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10110046 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10364 CRESTON DR CONTRACTOR:R E ROOFING& PERMIT NO: 10110046 CONSTRUCTION INC ''PER'S NAME: JEREMY TUCKER 15230 CLYDELLE AVE DATE ISSUED: 11/08/2010 !y rvNER'S PHONE: 4082093862 SAN JOSE,CA 95032 PHONE NO:(408)626-9320 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r— PLUMB -� License Class 2-1 q� Lic.# ll MECH f— RESIDENTIAL f— COMMERCIAL� Contractor Date l hereb JOB DESCRIPTION:RE-ROOF REMOVE EXISTING 1 LAYER OF COMP INSTALL rrm that I am 1' sed under the provisions of Chapter 9 (commencing with ec ion 7000)of Division 3 of the Business&Professions NEW 1/2"CDX 30#FELT AND LIFETIME COMP CLASS A 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:$19000 - Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:32637044.00 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 accrue 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 er the Cupertino Municipal Code,Section 9. C _ t �te iIssued by: Date: ma4V (� ❑ 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, Signature of Applicant: Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). 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. Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this 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 th&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Wo er's Compensation laws of California. If,after making this certificate of ex ption,I Own r' age become subject to the Worker's Compensation provisions of the Labor ode,I must Date: L forthwith comply with such provisions or this permit shall be deemed revo �' 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 i the above mentioned property for inspection purposes.(We)agree to save Lender's Address nnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting 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: 10364 Creston dr DATE: REVIEWED BY: APN: BP#: *VALUATION: $19,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTAMATION 1 SFDWLROOF SFD or Duplex 7 t)€1I .',11,;?: PERMIT TYPE: USE: WORK SCOPE FEE ID ROOFAREA (S.L) 1 REROOFFRES 3,400 ttt-ch 7'I�xn C site n,�rrr if'.>>> 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 IZesohation 09-05I Eff ?'1.-'10) FEE Q TY/FEE MISC ITEMS Pl(m Check Vcc: Si ppl. I't'FC f'ltIII rh.-_Vc t 1r. Ph,ti C'hct:k: Permit Fee: $442.00 itflM1, Ilio 7 l e'c' I,fcc•'r. Eh C`is�� tt in ti017 7'd, "Ic ollslical l?clh,lv 101. Work Without Permit? 0 Yes E) No $0.00 /'lcaturtft r 1"ccs /rtr��c�l 1)oc�trrrle�turrttc7rr l�e�e��: � Strom Motion Fee: IBSEISMICR $1.90 Select an Administrative Item --Ti Blues Commission Fee: IBCBSC $1.00 SUBTOTALS: $444.90 $0.00 TOTAL FEE: $444.90 Revised: 11/08/2010 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32637044 . 00 DATE ISSUED. . . . . . . : 11/08/2010 RECEIPT #. . . . . . . . . BS000011939 REFERENCE ID # . . . : 10110046 SITE ADDRESS . . . . . : 10364 CRESTON DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER JEREMY TUCKER ADDRESS 10364 CRESTON DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-1014 RECEIVED FROM R E ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING &CONSTRUCTION INC ADDRESS 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- - 1BCBSC VALUATION 19, 000 . 00 1 .00 0. 00 1. 00 0 .00 1BSEISMICR VALUATION 19, 000 . 00 1. 90 0 .00 1. 90 0 .00 1REROOFRES SQ FEET 34 . 00 442 .00 0. 00 442 . 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 444 .90 0.00 444 .90 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 444 . 90 #2932 --------------- TOTAL RECEIPT 444 . 90 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 U.lndDDr Air Quality and Finishes I-M6 Wiwft� . 1 IAQ/Health pts yeses p 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 .9.Usa i=10 tM 3 IACyHealth pts yeses 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts yges 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 y--yes 0 7* 41AQ/Health.pts y—y 0 y=yes B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes D 10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0 1 i 1 N.Flooring 1.Select FSC Certified Wood Flooring B Resource pts y--yes D 2.On ilalidly Pjnm&e flooring Matenals 4 Resource pts y=yes D 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 0 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 D 1 ! ! Total Points Available: 1 1401. 1301 57 Total Points Project Received: 01 or 0 Mdat ur dingguiderinestremodelerstgreenpointsfina1212XprotectedAs 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(a�cupertino.org PROJECT ADDRESS,/' A APN#C // f OWNERNAME PHONE/4/\CIIJ 'vy E-MAIL STREET ADDRESS ;\ �r l/— \_ Y CITY, STATE,ZIP FAX lJ TV r`�o JA� CONTRACTOR NAMr12 I (7 ` LICENSE NUMBER�--7 . LI E SE�-`' BUS.LIC. COMPANY NAME 12A A�� E-MAIL yL/� STREET ADDRESS /�12A E-MAIL I �' f � V� CITY,STATE,ZIP /{ "{"�C,,j PHONE (�r'�, ��J _G13 2 r 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 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 b ow, I ce ' each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. u aa d gree to comply with the re-roof policy stated above. Signature of Appli nt/Agent: Date: ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino El 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: SLC/ > PERMIT# i OWNER'S NAME: -)z PHONE# GENERAL CONTRACTOR: L; od1F I N BUSINESS LICENSE# 2 v'il ADDRESS: 2 () CITY/ZIPCODE: �j 7 YN '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 CONTRACT AN LL UBCONTRA TORS HAVE OBTAINED A CITY OF ,CUPERTINO BUSINESS LICENSE. e , , �\ �( I I C) I am not using any subco ractors: l l 1 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 Owner/Contractor Signature Date CITY OF CITY OF CUPERTINO ` REROOF CUPERTINO PERMIT APPLICATION APN# .� ti_ f Date: Building Address: Owner's Name: �jA �����y �� Phone #: HOA: Yes ❑ No If Yes, provide letter from HOA Contractor: Phone #: 1L - 61132 1 )\j Fax#: — -11 Cupertino Business License #: 2C Contractor License #: 721§1_0 Type of Roof Covering: Existing: Proposed: Built-Up Roof ❑ Built-Up roof sphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other(Specify) umber of existing coverings ❑ Provide I.C.C.E.S. Report# To be Removed ❑ Provide Mfg. Installation Specs. Job Description: � 1 ��/� Gy- Residential Commercial Green Building: Please complete relevant portion of the Cor G.rmed 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: 7) 4 I Have Read)Und Will ly with Cupertino's Tear-Off Policy: Signature Revised 02/05/09