The URL can be used to link to this page

10100103 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7453 HEATHERWOOD DR CO VTRACTOR:ABOVE ALL PERMIT NO: 10100103 RCOFING OWNER'S NAME: MIKE PENNINGTON 700 NORTHRUP ST DATE ISSUED: 10/14/2010 ,,WNER'S PHONE: 4088078382 SAN JOSE,CA 95126 PHONE NO:(408)292-4188 LICENSED CONTRACTOR'S DECLARATIONr �/ BU LDING PERMIT INFO: BLDG ELECT PLUMB License Class 3 Lic.# ��7 �3F � `` I MECH RESIDENTIAL COMMERCIAL Contractor _`' -Date J03 DESCRIPTION: RE-ROOF 35 SQ TEAR OFF EXISTING SHAKE,INSTALL I hereby affirm that I am licensed under the provisions of Chapter 9NEW (commencing with Section 7000)of Division 3 of the Business&Professions 7/1( OSB WITH RADIANT BARRIER,INSTALL NEW 30:36 Code and that my license is in full force and effect. FEI T 50YR COMP SHINGLES CLASS A 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. Sq.Ft Floor Area: Valuation:$14984 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 APV Number:35926047.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS 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 / granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section _ 9.18. RE-ROOFS: cignature 9 l Date d All roofs shall be inspected prior to any roofing material being installed.If a roof is ins ailed without first obtaining an inspection,I agree to remove all new materials for ins)ection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: __ nate: / A I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BE R 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) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I h rve 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(x)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,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall 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,1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I h:reby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. we rk'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 relating to building construction,and hereby authorize representatives of this city to enter ion the above mentioned property for inspection purposes.(We)agree to save .idemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,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 comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35926047 . 00 DATE ISSUED. . . . . . . : 10/14/2010 RECEIPT #. . . . . . . . . : BS000011743 REFERENCE ID # . . . : 10100103 SITE ADDRESS . . . . . : 7453 HEATHERWOOD DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER MIKE PENNINGTON ADDRESS . . . . . . . . . . : 7453 HEATHERWOOD DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : ABOVE .ALL ROOFING CONTRACTOR . . . . . . . : KEN SULESKY LIC # 23092 COMPANY . . . . . . . . . . ABOVE .ALL ROOFING ADDRESS . . . . . . . . . . : 700 NORTHRUP ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95126 TELEPHONE . . . . . . . . : (408) 232-4188 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----- ----- ---------- ---------- ---------- 1BCBSC VALUATION 14, 984 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 14, 984 . 00 1 . 50 0 . 00 1 .50 0 . 00 1REROOFRES SQ FEET 35 . 00 455 . 00 0 . 00 455 . 00 0 . 00 ----- ----- ---------- ---------- ---------- TOTAL PERMIT 457 . 50 0 . 00 457 . 50 0 . 00 METHOD OF PAYMENT AMOUNT :ZEFERENCE NUMBER ----------------- --------------- -- ------------------ CHECK 457 . 50 19315 --------------- TOTAL RECEIPT 457 . 50 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 CITY OF C UPERTINO' FEE ESTIMATOR - DUILDIN(; 01VISION ADDRESS: DATE: REVIEWED BY: APN: BP#: 'VALUATION: *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION FPERMIT TYPE: 1SFDWLR00F WORK SCOPE FEE ID ROOF AP EA s.f. 1REROOFFRES 3,500 Pi NOTE: These fees are based on the Preliminary information availa,de and are onl a estimate. Contact the Dept-for addn'l info. FEE ITEMS fFee Resolution 09-051 E(f 7/1/10) FEE QTY/FEE MISC ITEMS Permit Fee: $455.00 Work Without Permit? Q Yes (F) No $0.00 StronMotion Fee IBSEISMICR $1.50 Select an Administrative Item Ide St ds Commission Fee: 1BCBSC $1.00 " � ° r 'BTrALsV° $457.50 $0.001' ` TQTAL FEE: $457.50 Revised: 9/29/2010 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: PERMIT# OWNER'S NAME: PHONE # Yoh ,F07- JP3�Z GENERAL CONTRACTOR: �� !/ ,(Q, BUSINESS LICENSE# ADDRESS: 7O0 CITY/ZIPCODE: 7050- T S /2G *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INS PECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRAC'T'ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: -G Signature 6ate 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 Ile / Owner/Contractor Signature Dat Cni t i'sF CITY OF CU PERTINO REROOF j w L R T 1 P-40 PERMIT APPLICATION D/0(J/ APN # Date: 3 5 61�7 0 e-1- 0 Building Address: Owner's Name: Pt, Phone#: HOA: Yes No If Yes, provide letter from HOA � ,,FD7- op-?,?2 Contractor: Phone#:( Q)Z)2-'?2-, Fax #: Od'/ ZFZ- Cupertino Business License#: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ ilt-Up roof ❑ sphalt Shingles a,"Asphalt Shingles Wooder 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: Lai d�F �, �C,(,� S,( �i. ��s {tel/ /lam•,, 7 4� GsB �tl� l'a,�J�w.�- �a.,h,.;i.-. Zn s �C/ /t/ems 30: .3� mil f Tis tel/�tw ,Sa�� C,t.�►.�. /uN4, P,.�1,._j Residential ® Commercial El Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the applicittion 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: Signature Revised 02/05/09 C i TY i'F IF ME } Vy CITY OF CUPERTINO REROOF C U P E R T I N O FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Stancards B ALL PERMIT TYPES Commission F-_e IBSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residf:ntial B 1SFDWLROOF IBCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF I BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1 BSEISMICRE Seismic Residcntial B 1 BUSLIC Business License B REROOF TEAR-OFF POLICY is COMMUNITY DEVELOPMENT DEPARTMEN-"•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL I 1 10300 TORRE AVENUE-CUPERTINO, CA 9`.014-3255 CUPERTINO (408)777-3228-FAX(408)777-3333 • __: _. PROJECT ADDRESS 71 /5-3 � J' / e w O/ `� APN# 3 P (e 0 cl -7' i n OWNER NAME H�k `A PHON [0O j 0 7- G>*2 E-MAIL ��A/1 f /� ( u O / Q STREET ADDRESS 7ys3 f�, _�o CITY, STATE,ZIP /� FAX CONTRACTOR NAMEAA l.O „ LICENSE NUMBER Ir V LICENSE TYPE BUS.LIC.# J COMPANY NAME '46LV: UG �/// vv l/ E-MAIL a!�ac OLS • FAX O 272, [TREETADDRESSCITY,J,/ STATE,ZIP ��C (� �t3�2_c PHONE r(,�r I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable previsions 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. S. 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 1/4" per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all pro-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 in the property owner's behalf. I understand and a ree to comply with the re-roof policy stated above. Signature of Applicant/Agent: Date: RerogJPolicy 2010.doc revised 05117110