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13030115CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10122 S TANTAU AVE CONTRACTOR: ADVANCED ROOFING PERMIT NO: 13030115 TECHNIQUES OWNER'S NAME: URS MADER 15272 STRATFORD DR DATE ISSUED: 03/21/2013 OWNER'S PHONE: 4082537002 SAN JOSE, CA 95124 PHONE NO: (408)249-4937 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lip. #' TEAR OFF (E) COMP, INSTALL (N) 40 YR CLASS A COMP ✓ccycc, s r— �� �� Contr ori,; 2� ,, v I h eby affirm that I am licensed under the p vision of Chapter 9 (,Oncing with Section 7000) of Division 3 of the Business & Professions Code and that 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 Sq. Ft Floor Area: Valuation: $7800 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 APN Number: 37507039.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city an&county ordinances and state laws relating WITHIN 180 DAY PERMIT ISSUANCE OR to building. construction, and hereby authorize representatives of this city to enter upon the above mentioned property fora inspeetion purposes. (We) agree to save 180 DAYS F ST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, i costs, and expenses which. may accrue against said City in consequence of the Is r a e: granting of this pe ' . nally, the applicant understands and will comply e with all non- p ' source re ations per upertino Municipal Code, Section 9.181 2 3 OOFS: Signa Date All roofs shall be inspecofing m terial being installed. If a roof is 0iorto installed without first oon, Ieeto remove all new materials for inspecrion. OWNER-BUHAERDECLARATION Signature ofApph ant:Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property; or my employees with wages as their sole compensation, Will do the work, and the structure isnot intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use a ui ment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by t, yr Air Quality Management District I performance of the work for which this permit'is issued. will maintain compliance will he Cuperti Muni A Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, ections 25505, 5533, d 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized ag nt Date: —2(, f 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, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional . 9.18. Signature Date a s REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 1030© TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTIINO (408) 777 -3228 -FAX (408) 777-3333 • building(a)cupertino.org ADDRESS /U� ` J` APN # ' % ,y� D ,./_ _ 35' � . 7 I ` FPROJECr NAME&MATT �9'�4'v�� CJ✓ STREET ADDRESS CITY, STATE, ZIP FAX CONTRALTO LICENSE ER Ct LICNSE BUS. LIC. # COMPANY E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE 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 un 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 auproval 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 I/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. 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. 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 R3 f5 of the 2010 California Residential Code. Signature of Applicant/Agent:, Date: ReroofPolicy_2012.doc revised 10/7/12 v CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION } ADDRESS: 10122 S TANTAU AVE DATE: 03/21/2013 APN: 375 07 039 BP#: REVIEWED BY: MELISSA "VALUATION: 1$7,800 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARYSFD or Duple USE: x PENTAMATION 1SFDWLR00 PERMIT TYPE: WORK TEAR OFF E COMP INSTALL N 40 YR CLASS A COMP SCOPE 0.0 Liech. Plan Check le'll, Perwil Fee: Other JUech. Insp: Alech. Insp. Fee: Pl u L Plan Check Plumb. Permit Fee: Other Plumb Insp. FT Plumb. Insp. Fee: Elec.. Plan Check Elec. Permit Fee: Other Elec. Insp, Elec. Insp. Fee: NOTE. This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta). These ees are based on the preflinina information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 E . 7111122 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00. r1,500 s.f. Re -roof $225.00 1REROOFRES Suppl. PC Fee: (E) Reg. ®.OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. ® OT ° 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso-tiction :Tax: Administrative Fee: G Work Without Permit? ® Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure Travel Documentation Fees: Strong Motion Fee: IBSEISMICR $0.78 Select an Administrative Item Bldg Stds Commission .Fee: IBCBSC $1.001 Revised:01/01/2013