12080162 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21078 RED PIR CT CONTRACTOR:FOUR SEASONS ROOFING PERMIT NO: 12080162
OWNER'S NADIR: CRAIG R JANE MC KINNA 1'0 BOX 1668 DATE ISSUED:08/152012
OWNEWSPBONE: 4087795593 SAN.IOSE.CA 95109 11I[ONE NO:(408)278-0330
$� LICENSED CONINACFOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License ClassC-31 Lic.N a?2 l o$ r r r
VS � �G 9-137-1,z DIIiCII RESIDENTIAL COMMERCIAL
I Date p—1 s'12
1 hereby affirm that 1 an]licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SI IAKE ROOF.INSTALL 13
(nunmencing wish Serlion 7111111)of Uicision 3 of the Business S I'rvdrssim]s SQRS
Code and that my license is in full force and effect. I2"CDX PLYWOOD THEN 30N FELT UNDERLAYMENT.
INS'rAI.L CERTAINTEED PRESIDENTIAL COMPOSITION
1 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
perfommnce 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 lire performance of die work for which this
permit is issued Sq.PI Floor Area: Vuluation:$4500
AI'll LICANT CERTI PI CATION
I certify that I have mad this application;tad state that the above information is MIN Number:35905055.00 Occupancy Type:
correct. I agree to comply with till city and county ordinances and state Imes 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 keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
granting
dcxpenser it. ch Amayaccmeaga against said City inconsequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit Additionally,lire applicant understands and will comply
With all non-point source regulations per the Cupertino Municipal Code,Sectiah 180 DAYS FROM LAST CALLED INSPECTION.
9.18. p - , / `
Signature Date E ��r��2 Issued by: �E�/✓ hj/Z Date:
❑ O ' . -IIUILDER DECLARATION
hereby affmmn that I am exempt from the Contractor's License Lav for one of BE-ROOFS:
the following foo reasons: All roofs shall be inspected prior to my roofing material beim.installed.If a roof is
I,as owner of the propeny,or my employees with wages as their sole compensation, installed without first obtaining an inspection,1 agree to remove all nemmaterials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business S Professions Code)
I,as owner of the propeny,am exclusively contracting with licensed contactors to Signature of Applicant: Date: 8yr-l2
construct the project(Sce.7044,Business R Professions Code),
I hereby affirm under penally of perjury one of the following three ALL ROOF CO\'. �'CS'I'(I BE.CLASS"A"OR BE FfE.R
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS DIATERIAl S DISCLOSURE
Compensation,as provided for by Section 3700 of die Labor Code,for the
performance of the work for which this permit is issued I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Il cal th S Safety Code.Sections 25505,25533.and 25534. 1 will maiumin
Section 3700 of the Labor Code,Ior the perfonnimce of the work for which this compliance will]the Cupertino Dlunicipal Cade.Chapter 9.12 and the I Iealth S
Safely Code.Section 25532(x)should I store or handle hazardous material.
permit is issued. Additionally.should I use equipment or devices which emit hazardous air
1 certify that in the performance of die work for which this pern]it is issued,I shall contaminants as defined by the Ray Arca Air Quality Management District I will
not employ any person.in any manner so as to become subject to the Worker's maintain cum plin lice with the Cupertino Dlunicipal Code,Chapter 9.12 mid the
Compensation lays ofCahibmia. It.after making this cenific:rte 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 nl A A^.Igent:
Date: �•�r-�2,
API'LIG\N'I'CER'PIMCAPION CONS"I RI1Cfl ON LENDING AGENCY
I cenify that I have read this application and state that the above information is
correct. 1 agree to comply with all city and county ordinances mid stale law's relating I hereby affirm that there is a construction lending agency for the performance of work's
to building construction,mid hereby authorize representatives of this city to enter for which this pernil is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless Lire City ol'Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender'sAddress
grunting of this permit.Additionally,the applicant understands and will comply
Willi all non-point source regulations per the Cupertino Municipal Code,Sectio] ARCHITECI"S DECLARATION
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
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
CUPERTINO
(408)777-3228• FAX(408)777-3333•buildino(Dcuperlino.ora
PROJECT ADDRESS p APN#
Z�070 /Qprf �j C
OWNER NAME PHONE E.NAIL
TC, k — 7 s
STREET ADDRESS CITY. STATE,ZIP FAX
SAMF
CONTRACTOR NAME LICENSENUIM E P LICENSE TYPE BUS.LIC.x
COMPAW NAME EMAIL FAX
STREET ADDRESSOZ S CITY,STATE.Z� PHONE
SC
C 95112 L - 78"03
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 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: 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 I.doe revised 02/16/11
CiTY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
:91-14 ADDRESS: 21078 Red Fir Ct I DATE:: 08/15/2012 REVIEWED BY: Sean
APN: BP#: �DpOltp� *VALUATION: $4,500
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-FamilyDwelling Buildina is PENTAIWTION 1R2R00F
USE: g >3 Stories O Yes (DNo I PERMITTYPE:
NVORK Tear off existingwood shake roof. Install 1/2" CDX plywood then 30# felt underla ment. Install
SCOPE Certainteed Presidential composition shingles. Color: Country Gray
FEE ID ROOFAREA
(S.f.)
1REROOFMRES 1,300
Nfech.Phi,;Check Pla nh.Plan Check Elec.Plan Check
Hech.Permit Fee.• Phank Pernih Fee,: E/cc.Permit Fee:
other Aleeh.Insp. Other Plinth Insp. Other Elec.Insp.
Afeck Insp. Pae: Plumb.Insp.Fee: Mae. Imp. Fee:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public II'orks. Fire.Sanitary Server District,School
District,etc.). These fees are based on the preliminarl•information mailable and are mthy an estimate. Contact the De t or addn7 info.
FEE 1TENIS (FeeRawhition 11-053 ER 711111) FEE QTY/FEE MISC ITEDIS
Plun Check Fee:
Suppl. PC Fee
Plumb..•'Hech.!Elec
Pennit Fee: $195.00
Supp!, hisp Fee
Plunib.iAlech.l&ec
Plmnb.htfech./Elee Permit Fee:
Consn'uction Tax:
Aclministrative Fer'
Work Without Pennit? O Yes (j) No $0.00
Advmn'et1 Plannh g Fees:
Travel Ducutnentalion Fces:
Strong Motion Fee: IBSEISAnCR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $196.50 $0.00 'roTAL FEE: $196.50
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO.CA'95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildin0(Otwoertino.or0
/oZ U80/(off
PROJECT ADDRESS e ,APN. 35
Q O S n 5S
OWNER NAME lJ�l7/ f- PHONE O —_77 _ CSSq MAIL C/✓
V r J
STREET ADDRESS 7 �- pC CIT'.STA P O1= 11 b/I FAX
I jr in
CONTACT NAME PHONE E-?IAIL
STREET ADDRESS Sc2 S CITY,STATE, ZIP FAx
❑ONTFR ❑ DN'.NER-BUILDER ❑ OWNERAGENT 11 CO"TRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE 'PE -I BUS.CIG
COMPANY FAME 11-MAIL 5 FAX
STREET ADDRESS CITY.STATE.ZIP PHONE
• SO2 a o5e C 9?'0
ARCHI rECLENGINEER SAVE LICENSE NUMBER BUS,UC.
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY•STATE.'/.IP PHONE
USE OF ❑ SFD or Duplex J• Multi-Family ROOF AREA: Ar VALUATION: A[f
STRUCTURE: ❑ Commercial /13 C roll
j
EXISTING ROOF TYPE: ❑BUILT-CV ROOF ❑ASPIHALTSHISGLFS PeWOODSHAKES ❑N'OODSHINGLES ❑0111F.R(SPECIFY) V
REVOT'F.:REPLACE WIFYES IFNO. PLYWOOD ❑ PLYWD 1:1OSB PITCH; I ROOF
❑ No • AYFR THICKNESS ❑ . TN PE- DY :12 A
PROPOSED ROOF TYPE: ❑BUILT-UPROOF 9ASPHALTSHINGLES ❑AYOOUSIIAHES ❑WGOD SHINGLES ❑OTHER ICC-ES REPORT.
DESCRIPTION OF Np0.A: :�• `/Z 1f
cox
_3.0
pColorc6
By my signature below•.I certify to each of the following; I am the property oNner or authorized agent to act on the property owner's behalf. have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
Ordinances and state laws relating to building cans tion. I a orize represe tiv of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicam/Agenr. Date: 3 O
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated with a Home Ov%ner 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 any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEN•
_ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIREDEPT
_ Provide signed cope of Cupertino's Tear-Off Policy. ❑ OTHER:
ReroofApp_2011.doc revised 03116/11