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11050053 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11671 TIMBER SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11050053 OWNER'S NAME: UMA KRISHNAN 1703 CATHAY DR DATE ISSUED:05/09/2011 OWNER'S PHONE: 4082578972 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 L LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB dn License Class Lic.# o MECH f— RESIDENTIAL COMMERCIAL Contra Date I hereby affirm at I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF WOODSHAKES,INSTALL#30LB (commencing with Section 7000)of Division 3 of the Business&Professions FELT, J agtl that my license is in full force and effect. INSTALL GAF GRAND CANYON COMP EXISTING SOLID C SHEETING TO REMAINING(7/16 OSB)CLASS A 17SQ hereby that 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. Sq.Ft Floor Area: Valuation:$8500 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:36654084.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. 7 i ,— --. Signature Date Issued by:— Date:J r^+ j 11 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). :5::—!9—// I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. Own r or uth 'zed agent: Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, c and expenses which may accrue against said City in consequence of the Lender's Address ng of this permit.Additionally,the applicant understands and will comply w..,,all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 11671 timberspring DATE: 05/09/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: $8,500 y PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF USE: PERMIT TYPE: wORK remove exisiting wood shakes and install comp shingles. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 1,700 NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 info, FEE ITEMS (1W Resolulion 09-05/ h f. 7,1,%0) FEE QTY/FEE MISC ITEMS Permit Fee: $221.00 Work Without Permit? 0 Yes No $0.00 i Strorn,g Motion Fee: IBSEISMICR $0.85 Select an Administrative Item Bid,Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $222.85 $0.00 TOTAL FEE: $222.85 Revised: 04/29/2011 t � J c) REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPER,TIN4 (408)777-3228• FAX(408)777-3333• building(5_)cupertino.org PROJECT ADDRESS OWNER NAME PHONE I_�//�,IE-MAIL STREET ADDRESS M n CITY, STATE,ZIP L\ �n FAX APPLICANT N PHONE e2 �� ,E--`+ 1') v ( - STREET ADDRESS /�� f�� j� - CITY,STATE,ZIP AA1 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT FrllONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME -^� c LICENSE NUMBER - LICENSE TYPEn BUS.LIC.# COMPANY NAME E-MAIL /l J (� ` FAX STREET ADDRESS CITY,STATE,ZIP PHO V �J ARCHTTECT/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: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD ❑ ''" ❑ _ PL OSB PITCH: ROOF El NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX '12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF Pr ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORKS-► <2 � n„ 1� [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 i orrect. I have read the Description of Work and verify it is accurate. I a ee to comply with all applicable local ordinances and state�tmgdingcstruction. I authorize re re of Cupertino tc enter the above-ide ' le roe for'inspection purposes. SignatureofApL Date: SUPPLEMENTAL RMATION REQUIRED :orlicE DISE oltii� r' _If building is associated with a Home Owner's Association,provide letter IPLANCHECK T 'E ROUTING SLIP of approval from HOA. �pVEx Tt GnUrt IA ❑ I' ILDIN pLAl�l REVIEW _Provide Planning approval to verify if there any restrictions. ❑.ExPRirss` ❑ "PLnxNnvc PLax REVIEW xn Provide copy of Manufacturer's Installation Specifications. ❑ sIAIVDa�xn ❑ REDEPT t/Provide signed copy of Cupertino's Tear-Off Policy. ❑ pTHER ReroofApp_2011.d6c 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•building(�bcupertino.org PROJECT ADDRESS I APN# OWNER NAME 1 I n P ON -<p, E-MAIL STREET ADDRESS CITY, STATE,Z +� y O F y�C )�lLl CONTRACTOR NAME LICENSE BER " LICENSE T / BUS.LIC.# C0MPANY NAME� �'n� E-MAIL FAX STREET ADDRESS y �� CITY,ST ZIP CA FJ I UNDERSTA 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 detectors e required to be installed in accordance with Sections R 14 8315 of the 2010 California Residential Code. Signature of Applic gent: Date: �_� ) RerooJPolicDL.201 1.doed 02/16/11 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654084 . 00 DATE ISSUED. . . . . . . : 05/09/2011 RECEIPT #. . . . . . . . . : BS000013404 REFERENCE ID # . . . : 11050053 SITE ADDRESS . . . . . : 11671 TIMBER SPRING CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER UMA KRISHNAN ADDRESS . . . . . . . . . . : 11671 TIMBER SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : CASTILLO'S ROOFING 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 ----------------- --------------- -------------------- CHECK 222 . 85 #17067 --------------- 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 CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228-FAX(408)777-3333•building(cDcugertino.org PROJECT ADDRESS r y APN# J \ Yyl OWNER NAME �) P 2� 7! V`r'�l^ ^O,L•- E-MAIL STREET ADDRESS CITY, STATE,ZIP ` FAX CONTRACTOR NAME /�^ <,- - jLICENSE NUMBER /` % LICENSE TYPC3 /7f BUS.LIC.# COMPANY NAME U E-MAIL FAX STREET ADDRESS I CITY,STATE, (n {� PHONE I UNDERSTAND AND AGREE/TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. 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 must 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. 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 flowing is true: I am the property owner or authorized agent to act on the property owner's behalf. un nd and a r to comply with the re-roof policy stated a ove Signature of Applie Z Date: J ReroofPolicy_2010.doc revised 05/17/10