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11060143CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10390 MANN DR I ROOF CTOR: CALIFORNIA STYLE I PERMIT NO: 11060143 I OWNER'S NAME: DUNDEE MAPLES 164 MARIAN LN DATE ISSUED: 06/16/2011 ER'S PHONE: 4084801104 1 SAN JOSE, CA 95127 I PHONE NO: (408) 592-4596 ❑ LICENSED CONTRACTOR'S DECLARATION License Class �� G3 Lic. # / �+� q�V Contractor lG/ rl c S f 2co 1)a1t� &�i �( I hereby affirm 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 re ulations per the Cupertino Municipal Code, Section 9.18. Signature Date 1 L OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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. 1 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 BUILDING PERMIT INFO: BLDG F ELECT f— PLUMB r— MECH r RESIDENTIAL r COMMERCIAL JOB DESCRIPTION: RE -ROOF TEAR OFF WOOD SHAKE & INSTALL NEW COMP SHINGLES CLASS A 37SQFT Sq. Ft Floor Area: I Valuation: $15950 APN Number: 32645009.00 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: 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 agree to remove all new materials for inspection. Signatu a of pplicant: ? Date: (V b 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. 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 Owner or author !gent: /! / forthwith comply with such provisions or this permit shall be deemed revoked. Date: w 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 7nify and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the e, .:sting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of cork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32645009.00 DATE ISSUED.......: 06/16/2011 RECEIPT #.........: BS000013795 REFERENCE ID # ...: 11060143 SITE ADDRESS .....: 10390 MANN DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER ............: DUNDEE MAPLES ADDRESS 10390 MANN DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: FELIZARDO I INZUNZA CONTRACTOR FELIZARDO INZUNZA LIC # 22531 COMPANY CALIFORNIA STYLE ROOFING ADDRESS 164 MARIAN LN CITY/STATE/ZIP ...: SAN JOSE, CA 95127 TELEPHONE ........: (408) 592-4596 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ---------- NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 15,950.00 ---------- 1.00 ---------- 0.00 1.00 0.00 1BSEISMICR VALUATION 15,950.00 1.60 0.00 1.60 0.00 1REROOFRES SQ FEET 37.00 481.00 0.00 481.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 483.60 ---------- 0.00 483.60 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT AMOUNT --------------- 483.60 --------------- 483.60 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- #1295 VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CUPERTINO rrF FCTTMATnR — RITTI.DING DIVISION LaiADDRESS: 10390 mann dr. DATE: 06/16/2011 REVIEWED BY: bobs. APN: BP#: 'EVALUATION: Iso *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: P PENTAMATION 1 SFDWLROOF PERMIT TYPE: WORK tear off wood shake install new comp shingles. SCOPE I FEE ID ROOF AREA s.f. 1 REROOFFRES 3,700 7_ NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the Dept /or aaan't info. FEE ITEMS (Fee Resolution 09-051 Fff. 7/1-102 FEE QTY/FEE MISC ITEMS Permit Fee: $481.00 Work Without Permit? 0 Yes No $0.00 Strong Motion Fee: 1BSEISMICR Select an Administrative Item Bld#; Stds Commission Fee: $0 SUBTOTALS: $481.00 $0.00 TOTAL FEE: $481.00 Revised: 04/29/2011 C 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 • buildinq(a,cupertino.org PROJECT ADDRESS /0 5 qo M q K V� r . AFN # OWNER NAME (I PHO 06) W- I o I E-MAIL STREET ADDRESS Q u / CITY, STATE, ZIP FAX j CONTRACTOR NAME ; Ef LICENSE NUMBER-�O �J% LICENSE TYPE C3 q BUS. TIC. # COMPANY NAME ( r,4 I q E-MAIL caS O T I n �I'/>�.CDu ft� 9) 2 2- 7 - 10 �� STREET DDjtESS Y! u CI r s ATE, ZIP CJ �C ,95 L P O l p ) 40/- 4-13 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear -Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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 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. 6. 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 $126.00. The re -inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide detecto e required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: //6 ReroofPolicv 2011.d c revised 02/16/11 0 CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinga-cupertino.org o l �- PROJECT ADDRESS /D q 6 %1 APN # 22Ji 5 �I �4 ` OWNER NAME NIndee PHO Lf 00 -' to E-MAIL STREET ADDRESS ,0 3 qV a Y?4 f /%j Crrr, ZI$ /_rn_D C4 FAX APPLICANT NAMEPH!rje Wt _ 4q3 14ol E-MAIIf JVG _!� (_ L 0.(0 STREET ADDRESS CITY, ST `ZIP �� OA�q/ (2 � F 08) 2 i� -9046 w b ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACrOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACT NAME .LSO 1 LICENSE NUMBER LICENSE TYPFj ^� J BUS. LIC. # Zj CO MP NY p!` J� 1- -Wyk a 0 +q- /�� E-MAIL / % /(� C I S I rov w � loD. 06r. F 271-96.66 STREET ADD SS CITY, STATE, ZiP (� f7 Cca X > PH NE 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: ((� STRUCTURE: El Commercial 31 EXISTING ROOF TYPE ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES }a eTHER ECIFY) W&A �v ` WOO REMOVE /REPLACE PI -YES IF NO, I PLYWOOD''/:" ❑ PLYWD 19 OSB PITCH: 12 ROOF A El NO #LAYERS: THICKNESS: El5/8" TYPE: ❑ CDX ' CLASS: PROPOSED ROOF TYPE: 13BUILT-UPROOF ASPHALT SHINGLES ElWOOD SHAKES ElWOOD SHINGLES ElOTHER ICC -ES REPORT # DESCRIPTION OF WORK: a f � I 04 C ( 8 / 16( C 1 !S� Ii,+ti /Q S - r' 1QJ 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 the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction nze representatives of Cupertino tc enter the above *dentif d property for inspection purposes. Signature of Applicant/Agent: Date:aw SUPPLEMENTAL INFORMATION REQUIRED'Slo `}: , �664 cS"N" E F 1AX�`�E "ac siP If building is associated with a Home Owner's Association, provide letter _ of approval from HOA.B pix raE-cGartr> x� P+I ItEv Provide Planning approval to verify if there any restrictions. ❑' Ex�xEss.� ❑r nxttnvPl ANxEVIEw — Provide copy of Manufacturer's Installation Specifications. «� ❑ srANDA7tn ❑�ESei _ Provide signed copy of Cupertino's Tear -Off Policy. _ ReroofApp_2011.doc revised 03/02/11