12070113 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10571 N STELLING RD CONTRACTOR:RUFF'S ENTERPRISES PERMIT N0: 12070113
01AWER'S NAME: RAMOS ARTHUR J 3643 EASTRIDGE DR DATE ISSUED:07/162012
OWNER'S PHONE: 4086901430 SAN JOSE.CA 95148 PHONE.SO:(408f52"227
❑. , LICENSED CONI'ILAQI*0R'SDE'CLARAT[ON C r r�
' BUILDING PERMITINFO: BLDG ELECTPLUMB
License Class �^3 Lic.N I-
_ a ,II _ NIECD r RESIDENTIAL COMMERCIALpCOMMERCIALr
Contractor �ra1"( Dale �--1(o t 2
hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: RE-ROOFTEAR OFF SHAKE REPLACE WITH COMP
(commencing with Section 7000)of Division 3 of the Business S Profession. SHINGLES
Code and that my license is in full force and effect. CLASS A 23SQFf
1 hereby affirm under penalty of perjury one of the following too 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 lite
pedonnanee of flit 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(he performance of Oa work for which(his
permit is issued. Sq.Ft Ploor Area: Valuation:$8000
APPLICANT cER'nrlcA'r1oN
I certify that I have read this application and state that the above information is ANN Number:32608055.00 Occupancy Type.
correct.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. (We)agree to save
indemnify and keel)harmless tile City OfCupeninoagainstliabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may acerae against said City in consequence of the
grunting ofthis permit. Additionally,the applicant understands and will comply WITHIN ISI) DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18. 2�
Signature Zdt� �_ Date '( — (2- Issued
r
❑ OWN'ER-BUILDER DECLARATION
I hereby affirm(hal I aor exempt from the Contraelor's License Lino for one Of RF.-ROOFS:
the following(it()reason: All roofs shall be inspected prior to any roofing material being installed.If a root'is
L as owner of(he property,or my employees with wages as their sole compensation, installed withoaa first obtaining rat inspection,I agree to remove all new materials for
will do(he work,and the structure is not intended or ofered for sale(Sce.7044, inspection.
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date:
construct the project(Sec.7044,Business R Professions Code).
hereby affirm under penally of perjury one of the following three ALL ROOF COVERINGS TO 13F CLASS"A"OR RF;I-I'IiR
declarations:
I have and will maintain a Cenificate of Consent to Sdf-insure for Worker's HAZARDOUS MATE.RIAI S DISCLOSURE.
Compensation,is provided for by Section 3700 of the Labor Code,ton-the
performance of the work for which this permit is issued I have read the hazardous nurleriids requirements under Chapter 6.95 of the
I have and will maintain Workers Compensation Insurance,as provided for by California health d2 Safety Code.Sections 25505,25533,omance and'5534. 1 will maintain
Section 3700 of the Labor Code,for die erl' of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.1_and the health S
P Safety Code.Section 25532(a)should I store or handle hazardous material.
permit is issued. Additionally,should I use equipment or devices which emit hazardous air
I cenify that in the performance of the work for which this permit is issued I shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in my manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
Compensation law's of California. If,after making this certificate of exemption,1 health S Safety Code,Sections 25505.25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
forthwith comply with such provisions or this permit shall be deemed revoked Owner rte,o�a°Ila rir'e M-4-1/rime:
4_ 1/tr --7 — ((� — ( L
A PP I'
LICANCERTI FI CATION / CONSTRUCCI]OI)N LENDING AGENCY
I certify that I have read this:application mad state that the above information is
correct. I agree to comply with all city and county ordinances mid state laws relating I hereby alarm that there is a construction lending agency for the performance of work's
to building constmetion,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned properly for inspection purposes.(We)agree to save Lender's Name
indemnify and keep hamiless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ,yRCll I"I'FCI"S DECLARATION9.18.
I understand my plans steal I be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 10571 n. stelling rd. DATE: 07/16/2012 REVIEWED BY: bobs.
MAPN: BP#: -VALUATION: 1$8,000
"PERMIT Tl'Pli: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY PENTAM1IATION
USE: SFD or Duplex PERMIT TYPE: 1SFDWLROOF
WORK tear of shake replace with comp shingles.
SCOPE
Alech. Plan Check Plumb.Plan Check Flea.Plan Check
,Nech. Permit ree: Plumb.Permit Fee: rlec.Permit ree:
Other Much. lacp. Other Plumb Insp. L1 I Other Elec.hcsp.
Mee&hup. ree: Plumb. hup.Fee: Elec.Insp.Fee:
NOTE: This esri nate Anes not inchule fees due to other Departments(i.e. Planning, Public Works, Fire,SanitaryServer District,School
District, etc.). These ees are based nn the prelinzinan information available our/ore onb,an estimare. Contact the De t or nrld n'I info.
FEE ITEMS (Fee Resolation 11-053 Efl 71111!I FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 2,300 s.f. Re roof
Suppl. PC Fee: 0 Reg. 0 OT O,p hrs $0.00 $345.00 IREROOFRES
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee-.0 Reg. 0 OT0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tar:
Admini traiive Pee: O
Work Without Permit? O Yes 0 No $0.00 0
Advanced Planning, Fee: $0.00 Select a Non-Residential 0
Truro!Doc:uBuilding or Structure 0
menwtion Fees: •
Strong Motion I'ee: IBSEISHICR $0.80 Select an Administrative Item
131da Stds Commission Pec: IBCBSC $1.00
SUBTOTALS: $1.80 $345.00 TOTAL FEE: $346.80
Revised: 07/01/2012
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE •CUPERTINO.CA 95014-3255
(408)777-3228• FAX(408)777-3333•building(cDcupertino.oro
PROJECTADDRESS 4.iJ J ��
( � - S ___,.nJ[[��tk t/ APNu
OWNER NAME � 4/)V-t�/l o PHONE to iv
E-MAIL
T
STREET ADDRESS , 1 ' c..J�,Rt� /l CITY, STATE ZIP FAX
CON TRACTOR NAME (V cJ tCZX LICESE NUMBER` v LICE TY E BUS.LIC.M
COMPANY N . E E-MAIL FAX
C11.
STREET ADDRESS CITY2$TATE.ZI P�1�t�'e-5_2t_/_��
1 UNDERSTAND AND AGREE TO THE FOLLOWING: 'mol "6 F7
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 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. 1 understand and agree to comply with the re-roof policy stated above. 1 also understand that
smoke detectors and carbon mo ide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2010 CalI omia Residents o e.
Signature of ApplicandAgenr. %J( � . Date:
ReroofPolicv_201 Ldoc revised 02116111
REROOF PERMIT APPLICATIONa 10
ELUndy
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildinp(a)cuoertino.om
PROJECT ADDRESS APNa2
�l05 7I 1n J2- (P —Og- c) �-rD
OWNER NAME ^n E111
STREETAr'r�1
DDRESS I - `•�.eIIl1Y� r/V CITY,`SCTAATE,ZIP
MY `JOI� FAX
CONTACT NAE I PHO O k_
CITY.Sr ,ZIP
❑OWNER ❑ OWNER-BUILDER El OWNERAIG'ENTT QKONTRACrOR ❑CONTRACTOR AGENT ❑ AROmECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CO O`R�N ` A_ LICE. E (BER ,r A �•/�/ (�TSL/ICIFNSE 1xPF� ) BUS.LIC.a
COMPO �Q FA C 1 N P�-{j E AR `rU`f I V V LJI� �c`SG�-�I'1���r IyM� FAX G
( .]"io PH O 5-2-P42.7-
ARCHITEMENGINFER NAME LICENSE NUMBER BUS.LIC.a
1
COMPANY NAME E-NIHIL FAX
STREE r ADDRESS CITY,STATE,ZIP PHONE
USE OF EYSFD or Duplex ❑ Multi-Family. ROOF AREA: VALUATION:
STRUCTURE, ❑ Commercial a'l` s- % V O
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ,C❑WOOD SHAKES ❑wOOD SHINGLES ❑OTHER(SPECIFY)
REMOVEIREPLAC_- YE$ IF NO. PLYWOOD O '.5' ❑ PLVWD OSR PITCH: , ROOF
❑ NO dL 0. 'K ❑ VS" ❑ f 'l_ CLASS
PROPOSED ROOF TYPE: 13 BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES 0WO1OD SHINGLES ❑OTHER ICC-ES REPORT
DESCRLPTION OF\VO
T�
r C40
By my signature below,I certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's behalf. 1 have read this
appl ieadon and die information 1 have providz oaect. f have read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and stain laws relating w buildil c u •tion. In rize represenmtIV of Cupertino to enter the abovver-identified property for inspection purposes.
Signature of Applicant/Agent'. uth L Daze: ^I— ((_0 "2-y t--
SUPPLEMENTAL,' FO 1ATION EQUIP-ED pence USeoNLY_ -
_If building is associated wi it Home Owner's Association,provide letter rt-s. NECKTYPE �' ROU TING SLIP =_
of approval from HOA. OVEN-THE-COUNTER BUILDING PLAN REVIEW
_Provide Planning approval to verify if there any restrictions. ❑ FXPRF-cS ❑ P"NSINC PUN REviEW _
_Provide copy.of Manufacturer's Installation Specificaliens. ❑-.rANDARD ❑ FIRE DEPT --
vide signed copy pf Cupenino's Tear-Off Policy. ❑. OTHER:
Reroc,ftp_201 Ldoc revised 03116111