12080233 CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: 8087 PRESIDIO DR CONTRACTOR:BARRIOS CONSTRUCTION PFRMff N0: 12080233
O\t;NER'SNAME: DEDIIIADILIPANDREKIIA'fRUSTEE 876 PACIFICAVE DATE ISSUED:08222012
OWNER'S PHONE: 4082651792 SAN JOSE.CA 95126 PRONE NO:(408)461-1623
❑ LICENSED CON`FRACI'OR'S DECLARATION BUILDING PERAIIT INFO: BLDG r ELECT f—I PLU0113 r
License Class_.e- Lia# 5?2 lkze�i 3 Mr r• pCOMMERCIALr
/ ECII RESIDENTIAL COMMERCIAL
I hereliv afB rani fit at( I aril Ilfensed under the prmisinns of Chmpie r9 30B DESCRIPTION:REMOVE EXISTING WOOD SHARE ROOF.INSTALL NEW
(Coll] with Section 7000)of Dk ision 3 of the Business&Professions I2"
Codc and that nrr license is in full force and effect. COX PLYWOOD AND INSTALL 28SQ CERTAINTEED LANDMARK
COMPOSITION SHINGLES
hereby affirm under penalty of perjury one of the following oro 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 dic work I'or 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 die performance of done work for which this
permit is issued Sq.Ft FloorArea: Valuation:$11100
APPLICANT CERTIFICATION
1 certify Ihal 1 have read this application and state that the above information is APN Number:35611077.00 Occupancy T3 pe:
correct. I agree to comply with all city and county ordinances mid 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 o'Cupeninoagainst Iiabilitics.judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting ofthis permit. Additionally,the applicant understands and will comply WITHIN 180 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.
Signature i4144 l DateZ Issued by: / /v ��} Date:
❑ OWNER-BUILDER DECLARATION
1 herchv affirm that I am exenmpt front the Contractors License Law for one of RF.-ROOFS:
the following,two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without fust obtaining an inspection.I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sce.7044, inspection.
Business B Professions Code)
I,as owner oflhc property,am exclusively contracting with licensed contractors to Signature of Applicant: Date:
construct the project(Sec.7044,Business K Prolessions Code).
I hereby affirm under penally of perjury one of the following three ALL ROOF CO\'IiRINGS'1'0 BE CLASS"A"OR BF'l'FER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATFRIAIS DISCLOSURE
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 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 Health S Safely Code.Sections 25505,25533,and 25534. 1 will maintain
Section 3700 of the Labor Code,for theerformance of the work for which this compliance with lie Cupertino Municipal Code,Chapter 9.12 and the Health S
P S:dcly 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
I certify that in the performance of done work lot 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 any manner so as to became subject to the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
Compensation laws ofCalifo nia. If,after making this certificate of exemption,I Health S Safety Code,Sections 25505.25533.and 25534.
become subject to the Worker's Compensation provisions ofthe Labor Code.I must
fonhwith comply with such provisions or this pemnit shall be deemed revoked. Owner i : rized agent:
Dale:
,U'I'LIC,\N"f Cli lfl'I PIG\110N CONSTRUCTION LENDING AGENCY
I certify that 1 have read this application and Suite that the above information is
correct I agree to comply with all city and county ordinances acid state laws relating I hereby affirm that there is a construction lending agency for the performance of stork's
to building construction,and hereby authorize representatives of this cit•to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indeanify and keep harmless the City of Cupertino against Iiabilities,judgnmants,
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 ,\KCI I ITP;CI"S DECLARATION
9.1&9.18.
I 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- buildinq(a)cupertino.orq
PROIF.CT ADDRESS TAP"Gj0 f , 1 1 Pt 1
O 'ER NA ME PHONE E-MAIL
ga
STREETADDRESS CITY, STATE ZIP FAX
ONTRA OR NAyyE LICENSE NUMBER LICENSE TYPE BUS.LIC.N
/YO O`er
COMPANY NAMEE-MAIL FAX
• 7�fuc�o n
STREOETADDRESS Z/ 46A C`TY',;TATE ZIP r`O O PHONEQ
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, I certify each of the following is true: 1 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:
ReroofPo1icv_201 l.doc revised 02/16/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 8087 Presidio Dr DATE: 08/2212012 REVIEWED BY: Sean
\ APN: 6P#: 'VALUATION: $11,100
*PERMIT TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof
PRIMARYPENTANIATION
USE: SFD Or Duplex PERN1ITTl'PE: 1SFDWLR00
1�'oRK Remove existing wood shake roof. Install new 1/2" CDX plywood and install Certainteed Landmark
SCOPE composition shingles.
FEE ID ROOFAREA
s.f.)
1REROOFFRES 2,$00
Much. I'Ian Check Plumb. Ilan Check Fie,. Plan Check
Meet. Permit Fee: Plumb. Permit Fee: F.lec.Permit Fee:
Other APech. Insp. Other Plumb Insp. Ll I Other Elee.Imp.
,lle.ch.Guy. Fee: Phonb. /asp.Fee: Elev.hup.Fee:
NOTE: This estimate does not include jeer slue to other Departments(i.e. Planning, Public Workv, Fire,Sunimrj,Sever District,School
District etc). Theve ees are bused on the prelintinan information available and are only an estimate. Contact the De t or atldn'I in o.
FEE ITEMS (Fee Resolution 11-053 Ell 711111) FEE QTl'/FEE MISC ITEMS
Plan Check Fee:
Suppl. PC Fee
Phnnb.61•Iech./Flee
Permit Fee: $420.00
Supj;L Insp Fee
Plumb.111ech./Elec
Plumh.11fech/Elec Permit Fee:
Consn•uctiun Tax:
Administrative Fee:
Work Without Permit? O Yes 0 No $0.00
Advanced Planning Fees:
Travel Documentation Fees: A
Strome Motion Fee: 1BSEISAIICR $1.11 Select an Administrative Item
131c1a Stds Commission Fee. 1BCBSC $1.00
SUBTOTALS: $422.11 $0.00 TOTAL FEE: 1 $422.11
Revised: 07/01/2012
j0Z
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildine(d)cuoertino.ore
\ � PROIEC ADDRESS
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STREET ADDRESS CITY,STATE,ZIP FAX
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❑OWNER ❑ OW'NFR-DIIIIDFR ❑ OWNERAGENr •tel coXTRACrOR ❑CONTRACTOR AOENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
C TRACT RNAM1I LI ENSENUNGER LIC SE T1'PE BUS.LIC.0
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COMPANYN.A1,¢ E-MAIL FAX
STREET ADDRESS CITY.STATE,ZIP PHONE
ARCHITECIENGINEER NAME LICENSE NUMB EA BUS,LIC.A
X [ON PANY NAME E-NIHIL FAX
SADDRESS �T CITY,;TATE.ZIP xaNE
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USE of �ffi.SFD or Duplex •). Multi-Family. ROOF AREA: VALUATION:
STRUCTURE: ❑ Convnercial Q
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES yQ WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECtFY)
BFNOVE/REPLACE 1FS IF NO. I PLYWODD X1 :5" ❑ PLl'R'D py OSB PITCH: ROOF
❑ tl LAYERS ( THI.KNE$ /❑` SIS- PE' ❑ COX )? ASS
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF -P.ASPH.ALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES �' OTHER ICC-ES REPORT tl
1\/ DESCRIPTION OF WORK:
O
-pro
ft OIL nature n n�
By illy sigLxlow,I certin•to tach of the following: I am the property mwler or authorized agent to act on Elle property owner's behalf. I have read this
application and die information I have provided is correct. I have read die Description ofWork,and verify it is accurate. I agree to comply with all applicable local
ordinances and state lasts relating to buil 'ng c •.on. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of ApplicanOAgen1: Date: CX/
SUPPLEMENTAL INFORMATION REQUIRED r_ oFFlcc USE ONLY
_If building is associated with n Home Owners Association,provide letter PI-AN CHECK rvrE. ROUTING SLIP
of approval from HOA. ❑ OYER-THE-COUNTER' a❑ BUTLBING PLAN REVIEW'
Provide Planning approval to verify if there any restrictions. ❑ EXPRESS y rt:,+NNING PLAN REVIEW
DEr��-G S
Provide copy of Mamfacnlrer's Installation Specifications. ❑ STANDARD E) FIRE ocl�r.}
Provide signed copy of Cupertino's Tear-Off Policy. ❑. 0114€R:
Reroajlpp_01 l.doc revised 03/16/11