12070118 CITY OF CUPERTINO BUILDING PERMIT
BIALDING ADDRESS: 21063 RFD FIR CT CONTRACTOR:POUR SEASONS ROOFING PERMITNO: 12070118
OWNIiR'SNAME: AHNL\DSI-IANISODDINI 1'11 ROX 1668 DA'Z'E ISSUED:07/1712012
OWNER'S 1'110,NE: 4083791572 SAN JOSE.CA 95109 PHONE NO:(408(378-0330
LICENSED CONI'RACI'Olt'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUN113 r
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License Class G^ / Lic.N LI-77-1 o O
1r- �n7 _ ` NI F,CII r RESIDENTIAL r COMMERCIAL r
Contmetor FS e . 11"C-- Date '7'1*7—IZ
JOIR DESCRI PTION:TEAR OFF EXISTING WOOD SHAKE ROOF.INSTALL I2'
I hereby affirm that 1 am licensed under the pof th Bu of Chapter')
(commencing with Section 7000)of Division 3 of the Business S 1'rufcssions CDS PLYWOOD THEN 30q FELT UNDERLAYNfENT.INSTALL
Code and that nrr license is in full force and effect. CERTAINTEED PRESIDENTIAL COMP SHINGLES,COLOR
I hereby nffirnt under penalty of perjury one of the folluming 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 Laurance,as provided for by
Section 3700 of the Labor Code,for the performance of tie work for which Ibis Sq.Ft Floor Area: Valuation:$4500
permit is issued.
API'I.IC,\N'PCF.R'1'I17ICA'IION APN Number:35905018.00 Occupancv'I'ype:
I certify that I have read this application and stale that the above information is
correct.I agree to comply with all city and county ordinances and slate laws relating
to building construction,mid hereby authorize representatives of this city In 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 6tvofCupertino against liabilities.judgments, WITHIN 180 DAYS OF I'ERN4IT ISSUANCE' 012
costs,and expenses which may accrue against said City in consequence of the
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
9.18.
Signature Dote
T�7 Issued by:��� /�i Date:
❑ O\1'NfFR-ISIIII-DER DECLARATION
RF,-ROOFS:
I hereby affirm(list( I an exempt from the Contractor's License I-aw for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the fnlluwing 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 ollered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date?—(7-/-Z-
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business S Professions Code). ALL ROOF CO ,,tINGS'1'O ISP,CLASS"A"OR BETTER
1 hereby affirm under penally of perjury one of the fullum'ing three
declarations:
I have and will maintain a Certificate of Consent to self insure for Worker's IIA%AHDOIIS NIATEAUA1 S DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Ilealth S Safely Code.Sections 25505,25533.and 25534. I will maintain
I hive and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health S
Section 3700 of the Labor Code,lbr the performance of the work lot which this Safety Code.Section 25532(a)should I store or handle hazardous material.
Additionally,should I nue equipment or devices which emit hazardous air
permit is issued, contaminants as defined by the Rav Area Air Qualigl Nlanngemenl District I will
I certify that in the performance of the work lim Much this permit is issued,I shall maintain compliance with the Cupertino Nfunlclpal Cade.Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health S Safety Code.Sections 25505.25533,and 25534.
Compensation laws of California. If,after making this cenifmate of exemption,I
become subject to the Worker's Compensation provisions ofthe Labor Code.I must Owne Fat 7fFrizEJ sin:
forthwith comply with such provisions or this permit shall be declined revoked Date:
.u'r1.IcnN•r cl:arulc,rnoN
CONSTRUCf10N LENDING AGENCY
I certify that 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 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 Cupertino against liabilities.judgements, Lendcr'.s Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicmmt understands and will comply ,\RCIIITPCI"S DIiCL,\R.\TION
with all non-point source regulationu per the Cupertino Municipal Code,Section
9.18. I understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
7 FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: red fir ct. DATE: 07/17/2012 REVIEWED BY: bobs.
APN: BP#: / � '7O/ 8 'VALUATION: $4,500
*PERDIIT TYPE: Building Permit PLAN CIIECK TYPE: .Alteration I Repair
PRIMARY SFD or Duplex P ENTAMATION
USE: pPERNIIT TYPE: 1SFDWLR00
WORK tear off wood shake install comp shingles.
SCOPE
r
f 3
Meeh. Plan Check Plumb. Plan Check Flee. Plan Check
Meeh. Permit Fee: Plumb.Permit Fee: F1ac. Permit Fee:
Other Aiech, Insp. Other Plamh Insp. Ll I Other Elm Insp.
A1,701. last'.F.r.: Phaah. bssp. Fee: Flce.Insp.Fire:
A'OTF: This estimate does not include fees(lite to other Departments(i.e. Planning, Public ff orks, Fire,Sanitary Server District,School
District, etc). These fees are based on the prefintinarj information available and are onh,an estimate Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution I1-053 Elf 711111) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1,300 s.f. Re roof
Suppl. PC Fee: Q Reg. Q OT 0.0 firs $0.00 $195.00 IREROOFREs
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. Q OT 0.0 firs $0.00
PMC Unit Fee: $0.00
PME Permit Fee: $0.00
Cotun-uCrnm Tai-:
Administrative Fee: Q
Work Without Permit? O Yes 0 No $0.00 1 G
Advanced Planning Fee: $0.00 Select allon-Residential (E)
Trarel Dnavtnentalimn Fuca,: Building or Structure o
A
Strong Nlotion Fee: IBSEISAIICR $0.50 Select an Administrative Item
131dg Stds Commission Fee: 1BCBSC $1.00
$1.50 $195.00 i�OTAL,FEE:.
" „a •'., • t,[ sUBTar--ALS:' $196.50
Revised: 07/01/2012
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
CUPERTINO
(408)7777-3228- FAX(44008)777-3333•buildino(ftwertino.oro
PROJECT ADDRESS 7-164(137-164(138)
/e
3 /�� / I/ C-/ APN#
OWNER NAMEPHONE E-MAIL
$�r^ so�c�:ni e10g 379-/S7
STREETADDRESS I, ��• Cin',STATEZ FAX
cA -"
CONTRACTOR NAME LIC 'SE MIME2 tO LICENSfF TJ BUS.LIC.
COMPANI'NAM ('^ ' E-MAIL (//•�� (� FAX
STREET ADDRESS �Z rte, �+ L CITY'.STATE.ZIP u AO V1 Yrbl l PH -n�.
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/<" 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 S 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. 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 11314 and R315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date:
ReroofPolicr_2011.doc revised 02/16/1/
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA'95014-3255
CUPERTINO (408)777-3228- FAX(408)777-3333•buildingt8cupertino.ore
1070//S
PROJECT ADDRESS Z,OL3 �JG / rer C1
7• `f l
OWNERNAME p 5 SOdC("�%/ 1 PHOSEye�_379 -fit ? MAILSTREETADDRESS Z�eL3 �d /Ir CA CIT)-STjJi!YIP CA FAS
InIV
CONTACT N�ANIE PHONE E-MAIL
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STREEI'ADDRESS .STATE.5'07- CIT\' ].Iv FA.x
aininq S+. ( S9n Tose., GA Art
1:1OUNFR 13O.NER-BLILDER ❑ OWNER AGENT IN,(CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DF.v ELOPER ❑ TENANT
C'OMRACI'OR NAME I LICENSE N'L'NIBERQ I LICENSET'PE I BUS.LIC.a
Fest2r 9,04"A Z
COMPANYNANIE C-?LVL I FAX
SAME
STREET ADDRESS CI .SLATE.21P
Sot IT' w ose C PHONE 1146Q-Z-28-6
ARCHI'rECTrENGINEER NAME LICENSE NUMBER I BCS.LIC.
COMPANY.N}AME E-MAIL FAX
STREETADDRESS ./ CIT'.STATE./.IP PHONE
j{
CSE OF ❑ SFD or Duplex MUI[I-Famik ROOF AREA: VALEATION: /� �
STRUCTURE'. ❑ Commercial S ,] o
EXISTING ROOF TYPE: ❑BUILT-CP ROOF ❑ASPHALT SHINGLES PCOODSHAKES ❑WOOD SHINGLES Cl 01IIE R I SPECIFY)
RENIO\'F.:REPLACE YESI IFNO. PLYWOOD ❑ PLYwD ElOss PITCH- ROOF
(3 NO •LAYER THICKNESS ❑ TPCDX '12 ASS A
PROPOSED ROOF TYPE: ❑BUILT-UPROOF 91SPHALTSHINGLES ❑wOODSHAKES ❑\\'OODSHINGLES ❑OTHER ICC-ES REPORT
DESCRIPTION OF w ORF:
itCOX
F1 �Woocl e O# _d-eAaV Men ' Fid r—Ae
a' ae a ,o `I+in a.
9y In,signature below.I certify to each of the following: I am the property owner or authorized agent to act on the propem'ow'ner's behalf I have read[his
application and the information I have provided is correct. I have read the Description of W�od<and verify it is actuate. I agree to comply with all applicable local
ordinances end gate laws relating to buildin_a cons tion. 1 a orize reprcse • [ic of Cupertino to enter the above-identified property for inspection purposes.
Signature of ApplicandAgenr. �� Date: �O
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If buildineis associated with a Home Owner's Association.provide letter PLAN CHECK TYPE ROUTING SLIP
ofapproval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
_ Provide Planning approval to verify if there am restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
_ Provide copy of Manufacturers Installation Specification. ❑ STANDARD ❑ FIRE DEPT
Provide signed copy of Cupenino's Tear-OIT Policy. ❑ OTHER:
Reroojdpp 1011.doc revised 03116111