Loading...
10100055 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11713 WESTSHORE CT COtITRACTOR:CASTILLO'S ROOFING PERMIT NO: 10100055 OWNER'S NAME: CLAUDINE FIDRIC 1701 CATHAY DR DATE ISSUED: 10/06/2010 NER'S PHONE: 4082539364 SAIN JOSE,CA 95122 PHONE NO:(408)251-3565 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.4 < 7UtL� _ /� MECH RESIDENTIAL COMMERCIAL Contra�fri Date I herebI am licensed under the provisions of Chapter 9 JOI I DESCRIPTION:RE-ROOF TEAR OFF WOOD SHAKE,INSTALL#22LB (commencing with Section 7000)of Division 3 of the Business&Professions FEL TING.INSTALELINE)INSTALL VY S AKE CLASS ROLL Code and that my license is in full force and effect. ROC FING.INSTALL NEW HEAVY SHAKE CLASS A FIRE 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 Sq.I t Floor Area: Valuation:$10200 permit is issued. APPLICANT CERTIFICATION API Number:36653014.00 Occupancy Type: 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 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 per the Cupertino Municipal Code,Section Signature Date /® Issued bye �v Date-/11J__ r_. OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All r Hofs 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, inspo xtion. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Sign iture of A Lica it: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct 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: 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 I haie read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. Cali ornia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by com)liance 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. Add tionally,should I use equipment or devices which emit hazardous air permit is issued. cont iminants 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 main Main 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 Heal th&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 Owl er r athorize a e forthwith comply with such provisions or this permit shall be deemed revoked. Date: (Q APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I herby 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 Leno ler's Name upon the above mentioned property for inspection purposes.(We)agree to save "mnify and keep harmless the City of Cupertino against liabilities,judgments, Lem ler's Address and expenses which may accrue against said City in consequence of the g,anting 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 unc erstand my plans shall be used as public records. Signature Date Lice used Professional CITY OF CUEERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: lot: APN 36653C14 . 00 DATE ISSUED. . . . . . . : 10/06/2010 RECEIPT #. . . . . . . . . : BSOOOC11667 REFERENCE ID # . . . : 10100055 SITE ADDRESS . . . . . : 11713 WESTSHORE CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER CLAUDINE FIDRIC ADDRESS . . . . . . . . . . : 11713 WESTSHORE CT CITY/STATE/ZIP . . . : CUP='INO, CA 95014 RECEIVED FROM . . . . : CASTII,LO'S ROOFING CONTRACTOR . . . . . . . : JOSE C:ASTILLO LIC # 25850 COMPANY CASTII,LO'S ROOFING ADDRESS 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) ::51-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- ---------- ---------- 1BCBSC VALUATION 10, 200 . 00 1 .00 0 . 00 1. 00 0 .00 1BSEISMICR VALUATION 10, 200 . 00 1 .10 0. 00 1. 10 0 . 00 1REROOFRES SQ FEET 18 . 00 :!34 . 00 0 .00 234 . 00 0 .00 ----------- ---------- ---------- ---------- TOTAL PERMIT :136 .10 0 . 00 236 . 10 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - ------------------- CHECK 446 . 00 #:_6675 --------------- TOTAL RECEIPT 446 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF a Building Department City Of Cupertino LM 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBi�ONTRACTOR LIST JOB ADDRESS: 1 1 •7 13 WeS+-S1c>re- C4-. PERMIT# 00'5"S OWNER'S NAME: Q- ` V71,AX N c- PHONE # 2-5-7-3-Sl&.5- GENERAL CONTRACTOR: OASTLOSS �-Ec < BUSINESS LICENSE # 36 ADDRESS: ( ® pt �-hl L71Z- CITY/ZIPCODE: a OSS, . ��� *Our municipal code requires all businesses working in th( 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. I am not using any subcontractors: Signa,ure 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 M.Indoor Air Quality and Finishes 1.Use Low/No-VOC Paint 1 IACIMealth pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAC VHealth pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAC Mealth pts y--yes 0 4.Use Salvaged Materials for Interior Finishes 3 Re)ource pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61A(VHealth pts y=yes D 6.Use Exterior Grade Plywood for Interior Uses 1 IA(VHealth pts y=yes D 7.Seal all Wised Aartioleboard or MDF 4 IAC VHealth pts y=yes D 8.Use FSC Certified Materials for Interior Finish 4 Re source pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Re Source pts y—yes 0 1 D.Install Whole House Vacuum System 3 IAIvHealth 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,xrrce 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 0 1 1 1 Total Points Available: 1401 130 57 Total Points Project Received:1 1 01 01 0 G:data/progs/gree ilifingguidelines/remodelers/greenpointsfinal212g4protected.x 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-build ng(a)cupertino.org PROJECT ADDRESS ' > APN# OWNER NAME PHONE. E-MAIL Qja4l 2Q� rc�r�tc. �? 53- & STREET ADDRESS I 1�//►►J , e CIT STATE,Z P/ /�51� FAX �4 CONTRACTOR NAME /�� LICENIE r LICEN T BUS.LIC./,` . COMPANY NAME �+ '/ • E-MAIL FAX STREET ADDRESS/7713 n CITY��AIE ZI'� _ �� e �r i.2;X, PHONE n'5_/,r3 I UNDERSTAND AND AGRI?E 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 minimuri 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 fo-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 thin 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 i ems will be verified: a. Flat roofs shall have a minimum of'/4"per foot cf 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 -nspection 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 behalf I u erstand and agree to amply with the re-roof policy stated a ove. Signature of Applica Date: Ar ReroofPolicy_2010.doc revised 05/17/10 CITY OF CU PERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: BATE: REVIEWED BY: APN: BP#: *VALUATION: 1$10,200 q;�PERMITTYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof PRIMARY 1��� /_ PENTAMATION 1 SFDWLROOF USE: SFD or Duplex ; �Ct��: tf_ PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,$00 __T T_ 1,t,,h, 1'1117Pt Uh,CFC 1? trite. !'!"'0 C_t�3c'-'4 1_iPc'. 1i/cw ChcXk fit h. !r'.'�_ F 1if ,i, ItF'i t /1'c'E,. 1""" P li"Fc" F-1 I P, a_t_ 01,1"urllo'blvi, Li 11�<t h:,rz f I'. ,m!; h r l,,,, h7sp' Fc NOTE: Thesefees are based on thepreliminary information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 09-051 Elf 7%1;101 FEE QTY/FEE MISC ITEMS P/oil C7 c(4 i ec,: sitpp[ PC Fcc Phimb''_11c ch. c w cA": Permit Fee: $234.00 C'rit 1 cc: Pcruli! FCC,' �.�t)f7;St1'IIc'tl�lt7 I ct.l" r77T %�i:OZd ili`it/ i ['Nf4'11 Vcc: Work Without Permit? 0 Yes 0 No $0.00 1>/(.11111117C7 1''['c'N Yi-a Irl Fccs: Strom,Motion Fee: IBSEISMICR $1.02 Select an Administrative Item Bldg;Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $236.02 $0.00 TOTALFEE:T $236.02 Revised: 9/29/2010 CITY OF CITY OF CUPERTINO ,a REROOF C O P E RT I N O PERMIT APPLICATION APN # h �� Date: Building Address: --1 t 3 ►JAS hOre. c�-�-. Owner's Name: ��C�+��c�:i�r�� �;� ,f-; Phone #: qos. Z53-9 ?&q HOA: Yes ❑ No ET""If yes, provide letter from HOA Contractor: � Phone #: i4m -3 5 Fax #: _'& V . Cupertino Business License #: Contractor License #: 4ac Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles �Wood Shakes V Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report# po,'To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: U%Lc c\ 141 ? I ( 4:17-2-L 7 2)b. 0,4p sA*---e-4- go I IZCR3��`r3Z�, S 7 }// Aj, % -0 -rt`re •trF 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: /© 2W. I Have Read, Understand and Will Comply with Cup Irtino's Tear-Off Policy: 7 Sign e Revised 02/05/09