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12060158
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20126 MERRITT DR CONTRACTOR:CD ROOFING PERMIT NO: 12060158 OWNER'S NAME: TALLINGER GERALD AND BEVERLY 2909 WILBUR AVE DATE ISSUED:06262012 OWNER'S PHONE: 4089962534 SAN JOSE,CA 95127 PHONE NO:(408)89s-6605 ❑ LICF,NSED CONTRACTOR'S DF.CLARATION r r r �? BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.q' '!S S�`Z ��i - - - _ MECH r RESIDENTIAL r COMMERCIAL r Contractor / Dale 47-p.----12 I hereb rrm that 1 a rt`i sed under the provisions of Chopter9 JOB DESCRIPTION:REMOVE EXISTING WOOD SHAKES AND INSTALL NEW (commencing with Section 7000)of Division 3 of the Business&Professions 12" Code and that my license is in full force and effect. OSB AND NEW CLASS A COMPOSITION ROOFING 25 SOFT I hereby affirm under penally 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 Laboi 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 Cade,for the performance of the work for which this Sq.FI Floor Area: Valuation:$7500 permit is issued. APPLICANT CERTIFICATION APN Number:31633103.00 Occupancy Type: I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accruc against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the app dcmtmds and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulall s pecthe Cupe o Municipal Code,Section 9.18. Signature / ' Date- - Z ` i 2 Issued by: ,/Cf/1� 1�TGf� Date: Gj afj •/ ❑ OWNER-BUILDER DECLARATION RE-ROOFS: hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected poor to any roofing material being installed.If a roof is the fallowing two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1 hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent toself-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have 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. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Ilealth& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should 1 store or handle hazardous material. Additionally,should 1 use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the 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 ofCalifamia. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or authorized age forthwith comply with such provisions or this permit shall be deemed revoked. — Dale: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and stale that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Leader's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against Iiabililies,judgmenls, 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 regulations per the Cupertino Municipal Code,Section 9.18. 1 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•building(a)cuoertino.ora PROJECT ADD .s ,^ AP\a OWNER\AME V r 4 HOVE E-MAIL `T / 2 0 ' STREET ADDRESS STATE.ZIP FAX CONTRACTOR_NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.< � J cr-�— 2 Y - �C3 COMPANY NAME E-MAIL I FAX o � o ZS STREET ADDRESS CITY.STATE.ZIP PHONE c- z7 0 0 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/4" 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 5126.00. 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 aired to be installed in accordance with Sections R314 and 11315 of the 2010 Califomia Residential Code. i� Signature ol'Applicant/Agene Date: — 2 4 — 12 Remall'nluy NII1.doc re%,,.wd 02116111 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CU PERT,N O (408)777-3228• FAX(408)777-3333•building(Wcuoertino.om fir. PROTECT ADpRESS APN 1t, 1) d �/ ll OWNER NAMEPH NE E-MAIL rZ S' id STREET ADDRESS / CITY, STATE,ZIP FAX CONTACT N EPHONE E-MAIL V �0 G STREET ADDRESS CRY,STATE, ZIP Fax ElOWNER ❑ OWNER.BUIIDER ❑ OWNERAGENT S/C�/ONTRACrOR ❑CONTRACTORAGENT ❑ ARCHEECf ❑ENGNEER ❑ DE`/ELOPER ❑TENANT CONTRACT R NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.tl V L� COMPANYNA ST .{pD SS CRY,STATE,ZIP PHONE © uu) 1 _ ' 4 ARCHITECTIENGINEER NAME „/ LICENSE NUMBER BUS.LIC.tl COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF '1Z SFD or Duplex ❑ Multi-Family, ROOF AREA: VALUATION: _ \ STRUCTURE. ❑ Commerciald3OV (-sw EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES YWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY, REMO\'E(REPLACE YES IF NO. PLYWOOD (gyp{ 'A 11PLYWD OSB PITCH: ROOF ❑ 'O tl E 1- NE . L-I a, . TYPE' ❑ C .71')` L A PRUPOSEDROOFTYPE ❑BUILT-UPROOF IASPHALTSMNGLES ❑WOOD SHAKES Cl WOOD SHINGLES 11 OTHER ICC-ES REP11T4 DESCRIPTION OF WORK: w o � By my signature below.I certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's behalf, 1 have read This application and the information 1 have provided is coffee ve re he Description of Wor4:and verify it is accurate I agree to comply with all applicable local ordinances and start laws relating mbudding%con n. 1 autllorize presenlalives o[Cupertino to enter the above-identified property for inspection purpose. SignaturcoL4pplicam/Agent: /' _ Date: 1'Z eSUPPLEMENTAL INFO TION REQUIRED OFFICE USE ONLY f building is associated with a Home Ownces Association,provide letter PL{N CHECK TYPE ROUTING SLIP /f approval from HOA. OVER-THE-COUNTER BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. EXPRESS PLANNING.PLAN REVIEW AJ,p^pT _✓Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: Reroaf4pp_2011.doc revised 03/16%11 . r CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20126'1%1erritt Dr DATE: 06/26/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $7,500 *PERMIT TYPE: Minor Building Permit" PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: P PERMITTYPE: WORK Remove existinq wood shakes and install new 1/2" OSB and new Class A composition roofin . SCOPE FEE ID ROOFAREA s.f. 1REROOFFRES 2,500 .Ifech. I'Inn Check Phailb. Plan Check Elul:. Plan C'hrck ,llrcb- P;rmit Fee: Plnmh. Permit Fre: lilt. Permit Fee: 1 Oiler Ifech.Inv!' - Other Plumb Imp. ET Other like.bragla. llkch. fn.,I,. Fre: Phcmb. ht lj.Fee: /ilex. heap. Fce: NOTE: This estimate does not ineludefees due to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). Thesefees are based ori the prelimbia information available and are only an estimate. Contact the Dept for addn'(info. FEE ITEMS (Fee Resolution 11-63 f_IT.'7/l/1/1 FEE QTY/FEE MISC ITEMS Plan Chuck Fee: .Supp/. PC 1'ee /'/urn b./d4ecll./lace Permit Fee: $350.00 Supp/. htcp htu Phnnh. ,1.1ech.//aec. Plumh.hldec h./faec Permit Fee: C'onsnaciion Tice: ildmiuiso-alive Vec•: Work Without Permit? O Yes (E) No $0.00 Advanced Plaiting Fees: Travel Doulunenlotinn Fees: Strone Motion Fee: 1BSEISMICR $0.75 Select an Administrative Item Bide Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $351.751 $0.00 TOTAL FEE: $351.75 Revised: 06/30/2012