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12070178
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21083 RED FIR CT CO\I'RACI'OR:FOUR SEASONS ROOFING PERMIT NO: 12070178 OWNER'S NAME': RON DIGRANDI AND PAO-LIEN TRUSTEE t.'0 BOX 1668 DATE ISSUED:07r4r012 � OWNER'S PHONE: 4087208880 SAN.IOSE,CA 95109 PIMNENO:(4081278-0330 LICENSED CONTRACTOR'S MCLARATION 14'7 Q BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class I-ic.0 ` (��Ov r r r MECIi RESIDENTIAL COMMERCIAL Contractor 12 I ti C - Date —7 —rk'l 1 .� I herebwaffirm that I and licensed under the proylflons of Cllapter 9 JOB DESCRIPTION:TEAR OFF EXSISTING WOOD SHAKE ROOF.INSTALL Ir" (commencing with Section 7000)of Division 3 of the Business S Professions CDX PLYWOODTHEN 30H FELT UNDERLAYMENT.FINALLY, Code and that my license is in full force and effect. INSTALL CERTAINTEED PRESEIDENTAL COMP SlilNGLFS. hereby affirm under penalty of perjury nue of the following two declarations: 1 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 wort: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 ole work for which this Sq. Ft Floor Area: Valuation:$4500 permit is issued, .\I'I'I-IC.\\I'CICRT'IPIC,\'I'IfIN APNNumber:35905029.00 Occupancy Type: I certify that I have read this application and state that the above informtion is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representtives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indenmity and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence ofthe WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit.Additionally,the applicant understands and will comply r with all non-point source regulations per the Cupertino Municipal Code.Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. /� -� Issued by: Date: /' Z rTS Signature � Date ❑ O(\;Ylilt-BUILDER DECLARATION RF:ROOFS: I hereby affirm that 1 am exempt from the Contractor's License Law fur one of All roofs shall be inspected prior to any rooting material beilg installed.If a roof is the following two rations: 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, 2IBusiness&Professions Code) Signature of Appli©nc Date:?-2 Ll—1-2- 1, ,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business K Professions Code). ALL ROOF COVI S•I'0 BE CLASS"A"OR Ill,'1TER hereby affirm under penalty of perjury one of the following three I have and HAZARDOUS MAT'IiRIALS DISCLOSURE I have and will maintain a Certificate of Conserv to self-insure for Worker's 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 perfomnance of the work for which this permit is issued. California llcalth S Safety Code,Sections 2.5505,25533,and 25534. 1 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 S Section 3700 of the labor Code,for the performance of the work for which this Safety Code.Section 25532(a)should I store or handle hazardous material. Additionally,should 1 use equipment or devices which emit hazardous air permit is issued. cuntaminanis as defined by the Bay Area Air Quality Management District I will I certify that in the performance of doe work forwhich this permit is issued,l shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in my manner so as to become subject to the Worker's Bralth\Safety Code.Sections 25505,25533,and 25534. Compensation laws of California If,oiler making this certificate ofexenmpnion.I become subject to the Worker's Compensation provisions ofthc Labor Code,I must On"Cr o uh rf delr: q forthwith comply with such provisions or this permit shall be deemed revoked. etc: A ITI.I CANT CFRTIPICATION - CONSTRUCFION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm thin there is a construction lending agency for the performance of work's correct.1 agree to comply with all city and county ordinances and state lays relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Leader'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, Leader's Address costs,and expenses which may acce a against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCI I ITECI"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 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 21083 Red Fir Ct DATE: 07/24/2012 REVIEWED BY: Sean 2 APN: BP#: 'VALUATION: $4,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARYPENTANIATION USE: SFD or Duplex PERMITTYPE: 1SFDWLR00 i WORK Tear off existing wood shake roofing. Install 1/2" CDX plywood then 30# felt underla ment. Install SCOPE Certainteed Presidential composition shingles - Country Gray color. FEEID ROOFAREA s.f.) 1REROOFFRES 1,300 Alech. Plan Check Phanb. Plan Check Flee. Plan Check Mech,Permit Fee: Plumb. Permit Fee: Elect Permit Fee: Oduer Mech.,Insp. Other Plumb Insp, Other Elce.lase. ,Mach.hasp. Fee: Plumb. lncp.Fee: Fice.Insp.Fee: NOTE: This estimate does not include jeev clue to other Departments(i.e. Planning, Public I Porkv, Fire,Sanitary Sewer District,School District, etc.). These feev are baser/on the prelintinan information available and are onlr an estimate. Contact the Dept for addn'I into, FEE ITEMS (Fee Resahuion I1-053 E17 7/1/1ll FEE QTY/FEE MISC ITEMS Plan Check Fee: Stippl. PC Fce Plzanb.ht tech./Ele c Permit Fee: $195.00 sup/11. Insp Fee Plumb.4lech./Elec Phtmh./d4eeh./F.lec Permit Fee. Consmiction Tar: Administrative Fee: Work Without Permit? Q Yes Q No $0.00 Advanced Planning Fees: Trane!Docmnentution Fees: Strom;Motion Fee: IBSEISMICR $0.50 Select an Administrative Item 131dg Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: $196.50 $0.00 TOTAL FEE: $196.50 Revised: 07/01/2012 REROOF TEAR-OFF POLICY 0 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(a)cupertino.org PROJECT ADDRESS APN n Z 3 e OWNERNAME PHONE 1/1)? o— &8£s E-MAIL STREET ADDRESS CITY.STAT FAX a 3 CONTRACTOR NAME LICENSE NUM ER I CIO LICENSE TYPE BUS.LIC.w C-S COMPANY NAME E-MAIL FAX O STREET ADDRESSIc bZ A CIT'.STATE,ZIPO PHONE -0330 1 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$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I cenify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated above. 1 also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: RerooJPolicv_2011.doc revised 02116/11 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 GUPERTINO (408)777-3228• FAX(408)777-3333•builcinO(dcupertino.orG ///••• PROIECT ADDRESS 00�3 C I aPN- OWNER NAME ` l_ �� PHONE 1 E-MAU.. Cl o B 440- B8$O STREET ADDRESS VIC-nCIT', ST E.ZIP FAS 2/o f o CA 9St 14 CONTACT NAMt. PHONE I E-NIAIL e O - -O 301 STREET ADDRESSCITY.STATE.ZIP FAX 5'02 S -ase CA qy ❑OIN'F,R ❑ OWNER-BUILDER ❑ 011 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR SAME LICENSENL'NIBERI LICENSE TPE I BUS.LIC- 2log -51 COMPA.NYNANIC ` E-NIHIL FAX STREET ADDRESS D CTL IP STATE ZPHONE f"07- a o5¢ C -Z 8'O ARCHtrECLENGINEER NAME LICENSE NUMBER BCS.UG- COMPANY NAME E-.NIAIL FAX STREET ADDRESS I CITY.STATE.%IP I PHONE LSE OF ❑ SFD or Duplex jl Nlulti-Family ROOF AREA: je VALUATION: � � STRUCTURE: ❑ Commercial arm .S EXISTING ROOF TY PE: ❑BUILT-CPROOF ❑ PASPHALTSHINGLES � COODSHANES ❑N'OODSHINGLES ❑017HERISPECIFYI REMOVF.:REPLACE YES I IF N0. PL1'U'ppD {i t; ❑ PLl'N'D ❑OSB PITCH: ROOF ❑ N I .CAYFR - dd HICKSE S' ❑ ": TIP CDS '(2 A54 PROPOSED ROOF TYPE, ❑BUILT-UPROOF XISPHALTSHINGLES ❑K'OODSIIAI:ES 13 WOOD SHINGLES ❑OTHER ICC-ES REPORT. OFSCRIPTIONOF WORK: g C. "A" 6 0# q, I a ae a ,> 1k�n a- Ry my signature below.1 cenik to each of the tollorcing: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. 1 have read the Description of Work and verify it is accurate. I agree to comply Nvith all applicable local ordinances and state I:W s Telatine_to building consr tion. I a oriu reprcse • tiv c of Cupertino to enter the above-identified properry for inspection purposes. Signature of ApplicanllAgent: Dae- SUPPLEMENTAL SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ If building is associated v6di a Home ON,ner's Association.provide letter PUNCHECK TY PE ROUTING SLIP ofapproval from HOA. ❑ OYER-THE-COUNTER ❑ BUILDINGPLANREVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLAN.NING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy o r Cupertino•s Tear-OIT Policy. ❑ OTTIER: Rel'aoJApp_201 I.doc revised 03116111