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12070235CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21111 RED FIR Cf CO\1'RACI'0I4: FOUR SEASONS ROOFING 1'ERMITN0:12070235 l.l\VNER'SNAME: AICGVILLYCARLOS PO BOX 1668 DATE ISSUED:08108r012 OWNER'S PIIONE: 4035580102 SAN,IOSE. CA 95109 PIIONENO: (408)278-0330 .P— LICENSgISD COMI'RAcToR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class G—� / Lie.q (M/-tow. Contractor E3 f 1 tac . Date hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing wilh Section 701111) of Division 3 of the Business S Professions Code and Ihul my license is in full force and effect. I 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 performnce of the work for which this permit is issued. I have IDid will ❑ aintain Worker's Compensation Insurance, its provided for by Section 3700 of the Labor Code, for the perforiancc of the work for which this permit is issued. AI'I'I,IG\N'I' CF:R'I'IFICA'I'If1,N I certify that I have read this application and state that the above infomtation is correct. I agree to comply with all city and county ordinances and state Imus relating to building construction, mid 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, costs, and expenses which may accrue against said City in consequence of the granting ol'Ihis permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature ��—� Date ❑ OWNER -BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License I,asv for one of (lie following two reasons: I, as owner of the property, or my employees with wages ars their sole compensation, will do the work, mid the structure is not intended or offered for sale (Sec.7044. Business S Professions Code) I, as owner of the property, run exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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 pennit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the labor Code, Cor the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of'California. If, after making this certificate of exemption, 1 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this pennit shall be deemed revoked. APPLICANT CF.RTI FICAT'ION I certify that I have read this application and state that the above information is correct, I agree tat Comply With all city and county ordinance%and state laws 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 liabiliiies,judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicad understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date MECII r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: TEAR OFF WOOD SHAKE $INSTALL I/2" CDS PLYWOOD,30W I'EI:I' UNDIiRLAYNIENI'.INSTAI,L CLASS A CERTAIMFEED PRESIDENTIAL COMP SIIINGLFS (COUNTRY GRAY) 13SQFT Sq. FI Floor Aren: I Valuation: $4500 AI ;N Number: 35905042.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CAL/LED INSPECTION. Issued by: �� '4'72 T Dale: '5P RE -ROOFS: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without furl obtaining an inspection, I agree to remove all new materials for inspection. Signatureof Applicant• k— Date: ?4-12 ALL ROOF COVEITINGS TO BE CI.,\SS "A" 014 (SETTER IIA%ARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health S Safetv Code, Sections 25505, 25533. and 25534. 1 will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the lleallh S Safely Code. Section 25532(x) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants us defined by the Bay Area Air Qualily Management District I will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the Health S Safely Code, Sections 255115. 25.533, and 25534. Owner uth G p Daly. 6 �6 -/ CONSI'RIICI'ION I,li\DING AGENCI' 1 hereby aff inn that there is a construction lending agency for the performmne of vork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCIIIT'ECI"S DECLARATION 1 understand my plans shall be used as public records. Licensed �„__,� �1� ` CITY OF CUPERTINO ��1�� FEE ESTIMr�TOR-BUILDING DIVISION a(�;g y.�Lq .V)DItES.. �'�— L DATE: 07/30/2012 ItEVIE\\'ED Ol': bobs. MISC ITEMS ,\I':\': I31'b: 'VALUATION: $4,500 `PERMIT" TYPE: Building Permit PLAN CIIECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex Suppl. PC Fee: Q Reg. Q OT' PENI'AdIATION I'FlUMITTYPE: 1SFDWLROO F WORT: sfd tear off wood shake install new comp shingles. SCOPE I.5,, 1'n• I hi•.rro :'r .nf lrrr: 4.r, I'l.rn (71. NOTE: This estimate does not include fees due un otter Departments (i.e. Planning, Public IPorA.s, Fire, Sunitnp' Server District, Sc'haol District, etc.). Thesefees are based on the prelitninan information fitmihtble and are onh• on estinarte. Contact the Depi (or adrin'I in%nn. FEE ITENIS (Fee Resolution /1 -Ilia LL- 711:1U FEE QTY/FEE MISC ITEMS Plan Check Fee: 50.00 1,300 s. r. S195.00 Re -roof IREROOFRFS Suppl. PC Fee: Q Reg. Q OT' Q.0 hrs $0.00 PMF Plan Check: 50.00 Permit Fee: 50.00 Suppl. Insp. Fec:Q Reg. Q OT0.0 his $0.00 PNIE Unit Fee: SO.00 PME Pem,it Fee: $0.00 n,..: rn b:,n / it II �TI� I 1 n.'... von:n,l• �' Q (D Work Without Permit? O Yes Q No $0.00 Advanced Plannine Fee: $0.00 Select a Non -Residential Building or Structure E) O •n 11 ill 1.1:11 tluli,gp h,% . Strone Motion Pee: 1"EISMICR S0.50 Select an Administrative Item Ride Stds Commission Fer: IRCRSC 51.00 SUBTOTALS: I 51.50 5195.00 TOTAL FEE: $196.50 Revised: 0710112012 CUPERTINO 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 (408) 777-3228 • FAX (408) 777-3333 - building(a)cupertino.org PROJECT ADDRESS ed APN9 OWNER NAME /..r PHONE � pp p �� EMAIL A 1q. Vi VO"S.SO O STREETADDRESS CITY. STA"I ^ A 1 FAX C a CONTRACTOR NAME LICENSE NUMBER 00 LICENSE TY BUS. LIC. p' COMPANYNAME EMAIL FAX STREET ADDRESS CRY. ST ZIP PH NE I UNDERSTAND AND AGREE TO THE FOLLOWING: 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. 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 1/0 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 authnrized 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 monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 Califomia Residential Code. _ - of Date: -7 - 3o - RerooJPo1iry_201 /aloe revised 02/16/I l CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • buildinc(a)cupertino.ora 12,07a23� I AP\ V�J/O a PROJECT :ADDRESS2/ /1 A ed `l OWNER NAME I PHONEAIL _O/0Edt Gas STREETADDRESS' f CITY. FAX CTE.ZIP C l/�U CA 90 14 CONTACT NAME. I PHO\E41 uA IQ 30� EMAIL STREEI'ADDRESS Soti-IS+. CITY. STATE. LIP FA\ nrnina Sal,n Soserr�A Cl OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 1C01TRACTOR ❑COFTRACTORAGEST ❑ ARCHITECT ❑ ENDINF.F.R ❑ DFOELOPER ❑ TENANT VOIA'TRACI'OR NAME I LICF.\SE \L'\IBER LICE\SETYPE F80C seas° g 2 ria oa a -a9 BUS. LIC.- ala I E -.MAR. COMPANY\AAIE SAF41E I FAX STREET ADDRESS CITY. SLATE. ZIP CA,qnmi PHONE Sot a oSe ARCHITECLENOMEERNAME LICENSENUMBER I BUS, LIC. COMPANYNAUE SNAIL I FAX STREET ADDRESS I CITY. STATE ZIP PHONE CSE OF O SFD or Duplex r Multi -Family ROOF AREA: VALUATION. 00 STRUCTURE: ❑ Commercial /3 S / J00 ESISTINGROOFTYPE: ❑BUILT-UPROOF ❑>SPI[ALTSHI\GLES ;iI!/❑WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVF.:REPLACE YES IFNO. �A'OODSHAKFS PLODo ti '�: ❑ ', PLY ❑USB PIl'CH ROOF 11 NO s AYFR ,- THI ZS' ❑ -WD l'YP DX 2 I '''- A Z, PROPOSED ROOF TYPE: ❑BLILT-UPROOF XASPHALTSHINGLES 1-1w000 SI TAKES ❑WOOD SHINGLES ❑OTHER ]CC -ES REPORTv DESCRIPTION OF WOR(:: 7rear 114 exis+ina wo a shale roo�_ TnS{a�l CDX ood +�en 30# �el ,ind-e�(nI ea� Finallj1 inCkw a iAeft+,� comm Coler : Co,Acy CA r&y . By my signature below. I certify to each of the following: I am the property owner or authorized agent to act on the propem' owner's behalf. I have read this application and the information I have provided is correct. 1 have read the Description ofWork and rerift it is actuate. I agree to comply with all applicable local ordinances and state laws relating to building const' Zion. I a 'Drize repr<se tiv < of Cupertino to rater the above -identified property for inspection purposes. Signature of ApplicandAeent' Date: % 30 Si0 SUPPLEIIMENfAL INFORMATION REQUIRED OFFICE USE ONLY PLAN CHECK TYPE ROUTNC SLIP - _ If building is associated With a Home Owner's ASSOciation. protide letter [i1-ecTH�El CT-9L1r ISCPLAN REviEw ofapproval from HOA. Provide Planning approval to verify if there any restric[tonS. ❑ EXPRESS ❑ PLA\\TSO PLA\ REA'IEw —Provide copy of (Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIREor." vide signed copy of Cupertino's Tear -Off Policy. ❑ OTHER: ReroojApp_2011.doc revised 03/16111