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10100126 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7525 HEATHERWOOD DR CONTRACTOR:WESTSHORE ROOFING PERMIT NO: 10100126 INS. t OWNER'S NAME: ARUN COMAL 2245-A FORTUNE DR DATE ISSUED: 10/15/2010 , NE 'S PHONE: 4083661752 SAN JOSE,CA 95131 PHONE NO:(408)694-0060 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL D COMMERCIAL License Class _3 ` Lic.# Z RE-ROOF 36 SQUARES REMOVE EXISTING WOOD SHAKE, Contractor (p (Il Date a �� Ifs STALL UNDERLAYMENT FELTEX INSTAL 1X4 2X2 I hereby affirm that I am licensed unde a provisions of Chapter 9 WOOD (commencing with Section 7000)of Division 3 of the Business&Professions BYLTTENS INSTALL G.CANYON SHAKE METAL ROOF Code and that my license is in full force and effect. SYSTEM 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:$20790 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:35926053.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION v' I certify that I have read this application and state that the above i ormation 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 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 granting of this permit. Additionally,the applicant understands and will comply Issued b Date: !1 with all non-p int source regulations per the Cupertino Municipal Code,Section 9.18. P160 RE-ROOFS: Signature Date C �'�/ 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 ltrl�a Signature of Applicant: Date: 10 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 BETTER 1,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 ive read the hazardous materials requirements under Chapter 6.95 of the Ca ifornia Health&Safety Code,Sections 25505,25533,and 25534. I 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: He filth&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. wil 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,Sect' rs 5505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this h /Q permit is issued. `� lO Oner or authorized agent: Date} I certify that in the performance of the work fpr 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,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,1 must I ht 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. woi k'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 ,•-,n the above mentioned property for inspection purposes.(We)agree to save unify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION ,,:..,ts,and expenses which may accrue against said City in consequence of the I ur derstand 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 Lic;nsed Professional 9.18. Signature Date CITY OF CU:PERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: E ATE: REVIEWED BY: APN: BP#: *VALUATION: 1$20,790 FPERMIT TYPE: Minor Building Permit PLAN CI[ECK TYPE: Re-roof PRIMARY It'! �?, PENTAMATION 1SFDWLR00F USE: SFD or Duplex ��,; .� > ;, PERMIT TYPE: - , WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 3,600 {.`nr°c�i� V,41�t<±_ J',rturr I's��_ 'rr,r f tilc(- Pe m.v Fc 1t�ri h,p, 1"'w t.rm;h. Ir i_ .a,e_ f"C',_Inv), NOTE. Thesefees are based on the preliminary in ormation availa hle and are only an estimate. Contact the De t or addh 7 info. FEE ITEMS (Fee Resohition 09-051 Eff. 1:10) FEE QTY/FEE MISC ITEMS 1,/(d/t ("he"n' Fcc Szipp/l PC [e /'1z;zrzla.-:1�f°t!z.'1�Icf P/(oz Che(,k: Permit Fee: $468.00 Work Without Permit? 0 Yes No $0.00 I Strong Motion Fee: IBSEISMICR $2.08 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $471.08 $0.00 TOTAL FEE: $471.08 Revised: 9/29/2010 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTME VT-BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDI�G OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333-build nq(c-Dcupertino.orA PROJECT ADDRESS �/) � � p�l r � ///��ApN# OWNER NAME /� -„�A ' J . PHONE 1L 6_ 17,5-Z E-MAIL STREET ADDRESS _/ / CITY. STA-TEZP CIJ e�eV J0ftq FAX CONTRACTOR NAME U✓ `�� L26W,6� LICENSE NUMBER `� 2�-( LICENSE TYPE/+ BUS.LIC.# COMPANY NAME E-MAIL J - r� �� ('��- FAX Co" c} -C)2' STREET ADDRESS� r y� CITY,STATE,KZI' �^ UV 1�le PHONE' -O 2-Do I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable r rovisions 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 fog•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 wi hin one hour. There are special hours for this service: 7:30 — 10::;Oam and 1:00—3:30pm (Mon—Thurs); 7:30 — 10::,Oam and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspectiotl is required. 5. In-Progress roof inspection is required. Call for at 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 frori the building inspector when the re-roofing is complete. To receive a final sign-off, the following ii ems 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 pi e-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-ins Section 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 beha I nderstand and agree to comply with the re-roof policy state abov . Signature of Applicant/Agent: Date: P ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUB(;ONTRACTOR LIST JOB ADDRESS: ee' PERMIT# OWNER'S NAME: &kqj.j Af l,( PHONE# (7"Lo�• GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: n+'S'6 Fbl(t4AeCITY/ZIPCODE:,Sg0, 31 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY IN,-PECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: �� I ('s- Ito 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 CUFERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35926C53 . 00 DATE ISSUED. . . . . . . : 10/15/2010 RECEIPT #. . . . . . . . . : BSOOOC11764 REFERENCE ID # . . . : 10100126 SITE ADDRESS . . . . . : 7525 FEATHERWOOD DR SUBDIVISION . . . . . . CITY CUPER7 INO IMPACT AREA . . . . . . . OWNER ARUN COMAL ADDRESS . 7525 FEATHERWOOD DR CITY/STATE/ZIP . . . : CUPER7INO, CA 95014 RECEIVED FROM . . . . : WESTSFORE ROOFING CONTRACTOR . . . . . . . : PAUL FOWLER LIC # 21417 COMPANY . . . . . . . . . . : WESTSFORE ROOFING INC ADDRESS . 2245-1. FORTUNE DR CITY/STATE/ZIP . . . : SAN JCSE, CA 95131 TELEPHONE . . . . . . . . : (408) E94-0060 FEE ID UNIT QUANTITY AMOLNT 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 CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN # Date: � LPQ 53 .w to i.`' co Building Address: 0, S 25 7He_atkevv400c( br Owner's Name: 6(v y` Co mq l . Phone #: HOA: Yes ❑ No �If Yes, provide letter from HOA JOS 36 `7S_ " Contractor: Phone #: 4o d 4A --02-00 Z Fax#: 0y +s6 O 33 Cupertino Business License #: Contractor License #: 7$.7 ZZ Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) Other (Specify) Number of existing coverings [ . ❑ Provide I.C.C.E.S. Report# ,z'To be Removed ❑ Provide Mfgr. Installation Specs. ,364- cess A- - Job Description: gewove_ W rd&)4, �u� ��G� 2-x2 100-340'eit s; (PWCZ V &e/_C4� Cam o� Melo f8u Residential - Commercial Green Building: Please complete relevant portion A 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: 20 I Have Read, Understand and Will Comply with Cupe;rtino's Tear-Off Policy: Signature Revised 02/05/09