re-roof
Suppl. PC Fee: Q Reg. Q OT TO.OThrs $0.00 $182.00 IRER00F,11RE
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee Q Reg. Q OT F0.0Thrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
c onso lrrlion Tcn.
Adminixo'ruirr Fir: Q
Work Without Permit? O Yes Q No $0.00 0
Advanced Planning Fcc: $0.001 Select a Non-Residential E)
7)-ur<•( l)orrunrnlmiun Firer.
Building or Structure O
Suong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
Bide Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $1.50 $182.00 TOTAL FEE: $183.50
Revised: 06/30/2012
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
GUPERTINO (408)777-3228- FAX(408)777-3333-building(akuoertino.orll
PROJECT ADDRESS /6S!•y C APN#
OWNER NAME PHONE EMAIL
indw Name � o -2S
STREET ADDRESS /O SLO hr� rl�, C4. CITY, STATE,21P CA.
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CONTRACTOR NAME LICENSE NUMB al CP LICENSETYPE •1v BUS.LICA
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COMPANYNAMEP E-MAIL FAX
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STREET ADDRESSsbb2- CITY.STA IP PHqrl IF
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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 1/<" 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, 1 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 Code.
Signature of Applicant/Agent: Date: 6
Remo/Polirn_'0l Ldoc rerieed!ll//h/I I
REROOF PERMIT APPLICATION I Zv
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COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE I CUPERTINO CA 95074 3255'
CUPERTIN0 (408)777-3228/•FAX'(408);777-3333 •;bulding@ruoertlnoorG
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