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12070117 CITY OF CU13ERTINO BUILDING PERMIT BUILDING ADDRESS: 21061 RED Flit CT ' CONTRACTOR:17OUR SEASONS ROOFING PERMIT NO: 12070117 OWNER'S N,WIE: RAVI&CIIITRA SI-L\RAUANAN 1'0 ROX 1668 DATE ISSIIF,D:07/172012 O\VNER'S PHONE: 6506945042 SAN.IOSE.CA 95109 PHONE No:(408]l2MO330 Si- LICENSED CON'I'RAC1'OR'S DECLARATION r r: r IT �Q INFO: BLDG ELECT PLUMBLicense Class GC-3 ,-ic.q �(?2f`^+ BUILDING PERMIT r r� r P NIECH RESIDENTIAL CO�VIMERCIAL Contactor 1—se. a L�/J C• Dale (�' I�(2 I hereby affirm that Ian licensed under the prm'isiuns of Chapter!) •JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHARE ROOF.INS'T'ALL 1/2" (conuncucing with Section 7000)of Division 3 of the Business S Professions CDS 1'LYW00D'rI II7N 30N FELT UNDERLAYMENT.INSTALL Code and that nor license is in full force and effect. CERTAINTEED PRESIDENTIAL COMP SHINGLES,COLOR hereby affirm under penalty of perjuy 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 dna work for which this Sq. Ft Floor Area: Valuation:54500 permit is issued. AI'I'LIG\N'I'CI?RT'IFICA'1'ION AI,N Number:35905017.00 OccupaneyT pe: I certify that I have read this application mid state that the above information is cored.I agree to comply with all city and county ordinances and state Imus relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (Nye)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED iindennmify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN I8U DAYS OF PERMIT ISSUANCE OR costs,and expenses which may rector:against said City,in consequence of the grouting of this pemnit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ISO DAYS FROM LAST CALLED INSPECTION. 9.18. _ —7—/7'�2 Issued by it,: Z7 Signature �D:nc ❑ OWNER-BUILDER DECLARATION RE-ROOFS: hereby affirm that 1 am exempt from the Contractor's License Law far'tire of All roofs shall be inspected prior to any roofing material being installed.If a roof is the follmcing 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 S Professions Code) Signature of Applicant: Date:—(7-('•L I,as owner of the property,am exclusively contracting with licensed contractors to consumer the project(Sec.7044,Business h Professions Code). AL1,ROOF COVE INGS TO BE CLASS"A"OR 1117'17FR hereby affirm under penalty of perjury nue of the following three declarations: I have and will maintain a Certificate of Consent to self insure for Worker's IIA%ARDOUS MATERIALS DISCLOSURE Compensation,as provided f'or by Section 3700 of the Labor Code,for the I have read(Ire hazardous materials requirements under Chapter 6.95 of the performance of rhe work for which this permit is issued. California Health S Safety Code,Sections 25505.25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for be compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health 3 Safety Code.Section 25532(a)should 1 store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the Work for which this \dditiottalls. should 1 use equipment or devices which emit hazardous air Permit is issued. emuaminants as defined by the[lay Area Air Quality Mamngement District I%%ill I ceni1v that in the}mr(ornmance or die 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 I Iealth S Safety Code,Sections 25505,25533.and 25534. Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Connpcnsmion provisions of the Labor Code,I must t>`nwr au aFiu t: forthwith comply with such provisions or this permit shall he deemed revokedDate: ' nrrl.ICAN"r ch:R'ru=Ice rulN GOP,-"I RucrlON LENDING AGENCV I certify that I have read this application and state that the above in(onnalion is I hereby aZthmre isa construction lending agency for the'performance of work's correct.I agree to comply With all city and county ordinances and state Imus 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,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 connph• ,\RCIII'I'IiCI"S UIiCL,\R,\TION 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 FEE ESTIMATOR- BUILDING DIVISION ADDRESS: _2/ red fir ct. DATE: 07/17/2012 REVIEWED BY: bobs. 121 APN: BP#: /�,3 'VALUATION: $4,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERI\IIT TYPE: A WORK tear off wood shake install comp shingles. SCOPE bfivh. Plan ChM. Plumb. Plan Cheek Flea Plan Clwck Ak.:B. Permit For: Plamb.Pernii Feer Elec. Permit ree: Odic,-dlech. lisp. 011rzv Plumh lnep. Other Fier.Imp. dlcc/i.limp.Fare: Plumb, biap.red: Ercc./lisp.Fcc: NOTE: This estinmte does not includejees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Suver District,School District, etc). There ees are based on[lie preffininan information available and are only an estimate Contact the Deliffor addil'I info. FEE ITEMS LEee Resolution /1-053 Elf. 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,300 s.f. Re-roof Supp/. PC Fee: Reg. OT 0.0 11rs $0.00 $195.00 1REROOFRES PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OTFO-0-1hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conhi-flefion Tor: Admini trariveFec: Q Work Without Permit? © Yes Q No $0.00 (D Advanced Planning Fee: $0.00 Select a Non-Residential (D Tinel Documentation I,ues: Building or Structure � A Strong Motion Fee: IBSEISAIICR $0.50 Select an Administrative Item Bldg Sids Commission Fee: IBCBSC $1.00 'SUBTOTALS: $1.50 $195.00 ToTALjFEE:J $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 /&Q O/� (408)777-3228• FAX(408)777-3333•buildinq(g7cugertino.orq PROJECTADDRESS Zl't,61 (Led Fir GG VL4/10 APN0 OWNER NAME PHONE /,ro o p. rb . E-MAIL p STREET ADDRESS Io(oI Itra Fir of. CITY STA 2LIP1 !1K 1 �m C TRFAX CONACtOR NAME LICENSE NU ER LICENSETYPE BUS.LIC.# COMPANYNAME pp E-MAIL FAX �i •ale STREET ADDRESS 5-07- , CITY P�n G ^ , 4St I Z P NE `-�R J e - P-ONO I UNDERSTAND AND AGREE TO THE FOLLOWING: I. 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 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 S 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: 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 R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: ReroofPolitv_201 Ldoc revised 02116111 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA'95014-3255 (408)777-3228• FAX(408)777-3333•buildino(o)cupertino.ora CUPERTINO / 71070// PROTECT ADDRESS 7- /OL/ �� ^I. ^�. I .AP`= 3S ('�Csl / OWNERNAME D u/ C4•A/o f C•• I \E dro-6 _ .>� STREEI'ADDRESS AZ/G 6� I�'t1 +r CITIL 5 aTE.ZIP s ; FAN CONTACT NAME // I PHO\ 140?-708-09301 E-MAIL STREET"ADDRESS5'07— ST- I CIT\'.STATE '``J7lIP/N� Tose �2x ClOWNER ❑ Ow\NER-RUILDER ClOWNER AGENT r CONTRACTOR IDCOSTRaCT0R.AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT C'ONTRACT'OR NAME I LICENSENCCIBER � I LICENSETYPE I BUS LIC.- awAl 2 COMPANY NAME E-MAIL I FAX STREET ADDRESS CITY.STATE.ZIP PHONE TOIL Warlklaq S+_ a o5e C440,la-z-78-oza ARCHI'TECLENGINEER SAME LICENSENUMBER I BUS.LIC.= COMPANY NAME E-MAIL FAX STREET ADDRESS CIT) STATE%IP PHONE USE OF ❑ SFD or Duplex JC Multi-Family ROOF AREA: VALUATION. 45— STRUCTURE, ❑ Commercial 3 S y J Va EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPI]ALT SHINGLES Pt1)'OODSHAI:ES ❑a'pODSHINGLES LI OTHER(SPECIFY) REMOVE:REPLACE YES IFNO. PLYWOOD J61le ❑ PL\'w'D ❑OSB PITCH- ROOF ❑ NO I .LA\'ER . THICKNESS ClPP CDS 1 )2 CLASS A PROPOSED ROOF TYPE: 13 BUILT-UP ROOF XISPHALT SHINGLES 11OOD 511.U:ES 13 WOOD SHINGLES C1 OTHER ICC-ES REPORT. DESCRIPTIO?OF wD0.p 1/Z 1 S 1.+��� +I,en 30# -�e l-t• erl a�Men* F"nall J_�a AQA-0A a PreS I Ar-itl comf bin s By my signature below.I certiN.to each of the following: I am the property oWner or authorized agent to act on the property owner's behatf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accuram. I agree to comply with all applicable local ordinances and state laws relating to buildine conA tion. 1 a• oriu represe tiv c of Cupertino to enter the aboveidentil ied property for inspection purposes. Signature of ApplicanUAgent: Date: 01S1,012-- SUPPLEMENTAL LOSUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ If building is associated With a Home OM'ner's Association.provide letter PuNCHECK TYPE ROUTING SLIP of approval from HOA. ❑ OVER.THE.COUNTER ❑ BUILDING PLAN REVIEW _ Provide Planning approval to verify if there any restrictions. ❑ E.cvaFSS ❑ Pw NNSFc PUN REVIEW _ Provide copy of Manufacturer's Installation Specificatioru. ❑ STANDARD ❑ FIREDEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroojApp_201 Ldoc revised 03116/11