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11060085 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10200 N TANTAU AVE CONTRACTOR:STATEWIDE ROOFING INC PERMIT NO: 11060085 OWNER'S NAME: ROCKTINO FEE,LLC 5542 MONTEREY RD DATE ISSUED:06/13/2011 O`+1ER'S PHONE: 6502234313 SAN JOSE,CA 95138 PHONE NO:(408)288-8680 Ir r U LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class r-'► Lic.# nn O 2 6 MECH f- RESIDENTIAL� COMMERCIAL� Contractor ( IGa98 Date O 3 I hereby affirm that I am licensed under t e provisions of Chapter 9 JOB DESCRIPTION:SINGLE PLY OVERLAY OF EXISTING FOAM ROOF TPO(60MIL)MECHANICALLY FASTENED OVER DENSE (commencing with Section 7000)of Division 3 of the Business&Professions DECK(1/4")OVER THE EXISTING FOAM ROOFTOAM ROOF 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 Sq.Ft Floor Area: Valuation:$104000 permit is issued. APPLICANT CERTIFICATION APN Number:31619061.00 Occupancy Type: 1 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 PERMIT EXPIRES IF WORK IS NOT STARTED 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 granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 13 (� Issued by: Date: Signature Date ( OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, — b/13 Business&Professions Code) Signature of Appliran Date: 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 Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain 1 have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's 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 or forthwith comply with such provisions or this permit shall be deemed revoked. Date: �� CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address c tnd expenses which may accrue against said City in consequence of the i ;of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION wan all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31619061. 00 DATE ISSUED. . . . . . . : 06/13/2011 RECEIPT #. . . . . . . . . BS000013729 REFERENCE ID # . . . : 11060085 SITE ADDRESS . . . . . : 10200 N TANTAU AVE SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : ROCKTINO FEE, LLC ADDRESS 10200 N TANTAU AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : NOVO CONSTRUCTION CONTRACTOR . . . . . . . : KYLE HYPES LIC # 23509 COMPANY STATEWIDE ROOFING INC ADDRESS 5542 MONTEREY RD CITY/STATE/ZIP . . . : SAN JOSE, CA 95138 TELEPHONE (408) 288-8680 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 104, 000 .00 5. 00 0 . 00 5 .00 0. 00 1BSEISMICO VALUATION 104, 000 . 00 21.84 0. 00 21.84 0. 00 1REROOFCOM SQUARES 294 . 00 1928 . 00 0 . 00 1928 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 1954 .84 0. 00 1954 .84 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 1, 954 .84 #1057264 --------------- TOTAL RECEIPT 1, 954 . 84 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION jj[ADDRESS: DATE: REVIEWED BY: PN: BP#: "VALUATION: 1$104,000 y°PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY PENTAMATION 1 BOFF USE: Commercial Building 7— PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Offices) II-B,111-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 MECH,HOURLY 0 Yes (F) No PLUMB,HOURLY 0 Yes Q No -ELEC,HOURLY Q Yes (j)No F-1 I LJ L LJ L NOTE. Theseees are based on the reliminar information available and are onlyan estimate. Contact the De ptfor addn'1 info, FEE ITEMS (Fee Resolution 09-05.1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 29,400 s.£ Re-roof Suppl.PC Fee: 0 Reg. 0 OT F-0,01hrs $0.00 $1,928.00 IREROOFCOM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl.Insp.Fee-.0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: 0 Yes E) No $0.00 0 Work Without Permit? 0 Yes G No $0.00 G Planning F ee: $0.00 Select a Non-Residential G Building or Structure 0 Strom Motion_Fee: IBSEISMICO $21.84 Select an Administrative Item Bldg;Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $26.84L$1,928.001 TOTAL FEE: $1,954.84 Revised: 04/29/2011 Im" 717 17th Street(80202) Johns Manville P.O.Box 5108 Denver,CO 80217-5108 303 978 2000 A Berkshire Hathaway Company www.jm.com June 10,2011 Statewide Roofing Inc. 1615 South 70'St. San Jose,CA 95112 CC: Thomas.Vicarion�im.com RE: Tantau—Cupertino,CA To Whom It May Concern: Please be advised that Johns Manville has reviewed all current conditions regarding this project.Details,and existing project conditions were reviewed with myself,and Thomas Vicario,Johns Manville's local technical inspector.Upon inspection,Johns Manville will provide a 15 year"No Dollar Limit"guarantee for the following roof assembly: • '/4"DensDeck MA • 60 mil TPO MA Statewide Roofing is one of Johns Manville's highest quality applicators in the territory,and is certified to install this system. If you have any questions,please contact me. Thanks, Matt Davis 925-301-5535 Matt.Davis@im.com O O...N 5..-T R -U C. T 1.....0 N PRELIMINARY INFORMATION NOVO Job#: 111-069 Project Name: Apple Tantau 7 (TA 7)TI 10200 N. Tantau Avenue Cupertino, CA 95014 Project Manager: Matt Davis 650.223.4313 Contractor: NOVO Construction 4025 Bohannon Drive Menlo Park, CA 94025 Client: Apple Inc 1 Infinite Loop Cupertino, CA 95014 Landlord: Rocktino Fee,LLC a Delaware limited liability company c/o Rockwood Capital,LLC Two Embarcadero Center, Suite 2360 San Francisco, CA 94111 Landlord Property Manager: Four Corner's Properties One Embarcadero Center, 37th Floor San Francisco, CA 94111 Landlord Lender: Bank of America,N.A. 555 California Street, 6th Floor Mail Code: CA5-705-06-011 San Francisco, CA 94104 Client Lender: Not Applicable AGREEMENT BETWEEN CONTRACTOR AND SUBCONTRACTOR ARTICLE 1 AGREEMENT This Agreement is made this 31't day of, May in the year 2011 , by and between the CONTRACTOR NOVO Construction,Inc. 4025 Bohannon Drive Menlo Park,CA 94025 Contact: Matt Davis 650.223.4313 and the SUBCONTRACTOR Statewide Roofing,Inc. 5542 Monterey Road,#201 San Jose,CA 95138 Contact: Michael Courtney 408.283.7828 for services in connection with the SUBCONTRACT WORK Scope of work includes but not limited to: ROOFING 1. Provide all material,equipment and labor required to complete the following scope of work: a. TPO single ply overlay(approx 29,600 SF) b. Clean and prep roof for overlay.This include demo of all base flashings at curbs and walls. c. At ponding areas on roof(not to exceed 200SF)install fanfold or tapered insulatio_Q to raise roof in these areas Ke- e. Install a 60 mil TPO Title 24"cool roof"system on top of slip sheet. System will be mechanically fastened and installed per manufacturers specifications. Membrane manufacturer to be Johns Manville or equal. f. Roof will run up parapet wall 12". A termination bar detail will be installed to terminate roof on parapet wall. g. Flash in all existing drains, all existing small hooded vents, all existing large hooded vents, all existing skylights, all existing HVAC units and all existing roof hatches. Roof in 124 sight screen support penetrations and (68)duct supports. h. Provide 15 year manufacturers warranty and 5 year contractors workmanship warranty. i. Includes installing 1/a"-Seemwek Glas-Mat roof board. Mechanically fastened and installed per manufacturers specifications. PO4SO - . W*'%_ j. Includes install of 80 LF(30"wide)of TPO walk pad. 2. All subcontractors must attend jobsite orientation prior to start of work. 3. Each subcontractor foreman/crew must attend weekly safety meetings. 4. All subcontractors must attend weekly sub coordination meetings consisting of subcontractors and NOVO Construction. S. Site specific MSDS will be delivered to Novo supt. prior to start of work. 6. Foreman will turn in daily reports, weekly scaffold inspection reports and pre-task plans for hazard work. Forms will be provided upon request. 7. Subcontractors are responsible to review existing conditions by means of as-built drawings and/or jobsite survey. 8. Subcontractor shall be responsible to coordinate this scope of work with both NOVO and the other subcontractors. There will be no additional compensation for work that must be changed; corrected or removed that was installed without proper coordination.The same shall apply for location and movement of stored materials. 9. Includes layouts required to complete this scope of work. 10. Includes for all of your own daily clean-up and removal from the site. 11. Includes additional costs for Worker's Comp Waiver of Subrogation insurance requirement. 12. Includes all of your own hoisting equipment for debris removal, material loading or unloading. 13. Includes scaffold as required to perform this scope of work. 14. Includes all required closeout documents. 15. Foreman needs to be present at all inspections related to your scope of work. 16. NOVO management must approve any extra work prior to start. TOTAL CONTRACT AMOUNT: $109,534.00 (One Hundred Nine Thousand Five Hundred Thirty Four Dollars) Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 107-Oe PERMIT# U� OWNER'S NAME: Qom, PHONE# ^2 Z GENERAL CONTRACTOR: tBUSINESS LICENSE# ADDRESS: 55-`"i2 Itil ''ftr f C4 4,j CITY/ZIPCODE: *Our municipal code requires all busines es working in the city o have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT C S AVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. /� /13// I am not using any subcontractors: b Signature ate Please check applicable subcontractors and complete the fol wing 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 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(408)777-3333•building aacupertino.org PROJECT ADDRESS O n O 0 • ,t TA NT-A JC-- APN# ICA I OWNER NAME 1{..OC_�4-T IBJ V !Ge• LLL PH� 910-2_'L ` _ 4111 _ l 1' 1 E MAIL STk1 DR?� 33&'41 C STATE,ZIP 4AWIII FAX rr e4sco CA APPLICANT NAME /( n�, A G PHONE E-MAIL STREET ADDRESS f •��� /.Y /, (_,CIT S v' C-A, FAX ElOWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 1:1CONTRACTOR 13 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER tXTENANT CONTRACTOR N �' O LI F�� 11d tg E TYPE BUS.LIC.# RJ L V � F 7Z COMP NAME E-MAILFAX rA t ca Olt n, S-A5" - t by-2 Z e STREET ADDRESSrrY,STATE,Z PHONE 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: t[ UATION: 2 0EA STRUCTURE: Commercial l r`" D a` f( 0 Cq acs a EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ATHER(SPECIFY) �44V1, REMOVE/REPLACE r YES IF NO, PLYWOOD (�,'/" ❑ PLYWD ❑ OSB PITCH: ROOF ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: 91-CDX �` '12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES 11WOOD SHINGLES OTHER ` `(�o ICC-ES REPORT# DESCRIPTION OF WORK: S JAjr r ,s ' 44 6Zt S 721(4 �Er-O P-ae F�� I �' �i► L 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 rovided 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 relati b g co cti I authorize.representatives of Cupertino tc enter the abov id tified pperty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED _If building is associated with a Home Owner's Association,provide letter PJJAI'I e> cscrrE 'toLtrt�si�P of approval from HOA. ❑3QVERTEEQEITERs ❑ BUII.Mam AN REVIEW Provide Planning approval to verify If there any restrictions. XASS; ❑ PLANNINGPLNREVE _Provide copy of Manufacturer's Installation Specifications. [] ssrmAltD © D ❑ oTSFR Provide signed copy of Cupertino's Tear-Off Policy. - z O'ki dv v COQ Sc' -�t�TlOs..� �S (7'r.� ReroofApp_2011.docievised 03/02/11