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10100125 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10459 BONNY DR CONTRACTOR:WESTSHORE ROOFING PERMIT NO: 10100125 INC OWNER'S NAME: MALCOLM FINLAYSON 2245-A FORTUNE DR DATE ISSUED: 10/15/2010 vNER'S PHONE: 4083661752 SAN JOSE,CA 95131 PHONE NO:(408)694-0060 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License Class Lic.# ` RE-ROOF 31 SQUARES REMOVE EXISTING ROT INSTALL !O ld WOOD OSB DECKING FELT SHINGLES CLASS A Contractor 40K Date I hereby affirm that I am licensed under the provisions of Chapter 9 (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 declaratio is: 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. Sq.Ft Floor Area: Valuation:$13000 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 APN Number:35913016.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above nformation is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws rela ing WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to ente upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued 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. ja P�� O RE-ROOFS: Signature Date c All roofs shall be inspected prior to any roofing material being installed.If a roof is _ installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION !4 Signature of Applicant: Date: c I hereby affirm that I am exempt from the Contractor's License Law for or a of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractor: to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sec i ns 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which thi: Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued,I st all not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 re ating to building construction,and hereby authorize representatives of this city to err er ^n the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION " mify and keep harmless the City of Cupertino against liabilities,judgments, -Ls,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will compl� with all non-point source regulations per the Cupertino Municipal Code,Sectic n Licensed Professional 9.18. Signature Date Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: `O 1�1- 0 Flit PERMIT# l��I�f OWNER'S NAME: G. S01/TJ CtI L PHONE # – O OC`� GENERAL CONTRACTOR: L- BUSINESS LICENSE# ADDRESS: Z o�lf� Q� 3je 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. W�S�- 10 /`,-5-1`O I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 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 CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Elk: Lot: APN . . . . . . . . : 35926053 . 00 DATE ISSUED. . . . . . . : 10/15/2010 RECEIPT # . . . . . . . . . ES000011764 REFERENCE ID # . . . : 10100126 SITE ADDRESS i525 HEATHERWOOD DR SUBDIVISION . . . . . . . CITY C'UPERTINO IMPACT AREA . . . . . . OWNER 1.RUN COMAL ADDRESS "525 HEATHERWOOD DR CITY/STATE/ZIP C'UPERTINO, CA 95014 RECEIVED FROM WESTSHORE ROOFING CONTRACTOR . . . . . . . : PAUL FOWLER LIC # 21417 COMPANY WESTSHORE ROOFING INC ADDRESS 2245-A FORTUNE DR CITY/STATE/ZIP . . . : t3AN JOSE, CA 95131 TELEPHONE . . . . . . . . : (408) 694-0060 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ____ -- ---------- -------- ----------- ---------- 1BCBSC VALUATION 20, 790 . 00 1. 00 0 . 00 1 . 00 0. 00 1BSEISMICR VALUATION 20, 790 . 00 2 .10 0 .00 2 . 10 0 . 00 1REROOFRES SQ FEET 36 . 00 468 . 00 0 . 00 468 . 00 ------0_00 ---------- --- ------ ---------- TOTAL PERMIT 471 . 10 0 . 00 471 . 10 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 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPPRTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E., C.B.O., BJILDING OFFICIAL 10300 TORRE AVENUE•CUPERTII`\O,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building(a)cupertino.org FPROJECTS 15,��/�,��y N/. APN# Y1/v` iii/// P1_ 2-52-2�-7� E-MAIL A _04- q v` 1,/ CITY, STATE,ZIP / O FAX CONTRACTOR NAME I .l _IM' LICENSE NUP IBER787.1/Z I LICENSE TYPE /� BUS.LIG# �j COMPANY NAME IY/\MI r` EE-MA,L (� ,IL''O� AXf08 JA Q STREET ADDRESS O��Wy O , \Y CITY,STATE,ZIP 5cw PHONE r/J– Q Zoo 1 "Ci .JJJ 0 {/ I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applil;able 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 availz ble within one hour. There are special hours for this service: 7:3( — 10:30am and 1:00— 3:30pm (Mon—Thurs); 7:3( — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing ins pection is required. 5. In-Progress roof inspection is required. Ca l for an in-progress roof inspection to verify building is weather tight after installation of approximate y 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 whi,;h 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 pc r 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 failing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. Tl-e 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 behal I understand and al;ree to comply with the re-roof policy st ted ab ve. Signature of Applicant/Agent: Date: It, L( 5 ReroofPo1icy_2010.doc revised 05/17/10 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: I DATE: REVIEWED BY: APN: BP#: *VALUATION: $13,000 PERMIT TYPE: Minor Building Permit PL AN CHECK TYPE: Re-roof x PRIMARY l;?;f;:-; PENTAMATION 1 SFDWLROOF USE: SFD or Duplex ;oo'r L;::1; PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA s.L 1REROOFFRES ,100 A, NV NOTE: These fees are based on the preliminairTv in ormation available and are only an estimate. Contact the Dept for addn'l info. FS (Fee Resolution 09-051 f''1,'101 F=AZE QTY/FEEMISC ITEMS f' f'Itxtt L`Irc�c:k; pqi_- Permit Fee: $,e•03.00 S2s1pl, f'Ittrtih .11�r 1r /Il�t: t 'int Ir'��: Phartlh.-:�d��rlr.rl>IecPc�rntrt l-'�'e': (,()r2,Wt'11C1i017 7'ax "Icolwical lic�r'ieli I e'er; Work Without Permit? 0 Yes 0 No $0.00 Pluru�risz,<�f�c�c°,o; 'l'rtrti�Tl 1)�x°lrtrierifcrtir�rr Fc�c'�- � Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item BldgStds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $405.30 $0.00 TOTAL FEE: $405.30 Revised: 9/29/2010 M.Indoor Air Quality and Finishes 1AU WWW i1 -_ 1 IAQ/Health pts y--yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts --yea 0 S.useID110b voc AdlaIOM 3 IAQ/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 0 S.Use Exterior Grade Plywood.for Interior Uses 1 IAQ/Health pts y--yes 0 �,5leaiiltile41i4F1))�F 41AQ/HealIAQ/Health. Pis y=Y es D S.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0 1 ! ! N.Flooring 1.Select FSC Certified Wood Flooring B Resource pts y--yes D Z Use Rai?*Panawab]e.Fba-M_ Ma8 r& 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 Total Points Available: 1 1401. 1301 57 Total Points Project Received: 01 01 0 Matalprog!/greenbulidngguidelineshemodeler4greenpc intsfinal21204protected.xls CITY OF CITY OF CUPERTINO RF',ROOF CUPERTINO PERMIT APPLICATION AD100/a5_ Date: / APN # `O---------------------- w- °1 Building Address: `0 4scf 13OVInq �v Owner'sN - 11S_z e, Fin IQ San Phone #: HOA: Yes ❑ No �f es, provide lt:tter from HOA Contractor: Phone #: 108 +A-O Z o o Yv eS5�tOre Fax#:40 Cupertino Business License #: Contractor License #: 7�7ZZ Type of Roof Covering: Existing: Proposed: - ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ,er"'Asphalt Shingles p__�ood Shakes ❑ Wood Shakes 34" 6t ❑ Wood Shingles o Wood Shingles ❑ Other (Specify) Number of existing coverings _ o Provide I.C.C.E.S. Report# �To be Removed ❑ Provide Mfgr. Installation Specs. 3 l - C less A , Job Description: ` fE E>jU�'I' foo f- �KS�rW os 6 cjeck--LAj t ne(F n—__ Residential - Commercial Green Building: Please complete relevant portion of the Confirmed moth 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? opo I Have Read, Understand and Will Comply vrith Cupertino's Tear-Off Policy: Signature Revised 02/05/09