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12080254 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10841 W ESTATES DR CONTRACTOR: " HI PFRMITNO: 12080254 OWNER'S NAME:.JOI INSRUDE GREGORY A AND LEE LISA YI � (�aFi� (� DATE ISSUED:08242012 OWNER'S PHONE: 4157264843 PHONE NO: ❑ LICIENSEA)CON RACI'OR'S DECLARA'T'ION �� BUILDING PERMIT INFO: 13LDC r ELECT r PLUMB r License Class�3� Lica t! � r r, Q NIECFI RESIDENTIAL COMMERCIALr hereby affirm Ilett I ant licensed under the pruvisiuns of Chapter 9 JOB DESCRIPTION`. RENIOV17 AND REPLACE COm POSITION ROOFING AND (Coll) wish Section 7000)of Division 3 of the Business S Professions SHEATHING 12 SQFT CLASS A Code:zed Thal my license is in full force and effect. hereby affirm under penally of perjury'one of the fullne'ing Iwo 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 permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 ofthe Labor Codc,for lhe.perfornhance ofdhe work forwhich this Sq, Ft Floor Area: Valuation:$12000 permit is issued. ,U'I'1-IG\N'1'CIi IfI'I PIC,\'PION AI'NNumber:36923038.00 OccupaneyType: I cenify than I have read this application imd state that the above information is correct. I.agree.to comply with all city and county ordinances and stale laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property fbr inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTEDindemnity and keep harmless the City of Cupertino against Iiabil itics,judgmen(s, costs,and expenses which may accrue against said City in consequence orthe WITHIN 180 DAYS OF PERMIT ISSUANCE OR granihhg of[his permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Sectictl 9.18. Issued-by: /E,�� j9Tli/� Date: Signature )ale_—(K �L_ ❑ OWNER 111111-DER DIiCLA N RE-ROOFS: I hereby affirm am m Ilial I exempt front Contractor's License I:nw far one of NI roofs shall be inspected prior to wry roofing mamaterial being installed.If o roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,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(Scc-7044, Business 3 Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct[tic project(Sec.7044,Business&Pro@ssimhs Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER hereby affirm under penally of perjury one of the following three declarations: I have and will maintain a Certificate ofConscnl to self-insure Ibr Worker's IIA%ARDOUS NIATERIAIS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California I leallh&Safely Code.Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Nl unicipal Code.Chapter 9.12 and the Ileafth S Section 3700 of the Labor Code,for the performance of the work for which this Safety Code.Section 25532(x)should 1 store or handle ha7Ardous material. Additionally,should I use equipment or devices which emir hazardous air permit is issued contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of die work for which this pemhil is issued,I shall maintain compliance with the Cupertino Nlunicipal Code.Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health S Safety Code,Sections 25505,25533,and 25534. Compensation laws of Califomia. If,afier making[his certificate of escmption,I become subject to the Worker's Compensation provisions of the Labor Code,I must4=— or lin zed ag forthwith comply with such provisions or this permit shall be deemed revoked ent: Date: APPLICANT CI•:RTIFICATION CONSTRUCTION LENDING AGENCI' I certify that I have read this application and sane that the above information is Abereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances mid state Imes relating for which this pemhi[is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indenmify and keep harmless the City of Cupertino against liabilities,judgnhents, Leader's Address costs,and expenses which may aceme against said City in consequence of the granting ofthis permit.Additionally,the applicant understands and will comply ,\RCII I'I'1'CI"S DECLARA'T'ION 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 Dame Licensed Professional � 2,0 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 GUPERTINO (408)777-3228•FAX(408)777-3333•buildina(dcuoertino.org AAA PROJECTADDRESS /O�,7 L/ '1Gf .� ��/J APN a 3U q i 2_g —(M E' OWNER NAME rp dCU "(7k) L l% P E E-MAW�,/� f02 P Al STAEEf AUDRES O IN c(- A ()P �/ FAX CONTACT NAME (� E-MAIL 3 E D 3//rJ�� _ a '�/y "1 Ffi 103 F 535-dg21 ❑OWNER ❑ OWNER-MIWER ❑ OWNERAOENT A CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCTUIECT ❑ENGMEE'R ❑ DEVELOPER ❑TENANT CONTRACTOR NA U N}� _ WCFNS�TYPE- t BUS.I.R10 WTAlrfU COMPANY NAME _Yi i'-J , AIL ^ N Q F 515-_C)92 ETA DRYS S 1 K .STA I�h1\ ARCH[TECTIENGINEER NAME.,,.) LICENSENUMBER IRIS.LICA COMPANY NAME E-MAIL FAX STREET ADDRESS CITY.STATE,ZIP PHONE USE OF �SFD of Duplex ❑ Multi-Family ROOFAREA: VALUATION: STRUCTURE: ❑ Commercial �y/' 0/0 000 E ExisTINGROOFTYPE ❑BUILT4UPROOF kSPHALTSIRNGLE3 0WOODSHAKE3 ❑WOODSIBNGLES ❑OTHER(SPECPFY) REMOVE/REPLACE. I YF.S IF NO, PLYWOOD v,- ❑ PLYWD ❑OSB PITCFI: ROOF ❑NO p LAYIiRS I CKNESS' ❑NS' TYPE_' COX — )2 CLASS A PROPOSED ROOF TYPE: ❑BUILT-UPROOF IYASPIIALTSHINGLES ❑HOOD SHAKES ❑WOOD SHINGLES ❑OTNER ICC-ES REPORT DESCRIPTiONOFWORK: �O L^aye Ifif ha l'l 1 � ��,. 1 a'. /1 � /r 2 Gv00 c 7�/ 1 By my signature below,1 certify to each of the following: I am the property owner or authorized agent to ad on the property owner's behalf. 1 have Prod thu application and the information I have 'ded'u correct I hw the Description of Wort and verify it o arca atc. 1 ngree to comply with dl applicable local ordinances and state laws rtlating to ildm eonstrocli 1 reptesen 'vcs of Cupertmo to cnty the aIx^ -identif property for inspection purposes. Signature of ApplicatdAgeae Data: !/ SUPPLEMENTAL.INFORMATION REQUIR66 OFFICE USE ONLY _ If building is associated with a Home Owners Association,provide letter Plnu c IXCKTYPE ROUTING.SLIP of approval from HOA. V),OVERTHE-0OUNTER T BUILDING PLAN REWIEw _Provide Planning approval to verify if Ihcre any restrictions, ❑ QegEss LLJ PIASSING PLAN REVIEW _Provide copy of Manufacturers Installation Specifications. ❑ STANDARD ❑ FIRE DEff Provide signed copy of Cupertino s Tear-0iT Policy. ❑ OTHER: Reroq6App_2011.(Aw revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10841 W Estates Dr DATE: 08/24/2012 REVIEWED BY: Sean 124 ANN: BP#: '1'.1LUATION: $12,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTA1fATION USE: SFD or Duplex PERMITTYPE: 1SFDWLR00 WORK Remove and replace composition roofing and sheathing. SCOPE FEEID ROOFAREA s.f. 1REROOFFRES 1,200 ,I loch. flan Check Plumb.Plan Check E7ee. Plan Check Mcch.Permit 17ee: Phunh.Permil Fee: Elect Permit Fee: Other Mech. Insp. Other Plumb Insp. Other Flee.Insp. ,I1ech.lisp. Fee: Ph nrh. /up. Fee: 61cc.htsp.Fec: NOTE: This estinmte does not include jeer clue to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District.etc.). These feev are haled on the prefindnan in ortnation availahle and are onh,an estintate. Contact tire Dept for arh/n'I info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check. Fes: SuppL PC F ec Phunh./A.lech.iFlec Permit Fee: $180.00 Suppl. Insp Fee Ph nlb.1,Nech./Flee 1'htmh.1l•1ech./F1ed Permit Fee: Construction Tax.- Adinlnistrarive Fee: Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fees: Strong,Motion Fee: IBSEISb11CR $1.20 Select an Administrative Item Bldg, Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: $182.201 $0.00 TO'T'AL FEE: $182.20 Revised: 07/01/2012 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL GUPERTINO 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildino(kupertino_org PROTECT ADDRESSV a�_ _ mCj APNI � � �7 / 13X OWNER NAME JhnJru J i✓Y` /w�. 0 �E-MAI" L STRELTADDRESS Aill _ (j� �p 1 e1TY. A ZIP /7th G1q'iO _ FAX LI M Qr W„jCF7J3 OUS.W,Cv1 COMPANY NAMEazaram )'K *11 4 I UNDERSTAND AND AGREE TO THE FOLLOWING: I. 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 501/o 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 1/4” 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 we: 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 Residentf al o c. Signature of ApplicanUAgcnl' \ Date: Rer jPolin_2011.docrevised02//6/!1 AMERICAN ROOFING COMPANY Since 1938 Commercial - Industrial - Residential License No. 646428 August 23, 2012 City of Cupertino Community Development Department 10300 Torre Avenue Cupertino, CA 95014 Re: Building Permit To whom it may concern, American Roofing Company gives authorization to Jose Gomez to conduct any business on behalf of American Roofing Company in order to get Building permit for 10841 W Estates Drive. Please feel free to contact me with any questions or concerns. Sincerely P ter Murray 1616 16'h Street, Suite 200, San Francisco CA 94103 Tel: 415-575-0916 Far: 415-575-0916 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, C: YJV C O P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST_ JOB ADDRESS: / i PERMIT# OWNER'S NAME: PHONE # GE'NE'RAL CONTRACTOR: USINESS LICENSE# ADDRESS: 17��44 CITY/zIPCODE: *Our municipa code requires all 1, 11 working in the city to have a City of Cupertino business license. NO BUILDING FINN. OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRAC'T'OR AND ALL S BCONTRACTO HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE, am not using any subcontractors: Signature Date Please check applicable subcont tors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # 'Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum / Wood Glass/Glazing 1-leatiing Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date