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11090182 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10112 BERKSHIRE CT CONTRACTOR:JIM KRAUSE ROOFING PERMIT NO: 11090182 OWNER'S NAME: LOW-YEE WENDY 2310 DIANA AVE DATE ISSUED:09/26/2011 OWNER'S PHONE: 4082572846 MORGAN HILL,CA 95037 PHONE NO:(408)779-0704 .,111 LICENSED CONTRACTOR'S DECLARATIONr 2 55143-5f 5� L BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C J Lic.# 3 7 ' r MECH r RESIDENTIAL� COMMERCIAL � Contractor Date I here nrm that I a e d under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF WOOD SHAKE&INSTALL COMP (commencing with c ' 000)of Division 3 of the Business&Professions SHINGLES CLASS A 26SQFT Code and that ►cense is in full force and effect. 1 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$16299 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION APN Number:34212107.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by: Date: --Z-7--C� Signature Date OW -BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 1,as owner of the property,or my employees with wages as their sole compensation, `�/ / / will do the work,and the structure is not intended or offered for sale(Sec.7044, Signature of Applicant: Date: / Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 1 have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or aut t: - 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of"ork's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, co­z,and expenses which may accrue against said City in consequence of the ig of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION �.._..all non-point source regulations per the Cupertino Municipal Code,Section 1 understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34212107. 00 DATE ISSUED. . . . . . . : 09/26/2011 RECEIPT #. . . . . . . . . : BS000014856 REFERENCE ID # . . . : 11090182 SITE ADDRESS . . . . . : 10112 BERKSHIRE CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : LOW-YEE WENDY ADDRESS 10112 BERKSHIRE CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PERMIT SERVICES INC CONTRACTOR . . . . . . . : KRAUSE, JIM LIC # 21415 COMPANY JIM KRAUSE ROOFING ADDRESS 2310 DIANA AVE CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (408) 779-0704 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 16,299. 00 1 . 00 0. 00 1 .00 0. 00 1BSEISMICR VALUATION 16,299. 00 1. 63 0. 00 1 .63 0. 00 1REROOFRES SQ FEET 36 .00 504 . 00 0 . 00 504 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 506 . 63 0. 00 506 .63 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 506 .63 #2981 --------------- TOTAL RECEIPT 506.63 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF C) REROOF PERMIT APPLICATION 11 ` UI � COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX (408)777-3333 •building@cupertino.orq PROJECT ADDRESS 1 © z2 , I' Z F 7# Lt.,)" //'1 l�r / O OWNER NAMEP k./k 1 L( � i o g 15171 � E-MAIL STREET ADDRESS /V CITY, STATE,ZIP FAX IQ I Z tZ`c 11 - C'( Cv?�Z rj0 CA �' SUI 4 CONTACT NAME PHONE E-MAIL IV to -4Z'7ZG© STREET ADDRESS 10 b Cy r ` r ) CITY,STATE)A- G j� FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME JIM KRAUSE LICENSE NUMBER 554351 LICENSE TYPE C39 BUS.LIC.# COMPANY NAME JIM KRAUSE ROOFING E-MAIL FAX 408-779-8807 STREET ADDRESS 2310 DIANA AVE. CITY,STATE,ZIP MORGAN HILL,CA 95037 PHONE 408-779-0704 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: i RUCTURE: ❑ Commercial _�&c> 16 Z- T/ G EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES PQWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE ®.YES IF NO, PLYWOOD ❑ '/:" Qj 7/�� PLYWD 15 OSB PITCH: :4:12 OF ❑ NO #LAYERS: THICKNESS: ❑ 5/8" F9 TYPE: ❑ CDX 4 ASS: `�PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ES REPORT# DESCRIPTION OF WORK: r uvs 14 By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read t escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. orize repres coati upertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 2 G SUPPLEMEN INFORMATI E OFFICE USE ONLY If building is associated with a Home s Association,provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. 9-VP E-COUNTER BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT '�signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroofApp_2011.doc revised 03/16111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10112 birkshire ct. DATE: 09/26/2011 REVIEWED BY: APN: BP#: `VALUATION: 1$16,299 '°PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF USE: PERMIT TYPE: WORK tear off wood shake install comp shingles. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 3,600 NOTE. This estimate does not include fees due to other Depts(i.e.Public Works,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminary in ormadon available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resohilion 11-053 Elf' 7`1/11) FEE QTY/FEE MISC ITEMS Permit Fee: $504.00 F-1 Work Without Permit? 0 Yes Q No $0.00 Strom Motion Fee: 1BSEISMICR $1.63 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $506.63 $0.00 TOTALFEET $506.63 Revised: 09/02/2011 REROOF TEAR-OFF POLICY ELI] COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333-buildin((a)cupertino.or4 PROJECT ADDRESS / f 2 /• APN# OWNER NAME L 1 I J) _ -T E-MAIL 7 ( ,) PH0Oq ' 2-0- Z STREET ADDRESS 1 O I & P4 H I n _ CITYTAT�CA S�/ FAX CONTRACTOR NAME (� L 'S� ,`G -LICE SE NUMBERC ' LICEENS JPE BUS.LIC.# COMPANY NAME �►�/ E-MAIL 7 F 3; ►� w A�Le),V_ STS T ADDRESS' ` CITYL uF� Z � L'LL G ` �� � PHONE 'O G.._ CI. UNDERSTAND AND AGREE TO 1THE 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 detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: 2-6 1 ReroofPolicv 2011.doc revised 02116111 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C O P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: /( 2 1► -r-51-1 I R C" PERMIT# C��I OWNER'S NAME: Ij t A,DL,-) f.j PHONE # 40q 2-S Z-<j4 (o GENERAL CONTRACTOR: 7 j M If BUSINESS LICENSE# ADDRESS: Z310 D I AA)AAVC- CITY/ZIPCODE: ,M C42-b RA) 141 iL 9 303 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Si ure Date Please check applicable subcontractors 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 Ow ontractor Signature Date