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10080158 CITY OF CUPERTIN0 BUILDING PERMIT BUILDING ADDRESS: 20063 NORTHCREST SQ CONT RACTOR:FOUR SEASONS ROOFING PERMIT NO: 10080158 OWNER'S NAME: RONALD SATTUI PO BOX 1668 DATE ISSUED:08/23/2010 1ER'S PHONE: 4082531585 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 ❑ e-7 ENSED CONTRACTOR'S DECLARATION BUIL DING PERMIT INFO: BLDG ELECT PLUMB r Z 6 License Class �n/ Lic.it ! �I MECH r RESIDENTIAL COMMERCIAL �S A- Date ( Zz 3�t 0 Contractor JOB DESCRIPTION:RE-ROOF REMOVE EXISTING CEMWWOOD ROOF& I hereby affirm that I am licensed under the provisions of Chapter 9 INST,%LL A (commencing with Section 7000)of Division 3 of the Business&Professions NEW CLASS A COMPOSITION SHINGLE.GAF GRAND CANYON Code and that my license is in full force and effect. (COL,)R)STONEWOOD 12 SQ 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:54400 permit is issued. APPLICANT CERTIFICATION Occupancy Type: I certify that I have read this application and state that the above in is APT Number:31638071.00 p y 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, -PERMIT EXPIRES IF WORK IS NOT STARTED 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 with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date �23O Issued by: Date: LJ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials or will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. `l Business&Professions Code) Signature of Applicant: ZZ � Date: 9/23 J 1,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 b ave read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. Ca lifornia Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by co mpliance 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. permit is issued. Ar iditionally,should I use equipment or devices which emit hazardous air ll contaminants as de I certify that in the performance of the work for which this permit is issued,I shall by the Bay Area Air Quality Management District I will in , not employ any person in any manner so as to become subject to the Worker's H Wth&Safety Code,Sections 25505,25533,and Code,icipal Chapter 9.12 and the 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 O Yvner o u oriz gent: forthwith comply with such provisions or this permit shall be deemed revoked. / Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I rereb 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 ft r which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save ,nify and keep harmless the City of Cupertino against liabilities,judgments, I ender's Address ,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point sou re ations per the Cupertino Municipal Code,Section 9.18. �� 0 I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO PERMIT RECEIPT OPERATOR: patg 3 ITEMS OF 18 COPY # : 1 Sec: Twp: Rng: Sub: Blk: lot: APN . . . . . . . . : 31638C71 .00 DATE ISSUED. . . . . . . : 08/23/ 2010 RECEIPT #. . . . . . . . . BS000(,11254 REFERENCE ID # 10080-.58 SITE ADDRESS 20063 NORTHCREST SQ SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER RONALD SATTUI ADDRESS 20063 NORTHCREST SQ CITY/STATE/ZIP CUPERTINO, CA 95014 RECEIVED FROM FOUR SEASONS ALFRED ROOFCN# 21323 CONTRACTOR . . . . . . COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING ADDRESS : PO BCX 1668 CITY/STATE/ZIP . . . : SAN JOSE, CA 95109 TELEPHONE . . . . . . . . : (408) 278-0330 FEE ID UNIT QUANTITY AMC,UNT PD-TO-DT THIS REC- -_NEW_BAL- ---------- ------------- ---------- ------ 1BCBSC VALUATION 4, 400 . 00 1 .00 0 .00 1. 00 0 .0 1BSEISMICR VALUATION 4,400. 00 0 .50 0 .00 0 .50 0 .00 1REROOFRES SQ FEET 12 .00 156 .00 0 .00 156 . 00 _--------- ____ ----- ---- ----- - TOTAL PERMIT 157 .50 0 .00 157 .50 0 .00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ____________________________ ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUP ERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: $4,400 *PERMIT TYPE: IMinor Building Permit PLAN CHI TYPE: Re-roof PRIMARY ��MATPIONMulti-Famil Dwellin Building is Yes NE: 1 MFDWLROOF USE: y g >3 Stories WORK SCOPE FEE ID ROOF ARE. s.f. 1REROOFMRES 1,200 ho 1,, f'P7,k NOTE: These fees art based on the preliminary information available and are oniv an estimate. Contact the Dept-for addn'1 info. FEE ITEMS Fee R solution 09-051 E : 7/11.10 FEE Q TY/FEE MISC ITEMS PiIli ('/"�(k 1"�,C'' ____T_F__ t'c Permit Fee: $156.00 -�i�t �," t;i.Y -frll 1� �_t117�IF"21Cit?ff ��<i5 I�i`Ilati`fF��£tl�4i'S-1ttt` �t'C': Work Without Pe it? 0 Yes 0 No $0.00 1'lctttttirt 1','��: T'�"<�t�c'I fh}ct;sJzGl7tt�f�t��,� f��'�'�•` Strong;Motion Fee: IBSEISMICR $0.5C Select an Administrative Item Bldg Stds Commis ion Fee: IBCBSC $1.00 SUBTOTALS: $157.50 $0.00 TOTAL FEE: $157.50 Revised: 8/17/2010 CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN # Date: 23 /0 �2 � �;� � � � Building Address: �2 oo(,,3 ;mH sPhone #: �oy) ,2�3Owner's Name: {HOA: Yes ❑ No ❑ If es, rovide letter froA Phone FExisting: tor: r S C', S,s Fax#: Contractor License #: no Business License #: �, 3 23 Type of Roof Covering: P-oposed: ❑ Built-Up roof Built-Up Roof 3.4 asphalt Shingles ❑ Asphalt Shingles ❑ `blood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles c3 (Specify) Other (Specify) �o wo 0 ❑ Provide I.C.C.E.S. Report# Number of existing coverings / ❑ Provide Mfgr. Installation Specs. ,ac–To be Removed rJobescription: �� Ve �r� �u w C� s s r4 �C(o 0 Commercial Residential '— Confirmed with-Planning Dept. if Green Building: Please complete relevant portion of the ❑ Green Building Checklist & attach it to the application or if there are any restrictions: applicable2 include in plan set & the sheet index. a� Valuation: yo I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 02/05/09 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING DFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95)14-3255 JPERTINO (408)777-3228 • FAX(408)777-3333 • buildin 'c�cupertino.orq PROJEC"1'AUDItJ3SS APN N o C7 6 j s6-. 0'•:v"VER N. SIG cll,_ J1I PHONG�,123'3`!� EtvIAIL - _ N' CITY, STAT FAX / 5!}P CONTKAC"I'UR NATE -� - LICENSE NUMBER LICEN�TYg BUS,LIC,N-7 c' E-MAIL FA( � G A CIT STATE,ZI PHONE sriz "DDR-s" 9 I UNDERSTAND AND AGRE.: TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. An inspection request shall be scheduled the day before the inspection date. Please call (408)777- 3228 between 7:30 - 3:30pm (Mon-Fri) to schedule t)-e next day inspection. 3. After the roof is torn off and the nails/fasteners havf been removed and all the dry-rotted wood has been replaced, you must call for a roof inspection. A building inspector will be available with one hour. There are special hours for the 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. New roof coverings shall not be applied without first obtaining all inspection 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. 6. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. To receive a final sign-off, the following item will be verified: a. Flat roofs shall have a minimum of per foot of slope and demonstrate there is no ponding. b. A luting from an approved testing agency shall be a-ailable on-site to review at the time of the inspection. c. Proper spark arrestor installation. T NOTE: If you call for a plywood nailing inspection and the job is not ready, you will be charged to a re- inspection fee of$126.00. The re-inspection fee shy 11 be paid before another inspection can be scheduled. my signature below, I certify to each of the following: I am the property owner or authorized agent to act on property owner's behalf. I undergand and agree to comply with the re-roof policy stated ab vP. •. Signature of Applicant/Agent: 00, —_ Date: ReroofPolicy_2010.doc revised 04%14,,10