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10100001 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1206 STAFFORD DR CONTRACTOR:DADDARIO ROOFING PERMIT NO: 10100001 OWNER'S NAME: MARK ENRIGHT E 34 WILLA WAY DATE ISSUED: 10/01/2010 VNER'S PHONE: 4084469836 S,�NTA CRUZ,CA 95062 PHONE NO:(831)476-9109 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lie.# �J Q:�✓2 RE-ROOF 38 SQUARES,TEAR OFF SHAKES,INSTALL q,��� PLYWOOD 30LB FELT UNDERLAYMENT INSTALL Contractor Date ld--0/— LANDMARK I hereby affirm that I am licensed unde the provisions of Chapter 9 Z.L SHINGLES CLASS A (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 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:$20550 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 A PN Number:36211017.00 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 FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, y costs,and expenses which may accrue against said City in consequence of the Issued Y� Date: 1,1547 -10 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. RE-ROOFS: Sign? Date —© r VO SII roofs shall be inspected prior to any roofing material being installed.If a roof is i nstalled without first obtaining an inspection,I agree to remove all new materials for J nspection. OWNER-BUILDER DECLARATION signature of Applicant: Date: 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 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). [have read the hazardous materials requirements under Chapter 6.95 of the 2alifornia 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: 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,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 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, ts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. .nting 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 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: d / PERMIT OWNER'S NAME: y e PHONE GENERAL CONTRACTOR �p BUSINESS LICENSE# 30 3 ADDRESS: rp CITY/ZIPCODE:CaPIM4 4 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY AC ORS ION(S) WILL BE HAVE OBTAINED AHCITY OF CUPER INO UNTIL THE GENERAL CONTRACTOR AND ALL SUBCON BUSINESS LICENSE. I am not using any subcontractors: Signal ure Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation IFencing Flooring/ Carpeting Linoleum/Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering lumbing Roofing 0A L Septic Tank Sheet Metal Sheet Rock B' Tile -C7A� Date Owner�ICotract�or Signature REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE-CUPERTINO,CA X5014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildir o @cupertino.orq PROJECT ADDRESS ' ! APN# o Y OWNER NAME 1- PHONE E-MAIL STREET ADDRESS L^ / CITY, STATE,ZII 0,( . FAX d r ri •�•� CONTRA OR N M LICENSE NUMBE ,may ')2/7 LICENSE TYPE BUS.LIC.# COMPANY NAMEQr�o E-MAIL FAX STREET ADD ESS CITY,STATE,ZIP PHONE / 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)777-3 228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call foi tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and al I 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 — 10:30am 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 att 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 aI plied without first obtaining an approved inspection will require the removal of all new material down to :he 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-in;;pection 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 behalf. I understand and agree to comply with the re-roof policy stated above. Signature of Applicant/Agent: Date: ReroofPolicy_2010.doc revised 05/17/10 INPUT ResDurrps Energy IAD'Heafth M.Indoor Air Quality and Finishes 1.Use Low/No-VOC Paint 1 IAC]Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAC JHealth pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAC JHealth pts y--yes 0 4.Use Salvaged Materials for Interior Finishes 3 Re source pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6 IAC JHealth pts y=yes 0 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAC JHealth pts y--yes 7.Seal all Exposed f tiolebDard or MDF 4 IAC JHealth pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Re source pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Re source pts y—yes 0 10.Install Whole House Vacuum System 3[Ati alth pts y=--yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 8 Res)urce pts y=yes 0 2.Use Rapidly Renewable Flooring Materials 4 Res wrce pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Res)urce pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQIH"th 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 Res)urce pts y--yes 0 1 1 1 Total Points Available: 1 1401 130 57 Total Points Project Received: 0 0 0 )Pvv�� moq c G:data/progs/greenbuildr gguidelines/remodelers/greenpointsfina121204prdected.xis .ITY OF CITY OF CUPERTINO -121REROOF CUPERTINO PERMIT APPLICATION a OOO _ Date: APNBuilding Address: 461 de ---------- Phone #: Owner's Name: A/� ������" �/ / _ No � If(/es, rovide letter from HOA ��a� -r�D � g HOA: Yes ❑ ❑ Phone #: 1 C� 6_ qj ®9 Contractor: NVY Fax#: License Cupertino Business Contractor License #:T3 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles @/Asphalt Shingles 011"Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report# ❑ Provide Mfgr. Installation Specs. c3 To be Removed Job Description: Slatk_l�' . 5 � (� ��• ©(�,s ��� p �ec�.✓ d�� Vv�2Y( w,-Z�^�• �S}°1� �..a,,,,GItM..urk TL-• � C 10.55 � � Residential - Commercial Green Building: Please complete relevant portion of the Con_fumed aCith Planning Dept. if Green BuildingChecklist & attach it to the application or if there are any restrictions: ❑ a licable, include in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Ci:.pertino's Tear-Off Policy: S' e Revised 02/05/09