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12070006 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10548 RED FIR CT CONTRACTOR:FOUR S17ASONS ROOFING PERMIT NO: 12070006 OWNER'S NAME: WEST EDWARD D AND SHARON L PO BOX 1668 DATE ISSUED:07/022012 OWNER'S PHONE: 4085930037 SAN JOSE,CA 95109 PHONE NO:(408)278.0330 4�-- LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License ClassCC9- LIC-a LI-7 r-10p NIECH r RESIDENTIAL F- COMMERCIAL r Contractor FS f- . I N C . Date 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SI IAKE ROOF,INSTALL 12" (commencing with Section 7000)of Division}of the Business&Professions COX PLYWOOD AND 30q PELT,INSTALL CfiRTAINTEED Cade and that my license is in full force and effect. PRESIDENTIAL COM('SI(INGLES USQFT 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 Labor Code,for the perfomance 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(tic Labor Code.for the performance of the work for which this Sq.FI Floor Area: Valuation:&1500 permit is issued. APPLICANTCERTIFICATION APN Number:35905002.00 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 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 Cit) 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-point source regulations per the Cupertino Municipal Code,Section �f Issued by Date: Signature f x Dale ❑ O\\'NEN-BUILDER DECLARATION RF: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 befog installed.If a roof is the following two reasons: installed without first obtaining an inspection.I agree to remove all new materials for I,as owner of the proper)',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 Appliaitit Date-7-Z- /T- I,as owner of Ilie 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: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 perlbnnance of the work for which(his permit is issued- California Ilcallh&Safely Code.Sections 25505,25533,and 25534. I 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 Health& 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 I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District t will I cenify 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 Ileallh&Safety Code,Sections 25505,25533,and 25534, Compensation Imus of Cali fomia. If,after making this certificate of exemption.1 become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or a Nbr d pFe forthwith comply with such provisions or this permit shall be deemed revoked. ate: ,ONS'TRItCFION LENDING AGENCY APPLICANT CERTIFICATION I certify(hat I have read this application and state 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 pemtil is issued(Sec.3097,Civ C-) to building construction,mid 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 Cupertino against liabilities,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 ARCHITECT'S DECLARATION VITON with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans sliall be used as public records. Signature Dale Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10548 Red Fir Ct DATE: 07/0212012 REVIEWED BY: Sean APN: BP#: -VALUATION: $4,500 "PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY Multi-Family Dwelling BB ildina is PENTAMATION 1R2R00F USE: 3Stories O Yes O No PERMITTVPE: WORK Tear off existing wood shake roof, install 1/2" CDX plywood and 30#felt install certainteed presidential SCOPE comp shingles. FEE ID ROOFAREA s.f. 1REROOFMRES 1,300 1h,6. t9on f took Nwiih. f7on C'hecA G7er.Naa( hock 1/rrD l'.aInq 6r,•.- Numh.Parmil he r: P;/. 1"'wa l4' 0Mcq ILrh. hivl� OtherNumhlnsp. Udrrrb:Lv-_lny. J6sii hnp. hrr' Ph.... hr.�p. l"ro: lila, Lryt NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District,etc. . These fees are based on the prelimina information available and are ono-an estimate. Contact rile Dept for addn7 info. FEE ITEMS (rCe Re.solalion /I-1053 Elf. 711111) FEE QTY/FEE MISC ITEMS Mein (:'kr,dc l rr: Slippl. N I'i�,: 1 lumh.r 11"t h;I.lcc Permit Fee: $195.00 Suly,l. hup 1 '." nnh.;:d1c t h,'Llct: /'/rrmh.:5llrrh,;/:'lrc Pcimil F'Ce (�n hart«riun 7"n. ,i,hmimi:m;mirr 1'r . Work Without Permit? O Yes (F) No $0.00 ,IJr,rntrd l'humir�k Lrc.r: 7ivr41 Not wn.,wl ainm fees: Suona Molion I cc: /BSEISM/CX $0.50 Select an Administrative Item I31de Slds Commission Fee: 18CBSC $1.00 SUBTOTALS: 1 $196.50 $0.00 TOTAL FEE: $196.50 Revised: 0 7/0 112 01 2 REROOF TEAR-OFF POLICY 2 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(cDcuDertino.ora PROJECT ADDRESS APN M s OWNER NAME PHONE E-MAIL � 1n�es 08-S43-oo? STREET ADDRESS CITY,STATE.ZIP P FAX CA t?S'014 CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.4 COMPANY NAME E-MAIL FAX Pour Se STREET ADDRESS CITY.STATE.ZIPPHONE SO2 g- LUNDERSTAND.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 rnust,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 reauired: 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 reauired. 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 down4o the sheathing so a proper inspection can be performed. 6. Progress Inspection is reauired 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, 1 certify each of the following is true: 1 am the property owner or authorized agent to act on the property owner's behalf. Lunderstand 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 R314 and R315 of the 2010 California Residential Code. Signature of App1icanUAgem: Date. 7S� Heroo/Policv 201 Lrloc remised 02/l6/l l ; Zv -7 vv �� REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO.CA 95014-3255 GUPERTINO (408)777-3228• FAX(408)777-3333•building((Dcupertino.org PROJECT ADDRESS ^ APN= l ( � �� oO� O\\'NERNA\IE J PHO]E E-4AIL w -o a STREE I'ADDRESSCIT)'. STATE,ZIPCEAS u CONTACT' NA%IF PHONE EAIAIL Al-frecla CA-Laces -0 30 STREETADDRESS5"02- + CIT)'.ST AT E.),IP FAS Warning S+. , ❑ OU\FR ❑ DINER BUILDER 13J�/OWNER AGENT CON'TRACTOR ❑COITRACTOR AGE]T ❑ ARCHITECT ❑ENGTIFFR ❑ DF.\'ELOPER ❑ TE\p\T CONTRACTOR\A\IE LICENSE NUCIBER /ICF\SET PE BUS LIC.. 2a 13 Q 17 CO%IPANY \AAIC EAIAIL FAX SAME STREET ADDRESS CITY.STATE.ZIP PHO..\E SoZ w oSe C B'O ARCHI YECT,ENGINCER\'>4E LIC ESSE MAIBER BCS LIC.- COMPANY'N,\NIE E-TIAIL TAX STREET ADDRESS CIT)',STATE_ZIP PHONE GSE OF ❑ SFD or Duplex jf Multi-Family ROOF AREA VALCATIOr STRUCTURE ❑ Commercial Rr3 Q S640 EXISTING ROOT T)'PE. ❑BUILT{PROOF ❑ASPIIALTSHINGLES PCOODSHAKES ❑WOODSHINGLES ❑OTHE.RISPECE)l RCSIO\'FIREPLACE J1110NES IF\0. PLYWOOD S" ❑ PL1'l1'0 0SB PRC4P. ROOF ❑ \0 . YF.RS' THICK\E 5 ❑ i�8" TYPE CDS 'l� CLASS A PROPOSED ROOF TYPE ❑BUILT-UPROOF ICASPHALTSHNGLES ❑WOODSHAKES ❑WOODSHINOLES ❑OTHER ICCESREPORT. DESCRIPTIO\OF W ORA: 5 liIZll r ACAVAt !! PrestAe4iiiiI camf v%• r CaIACY CAr&y 8.'my Signature,beloe.I cenifY to each of the following: I am the propem'owner or authorized agent to act on the propene o«ncr's behalf I have read this application and the information I have provided is correct. I have read the Description of Work and cerifi it is accurate. I agree Io complc with all applicable local ordinances and state IaWs relatine to building cons tion. I a orize repres5&wuj.Q of Cupertino to enter the above-identified property for inspection purposes. - Signature of Applicant/Agent: Date: /ft612 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _If building is associated With a Home Owner's Association.provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. OYER-THE-COUNTER ❑ BUILDING PLAN REVIEW Provide Planningapproval to verir% irthere any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW' Provide cop)'of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DE" Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroolApp_.20/l.doc revised 03116/11