The URL can be used to link to this page

11090005CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19665 MERRITT DR I CONTRACTOR: CAL PAC ROOFING I PERMIT NO: 11090005 1 OWNER'S NAME: VERONICA LAM 11350 DELL AVE I DATE ISSUED: 09/01/2011 1 OWNER'S PHONE: 4088883645 t _ LICENSED CONTRACTOR'S DECLLARATION License Class C ! r I Lic. # — " V� CbntrVa tor >01f Date I hereby affir that I am licensed under the provisions of Chapter 9 (commencing 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 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 permit is issued. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 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. Signature %I ,, Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 the work for which this 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 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. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, c--, and expenses which may accrue against said City in consequence of the ag of this permit. Additionally, the applicant understands and will comply V all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CAMPBELL, CA 95008 PHONE NO: (408) 370-3332 BUILDING PERMIT INFO: BLDG f— ELECT f— PLUMB r— MECH f— RESIDENTIAL COMMERCIAL f— JOB DESCRIPTION: RE -ROOF REPLACE SHAKE ROOF WITH LIGHTWEIGHT TILE CLASS A 30SQ Sq. Ft Floor Area: I Valuation: $16000 APN Number: 31635004.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by__/��-Date: y i RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I a ree to remove all new materials for inspection. _ Signature of Applican Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. 11 r r ;iz 5ent: Date: V �� —11 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Ad ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional. 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31635004.00 DATE ISSUED.......: 09/01/2011 RECEIPT #.........: BS000014644 REFERENCE ID # ...: 11090005 SITE ADDRESS .....: 19665 MERRITT DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: VERONICA LAM ADDRESS ..........: 19665 MERRITT DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2437 RECEIVED FROM ....: DOROTHY SPARLING CONTRACTOR .......: TOM SPARLING LIC # 32127 COMPANY ..........: CAL PAC ROOFING ADDRESS ..........: 1350 DELL AVE CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE ........: (408) 370-3332 FEE ID UNIT ---------- QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ------------- 1BCBSC VALUATION ---------- 16,000.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 16,000.00 1.60 0.00 1.60 0.00 1REROOFRES SQ FEET 30.00 420.00 0.00 420.00 0.00 TOTAL PERMIT ---------- 422.60 ---------- 0.00 ---------- 422.60 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 422.60 --------------- 422.60 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- MC VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingaa cupertino.org PROJECT ADDRESS (, . ! APN # ;J �/ 5r -lei OWNER NAME q / PHONE �' _ E-MAIL STREET ADDRESS a „. < r P[0<4 CITY, STATE, ZIP D FAX � �1 1 , V APPLICANT NAME LC 1� PHONE-� E-MAIL A. A— STREET ADDRESS CITY, STATE, ZIP ') FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT -YCONTRACrOR ❑ CONTRACTOR AGENT ❑ ARCIIMCT ❑ ENGINEER DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER o LICENSE TYPE C BUS. LIC. COMPANY NAME �1 E -MATT. FAX ✓ 1 STREET ADDRESS , CITY, STATE, ZIP y PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAM FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF 11;�-UD or Duplex ❑ Multi -Family ROOF AREA: VALUATION: STRUCTURE: El Commercial f� � v _n EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES XW OOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE sz6m IF NO, PLYWOOD ❑ W, ❑ _ PLYWD ❑ OSB PITCH: ROOF ❑ NO # LAYERS: I THICKNESS: ❑ 5/6" TYPE: ❑ CDX A. 12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLESTM ICC -ES REPORT # 1 DESCRIPTION OF WORK A V �,Vt _ �" I LE , 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 hpwmad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating ilding co 'on. uthorize representatives of C pertino tc enter the abo identified property for inspection purposes. Signature ofApplicanUAgent Date:�� = l SUPPLEMENT ORMA N REQUIItE .- _-�''' = _ -...� If building is associated with a Home Owner's Association, provide letter SM. == -_ 5 - � of approval from HOA. _ ��Fp� �= _ Provide Planning approval to verify if there any restrictions.MMM Provide copy of Manufactur'er's Installation Specifications.`-,, _ 3�v n R Provide signed copy of Cupertino's Tear -Off Policy. v 1 ReroofApp_2011.doc revised 03/02111 `� FM_7 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION FEE ID ROOF AREA s.f. 1 REROOFFRES 3,000 lVVLC: inesejees are Dasea on the preliminary information available and are only an estimate. Contact the Debt for addh7 info. FEE ITEMS (I,ee Resolution 11-053 EV 7/1"'11) FEE QTY/FEE MISC ITEMS Permit Fee: $420.00 Work Without Permit? 0 Yes G No $0.00 i Strong Motion Fee: IBSEISMICR $1.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $422.60 $0.00 TOTAL FEE: $422.60 Revised: 07/04/2011 ADDRESS: 19665 merritt DATE: 09/01/2011 REVIEWED BY: bobs. APN: BP#: 'VALUATION: 1$16,000 —� Y°PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: PENTAMATION 1SFDWLROOF PERMIT TYPE: WORK replace shake roof with lightweight tile. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 3,000 lVVLC: inesejees are Dasea on the preliminary information available and are only an estimate. Contact the Debt for addh7 info. FEE ITEMS (I,ee Resolution 11-053 EV 7/1"'11) FEE QTY/FEE MISC ITEMS Permit Fee: $420.00 Work Without Permit? 0 Yes G No $0.00 i Strong Motion Fee: IBSEISMICR $1.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $422.60 $0.00 TOTAL FEE: $422.60 Revised: 07/04/2011 CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(aD-cupertino.org PROJECT ADDRESS ��` r APN # OWNER NAMEVo(� L A A PHONE �„ J+ r' .: E-MAIL / STREET ADDRESS I r W I (` CITY, STATE, ZIP (i , 6 i- FAX CONTRACTOR NAME . / / LICENSE NUMBER LICENSE TYPE BUS. LIC. # COMPANY NAME �. L,/1� �+✓ a \�' E-MAIL FAX STREET ADDRESS l 11 Jl ! / ice/ f..�✓ CITY, STATE, ZIP% y r PHONE 1 ) 7 ;1 1 �� r1 L (.� , I :f -) I UNDERSTAND AND AGREE TO THE FOLLOWI I g 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 a fired to be installed in accordance with Sections R314 and R315 of the 2010 California Residential de.) Signature of Applicant/Agent: V, Date: - 2%0 Reroofpolicv 2011. doe revised 02/16/11 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: )+00 £ i i 1 PERMIT # OWNER'S NAME: vel u % (: A LA-tA PHONE # GENERAL CONTRACTOR: 'At rkl BUSINESS LICENSE # ADDRESS: 010 Z� ZA-4-A 60-l/ CITY/ZIPCODE: abs: *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: ) � o M gn ure Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date 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