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11050258
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8099 HYANNISPORT DR CONTRACTOR:CASTILLO'S PERMIT NO: 11050258 ROOFING OWNER'S NAME: ROBIN GEE 1703 CATHAY DR DATE ISSUED:05/27/2011 OWNER'S PHONE: SAN JOSE, CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATION I -� /� BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class �7 Lic.# 'I �)OL6_6 (-" f— C ) MECH RESIDENTIAL COMMERCIAL Contractor (�A'��C i\�05 1 C—OJ Date '5_27' 1 I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: RE-ROOF 17 SQ TEAR OFF EXISTING WOOD SHAKES, (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL 7/16 OSB AND 30LB FELT W/NEW SHINGLES Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8500 1 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:3561 1013.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT E RES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHI 0 AYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DA F OM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ;2 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: SignatureDate 7^ j 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. ❑ OWNER-BUILDER DECLARATION r ' 1 hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 7- the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 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 equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for theerformance of the work for which this is ' p Owner or authorized agent: /'' Date: S-2 7 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,1 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 1 certify that 1 have read this application and state that the above information is correct. 1 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, ARCHITECT'S DECLARATION 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 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . . 35611013 . 00 DATE ISSUED. . . . . . . : 05/27/2011 RECEIPT # . . . . . . . . . : BS000013596 REFERENCE ID # . . . : 11050258 SITE ADDRESS . . . . . : 8099 HYANNISPORT DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . ROBIN GEE ADDRESS . . . . . . . . . . : 8099 HYANNISPORT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : HILARIO CASTILLO CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO' S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 500 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 8, 500 . 00 0 . 85 0 . 00 0 . 85 0 . 00 1REROOFRES SQ FEET 17 . 00 221 . 00 0 . 00 221 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 222 . 85 0 . 00 222 . 85 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 222 . 85 visa --------------- TOTAL RECEIPT 222 . 85 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 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 CUPERTINO (408).777-3228• FAX(408)777-3333• building65)cupertino.org PROJECT ADDRESS49 7 APN# D0011 (r�nv� o�c 1?{ OWNER NAME ZO N C1 �'l Q PHONE 24 2^09 E-MAIL STREET ADDRESSO Oq Q1 1 An n'S CITY, STATE,ZIP /.V ( , O FAX CONTRACTOR NAME LICENSE NUMBER b LICENSE TYPE BUS.LIC.# COMPANY NAME I Id0lE-MAIL FAXCr Zs�^35bs 1 STREET ADDRESS 0_04a �{ CITY,STATE,ZIP .1J o ` / PHONE �6 J �7 1 .7 J I UNDERSTAND AND AGREETO 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 detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Co Signature of Applicant/Agent: Date: - �7' ReroojPolicy_2011.doc revised 02/16/11 REROOF PERMIT APPLICATION , COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPER,TINO (408)777-3228• FAX(408)777-3333 •building a)cupertino.org I O PROJECT ADDRESS </ (3 0 4) APN# OWNER NAME ?%O` i VN cl PHONE(q n E-MAIL STREET ADDRESS © b CITY, STATE,ZIP C L FAX 11 oo1°1 Anr�g or v z,4,-,o L� APPLICANT NAMELA , PHONE J I _354 E-MAIL STREET ADDRESS3 � � CITY,STATE, ZIP S� FAX � ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT Ef CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME ,1 Ops `n LICENSENUMBER� LICENSETYPE n .Z BUS.LIC.# COMPANY NAME S�.�t` oo� E-MAIL 4/ L 7 FAX \vs i 1 STREET ADDRESS 1-7o,3 1i C AAV D r CITY,STATE,ZIP L 1 �O S� C A 0C y PHONE 40 ? ZS I-2 S b ARCI-=CT/ENGINEER NAME LICENSE NUMBER J l BUS.LIC.# J COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: j� STRUCTURE: E] Commercial \ 1 C)C) _ �� 'S (DE) EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 2fWOOD SHAKES WOOD SHINGLES El OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD El '/:" 07,4 PLYWD R *OSBPITCH: ROOF ❑NO #LAYERS: THICKNESS: El5/8" TYPE: 11CDX '12 CLASS: A PROPOSED ROOF TYPE: ElBUILT-UPROOF LS ASPHALT SHINGLES 1:1WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: _ 1 k �A r - e. t t,J 00S S I'ta kce -7 A b OS ThsA-&Nl30 1b. ��- `C s \� new 4 , -S By my signature below,l 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 con$Wction. I authorize representatives of Cupertino tc enter the above-id ntified property for inspection purposes. Signature of Applicant/Agent:ALO �1'' Date: 5-12 -7111 SUPPLEMENTAL INFORMATION REQUIRED UF17CEUSE ONU. _If building is associated with a Home Owner's Association,provide letter PLAzv caEc[t TAPE' '`" • • itovTJNa'SLIP of approval from HOA. ❑ p.YER'tt OU14 t4TER ❑ 'BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. EXPRESS' ❑` PLANNING PLAN ` _Provide copy of Manufacturer's Installation Specifications. ❑, sTaxnaRD ❑ 'i IRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑'OTHER:>. ' ReroofApp_2011.doc revised 03/02/11