10080023 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22638 STEVENS CREEK BLVD CONTRACTOR:HONEY-DO HANDYMAN PERMIT NO: 10080023
SERVICE
TIER'S NAME: INTERNATIONAL/DE ANZA BAPTIST CHURC 58 OAK TREE CT DATE ISSUED:08/03/2010
OWNER'S PHONE: 4082537590 MURP iYS,CA 95247 PHONE NO:(209)743-1851
❑ LICENSED CONTRACTOR'S DE�C{LARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB
License Class Lic.# 4 `T
Q 2 MECH r- RESIDENTIAL[_ COMMERCIAL�
Contractor Date O J
JOB E ESCRIPTION:RE-ROOF RMV 1060 SQFT OF BUILT UP ROOF,RMV
I hereby affirm a amrcensed under the provisions of Chapter 9 EXISTI JG FENCE.REPLACE DRYROTTED PLYWOOD
(commencing with Section 7000)of Division 3 of the Business&Professions SHEAT SING&INSTALL BUILT UP ROOF.UILD NEW FENCE,
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.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the workfo whit this Sq.Ft Aoor Area: Valuation:$25000
permit is issued.
APPLICANT CERTIFICATION APN Number:34214101.00 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 V;0 DAYS FROM LAST CALLED INSPECTION.
with all non-point puree regulations per the Cupertino Municipal Code,Section
9.18. '
MIssued bDatek �V
3ture2jDate I
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roo s shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installe i withoutfirst obt ' g an' spection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspect on.
will do the work,and the structure is not intended or offered for sale(Sec.7044, Q 3
Business&Professions Code) Signatt re of Applicant: ate: [�
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: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. Califon nia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance 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.
Additi,mally,should I use equipment or devices which emit hazardous air
permit is issued. contandnants 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 maintain 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 Health&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 musto uth
forthwith comply with such provisions or this permit shall be deemed revoked. —� Date:
fff
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereb�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 Lender's Name
he above mentioned property for inspection purposes.(We)agree to save
mify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,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 source regulations per the Cupertino Municipal Code,Section
9.18. 1 under stand my plans shall be used as public records.
Signature Date Licens!d Professional
CITY OF CUPFRTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 34214101. 00
DATE ISSUED. . . . . . . : 08/03/;010
RECEIPT #. . . . . . . . . : BS0000=.1066
REFERENCE ID # • • . : 10080023
SITE ADDRESS . . . . . : 22638 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . . CUPERT=:NO
IMPACT AREA . . . . . .
OWNER INTERN]iTIONAL/DE ANZA BAPTIST
ADDRESS 22638 STEVENS CREEK BLVD
CITY/STATE/ZIP . . . : CUPERT=:NO, CA 95014
RECEIVED FROM . . . . : RICHARD M WINN
CONTRACTOR . . . . . . . : RICHARD M WINN LIC # 31899
COMPANY HONEY-I)O HANDYMAN SERVICE
ADDRESS 58 OAK TREE CT
CITY/STATE/ZIP . . . : MURPHY:), CA 95247
TELEPHONE . . . . . . . . : (209) '743-1851
FEE ID UNIT QUANTITY AMOUIJT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ----- ----- ---------- ---------- ----------
1BCBSC VALUATION 25, 000 . 00 1. 00 0.00 1. 00 0 .00
1BSEISMICO VALUATION 25, 000. 00 5.25 0 .00 5.25 0 .00
1REROOFCOM SQUARES 10. 00 368 .00 0 .00 348 . 00 0 .00
----- ----- ---------- ---------- ----------
TOTAL PERMIT 354 .25 0. 00 354 .25 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- -- ------------------
CREDIT CARD 354 .25 VISA
---------------
TOTAL RECEIPT 354 .25
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: 7 DYLTE: REVIEWED BY:
APN: BP#: `VALUATION: 1$25,000 -,
YPERMIT TYPE: Building Permit PLAN CH TLCK TYPE: Tenant Improvement
PRIMARY 1(R,rl_ APPLICATION 1GENCOM
USE: Commercial Building IIO(')h' /,1 . TYPE:
MECHANICAL 0 Yes 0 No PLUMBING Yes Q No ELECTRICAL 0 Yes (E)No
xW
as
C �
3 �
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s .ft.
TOTALS: 0 $0.00 $0.00
-7 7 Pi(trt f f? Ch lcic'- 1'lui, {Y7£'t°
.......17
[7717,
FT71
), ,.2 hl:,;
NOTE: Thesefees are based on the preliminary in ormation available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 09-051 Lf' 7,1.,09) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1,000 s.f. Re-roof
Suppl. PC Fee: E) Reg. 0 OT 0.0 1 hrs $0.00 $348.00 1REROOFCOM
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Feer Reg. OT 0.01hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Acoustical Fee: 0 Yes Q No $0.00 0
Work Without Permit? Q Yes (D No $0.00 0
Planning Fee: $0.00 Select a Non-Residential 0
: Building or Structure
A
StronI4 Motion Fee: IBSEISMICO $5.25 Select an Administrative Item
Bldgy Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $6.25 $348.00 TOTAL FEE:: $354.25
Revised: 7/27/2010
CITY OF `7
CITY OF CUPERTINO
1111 REROOF
CUPERTINO PERMIT APPLICATION
APN # � O � Date: � 3
Building Address:
2� SMcVEAJS (29EEK
Owner's Name: //V J E12NA7-jOUAL,/DEAN7A Phone #: +09,_C;2_G3-7510
G A PT/ST C-H v PCP
HOA: Yes ❑ No X If yes, provide letter from HOA
Contractor: HoNEy-Db HANDYNAA) SgZV/CE Phone #: 0374Z J'3_5/
Fax#:
Cupertino Business License #: 3 I g� Contractor License #:
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#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: �� QU ��Oho � D�' g U 1 C_1 UP (Z60F R�0 VC=
EX 1SriNG FEF EPL-ACC l��yJ�cit/ T=��c�woof-'>
y CC>A�
wTi� &A-0 u o a� LD I_N aoF Rl� FASCIA .,
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.
Valuatio V25
0o
F�
I Have Read, Understand and Will Comply with Cupe rtino's Tear-Off Policy:
Signature
Revised 02/05/09
M.1ndDDr Air Quality and Finishes
I.UseLOw/No-OC.Paint 1IAQHealth pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQMealth pts y=yes 0
3.-Use Lowift VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Rec ource pts y=yes D
5.Use Engineered Sheat Goods with no added Urea
Formaldehyde 61AC/Health pts y=yes 0
6.Use Exterior Grade Ply\aood for Interior Uses 1 IAC/Health pts y=yes 0
7.Sed PFOO ardgr 4DF - 41AC/Health. is v=ves D
B.Use FSC Certified Materials for Interior Finish 4 Re:ource pts y=yes D
9.Use Finger-Jointed or Recycled-Content Trim 1 Re::ource pts y=yes 0
10.Install Whole House Vacuum System 3 IAOIHealth pts y=yes 0
1 1 D
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0
2.Use RapicilyRenewawe flooring Materials 4 Resource 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: 140 130 57
(OT
Total Points Project Received: 01 0 0
G:datdprogs/greenbwldn lguidelines/mmodelers/greenp6intsfinat21204profeoted.x1s
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMEN-'•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE-CUPERTINO, CA 9f 014-3255
CUPERTINO
(408)777-3228• FAX(408)777-3333-build inci(a)cupertino.org
PROJECT ADDRESS (� �L V C APN# 1 /�
OWNE AUp_ PH N ^C� _75�x E-MAIL
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ESSLV CITY,uA ,ZI , FAX
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NTR T NAME �^HAR.D N LICE NS B i L CENSE TYPE,-, BUS.LIC.4.3
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COMPANY NAME AIL FAX
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STRET DDRESS� CIT , TAT ZIP ��
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I UNDERSTAND AND AGREE TO THE FOLLOWING:
I. The re-roof project shall comply with all applicable pr)visions 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 :ear-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 witt_in 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 c btaining all inspections and written approvals
from the building inspector. Any roofing which is apf lied without first obtaining an approved inspection
will require the removal of all new material down to tt e 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 itfms 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 pr(--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-insf ection 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 behr. I VrstaEd and agre to o mply with the re-roof policy stat d ab ve.
Signature of Applicant/Agent: Date: 3
ReroofPolicy_201 0.doc revised 05/17/10