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12090149 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 908 ROSE BLOSSOM DR CO\FRACI'OR:PRESIDENTIAL ROOFING PERMIT NO: 12090149 OWNER'S NAME: SAHAI AJAY AND PRIYA TRUSTEE 2912 DAYLIGHT DR DATE. ISSUED:09/182012 OWNER'S PHONE: 4082552355 SAN JOSE,.CA 95111 PHONE NO:(408)717-3493 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r. ELECT Ir PLUMB IJ r r— COMMERCIALi111EC11 RESIDENTIAL COMMERCIAL -7- tiare6y.aRnnthatganrlicensedunder the provisions of Chapter') JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKES AND INSTALL I2' (commencing with Section 7000)of Division 3 of the Business S Professions OSB PLYWOOD WITII UNDERLAYh1ENT AND INSTALL w'OODCREST Code and that my license is in full force and effect. PLYWOOD COMPOSITION 29SQFT CLASS A hereby affirm tinder 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[he 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 of the Labor Code,for the performance of the work for which this pcmnit is issued Sq. Ft Floor Area: Valuation:$22150 AI'1'LICAN'I'CERTIFICATION I certify that I have read this application mid state that the above infommlion is APN Number:35906032.00 Occupancy T).pe: correct.I agree to comply with till city and county ordinances 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 liabilities,judgments, PERMIT EXPIRES IF WORK ISNOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN Igo DAYS OF PERMIT ISSUANCE OR with all non-point sot ce regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature — — - Dae — IF-/'Z Issued by:9_egne� Date: I?9-fB I� ❑ OWNER-BUILDFR DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material beitg installed.If a roof is 1,as owner of the property,or my employees with wages as their sole comM1nsation, installed without first obtaining an ins action,I agree to remove all new materials for will do the work,mid the structure is not intended or offered for sale(Sea7044, inspection. Business-&Professions Code) I,as owner of the properly,am exclusively contracting with licensed contractors to Signature of Applicant: construct the project(Sec.7044,Business&Professions Code). r— - - J _-- -------- — ---_.�� T hereby affirm under penalty of perjury one of the following three �- t�l,,,ROOP COVI,RIN'GS T'O RF,CLASS"A"OR BE'I'I'ER declarations: I have and will maintain a Certificate ofConsent to self-insure for Worker's IIAZARDOIIS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which thisermit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the p California Ilealth&Safety Code,Sections 25505.25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for b}' compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the perlbrmanec of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued Additionall)',should I use equipment or devices which emit hazardous air I cenify[hat in the performance of One work forwhich this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain com pliimce with the Cupertino Jl unicipal Code.Chapter 9.12 and the Compensation lases of California. If,a0er making this certificate of exemption,I 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. Ovan r uthorized.angc li }� hate: APPLICAN"1'CF,RTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.I agree to comply With all city and county ordinances and state laws relating I hereby,affirm thin there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may acerae 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 ARCIIITECI"S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date License)Professional REROOF TEAR-OFF POLICY 2 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(akupertino.org PROJECT ADDRFS ® ^ -Cpor ' - APN0 OScDPHO7,5�OWER NAME -; ` T E-MAIL��C STREET ADDRES ,-C— r (SI SC) CITY,SZL"Ptnt,O . _ FAX CONTRACTOR NAMEO..a. Z LI SENUMBER LICENSETY BUS.LIC.u S ci. COMPANYNAI / E-MAIL FAX STREET ADDRESS �( \ Crry.STATE,Uy 21P�J C ^ I/ PHO ' 712-3 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 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: 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 Petectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Co n Signature of Applicant/Agent: Date: 7�t r� RerooJPo1icv_2011.doc revised 02/I6111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 908 Rose Blossom Dr. DATE: 09/18/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $22,150 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMA I 1SFDWLR00F USE: PERMIT T1 PE: WORK Tear off existing wood shakes and install 1/2" OSB plywood with underla ment and install woodcrest SCOPE lifetime composition. FEEID ROOFAREA s.f. 1REROOFFRES 2,900 Me& Plan Check Plumb.Plan Check Elect.Plan Check Mech.Permit Fee: Plumb.Permit Fee: Dec. Permit Fee: Other,Yeah. /nsp. Other Plumb Insp. L1 I Other Elec.lasp. Mr.ch.lisp. Fee: Plumb. lrr.rp. Fee: E•lce.brsp.Fee. NOTE: This astinmte does not include fees clue to other Departments(i.e. Planning,Public Warks, Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prefintinanv information available and are on A,an estimate. Contact the De 1 or addn'I info, FEE ITEMS (Fee Resolution 11-053 0.' 711111) FEE QTY/FEE MISC ITEMS Plan Check Feta: Snppl. PC Fec Phimb.lddech.lElec Permit Fee: $435.00 SuppL lnsp Fee Plu1?ib./d7ech.1Elec Plutnh.4fech.10ec Perniii Fee: Construction Tax: Adininistralive Fee: Work Without Permit? O Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fees: Stroma Motion Fee: IBSEISMICB $2.22 Select an Administrative Item 13lde Stds Commission Fee: BCBSC $1.00 SUBTOTALS: $438.221 $0.001 TOTAL FEE: 1 $438.22 Revised: 07/01/2012 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 -.. (408)777-3228• FAX(408)777-3333•buildinctOcuoertino.org CUPERTINO ¢���// \ PROJECT ADDRESS `/ /D APN P L�-:>9 — O I^\ 032- OWNER 2 2- OWNER NAME 1i U e, PHONi 5--��r 5 E-MAIL �/ ' J STREETADDR ss J CITY, STATE,ZIP //J FAX 1 l05 o a 12- 4 r7rG O \ CONTACT NMIE [�./Or��SO •�._7 P T 4/ EET a �I• /,, E�-}MAIL STRADDRESSt O(' L O4\ CRY. At9F H ( ` /1-7 ❑OWNER ❑(/OWNCB-BUI DER ❑ OWNERAGEM CONTRACTOR ❑CONT ACIORAGFM ❑ ARCIQTECT ❑ENGINEER ❑ DEVFWPER ❑TENANT CONTRACTOR NAME /O SO -/6- L LICENSENUMB y,-,T/ 0. LICENSET`i E n' BUS.LIC.0 @M1 CO6ANYN /E or��^1 �H. fIQ �t E-AUD. 7 FAX STREETADDRFSS-0 i L pn` I 11 CT'.STATE �,`^ �j C �� / PHONE ARCHITECTtENGINEFANNAME N /L LICENSENIR.m ER BUS.LIC.d COSO'ANY NAME f�L E-MAIL FAX STREET ADDRESS CT',STATE,ZIP PHONE USE OF 7`SFD or Duplex ❑ Ivlulu-FamilV, ROOF AREA: VALUATION: MUCruRE: ❑ Commercial Oyu l EXISTING ROOF TYPE: 11BUILT-UPROOF ❑ASPHALT SHINGLES p,WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECffY) REMOVE REPLACE �tTS IF NO. PLYWOOD �JS ❑ PLI'WD XOSB PITCH: ,) ROOF ❑ NO tl RSI ,,,,,,rt G • ❑ Ha^ ❑ -(� LASS A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF &SPH.ALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑/OTHER IMES REPORT# DEscRIPnoNOF WORK: ,(C,r �.•%��5 -e - ' CC ©5 CG()� C t' --ear By my signature below,)certify to each of the followine: 1 am the property owner or authorized agent to act on the property owner's behalf. 1 Itave read this application and the information I have pro•ided is correct. I have read the Description of Wodc and verify it is accurate. I agree to comply with all applicable local ordinances and state lass relating to 'Idi constmaion. I authorize epresenratives o- upertino to enter the above-identified property for inspection purposes. Signature ofApplicanUAgent: 1 — Date: Y—KS I Z SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONIA'k ' If building is associated widi a Home Owners Association,provide letter PIAN CHECK TYPE, x�- ROurING SLIP of approval from HOA. OVER4 HE COunT_eR y,BUILDING PLAN REVIEW l Provide Planning approval to verify if there any restrictions. ❑ h.CPREts / PLA NItrC 1'LAN REVIEW e�r��sa �opr _Provide copy of Manufacturers Installation Specifications. ❑ STANDARD ❑ FIRE nErc:J 1/I$ z�ly _Provide signed copy of Cupertino's Tear-Off Policy. - ❑ OT14ER:, ! ReroofApp_201 Ldoc revised 03/16/11