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10060089 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10122 ADELHEID CT CONTRACTOR:KEVIN SULLIVAN PERMIT NO: 10060089 ROOFING _)WNER'S NAME: BROOKS FISHER 1696 VALLEY OAKS DR DATE ISSUED:06/15/2010 OWNER'S PHONE: 6509445430 GILROY,CA 95020 PHONE NO:(408)842-1057 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL0 License Class Lic.# ,!S RE-ROOF REMOVE EXISTING SHAKE ROOF AND I � REPLACE Contractor AT- 7v/r✓ Date ��// //<�' WITH 38 CLASS A SHAKE SYSTEM,W/72 ILB CAPSHEET I hereby affirm that I am licensed under the provisions of Chapter 9 UNDERLAYMENT SQUARES (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 declaratior s: 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:$20000 1 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 APN Number:35709025.00 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 relat ng 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, costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I �� C' / Date 7 any r ROOFS: natur � All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection gree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION 61111- Signature of Applicant Date: I hereby affirm that I am exempt from the Contractor's License Law for on of � the following two reasons: ALL ROOF'COVE GS TO BE CLASS"A"OR BETTER 1,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). I have read the hazardous materials requirements under Chapter 6.95 of the California 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 05, 5533 d 25534. / Ir Section 3700 of the Labor Code,for the performance of the work for which this ���rr` , Date: G^ 1 Owner or authorized agent: __7 7 G permit is issued. / I certify that in the performance of the work for which this permit is issued,I shill not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I inust 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 relaing to building construction,and hereby authorize representatives of this city to enter n the above mentioned property for inspection purposes.(We)agree to save mnify and keep harmless the City of Cupertino against liabilities,judgment;, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting 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 C REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE •CUPERTINO, GA 95014-3255 (408)777-3228- FAX(408)777-3333-buildina(WcuDertino.ora. PROJECT ADDRESS / APN`#/J 101/?1�/a cl I yf� C J/y'/ f D OWNER NAME PHON( E-MAIL �- J STREET ADDRESS //��G)� r�l 1��e/L,� /^ � I CITY, STA TE,ZIP /%<�C FAX CONTRACTOR NAME LICENSE NUMBE't` G LICENPE� i BUS.LIC.# COMPANY NAME t ( G(!L c(%) E-MAIL / / FAX J�� fC /S STREET ADDRESS / CITY,STATE,ZIP "' PHONE ^- Y e L � 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)-/77-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please cell 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 Iinspection. A building inspector will be available 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 insp ection 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 withot:t first obtaining all inspections and written approvals from the building inspector. Any roofing whic l 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 obtain'-d 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 I/4" 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 mailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. Th.- re-inspection fee shall be paid before another inspection can be scheduled. .t By my signing below, I certify each of the following; is true: I am the property owner or authorized agent to act ra 'bn the property owner's be lf. understand and agree to comply with the re-roof policy stated above. Signature of Applicant/Age � /' Date: f 15Z 1", " / ReroofPolicy-2010.doc revised 05117110 Ct7Y of 13 CITY OI' CUPERTINO REROOF CUPERTINO FEE SiCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg; Standards B ALL PERMIT TYPES Commission Fee IBSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLROOF 3 1BCBSC Cal Bldg; Standards B ALL PERMIT TYPES Commission Fee O 1BSEISMICRE Seismic Residential B IREROOFMRES Re-roof Vlulti-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commis;ion Fee 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B M.Indoor Air Quality an Finishes 1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0 7.Seal all Exposed Particleboard or MDF 4 IAQ/Health. pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 2.Use Rapidly Renewable Flooring Materials 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 Total Points Available: 1 1401 1301 571 Total Points Project Received: 1 01 01 01 f G:datalpro ga/gi enbui/gguidelineslrem elersl greenpointsfinal2.12.o4protected.xis REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPART v1ENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINQ 10300 TORRE AVENUE-CUPERTINO, 0A 95014-3255 (408)777-3228•FAX(408)777-3333-buildina()..cuoetno.ora PROTECT ADDRESS `) � "N# L OWNER NAME `D ��--// //`AI`1 T PHOP E� GJ E-MMAIL STREET ADDRESS I/�� ) r11 e / /C.� C f I CITY, ST ATE,ZIP 0`01'f J `�C FAX CONTRACTOR NAME `(/ C _ / (//h LICENSE NUMBER .__ LIKENS TYPE BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS 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)777-3228 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 available 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 inspection is reauired. 5. In-Progress roof inspection is required. Cad 1 for an in-progress roof inspection to verify building is weather tight after installation of approximate ly 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 d awn 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 f6t owing 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 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 plywooc.nailing inspection 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. 13y 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 beh If understand and agree to comply with the re-roof policy stated above. Signature of Applicant/Ager ,.�f/ % /��__ Date: ETC-- i / t ReroofPolicy_2010.doc revised 05117110 Building Department City Of Cupertino 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: 1 Z,� C PERMIT# 00(.o (X)A--e7 OWNER'S NAME: L r,�� S ����, PHONE# -541:�% GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS:',`l rf CITY/ZIPCODE: C-���� 6-/i '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 SUAC TRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: /_S �-� - Xgnature ate Please check applicable subcontraictors comp fete 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 0 wYA r Contractor Signature Date To The City of Cupertino: I, Mike Ryan, am the Chairman of the Architecture Committee for the Meadows HOA. I am writing to let you know that the Architecture Committee and the Board of the Meadows HOA have approved a shake roof replacement for th--residence owned by Brooks and Kim Fisher at 10122 Adelheid Court in Cupertino. Please le: me know if you have any questions.