10110150 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7772 SQUIREHILL CT CONTRACTOR:4BI) INED PERMIT NO: 10110150
G R'S NAME: REBECCA TUCKER .� `- DATE ISSUED: 11/22/2010
4 v
OWNER'S PHONE: 4082421218 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB r—
License Class Lic.# 472--
MECH r RESIDENTIAL[_ COMMERCIAL
Contractor l�!� G7 1��iUl�—Bate / /""2---"2—1 l
—�� JOB DESCRIPTION:RE-ROOF REMOVE EXISTING WOOD SHAKES&
I hereby affirm that I am licensed under the provisions of Chapter 9 INSTALLING
(commencing with Section 7000)of Division 3 of the Business&Professions LANDMARK PREMIUM SHINGLES CLASS A 30SQ
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
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$11065
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:36223025.00 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.
X12-z- -/
S re •' Date / Issued by.- ''-� � —'-" Datgl/ 2 2'1e
❑ 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:
constrict 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 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
California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by
compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this
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. O ed ent:
r or author' Z _
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 ling construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
u1. a 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
CITY OF CUPERTINO
3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 36223025. 00
DATE ISSUED. . . . . . . : 11/22/2010
RECEIPT #. . . . . . . . . : BS000012071
REFERENCE ID # . . . : 10110150
SITE ADDRESS . . . . . : 7772 SQUIREHILL CT
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER REBECCA TUCKER
ADDRESS 7772 SQUIREHILL CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5017
RECEIVED FROM . . . . : ROYS ROOFING
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 11, 065 . 00 1 . 00 0. 00 1 . 00 0 . 00
1BSEISMICR VALUATION 11, 065. 00 1 .11 0 .00 1. 11 0 .00
1REROOFRES SQ FEET 30 . 00 390 . 00 0. 00 390 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT : 392 . 11 0 .00 392 . 11 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
1
}
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(cilcupertino.org
PROJECT ADDRESS717 76:2 1W , +p��`/� �/ A N3!
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OWNERNAME /�L+►�/, �� PHOS LES zl / � E-MAIL
STREET ADDRESS =�J+� /•/.Ji // /+ sCITY, ScXT ,,ZIP � '' � � FAX
22
CONTRA04 C:;)Z)r� �/ LIC-NSE NUM E� LI�-,kNSE TYPE BUS.LIC.#
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COMPANY NA E /' E-MAIL FAX
G✓ /��KJ<"
STREET ADDRESS s%l U5 CIT-- ,STATE,ZIP SL�G� '" PH( Z ZG�
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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 be I understand and ree comply with the re-roof policy stated above.
Signature of Applicant/Agent: Date: 11-72 Z
ReroofPolicy_2010.doc revised 05/17/10
CITY OF
CITY OF CUPERTINO 11 t
REROOF
CUPERTINO PERMIT APPLICATION
APN# .�-, ) , � �2 C.> �� Date:
Building Address:
Owner's Name: �c �,� - Phone #:
HOA: Yes ❑ No []�_ If Yes, provide letter from HOA
Contractor: j�u h 2c v�'-,�' Phone #:
yy Z2-c)
Fax#:
Cupertino Business License #: Contractor License #:
C;2-_Iy
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Bui -Up roof
❑ Asphalt Shingles Asphalt Shingles
a-'Vood 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.
Job Description: S�
✓ ►� l Y �.
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:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
c �
Signature
Revised 02/05/09
CITY OF CUPERTINO BUILDING PERMIT DAA I [ Z
BUILDING ADDRESS: 1215 STAFFORD DR CONTRACTOR:DE MATTEI CONST PERMIT NO: 10050099
OWNER'S NAME: MEERA& ASHOK NATESAN 1794 THE ALAMEDA DATE ISSUED:08/23/2010
O —,'R'S PHONE: 4083361215 SAN JOSE,CA 95126 PHONE NO:(408)295-7516
❑ LICENSED CONTRACTOR'S DECLARATIONF
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.#
q' 7 1 ri;'o MECH 7 RESIDENTIAL r_ COMMERCIAL�
Contractor 0r �y �� j
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:ADD SQFT TO(E)FAMRM,LIVING&MASTER SUTI'E;ADD
(commencing with Section 7000)of Division 3 of the Business&Professions PATIOSQFF@REMODE GUEST N,MASTER
SUI GUEST BATH,NEW
Code and that my license is in full force and effect. PATIO&REMODEL KITCHEN,MASTER SUITE,LIVING
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 1
Compensation,as provided for by Section 3700 of the Labor Code,for the ;,�� y-
p
Ierformance of the work for which this permit is issued. ` 1 i
have and will maintain Worker's Compensation Insurance,as provided for by lam' ' ` ` ` V J` 'r M J,(Q_JJ. �
Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$400000 r
permit is issued.
APPLICANT CERTIFICATION APN Number:36211032.00 Occupancy Type:
I certify that I have read this application and state that the above information is r
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations the Cupertino Municipal Code,Section
9.18.
�/ 2^t D Issued by: Date:
Signature Date
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date:
I,as owner of the property,am exclusively contracting with licensed contractors to
constrict 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
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must O or aut nt:
forthwith comply with such provisions or this permit shall be deemed revoked. Date: L Z'- Q
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
ur- 'he above mentioned property for inspection purposes.(We)agree to save
it ify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
cost,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. I understand my plans shall be used as public records.
Signature Date Licensed Professional