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10110063 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10113 BERKSHIRE CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 10110063 OWNER'S NAME: DEVANG VASAVADA 1703 CATHAY DR DATE ISSUED: 11/09/2010 ER'S PHONE: 4083915841 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATIONr tt Q�� License Class Lac. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH RESIDENTIAL COMMERCIAL C � Date I hereby affirm t I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR WOOD SHAKE,INSTALL 7/16 OSB,#30LB FEET&NEW 40YR COMP CLASS A 24 (commencing with Section 7000)of Division 3 of the Business&Professions 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 Sq.Ft Floor Area: Valuation:$10900 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:34212105.00 Occupancy Type: APPLICANT CERTIFICATION 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accme against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by: > Dat/j- Signatu Date L_ OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. I,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, Signatureof Appl' ant: P ate: Business&Professions Code) 1,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 HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by 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 contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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,I Ow r orized agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date! v forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address unify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION grwrting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10113 berkshire ct. DATE: 11/09/2010 REVIEWED BY: APN: BP#: *VALUATION: 1$10,900 -� q)�PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof ''11, PENTAMATION 1SFDWLR00F USE: PERMIT TYPE:PRIMARY SFD or Duplex WORK SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 29400 1-Ic,Jr I'7 C ht:c4 b;"", ,1/OW<(i:rck 7—E'<_ .rtftJf f r2a'�'�... hip PdJ"rTrrr 'c- P; (1:,''?c'r lr ,lr. 73•? t;,'r', i'r' ta . 1. c tea t_lush. lri,q� J,cc NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (r,(,,e Resolytiori 09-051 Lff. ;%"1.%1 01 FEE QTY/FEE MISC ITEMS P/o�l C'hcc:4 /'c e s rrpp[ PC t "C' f/I1117h.:.il Permit Fee: $312.00 Supp/, hl'y 1''c' F-1 'C?T711�°?tt'ha�t2 Tax Work Without Permit? 0 Yes E) No $0.00 I'Ic�tlr;lt 7 ["Vs: hovel L)o�_'trrt,�c�tzttrtrt?rJ 7` 'e: Strong;Motion Fee: IBSEISMICR $1.09 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $314.09 $0.00 TOTAL FEE: $314.09 Revised: 11/08/2010 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34212105. 00 DATE ISSUED. . . . . . . : 11/09/2010 RECEIPT #. . . . . . . . . : BS000011964 REFERENCE ID # . . . : 10110063 SITE ADDRESS . . . . . : 10113 BERKSHIRE CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DEVANG VASAVADA ADDRESS . . . . . . . . . . : 10113 BERKSHIRE 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 10, 900 . 00 1 . 00 0 .00 1. 00 0 .00 1BSEISMICR VALUATION 10, 900. 00 1 . 09 0 .00 1. 09 0 .00 1REROOFRES SQ FEET 24 . 00 312 . 00 0. 00 312 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 314 .09 0. 00 314 . 09 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 314 . 09 #16743 --------------- TOTAL RECEIPT 314 .09 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 M.Indoor Air Quality and nis es 1 IAQIHealth pts y--yes p 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y--yes D 3•Use tovft VOC Adhasbw 31AQ/Health pts y--yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes p 6.Use Exterior Grade Plywood.for Interior Uses 1 IAQ/Health pts yeses 0 T, 4 4IAQ/Health. pts y=Yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Anger-Jointed or Recycled Content Trim 1 Resource pts y--yesD 10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0 1 i 1 N.Flooring OWN 1.Select FSC Certified Wood Flooring a Resource pts y--yes 0 2.U99flapd!►fleni+rvableloolM Modals4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes p 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 i 1 Total Points Available: 401 1301 57 Total Points Project Received: 01 OF 0 G:dM4 grembuildngguidelines/remodelers/greenpointsfina1212.D4proteaed.xls 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)Dcupertino.org PROJECT ADDRESS / ')/`_5 __ APN# OWNERNAME / e ` PHONE 2 �+.Q� E-MAIL STREET ADDRESS�`G/�G v CITY, STATE,ZIP CONTRACTOR NAME /7S L(Il� ,f7/ LICENSE NUMBER ?/(i1 LICENSE TYPF�.,3 BUS.LIC COMPANY NAME ( 7J /Ct E-MAIL UT c •J FAX STREET ADDRESS/ �f� �`%�,(f CITY, ,ZIP ') �^ PHONE��` /vv ��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'/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 on the property owner's behalf. I derstand and agree to comply with the re-roof policy stated above.e. Signature of Applicant/Agent:' Date��' —/ RerooJPolicy_2010.doc revised 05/17/10 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 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: /60140-12�2Q C - PERMIT# 61 OWNER'S NAME: `"yi71✓tj PHONE # ,2,!5- GENERAL SGENERAL CONTRACTOR: DS BUSINESS LICENSE# ADDRESS: �G�� t} CITY/ZIPCODE: *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 subcontrac ors: Signature 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 9aer/Contractor Signature Date CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN# Z '� �` G�� , c1 Date: Building Address: 10 / 13 � k�Gz c Owners Name: q Phone #: r HOA: Yes ❑ No [T' If Yes, provide letter from HOA Contractor: Phone#: Fax#: a �2 Cupertino Business License #: Contractor License #: �cs� Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ,Built-Up roof ❑ Asphalt Shingles Asphalt Shingles dWood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Naber of existing coverings ❑ Provide I.C.C.E.S. Report# d To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: -TfAv- tAj oc_4 S'l� �� , S �� ( /� a� ��• /J Residential F 71 Commercial Lj 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: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signatire Revised 02/05/09