11050095 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10698 MAPLEWOOD RD CONTRACTOR:GORMAN ROOFING PERMIT NO: 11050095
SERVICES,INC
OWNER'S NAME: ESSEX PROPERTY TRUST 2229 E UNIVERSITY DR DATE ISSUED:05/23/2011
!ER'S PHONE: 6508151622 PHOENIX,AZ 85034 PHONE NO:(602)262-2423
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT F PLUMB F
License Class ic.#
MECH RESIDENTIAL� COMMERCIAL
Contractor O Date -�
I hereby affirm that I am licensed and a provisions of Chapter 9 JOB DESCRIPTION:APTS A-D,RE-ROOF OVERLAY EXISTING ROOF WITH
(commencing with Section 7000)of Division 3 of the Business&Professions POLYURETHANE FOAM-24 SQUARES
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:$8232
permit is issued.
APPLICANT CERTIFICATION APN Number:31643003.10698 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
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-poi source regulations per the Cupertino Municipal C e,S ction
9.18. .�
Issued by: Date:
Signature Date
L 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 i pection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection. �q
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signatur of ppli Date:
I,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
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 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
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
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
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 Owner or autl agent: ; 9
Date: �I J
forthwith comply with such provisions or this permit shall be deemed revoked.
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
i• -unify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with 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 51 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31643003 .10698
DATE ISSUED. . . . . . . : 05/23/2011
RECEIPT #. . . . . . . . . BS000013531
REFERENCE ID # . . . : 11050095
SITE ADDRESS 10698 MAPLEWOOD RD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : ESSEX PROPERTY TRUST
ADDRESS . . . . . . . . . . : 925 EAST MEADOW DR
CITY/STATE/ZIP . . . : PALO ALTO, CA 94303
RECEIVED FROM . . . . : GORMAN ROOFING
CONTRACTOR . . . . . . . : DANIEL J GORMAN LIC # 32440
COMPANY . . . . . . . . . . : GORMAN ROOFING SERVICES, INC
ADDRESS . . . . . . . . . . : 2229 E UNIVERSITY DR
CITY/STATE/ZIP . . . : PHOENIX, AZ 85034
TELEPHONE . . . . . . . . : (602) 262-2423
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- --
1BCBSC VALUATION 8, 232 .00 1. 00 0 . 00 1 .00 0. 00
1BSEISMICR VALUATION 8, 232 . 00 0.82 0. 00 0 .82 0 . 00
1REROOFRES SQ FEET 24 .00 312 . 00 0 . 00 312 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 313 .82 0 . 00 313 .82 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ------------------
309 EXTERIOR LATH 311 SCRATCH COAT
600 PRE-INSPECTION 601 ROOF TEAR OFF
602 ROOF PLYWOOD NAIL 603 ROOF BATTENS
604 ROOF IN-PROGRESS 605 FINAL REROOF
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333 •building(cDcupertino.ong
Cly P ERTINO
e
PROJECT ADDRESS APN# !�� 5a 03
O
OWNER WA.M r PHONE E-MAIL
STREET ADDRESS } CITY, STATE,ZIP J 1 6 A-
FAX
11
H
APPLICAN r N /� PHONE F_157-101 I
STREET ADDRESS TY,STA 0 /� FAX 3 4�5' ls3 ?a ;)bT
❑OWNER ❑OWNER-BUILDER ❑ OWNERAGENT 2NTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONI'R.ACTOR NAS�^ OLil` LICENSE NUMBER LICENSE TYPE BUS.LIC.#c� JJ� V
COMPANY NAME E-MAIL A FAX
CITY,
14Ar
�,ZIP ,/' !/�^ ) PHONE
STREET ADDRESS X10 se �► L � e #)d ��
ARCHITECT/ENGINEERNAME LICENSENUMBER BUS.LIC.#
COMPANY NAME E-MAILFAX
STREET ADD?,ESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplexulti-Family ROOFAREA:
�� VALUATION: ��/
STRUCTURE: r-1 commercial
EXISTING ROOF TYPE: OKBUILT-UP ROOF ❑ASPHALT SHINGLES
11 WOOD SHAKES ❑WOOD SHINGLES OTHER(SPECIFY)
REMOVE/REPLACE ❑1 YES IF NO, PLYWOOD h" ❑ _ PLYWD ❑ OSB PITCH ROOF
A
hd�IQO #LAYERS: THICKNESS: ❑ 5/S" TYPE: ❑ CDX 12 CLASS:
,�r ICC-ES REPORT#
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHADS ❑WOOD SHINGLES 1-15THER ZDV_
DESCRIPTION OF WORK: �01
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 o comply with all applicable local
ordinances and state laws relating to bui on tru tion. I authorize representatives of Cupertino to enter the above- entified property for inspection purposes.
Signature of Applicant/Agent: Date: a
SUPPLEMENTAL CNFORMATION REQUIRED
_If building is associated with a Home Owner's Association,provide letter ELAYCHEW-TYPF, xouTJN srsP
F ❑ B �PLAIV REVI>W
of approval from HOA.
Provide Planning approval to verify if there any restrictions. 77
Q ExPiss —� ❑=PI AZv�v>rrcPL�v31 urEw
Provide copy of Manufacturer's Installation Specifications. sTANDnxD kIRE_D1 PT
Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011.doc revised 03/02/11
s
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•building@cupertino.oro
I �^ AaPN o
PR01ECT ADDRESS l,:'� OL e L, 1
OWNER NAME ` �ST*�Ir
15
FAX
STR=An IT
CONTRACTOR NAME LICFT75E ER LICENSE BUS.LIC.# —
AN god y C 3 _
E-MAIL FAX
COMPANY NAME _
AnD �� ATE ZIP �s�b
o S�
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-rooivzg is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of 1/4"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 ins ep ction
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 d ors are required to be installed in accordance with ns
4 and 8315 of
the 2010 Catifomia Residential Code.
Signature of Applicant/Agent: Date:
ReroofPoli 2011.doc revised 02/16/11
C%
o
CITY OF CUPERTINO \v3
FEE ESTIMATOR BUILDING DIVISION
ADDRESS: rosewoo"d�/maplewood (;Ve-_x; DATE: 05/11/2011 REVIEWED BY: bobs.
APN: 00-�
3 ,O #: 5 'VALUATION: 1$8,232
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-FamilyDwelling Buildina is PENTAMATION 1 R2ROOF
USE: g >3 Stories 0 Yes No PERMIT TYPE:
WORK overlay existing roof with polyurethane foam.
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFMRES 2,352
Li
NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 09-051 E,f.. 7/1.,,70) FEE QTY/FEE MISC ITEMS
C.
i 1
Permit Fee:p $312.00
5
1.:
Work Without Permit? 0 Yes E) No $0.00
Strong Motion Fee: 1BSEISMICR $0.82 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $313.82 $0.00 TOTAL FEE: $313.82
Revised: 04/29/2011
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10669 MAPLEWOOD RD CONTRACTOR:GORMAN ROOFING PERMIT NO: 11050099
SERVICES,INC
OWNER'S NAME: ESSEX PROPERTY TRUST 2229 E UNIVERSITY DR DATE ISSUED:05/23/2011
"ER'S PHONE: 6508151622 PHOENIX,AZ 85034 PHONE NO:(602)262-2423
❑ LICENSED CONTRACTOR'S DECLARATION
(,� BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class C -31 Lic.# -7. 0 'l/ r r
MECH RESIDENTIAL COMMERCIAL
/�
Contractor (l O p-m 0,►J pvd-; ate A3. �I
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APTS A-D,RE-ROOF OVERLAY EXISTING ROOF WITH
(commencing with Section 7000)of Division 3 of the Business&Professions POLYURETHANE FOAM-24 SQUARES.
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:$8232
permit is issued.
APPLICANT CERTIFICATION APN Number:31643003.10669 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
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,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-poi t so rce reguIssued by: Date:
lations per the Cupertino Municipal Code,Section
9.18.
Signature Date5--/c2
L OWNER-BUILDER DECLARATION
RE-ROOFS:
1 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 inspection,I agree to remove all new materials for
1,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,
Business&Professions Code) Signatu f pli Date:
I,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
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 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. 1 will maintain
I 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 Owner,Ir
r'.ed gent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date: i
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 mrk'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
i• -mify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
and expenses which may accrue against said City in consequence•of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with 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 51 PERMIT RECEIPT OPERATOR: patg
COPY ## 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31643003 . 10669
DATE ISSUED. . . . . . . : 05/23/2011
RECEIPT #. • . • • • • • • : BS000013531
REFERENCE ID # . . . : 11050099
SITE ADDRESS . . . . . : 10669 MAPLEWOOD RD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : ESSEX PROPERTY TRUST
ADDRESS . . . . . . . . . . : 925 EAST MEADOW DR
CITY/STATE/ZIP . . . : PALO ALTO, CA 94303
RECEIVED FROM . . . . : GORMAN ROOFING
CONTRACTOR DANIEL J GORMAN LIC # 32440
COMPANY GORMAN ROOFING SERVICES, INC
ADDRESS 2229 E UNIVERSITY DR
CITY/STATE/ZIP . . . : PHOENIX, AZ 85034
TELEPHONE (602) 262-2423
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- --------
1BCBSC VALUATION 8, 232 .00 1. 00 0. 00 1. 00 0. 00
1BSEISMICR VALUATION 8,232 .00 0. 82 0.00 0 .82 0. 00
1REROOFRES SQ FEET 24 . 00 312 . 00 0. 00 312 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 313 .82 0 . 00 313 .82 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- --------------------------
309 EXTERIOR LATH 311 SCRATCH COAT
600 PRE-INSPECTION 601 ROOF TEAR OFF
602 ROOF PLYWOOD NAIL 603 ROOF BATTENS
604 ROOF IN-PROGRESS 605 FINAL REROOF
REROOF PERMIT APPLICATION Cpl
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 O
G l3 P ERTI NO (408)777-3228•FAX(408)777-3333 •building(Dcupertino.org
PROJECT ADDREiS APN#
OWNER NAS PHONE t `-�E-MAIL
/ ^
STREET ADDRESS CITY, STATE,ZIP J' FAX
E �a112H40 6 �
APPLICANTN CotoG� ` PHONE 4_75' 0 7 E � Q'GoRMW Rao rrSt J
V '01V\
STREET ADDRESS CrrY,STA 0 `n a qS`6 Z FAX } 4,�- ?(� 7�
e q 1 J I .J
❑OWNER ❑OWNER-BUILDER ❑ OWNER AGENT 21C,01�TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRA(:--TCR NAS C LA LICENSE NUMBER LICENS�TYP�E BUS.LIC.# \� ♦�I /�
COMPANY NAME E-MAIL •77 FAX 7
STREET ADDRESS1 D J e 1 "e. r u)A CITY.r t e ZIP O JI (� I r PHONE
ARCHITECT/NGINEER NAME LICENSE NUMBER/ �J b(! BUS.LIC.
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ulti-Family ROOF AREA: VALUATION: O
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: u'BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE ,❑_,YES IF NO, 1 PLYWOOD h" ElPLYWD El OSB PITCH: ROOF
ANO I #LAYERS: l THICKNESS: ❑ 5/8" TYPE: ❑ CDX e 12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES -15THER bR& _ ICC-ES REPORT#
DESCRIPTION OF WORK:
Lo .14 7 00.
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 o comply with all applicable local
ordinances and state laws relating to bui on tru tion. I authorize representatives of Cupertino to enter the above- entified property for inspection purposes.
Signature of Applicant/Agent: Date: 01
SUPPLEMENTAL INFORMATION REQUIRED
_If building is associated with a Home Owner's Association,provide letter B�K� E — r AouTlNsrlP
of approval from HOA. ❑_2v>Izx comR d BIII)DIIgG zArt xv>�w
—Provide Planning approval to verify if there any restrictions. ❑ ExPR�ss ❑ >ANriic PL�zrREVIEw
—Provide copy of Manufacturer's Installation Specifications. srANnnxDL31EIRIs`D1 PT _ay _�
�4
Provide signed copy of Cupertino's Tear-Off Policy. = Q oTB
Reroof2pp_2011.doc revised 03/02/11
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-bui1din_9acu e_r ino.org
AFN#
PFROIWCTSS /1 W O0 J PHONE
sgEx a
FAX
CITY, ST
LF_
STRIWr AD
LICENSE ER LICENSE ays.LIC.#
CONTRACTOR NAME It 7 --
AN vo ' FAX
a-MAIL
COMPANY NAME —
�S�b (S-eyb-t:539-
sTREErADD 0 ATB.ZIP s C 4��
PH
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-roof7ng is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of 1/4"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 in ep etion
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 d t ors are required to be installed in accordance with Seco ns 14 and 8315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date. S
Q. Reroo}Poli 2oll.doc revised 02/16/11
l� CITY OF CUPERTINO t
FEE ESTIMATOR-BUILDING DIVISION
ADD a -;�;,; 05/11/2011 REVIEWED BY: bobs.
APN: 7BP#: %VALUATION: $8,232
PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-FamilyDwelling Buildina is PENTAMATION 1 R2ROOF
USE: g >3 Stories 0 Yes E) No PERMIT TYPE:
WORK overlay existing roof with polyurethane foam.
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFMRES 2,352
NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 09-051 Eff. T1,101 FEE QTY/FEE MISC ITEMS
Permit Fee: $312.00
Work Without Permit? 0 Yes E) No $0.00
__T3
Strong Motion Fee: IBSEISMICR $0.82 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: ' $313.82 $0.00 TOTAL'FEE: $313.82
Revised: 04/29/2011