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12110112 CITY OF CUPERTINO BUILDING PERMIT RUILDING ADDRESS: 19834 MER_RITT DR CONTRACTOR:R E ROOFING& PERMITNO: 12110112 CONSTRUCTION INC OWNER'S NAM F: CARPER EDEN 15230 CLYDELLF,AVE DATE ISSUED: II/192012 OWNER'S PIIONE:-4086126664 SAN JOSE,CA 95124 PRONE NO:(408)62&9320 - ❑ rr LICENN.,SED CON'1'RACI'OR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT 0 PLUMB Ci hcensc C ssC I I- Lie.H -72 -75- (� AIECII r RESIDENTIAL r COMMERCIAL C-11 ` Dale ))I ( 4 1 hereby affirm that I,am-1 versed under the pnn'isions of Chapter 9 JOB DESCRIPTION: REMOVE AND REPLACE EXISTING WOOD SHAKE AND (commencing with Section 7000)of Division 3 of the Business& Professions INSTALLNEW OSB R'ITH UNUGRL\YMEN'f AND NIiN COMPOSITION Code and that my license is in full force and effect. ROOFING(2900 SQFI) I hereby affirm under penalty or 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 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(he work for which this permit is issued. Sq.Ft Floor Area: Valuation:$15000 APPLICANT CF-RTI FICATION I certify that I have read this application and state that the above information is ANN Number:31630028.00 Occupancy'rype: correct. I agree to comply with all city and county ordinances and state laws relining to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to sae indcmnifyandkeepharmlesstheCityofCupertinoagainstliabililies,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the gmnting�Lt's permit. Additionally,the applicant understands mrd will comply WITHIN IRO DAYS OF PERMIT ISSUANCE OR with all not]- tsource rd@,ulatiahs pceteCupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. �< _ / Signature-- J.r �. Date • I Z Issued by: ��r7/V ��TG� Date: - 7 ❑ ONVNER-BUILDER DECLARATION hereby amint that 1 am exempt from the Contractor's License Law for one of RF-ROOFS: the following two reasons: All r shalh inspected prior to mhy roofing material being installed.If a roof is 1,as owner of the property,or my employees with wages as their sole compensation, in ailed\vithou st obtaining an inspection,I agree Io remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, iq�pection. - - _ \/ Business&Professions Code) ) � �� I,as owner of the property,am exclusively contracting with licensed contractors to Si inure of peat:i Date: construct the project(Sec.7044,Business&Professions Code). I hereby afro under penalty of perjury one of the following three .V.I.K )OF C(1\'FKINGS'f0[IF CLASS".\"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's ILV- \KIIOUS M1IA'I'FRIAI-S UISCI.OSl1RE Compensation,as providedfor 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&Safety Code,Sections 2551)5,25533,and 25534. 1 will maintain Section 3700 of the Labor Code,for the perfommnce of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilealth& Safety Code.Section 25532(a)should I store or handle hazardous material. permit is issued Additionally,should 1 use equipment or devices which emit hazardous air I certify that in the performance of the Work for which 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 m intam compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of Cali hernia. If,after making this certificate of exemp}}o� Ile th&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor CoUc,I must _ Owne ort ori ed ent. , (( (anhwith comply With such provisions or this permit shall be deemed revo led hate: 1(� I ( L-- f APPLICANI'CF,R'1'IFICA'I'ION CONSTRIICI'ION LENDING AGENCY I certify that 1 have read this application and state that the above information is correct.1 agree to comply with all city and co my ordinances and state laws relating I hereby affirm that 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 regulatiats per the Cupertino Municipal Code,Section ,\RCIII'I'F:CI"S DECLARATION9.18. I understand my plans shall be used M public records. Signature Date Licensed Professional -- � X211 J \ lZ REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)7(7/7-3228• FAX((408)777-3333•building(cDcuoertino.orG PROJECT ADDRESS I•A y 1 Jt V��-� I fR. APNGM OWNER NAME ka Y,eL 1 p I,� .� `V V` PHONE 'J'1 x_U I Z_ I I �t 1� E-MAJIL STREET ADDRESS I �� j 1 1 �K�}L I 1 I�,A CITY, STATE.ZIP I.IC" I'�"�n(r�A �' FAX CONTACT NAME JJ,/1-(• �U I ��'I l PHONtj(�I(�_ I T -9520 E-MAIL STREET ADDRESS( ✓/� 2 U �L .LI CITY,STATE, ZIP \ I •��n' `JU`+ ��I FAX Lo` u/_ ❑OWNER ❑ OwNEx-BIfDFR ❑ OWNERAGFlT ONrAACrDA ❑CONIRACfORAGENT ❑ ARC ❑ENGNR ❑ DEVF10PER ❑TEN AMIE CONTRACTORNANCE j �/ / LICENS1113_11 ^ �/ LICE) BUS.LiC.# ZUI'hl CONIPANY NANI E / O F ,t- E-NUB. ` ' FA11 Ll�(/_ '�� --71 I_ I STREET ADDRESS I1•�2o r�\I Iyiitl �Aw, CITY,STATE,ZIP C y� I "T-I 'yV `3qI •J II PNO"NgA- ��b� '�[I3G b ARCHITECTIENGINEERN% E% l YJ(•IA. LICENSENUNIBER J,`,v`J VUR- L`-` BUS,LIC.B COMPANY NAME ' E-MAIL FAX 1 STREET ADDRESS i CITY,STATE,ZIP PHONE USE OFSFD or Duplex El Multi-Family ROOF AREA. VALUATION: STRUCTURE: ❑ Commercial `y�, 7 l ,/ •fH['I IJ, (�t/V. (/tom EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES . * OOD SHA4 ❑WOOD SHINGLES ❑OTHER(SPECIFY) RE1,/0VE IMPLACEAuS IF NO. PLYWOOD Xm" ❑ PLYWD ❑ OSB PITCH: ROOF ❑ Lig 1 M LAYERS THICKNESS' ❑ sm- TYPE X :12 CLASS' A PROPOSED ROOF TWE: ❑BMT-UP ROOF XASPHALT SHINGLES ❑WOOD SHARES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT M DESCRIPTION OF WORK: I �- /h=N� Lj1_ rlY- Nk� t SAI CA X. 3K-eLr s L '1 .n m�" e By my signal a below,I certify to of the o ng: I am the ro rty owner or authorized agent to act on the property owner's behalf. 1 have read this application e d the information I v 'ded is carre I ha}'e read the escriplion of Work and verify it is accurate. I agree to comply with all applicable local ordinance an stela laws relatin Do Idin constme6on., -dlh ` e repne ntalives ofCupenino to enter the above-idemded�pfroperty for inspection purposes. Signature of App A enc ' Date: 1\1 Iy SUPPLEMENTAL INPORMW ON; RED __ OFFICEUSEONLY 5 _If building is associated With a Home Owner's Association,provide letter -- - PLAN CDECK TYPE ROUTING SLIP. _ of approval from HOA. OVER-iin_cogn-rgR � BUILDING PLAN RESIEW . Provide Planning approval to verify ifthere any restrictions. FX RF9S ❑ PFVNWpC PLAN REVIEW _Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ el RE DEP1 Provide signed copy of Cupertino's Tear-Off Policy. •❑ 6 ii )t.' l i. G' ReroojApp_201 Ldoc revised 03/16/11 1 REROOF TEAR-OFF POLICY G COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTI NO 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 ///�� (408)777-3228 • FAX(408)777-3333• building0cuoertino.oro PROJECT ADDRESS 11 G�t( o .,, , YI - I APN P 1 I 1 0t`NER NAME I Lj-_ (, ` c )U(,( 0P`HONE I �_ E-MAIL STREET ADDRESS I(f If I I ✓/ ' CITY. STATE,ZIPVo/A71 Ifi�L_ qF l'IJF7�1t FAX Co,J ACTOR NAME -\I �LI\- �JL „/M�ItI!�� LICENSE NUMBER17-Z-75 � LICENSE TYPFi � BUS.LIC.a 961 1-9 COMPANY NAME I', ',• AIA--, /t� E-MAR [� FAX �0( -7(" ��,-I�/7/�� I STREET ADDRESS /23(] �Y /LiuV / I"�- CRY.STATE.ZD' ('� '1�1 -2 / PHONE UIJ.o,`V_ a_/I32\- ) 1 UNDERSTAND AND AGREE TO THE FOLLOWING: l V 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 one business day before the requested inspection date. Please call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-2:30pm (Friday) to schedule 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. 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. 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"A" 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. 7. 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. 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. 1 u F nd and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and car n tnonoxi detectors are required to b�tall d in accordance with Sectio s R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agelx; '� i / \ Date: I �' �oJ71o1icy2012.doc revised 10/7/12 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 19834 Merritt Drive DATE: 1 111 912 01 2 REVIEWED,BI': Sean 2_--rAPN: BP#: 'VALUATION: $15,000 *PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK Remove and replace existingwood shake and install new OSB with underla ment and new SCOPE composition roofing (2900 sq ft). FEE ID ROOFAREA (s.L) 1REROOFFRES 2,900 Mech. flan Check Pluurb.Plmr Cheek Eler...Plan Check Mach.Permit tee: Phlmb.Permit Fee: Elec. Permit Fcc: Chher:l�•rA. /asp. Other Phunb lnq:. Other Elec.Imp. aleclr./lisp.Plee: Plumb.Imp.Fee: Eke. Ahsr.FCC: NOTE: This estimate does not include jeev duc to other Departments(i.e. Planning. Public Works, Fire,Sanitary Sewer District,School District, eic.). These fees are based on the prefintittan information available and are only an Lwinuhte. Contact the De t or addn'I info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/12) FEE QTY/FEE MISC ITEMS Am Check Pee: SuppL PC Fee Phimb.:i1#ech./Elec Permit Fee: $435.00 SuppL Insp Fee Pl unth.ZA/ech.:'Ele.c Phimb.%AlYech.:Elec Permit Fee: Construction Taw Adm i n i tiv ra t i re'Fee.• Work Without Permit? 0 Yes ID No $0.00 Advanced Planning Fees: Travel Documentation Fees: Strong Motion Fee: 11ISF/SHICR $1.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: 1 $437.50 $0.00 TOTAL FEE: $437.50 Revised: 10/01/2012 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C U'P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR.LIST JOB ADDRESS: 61t < mz-I VC:- PERMIT# OWNER'S NAME: eft( PHONE# 6 — 3ZJ GENERAL CONTRACTOR: � - BUSINESS LICENSE# 2-0515 ADDRESS: 2 • CA3l Lt CITY/ZIPCODE: S. I *Our municipal code requires all businesses working in the city to have a Cih'of Cupertino business license. NO BUILDING FINAL ORF A CCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR ND AL S16BCONTRA HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 1 am not using any subcontractors: 11 i natur Date. Please check applicable,subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing . Electrical Excavation Fencing Flooring/Carpeting Linoleum /Wood Glass/ Glazing ' Heating Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank . Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date