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11010104
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1030 CRANBERRY DR CONTRACTOR: PERMIT NO: 11010104 OWNER'S NAME: ROBIN&ROB HART I DATE ISSUED:01/19/2011 f'—NER'S PHONE: 8318186720 PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT I— PLUMB r License Class R Lic.# Cl1 MECH r— RESIDENTIAL r— COMMERCIAL Con or - Date I h m that I am licensed under the provisions of Chap er 9 JOB DESCRIPTION:RE-ROOF COMPLETE ROOF REMOVAL.NEW 304 (commencing with Section 7000)of Division 3 of the Business&Professions LAMINATE Code and that my license is in full force and effect. CLASS A ROOF OVER 30LB FELT.NEW FLASHINGS 19SQ 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 his permit is issued. Sq.Ft Floor Area: Valuation:$5100 APPLICANT CERTIFICATIO I certify that I have read this application and state that the above information is APN Number:36204053.00 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 re lations a ertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Date [ /1,9--1 , S' tui Issued by� Date• 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 1,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) / I,as owner of the property,am exclusively contracting with licensed contractors to Signature o pplican. Date: l l! r construct the project(Sec.7044,Business&Professions Code). 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 Compensation,as provided for by Section 3700 of the Labor Code,for the HAZARDOUS MATERIALS DISCLOSURE 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. 1 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. an n 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, 's,and expenses which may accrue against said City in consequence of the Lender's Address .ting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional 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(a-cupertino.org PROJECT ADDRESS IL) APN hl OWNER NA Y� P - 20 E-MAIL STREET ADDRESS CUY, STATf,,ZIP y FAX COVFfACTOR NAM LIC EN E BER LI NS BUS.LIC.# i CO N' E-MAIL 1 F STRUT9 C Y,STATE,ZIP y 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 following is true: I am the property owner or authorized agent to act :)n the property owner's behalf. stand re-roof policy stated a . Signature of Applicant/A Date: /-A-767; ReroofPo1icy_2010.doc revised 05/17/10 CITY OF CUPERTINO 3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36204053 .00 DATE ISSUED. . . . . . . : 01/19/2011 RECEIPT #. . . . . . . . . : BS000012518 REFERENCE ID # . . . : 11010104 SITE ADDRESS . . . . . : 1030 CRANBERRY DR SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER ROBIN & ROB HART ADDRESS 1030 CRANBERRY DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM GUIDO ROOFING, INC CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : TELEPHONE . . . . . . . . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- --- 1BCBSC VALUATION 5, 100. 00 1 . 00 0 . 00 1.00 0 .00 1BSEISMICR VALUATION 5, 100 . 00 0 .51 0 .00 0 .51 0 .00 1REROOFRES SQ FEET 19 . 00 247 .00 0.00 247. 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 248 .51 0.00 248.51 0 .00 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 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 1030 cranberry dr. DATE: 01/19/2011 REVIEWED BY: bobs. APN: BP#: "EVALUATION: 1$5,100 R*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK remove existing asphalt shingles and replace with new asphalt shingles. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,900 I fc,h. Pf<,rn Chc,r k Phimb, T'(cirr f'i'st?Chea k Lfc.,t. Perrr.�t f.>e; F7IPO,, Powy;/F cc. 1.17 c P�wiil l';'t.: LJC)ahc�r;11ech.Irts,�>. 01/wr 1,11u b In,p Utir r t:iec.Inch. r,kch. It„u. kcc P.�rrrut�. hxp1 1'c�>: f>lr�°c.I s}l. 1;ccs: NOTE: These fees are based on the preliminary in ormation available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 09-051 Eff 7%1;'102 FEE QTY/FEE MISC ITEMS Phan Chc>j Fee: Suppl. PC,`1"ce. f'lttmlt.;'t7ec Ir. 1>fr t: !'l an ('11cc;h: Permit Fee: $247.00 Suppl. 117sp f'C I'lztrnla.;.t lcfc°1a.;l:lc t; t'nif Vcle': Pluntfa.:'hlrclr.i7�`lt'c: 1'c�a'ratit I^ee�: Construction 7a '1c:ou.siiccal Rei'icv 1 c' Work Without Permit? 0 Yes E) No $0.00 1'lunrtin"„r PCCS %i-cnvel 1)ocrraraccn/a/iurt l•'cTs: Strong;Motion Fee: 1BSEIS1vffCR $0.51 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS:` $248.51 $0.00 TOTAL FEE: $248.51 Revised: 01/03/2011 CITY,OF ) 10101oq CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN# 04 o � Date: i If residential, is house an Eichler? Yes ❑ No If yes, needs planning approval. Building Address: v Owner's Named .-� b 1 �� Phone#:IMI 8 Ib -(0,120 1CL� ti 1CtJ 1—]f� HOA: Yes ❑ No X If yes, provide letter from HOA Contractor: Phone#:8317 (2)0► _o FaxCD- Cupertino Business License#: Contractor License #: (0(07S?_? C; 9 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof `,, Asphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report # IX', To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: I , le e.._ C,wo QQ2�o"1 , N,e, ,j SO Li Cann Iv1 . 0EA ss A, ooh- o�,<- zo�\o -i l� , i��. �l�.s�.��•� <-zs e ' Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist& attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: �8 S-', I o© I co I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: