12070010 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10550 RED FIR CT CONTRACTOR:FOUR SEASONS ROOFING PERMITNO: 12070010
OWNER'S NAME: MAHON ROBERT BAND EMILY Y TRU PO BOX 1668 DATE; ISSUED:07/02/1012
OWNER'S PHONE: 4082596964 SAN JOSE.,CA 95109 PHONE NO:(408)278-0330
ja� LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Class C_ 3? Lic.N LA-72116? r r r
C -1 MECH RESIDENTIAL COMMERCIAL
Contractor FS 11. 110 C- . Date ( '2-17-
1 hereby affirmthat l am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SI IAKE ROOF,INSTALL 1/2"
(commencing with Section 7000)of Division 3 of the Business&Professions CDX PLYWOOD AND 308 FELT,INSTALL CHRI'AINTEFD
Code and that my license is in full force and effect. PRESIDENTIAL CMP SIIINGLES I3SQFT
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 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 Sq.Ft Floor Arca: Valuation:54500
permit is issued.
APPLICANT CERTIFICATION APN Number:35905003.00 Occupanev Type:
I certifythat I have read this application and state that the above information is
correct. I agree to comply'xvi(h 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 accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permil. 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
9.18.
/ _Z- Issued by: Date: 'Z
Signature 6 e_�� Date 7
❑ 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 beug installed, If a roof is
the following two reasons: installed withott first obtaining an inspection,I agrec to remove all new materials for
I,as owner of(he 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:?—'L•/Z
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec7044,Business&Professions Code). ALL ROOF COVERINGS TO BE:CLASS"A"OR BETTER
I hereby affirm under penally of perjury one of the following three
declarations: IIAZARDOUS MATERIALS DISCLOSURE;
I have and will maintain a Certificate of Consent to self-insure for Worker's
Compensation,as provided far 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 permil is issued. California Ilealth&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 Cade.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 I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District 1 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 of Cali forma If,after making this certificate of exemption,1
become subject to(he Worker's Compensation provisions of the Labor Code,I must Owner or
forthwith comply with such provisions or this permit shall be deemed revoked. Date.
CONSTRUCTION LENDING AGE.NCI'
APPLICANT CERTIFICATION
I certify that I have read(his application and slate that the above information is I hereby affirm that there is a construction lending agency for the performance of sxork's
correct, I agree to comply with all city'and county ordinances and state laws relating for which this perrnit is issued(Sea 3097,Civ C.)
to building construction,and hereby'authorize representatives of this city to enter Lender's Name
upon the above mentioned properly for inspection purposes.(We)agree to save
indemnity and keep harnless 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(his permil.Additionally,(he 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
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 950143255
(408j 777-3228• FAX(408)777-3333•buildinD(7D CUDertino.Ora
PROJECT ADDRESS APN a
OWNER NAME . PHONE -n _ E-MAIL
e w.
STREET ADDRESS ` CITY, STATE ZIP FAX
i SDAd-F Y
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.P
COMPANY NAME EMAIL FAX
STREET ADDRESSSc , CITY.STATE,ZIP PHONE 4o&-a18-0S3- ,O
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 730 - 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 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.
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. 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: Datc: 7 / /2
RerooJPohcr_201 Ldoc reri.sed 02/16111
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 10550 Red Fir Ct DATE: 07/02/2012 REVIEWED BY: Sean
APN: BP#: `VALUATION: 1$4,500
xPERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Buildina is PENTAMATION
USE: Multi-Family Dwelling >3 Stories Yes No PERMIT TYPE: 1R2R00 i
WO
Tear off existingwood shake roof, install 1/2" CDX plywood and 30#felt install certainteed residential
SCOPE comp shingles.
FEE ID ROOFAREA
S.E
1REROOFMRES 1,300
i
Ih-ch N,mChe,A Plamh. Plan Chc•cA ilze, flanCheck
Innrh. Permit/'C: liter. f',:nnir F.•...
Of/w, U.,h. Imp. Orher Plumb imp, Oil?", liter. hrsp.
hi,p. /tit:
NOTE: This estimate does not includejees due to other Departments(Le. Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc. . These fees are based on the prelindna information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS(Fee Resohdion 11-053 Ell.' 711/11) FEE QTY/FEE MISC ITEMS
Plan Check hire:
.Snppl. l'C'Fec
l'lrm rh.i:blrclLr li7c•c
Permit Fee: $195.00
Suppl. Mtvp h'eu
l'hnnh.:Sblrch.i'E7e e
P1mnhAH(,(h.111T%. Pr-tont Pec.
Construction Ten:
,lIdlniui,grofive Pet,:
Work Without Permit? 0 Yes 0 No $0.00
.Irlrauccd/'hooting hues:'
Trovel thwitrnentation Tues:
-Ston, Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
131de Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: $196.50 $0.00L TOTALFEET, $196.50
Revised: 07/01/2012
I Z c 7
I
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildingpcuperlino.or0
r
PROTECT:ADDRESS AP\= L-, ")- 0o
OWNER NAME ( PHO\E�O`'ZS - E-MAIL
LL a
STREEI'ADDRESS CITY'- STATE-ZIP FA\
Oej C+.
CONTACT NAME PHONE E MAIL
STREET ADDRESS 5'02 ^ S CITY.STAT E. ZIP F{{
❑OwnFR ❑ OWNER-BUILDER ❑ OuFOR El CONTRACTOR AGEIT ❑ AR('HITECT ❑ENGI]FFR ❑ DFAELOPER ❑ TENINT
('ONTRACrORNAME LICFASE]L]IBER 1.ICE\5ET PE BLS LIC,
COMPACY SANIE SAME N.JE-\IAL FAX
STREET ADDRESS CRT.STATE.ZIP PHONE
Sot. a c5e C 8-0
ARCHITECLENG INFER\AME LICENSE NUNIBER BUS LICA
COMPANY N:\\IE EMAIL FAS
STREET ADDRESS CIT\'.STATE.ZIP PHO\E
LSE OF ❑ SFD or Duplex Af Multi-Family ROOF AREA'. �/ vALUTlO\: �—
STRucruaE ❑ Commercial pIr�y/ 3 $ S700❑ r
EXISTING ROOF TI'PE:
BUILT-LP ROOF ❑ASPIIALTSHISGLES WOODSHAKES ❑NOODSHISGLES 001HERISPECHYI
RESIOA'F:REPLACE (IFS I ENO. PLYWOOD '.-" 11PLl'\\'D ❑ OSB PITCH'. RMF
❑ NO -LAYERS THICK\E S ❑ 5 S' T\PE CDX :12 CLASS A
PROPOSED ROOF TYPE. ❑BUILT-UPROOF 4SPHALTSHINGLES ❑NOODSIIAKES ❑\fOODSHISGLES ❑OTHER ICC-ES REPORT= -
DESCRIPTIO?OF\\ORK'.
S " COX
•! 'w F d
Hy my signature below'.1 cenifF to each of the followine: I am the propem'owner or authorized aeent io act on the prupertA Owner's behalf. I haA'e read this
application and the information I have provided is correct 1 have read the Description of Work and peril> it is accurate. I agree to compl% with all applicable local
ordinances and state laws relating to building cons lion. I a orize represe tiv of Cupenino to enter the above-identified propem'for inspection purposes.
Signature of Applicant/Agent: Date: -7 / 1 110612
SUPPLEMENTAL INFORMATION REQUIRED 7-9 OFFICE USE ONLY
_ If building is associated With a Home O\cner's Association.provide letter PLAN CHECK TYPE ROUTING SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
Provide Planning approval to verify if there am'restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW'
Provide copy of Manufacwrer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
Provide siened copy of Cupertino's Tear-Off Policy. ❑ OTHER:
Rerool4pp_2011.doc revised 03116/11