10120130 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20900 HOMESTEAD RD BLDG 76 CONTRACTOR:ALCAL ARCADE PERMIT NO: 10120130
CONTRACTING INC
OWNER'S NAME: PROMETHEUS 10600 WHITE ROCK RD STE 100 DATE ISSUED: 12/17/2010
OWNER'S PHONE: 6509313457 RANCHO CORDOVA,CA 95670 PHONE NO:(510)477-9380
❑ LICENSED CONTRACTOR'S DECLARATION r r
( 5 Z�� BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class C'3 Lic.# 1
MECH r— RESIDENTIAL r COMMERCIAL F_
Contractor Date T D
11
I hereby affir hat I at icensed under the provisions of Chapter 9 JOB DESCRIPTION:BLDG 76-RE-ROOF OF EXISTING BUILDING,MULTI-
(commencin with Section 7000)of Division 3 of the Business&Professions FAMILY
Code and that my license is in full force and effect. RESIDENTIAL REMOVE EXISTING ASPHALT COMPOSITION
SHINGLE,EXISTING 1/2"CDX,#15 FELT,30YR COMP CLASS
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.
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:$19252
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:32609065.76 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.
Signature ` Date /Z/7 /d Issued y Date:/Z,—
❑ 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)
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date;,�/7
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three ALL R F 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. Owner or autluy ttt:
Date: 7 /�
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,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with 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
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
gu",. 5 {-jq CONTRACTOR/ SUBCONTRACTOR LISTZajZ,�1lj -�
JOB ADDRESS: '-p &C PERMIT# /O/Z-0/25-
OWNER'S
d /OWNER'S NAME: r -U �--�, -S - PHONE# L151-a `t`i"Z - g39-6
GENERAL CONTRACTOR: BUSINESS LICENSE# LAO-0
ADDRESS: I,fZci DS4VVV ylowr CVt CITY/ZIPCODE: qS 3
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: 7
A,
Sigpdture Date
Please check applicable subcontractors and complete the following information:
V 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
� fv
07
/Con actor Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 20900 homestead rd. bldg 76 DATE: 12/17/2010 REVIEWED BY: bobs.
APN: BP#: *VALUATION: J$19,252
q*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2ROOF
USE: 1 >3 Stories 0 Yes 0 No PERMIT TYPE:
WORK multi-family re-roof
SCOPE
FEE ID ROOF AREA
S.L
1 REROOFMRES 7,100
F-1 I Li
NOTE: Theseees 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 Elf TT,10) FEE QTY/FEE MISC ITEMS
slipp/. 1't, f cc
I'/ti nh: 1,1c(h'`1�Cc t j>e<,ti t 11e :
Permit Fee: $923.00
Sir111�1. IJita>1'�.��
f'lnrirfa.:: i h", 1'171'! F, t.
1'1r�rrtf� ,"a lc(b",IC1c r. 1,crilirt 1'ir��.
1:°r,is5tic'ce,f 1ci�rie��. 1c°t>:
Work Without Permit? 0 Yes E) No $0.00
1rOC
I
Strom Motion Fee: IBSEISMICR $1.93 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $925.93 $0.00 TOTAL FEE: $925.93
Revised: 12/07/2010
REROOF TEAR-OFF POLICY
12 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•buiiding cDcupertino.orq
PROJECT ADDRESSGq Cro '���� *i I"j..l f,.1 iAPN
OWNER tiAME' � N E-MAI Nt v
Ro�,V. �G PH- n C I .3`ts
STREETADDRESS WF_ J�I �vl�� Imo^ CITY. STATE,ZIP.(;,tj 4� q q, E 3( 3�,
CONTRACTOR NAME LCAL A�2 1.�� LICENSE NUM& �7,1 U LICENSIi:LPE,4 _3q BUS.LIC.# V
COMPAN') NAME �� � E-N1.AIL I&V11S. 11W" r •`>t..� FA.
STREET.ADDRESS01 07 C ,STATE,ZIP / CA �� PHO(�l v)� i77-'I�f 6P
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'A" 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
on the property owner's behalf. I un and and agree to comply with the re-roof policy stated above.
Signature of Applicant/Agent: Date: Z �7 11D
ReroofPolicv 2010.doc revised 05117'10
CITY OF CUPERTINO
3 ITEMS OF 9 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Elk: Lot:
APN . . . . . . . . : 32609065.76
DATE ISSUED. . . . . . . : 12/17/2010
RECEIPT #. . . . . . . . . : BS000012296
REFERENCE ID # . . . : 10120130
SITE ADDRESS . . . . . : 20900 HOMESTEAD RD BLDG 76
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : PROMETHEUS
ADDRESS . . . . . . . . . . : 1900 SOUTH NORFOLK ST STE 150
CITY/STATE/ZIP . . . : SAN MATEO, CA 94403
RECEIVED FROM . . . . : ALCAL ARCADE
CONTRACTOR . . . . . . . : DARREN MORRIS LIC # 400
COMPANY . . . . . . . . . . : ALCAL ARCADE CONTRACTING INC
ADDRESS . . . . . . . . . . : 10600 WHITE ROCK RD STE 100
CITY/STATE/ZIP . . . : RANCHO CORDOVA, CA 95670
TELEPHONE . . . . . . . . : (510) 477-9380
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 19, 252 . 00 1. 00 0 .00 1. 00 0 .00
1BSEISMICR VALUATION 19, 252 . 00 1 . 93 0 . 00 1. 93 0 .00
1REROOFRES SQ FEET 71. 00 923 .00 0. 00 923 . 00 0 .00
---------- ---------- ---------- ----------
TOTAL PERMIT 925 . 93 0 .00 925.93 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 2, 634 .46 #9053436
---------------
TOTAL RECEIPT 2, 634 .46
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
1 2 0 1 �
CITY OF CUPERTINO
REROOF
C AP E R T-W1 0 PERMIT APPLICATION
' n
APN #�2 (
,`_�, (D 9 0 W � �-(� ate:
Building Address:
uqtc
Owner's Name:f QC�ti %S �� �3Cl�Tl� Phone #:
HOA: Yes ❑ No If yes, provide letter from HOA ~ 3
Contractor: Phone #:(5)0-i Z 1 4
GPTV_4qTkgL
hL� �� ) ti Fax#: mil f� L{-11 -CI Ir
Cupertino Business License #: Contractor License #:
4 ec r s 7,
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
X Asphalt Shingles X 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#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
QF
Job Description: f
I
&yls!`r,j /�Xf�644"(, e6&110j MO J*t4I
f� F- b 7 .3� y� �� �l j -4 J#7� t-
Residential ❑ 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:
A Int . &D
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09