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10070195 CITY OF CUPERTIr O BUILDING PERMIT BUILDING ADDRESS: 18911 TUGGLE AVE CONTRACTOR:WOODS ROOFING PERMIT NO: 10070195 OWNER'S NAME: LOU ANN FLAUGHER 17700 SERENE DR DATE ISSUED:07/29/2010 .PER'S PHONE: 4087251372 MORGAN HILL,CA 95037 PHONE NO:(831)637-5576 Fld LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class e 391 Lic.# 3.Z3 J 3 r r-MECH RESIDENTIAL COMMERCIAL ContractorLtJd��y `S A�j�y� )Ac Date >'—a2`j'—/y I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVE TAR&GRAVEL&2'X8'X2 (commencing with Section 7000)of Division 3 of the Business&Professions INSULATION Code and that my license is in full force and effect. DECKING&INSTALL 2X6 TAR&GRAVEL 30#PAPER 2"X2" &1"X4"FRAMING OVER 2X2"TONGUE&GROOVE STEEL 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 permit is issued. Sq.Ft Floor Area: Valuation:$19660 APPLICANT CERTIFICATION 6 L I certify that I have read this application and state that the above information is APN Number:37533064.00 Occupancy Type: 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 granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. (� Signature c=� Date 7—,2-!—/P Issued bI. Date Z / thk OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 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 for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) T I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: i i. " Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain 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. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. O ne r authorized agent- A4� ___�__� Dated 9f—/lJ APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name viify and keep harmless the City of Cupertino against liabilities,judgments, ,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Licensed Professional CITY OF CUPERTINO 2 ITEMS OF 4 PERMI" RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bll:: Lot: APN . . . . . . . . : 37533064 . 00 DATE ISSUED. . . . . . . : 07,29/2010 RECEIPT #. . . . . . . . . : BS000011019 REFERENCE ID # . . . : 10070195 SITE ADDRESS . . . . . : 18'311 TUGGLE AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER LOiJ ANN FLAUGHER ADDRESS . . . . . . . . . . : 18 )11 TUGGLE AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : LAWRENCE WOOD CONTRACTOR WOOD, LAWRENCE E LIC # 20810 COMPANY WOODS ROOFING ADDRESS 17700 SERENE DR CITY/STATE/ZIP . . . : MO:ZGAN HILL, CA 95037 TELEPHONE (831) 637-5576 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- 1BCBSC VALUATION 19, 660 . 00 1 .00 0 .00 1. 00 0 . 00 1REROOFRES SQ FEET 15. 00 195.00 0 .00 195. 00 0 . 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 196 .00 0. 00 196. 00 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 CUPERTINO FEE ESTIMATOR--BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$19,660 q;PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY TOTAL APPLICATION USE: SFD or Duplex IROOFAFEA: 1,500 S f TYPE: OLREROOF x aw C) 3 � FE E ID 1RERCOFFRES NOTE. Thesefees are based on the preliminary in ormation,mailable and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 09-05I Et/' 71-1.%09) FEE QTY/FEE MISC ITEMS Permit Fee: $195.00 r Work Without Permit? Q Yes No $0.00 Stron,a Motion Fee: IBSEISMICR $1.97 1.0 hrs Standard Hourly Rate Bldc, Stds Commission Fee: IBCBSC $1.00 $126.00 SUBTOTALS: $19'7.97 $126.00 TOTAL FEE: $323.97 Revised: 7/27/2010 CITY OF 0-701 �5 CITY OF 4"UPERTINO 91 REROOF CUPERTINO PERMIT APPLICATION APN#0-7 o Date.7- 22— Building —Building Address Owner's Name: Phone #: HOA: Yes ❑ No If Yes, provide letter from HOA 7a 5 --/ '7 >---- Contractor: Phone #: �_�yp S /N e_, Fax#: Cupertino Business License #: Contractor License #: X51 Type of Roof Covering: Existing: Proposed: X Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shinglespr c¢n�rao ❑ Other(Specify) rv'c.l a ❑ Other (Specify) 5Tco-x, Number of existing coverings ❑ Provide I.C.C.E.S. Report# To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: /� ,end - �� G,Q ✓�� ,,, vt�( '` nrs .(��roe✓ D arV,,�� J, wc� o i'", aye C Residential ,� Commercial ❑ Green Building: Please complete relevant portion of the Conf rmed 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: I Have Read, Understand and Will Comply with C'upertino'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., BU LDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINC, CA 95014-3255 (408)777-3228• FAX(408)777-3333• 5uilding(cDcupertino.org PROJECT ADDRESS 7APN OWNE NAME v >! PHO JE E-MAIL .CrjC STREET ADDRESS CITY, ST 4TE,ZIP FAX !L dr- c 1iA 9 5—G/-1 CONTRACTOR NAME LICENSE NUMBI R LICENSE TYPE BUS.LIC.N COMPANY NAME E-MAIL FAX 4. ,,W c ryvG s o® Lt i o c,,b �� `� -77 STREET ADDRESS CITY,ST,TE,ZIP PHONE I UNDERSTAND AND A 3REE TO THE FOLLOWING: 1. The re-roof project shall comply with all applica)le 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)7 77-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for 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 availabl,- within 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 inspe,:tion is required. 5. In-Progress roof inspection is required. Call fir an in-progress roof inspection to verify building is weather tight after installation of approximately:?5% 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 follow ng items 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 ill 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 nai ing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The r,;-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 understand and agree to comply with the re-roof policy stated above. Signature of Applicant/Agent: Date: ReroofPolicy_2010.doc revised 05/17/10 M.Indoor Air Quality and Finishes 1 IAQ/Health pts y--yes p 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 Ilk31AQ/Health pts y=yes p 4.Use Salvaged Materials for Interior Finishes 3 Resource pts yeses 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/Health pts y=yes p B.Use Exterior Grade Plywood.for Interior Uses 1 IAQ/Health pts y--yes p & - ._ 41AQ/Health.pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes p 1 ! 1 N.Flooring 1.Select FSC Certified Wood Flooring _ 8 Resource pts y=yes 0 - --- - -- - ll9a ._ ..=•; ►.---� _.--< +l+1 4 Resource pts y=yes 0 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 ! ! Total Points Available 1 1401 130 57 Total Points Project Received: 01 0 0 of a.,,�✓ G. 1pd a/rogs/grsf nbwlcfinggurderines/remodeleWgreenpointsfinW2.12D4proteotedxis Building Department City Of Cupertino ELI] 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 8" / ;� ,(G V b— PERMIT# `7 Ul yf OWNER'S NAME: vs9.�-v j -?Q-1 -7 PHONE# GENERAL CONTRACTOR: 's BUSINESS LICENSE# �o�S ADDRESS: >OO ,jLi4�--,✓� CITY/ZIPCODE:/?7a!fc .C( Fid 367 *Our municipal code requires all businesses working in the 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 SUBCONTR ACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: "`�`-"-"-- ��+��1 /� e� -/� Signature Date Please check applicable subcontractors and compl ote 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