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12060168CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10270 ALPINE DR CONTRACTOR: ROSSI:TTAS I200PING PERMIT NO: 12060168 OWNF,R'S NANIE: PAULSON DEVOTA E 401 LINCOLN AVE DATE ISSUED: 06282012 OWNER'S PIIONF.: 6266899880 SAN.IOSF.. CA 95126 PIIONf7NO:(408)294 -4400 ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class ' -3R Lic.a 7V,396Y r r r nn ��// � MECH RESIDENTIAL COMMERCIAL Commetor 1 /COl[A' r I )/c Date Ce I'L hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: APT 1 -4 -TEAR OF17 EXISTING TILE AND BUR AND (commencing with Section 7000) of Division 3 of the Business & Professions INSTALL. NEW LANDMARK COMPOSITION SHINGLES 7500 Code and that my license is in full force and effect. SQI'T I 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 (his peril is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $39000 Section 3700 of (he Labor Code, for the performance of the work for which this Permit Is issued. APPLICANT CERTIFICATION APN Number: 32615106.00 Occupancy Type: 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 budding 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 accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non -paint source regulations per the Cupertino Municipal Code, Section 9.18. 9.18. n Issued by: �r'RN ryjl/fZ Date: el -98 -f�- Signature �rf� Date 6 2u l2 ❑ OWNER - BUILDER DECLARATION RE- ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed If a roof is the following two reasons: installed without first obtaining an inspection. I agar to remove all new materials for 1, 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 property, am exclusively contracting with licensed contractors to construct the project (Sce.7044. Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three I declarations: hve n will I have and will maintain a Ccnilicatc of Consent to self -insure for Worker's MATERIALS DISC:LOSURE 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 I'or which this permit is issued. California llealth & Safely 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 llealth & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air permit is issued- contaminants as defined by the Bay Area Air Ouality Management District 1 will I certify that in the performance of done 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 llealth & Safety Code, Sections 25505, 25533, and 25534. Compensation laws ol'Califamia. If, after making this certificate of exemption, 1 become subject to the Worker's Compensation provisions of the Labor Code, I must Owner eu horized agent: 6° forthwith comply with such provisions or this permit shall be deemed revoked. Dale: Z . ('Z APPLICANT CERTIFICATION CONSTRICTION LENDING AGENCY I certify (hat 1 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 Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupcnino against I iabil hies, judgments, 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 : \RCIIfTF:CI "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 CITY OF CUPERTINO I ME FEE.ESTIMATOR — BUILDING DIVISION FEE ID ROOFAREA s.f. 1REROOFMRES 7,500 ADDRESS: 10270 Alpine Drive DATE: 06/2812012 REVIEWED BY: Sean ,Nech. Permit Fee: APN: BPk: VALUATION: $39,000 *PERMIT TYPE: Minor Building Permit 'PLAN CHECK TYPE: Re -roof PRIMARY Multi- Family Dwelling USE: Buildina is >3 Stories O Yes (D No PENTAMATION 1R2R00F PERMITTVPE: WORK Tear off existing tile and BUR and install new landmark composition shingles 7500 sq ft SCOPE Suppl. In.cp Fee FEE ID ROOFAREA s.f. 1REROOFMRES 7,500 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimina information available and are only an estimate Contact the De 1 or addn'l info. FEE ITEMS (Fce Reso-lulion 1I -053 Ell: 7 1I /1l) Me, h. flan Check Plumb, Plan Cheek Else. flan Chcck ,Nech. Permit Fee: Plumb. Permir Fcc: Elec. Permit Fvv: O,ho Ifm h- In.rp. Other Plumb Insp. other Etc('. Insp. Ej ,W(h. hl,/). p'ee.: Plumb. lup. Fee: Elec. lncp. Frc: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimina information available and are only an estimate Contact the De 1 or addn'l info. FEE ITEMS (Fce Reso-lulion 1I -053 Ell: 7 1I /1l) FEE QTY /FEE MISC ITEMS I'lun Check Fce: Sup/j/. PC Fee Permit Fee: $1,050.00 Suppl. In.cp Fee Par, „h.;51•reea.n: rce Plundr.!:bleclt. /lilec Perwil lee. Conslruclion Klx Arbninisltrnice Fee. Work Without Permit? O Yes 0 No $0.00 ;ldvancedPlm,nin•; Fees: T)W%V/ I)0CIl1)7et71(!Ii0I'1 FueS: Strone Motion [,cc: IBSEISMICR $3.90 Select an Administrative Item Blde Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $1,055.90 $0.001 TOTAL FEE: $1;055.90 Revised: 06/30/2012 r ar GOT > tv ' Y r: 1 M I -C � •i�Ii�I L �!! r •' 0 ,•Tj _ T �I• as - P � � . j'�I � •4) 1 y.9 l ,e5�s � diF��) vlYnlr r -'. TS ,IT• f Y� .iq t s _ f� r •' 0 ,•Tj _ T �I• as - P � � . j'�I � •4) 1 y.9 l ,e5�s � diF��) vlYnlr r -'. TS 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 • buildingC5cupertino.oro PROJECT ADDRESS 7270 r( ;,� r APN a OWNER NAME PO F E -MAIL STREET ADDRESS CITY. STATE ZIP FAX �I1L CONTRACTOR NAME�,M / l J fs�'jL `` 11 // LICET'SENU. ERr % l V LICENSE TYPE I BUS. LIC -u COMPANY NAME 1`' nn E -MAIL t�rorjr- U�1.,; r�ofrr,,., F `fob STRF,ETADDRLS5 qv� CITY. TA E.,ZIP a� PHONE Iry 2q 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. 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 Y" 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 $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: 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 R314 and R315 of the 2010 California Residential Code. ,, / Signature of Applicant /Agent, L /rT�1N'� Date: R000ll'ulirr ?lllLdnr rr�tivwlll' /l /ql 12oco o� �� REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 1-1 1 (408) 777 -3228 • FAX (408) 777 -3333 • building(ayguoertino.org CUPERTINO PROJECT ADDRESS r 16276 APN a��I I / OWNER NAME S2 J�(�/ PHONE E -MAIL it r- e �O V GzG /O STREET .ADDRESS Cl, sTATE, 4 P FAX CONTACT NAME CT)I. a rroh PHON fJE 29X- vuo -0C� a rbrk4 r rt. L . W STREET ADDRESS t) VAC j) CRY. STATE, >, uv � FYa � 20 Y- (e ❑ OWNER ❑ OWNER - BUILDER ❑//O��WNEMRAAGEENT V-CONTR{CrOR ❑CONTRALTORAGENr ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAh1E / lO LICENSE NIISIIIIIH����E y,, LIC ,SE T \PE BUS. LIC,4 F2f COMPANY NAME ofK / I 0 E -MA FA� ( � 2 ?U_77L STREET .{ DDRESS �Q CRY, STATE. ZIP PHONE 'zqY-NYec• Ix�o n t� k ' ARCHITECTrENGINEER NAME LICENSE NUMBER BUS. LIC. 4 COMPANY NAME EMAIL FAX STREET .ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex bIDIh- Family. ROOF AREA : VALUAATION� 7/ �/� OW STRUCTURE. ❑ Conlrrlerclal j� EXISTING ROOF TYPE: ❑BUILT -UP ROOF ❑ASPHALTSHINGLES ❑WOODSH.{KES ❑WOODSHINGLES ❑ OTHER(SPECIFYI !' 6 C REMOVEJREPLACE, YT IF NO, PLYWOOD ❑ :5" ❑ PLYWD ❑ OSB PITCH. �'fz ROOF ❑ PnY ILA Re 1 KNE ❑ OB" TYPE ❑ Cox CLASS- ', PROPOSED ROOF TYPE ❑BUILT- UPROOF 59 ASPHALT SHINGLES ❑WOOD SHAKES 13 WOOD SHINGLES 13 OTHER Cry' 5 ICC -ES 0.EPORT4 D65CRIPTION OF \vORK I1 1 • Gtr U2 r+ AA.0 0:,: Nb Ir• LL- By my sigrwture below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this applicatiun and the information I have provided is correct, I have read the Description of Work and verify it is accurate. [agree to comply with all applicable local ordinances and state laws relating to building • ntrugctioa I aut representatives of Cupertino to enter the above -i nufi property for inspection purposes. /horize Signature oL4pplicant/Agen1: (3'dr�4/ Date: G.ZF 1/Z SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY PL{NCTIECKTYPE ROUTN'GSLIP _ If building is associated with it Home Owners Association, provide letter . OVER- THE - COUNTER ❑/BUILDING PLAN REVIEW of approval from HOA. PrDylde Planninglpproval to verify lfthere any restrictions. T ❑ EXP RESS ry IF r't.ANNING PLAN REVIEWCO/6 _ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DE" Provide signed copy of Cupe tino's Tear -Ott' Policy. ❑ OTHER: Reroojdpp_201 l.doc revised 03116111