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10060113
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20294 SILVERADO AVE CONTRACTOR:JIM KRAUSE ROOFING PERMIT NO: 100601 13 OWNER'S NAME: VIRGINIA NG 2310 DIANA AVE DATE ISSUED:06/21/2010 NNER'S PHONE: 4087300808 N ORGAN HILL,CA 95037 PHONE NO:(408)779-0704 LICENSED CONTRACTOR'S DECLARATION 1313 DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class C Lic.# 5.5 3 S ICE-ROOF TEAR OFF EXISTING SHAKE,RE-SHEET WITH CCSB Contractor . Date L z 1 /A I 4STALL 30#FELT 40YR COMP SHINGLES CLASS A 37 I hereby, I h m li er the provisions of Chapter 9 SQUARES (commencing w' ection 70001 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 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. S 1.Ft Floor Area: Valuation:$14885 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 A PN Number:36938014.00 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 relating 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 _ lJ granting of this permit. Additionally,the applicant understands and will comply I:sued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section _ 9.18. Z' RE-ROOFS: Signature Date �� All roofs shall be inspected prior to any roofing material being installed. If a roof is it stalled without first obtaining an inspection,I agree to remove all new materials for it spection. L7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of S gnature of Applicant: ate: the following two reasons: ALL RO COVER S TO CLASS"A"OR BETTER I,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 it aintain 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 it aterial. 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. %ill maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by tl a Health&Safety Code,Sections 505,255 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this - Z( permit is issued. Owner or authorized agent: . ate: / �D I certify that in the performance of the work for which this permit is issued,I shall 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 must I iereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. w ark's for which this permit is issued(Sec.3097,Civ C.) L.-nder's Name APPLICANT CERTIFICATION L°nder's Address 1 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 ARCHITECT'S DECLARATION emnify and keep harmless the City of Cupertino against liabilities,judgments, .,ts,and expenses which may accrue against said City in consequence of the I 1 mderstand 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 L censed Professional 9.18. Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36938014 . 00 DATE ISSUED. . . . . . . : 06/21/2010 RECEIPT # . . . . . . . . . BS000010664 REFERENCE ID # . . . : 10060113 SITE ADDRESS . . . . . : 20294 SILVERADO AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : VIRGINIA NG ADDRESS . . . . . . . . . . : 20294 SILVERADO AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4438 RECEIVED FROM . . . . : JEFF RAINEY CONTRACTOR . . . . . . . : KRAUEE, JIM LIC # 21415 COMPANY . . . . . . . . . . : JIM KRAUSE ROOFING ADDRESS . . . . . . . . . . : 2310 DIANA AVE CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (408) 779-0704 FEE ID UNIT QUANTITY AMCUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 14, 885 . 00 1. 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 14, 885 . 00 1 . 50 0 . 00 1 . 50 0 . 00 1REROOFRES SQ FEET 37 . 00 481 . 00 0 . 00 481 . 00 0 . 00 TOTAL PERMIT 483 . 50 0 . 00 483 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - ------------------- CREDIT CARD 483 . 50 -\,isa --------------- TOTAL RECEIPT 483 . 50 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: 20294 silverado DATE: 06/21/2010 REVIEWED BY: building APN: BP#: "VALUATION: $14,885 TPERMIT TYPE: Minor Building Permit PLAN CI[ECK TYPE: Re-roof PRIMARY TOTAL E�E]S.f.___] APPLICATION USE: SFD or Duplex ROOF AREA: TYPE: a a - 00 3 � FEE ID 1 REROOFFI ZES T-T-1 NOTE: These fees are based on the preliminary in ormation avail able and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (1'ee Resolution 09-051 F:ff T"I"09) FEE QTY/FEE MISC ITEMS Permit Fee: $481.00 Work Without Permit? Q Yes No $0.00 Strong Motion Fee: IBSEISMICR $1.451 Select an Administrative Item Bld�_, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $483.4)1 $0.00 TOTAL FEE;T $483.49 Revised: 5/27/2010 CITY OF CITY OF CUPERTINO IQ] RERGOF CUPER INO PERMIT APPLICATION ppc. N APN # Date: Building Address: 20294 Silverado Owner's Name: IhR,6fJ1A ^36 Phone #: 408 730-0808 HOA: Yes ❑ No © If yes, provide letter from HOA Contractor: Phone #: 408 295-4244 Jim Krause Roofing, Inc. Fax #: 408 779-8807 Cupertino Business License M Contractor License M 554351 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles �u Asphalt Shingles 'u 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: Reroof - Tear off existing shal=e. Re-sheet with OSB.Install 30# felt. 40 year comp shingles. Class A 37 squares. 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: $14, 885.00 I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: C Signa e Revised 02/05/09 CITY OF r CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE 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 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F / 1BCBSC Cal Bldg Standzrds B ALL PERMIT TYPES Commission Fe,; 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fec 1BSEISMICRE Seismic Residential B 1BUSLIC Business License; B REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMEIJT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 35014-3255 (408)777-3228• FAX(408)777-3333•buildi ig(d)cugertino.org PROJECT ADDRESS aO .�� q / )t)ZAPN# OWNER NAME PHOJE E-MAIL Z r� CSC C1 STREET ADDRESS CITY, STATE,ZIP FAX CONTRACTOR NAME -' - LICENSE N MBER LICENSETYP JE BUS.LIC.# t S COMPANY NAME T` V4,1 1_0 t ZVC-1 J- E-MAIL FAXO ^ ^ v STREET ADDRESS '2-3 io Pi lin)A /V CITY,STA TI]}� ?56>32 5 O3 PHO Z-^ 15- e12 I UNDERSTAND AND AGRf 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 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 foi 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-hin one hour. There are special hours for this service: 7:30 — 10:';Oam and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:_;Oam 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 ar 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 of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all pi-e-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 behalfunderstan4_pd agree to comp with the re-roof policy stated above. Signature of Applicant/Agent: Date: i ReroofPolicy_2010.doc revised 05/17/10 M.Indoor Air Quality and Finishes 1.Use Low/No-VOC Paint 1 IAC/Health pts y=yes D 2.Use Low VOID,Water-Based Wood Finishes 2 IAC/Health pts y=yes 0 3.Use Low/No VOID Adhesives 3 IAC/Health 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 6 IAC/Health pts y=yes p 6.Use Exterior Grade Plywood for Interior Uses 1 IAC/Health pts y=yes 0 7.Seal all Exposed Particleboard or MDF 4 IAC/Health. pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 Re!;ource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Re!;ource pts y=yes OL— I I 10.Install Whole House Vacuum System 3 IAO/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 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 Resc urce pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resc urce pts y=yes 0 1 1 1 Total Points Available: 1401 1301 57 Total Points Project Received:1 1 01 01 0 G:data/prooslgreenbuildin(guidelines/remodelers/greenpointsfinal2.12.D4protected.xls 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: 20 L''q PERMIT# e4, d 6'40`L OWNER'S NAME: k/,vz e, PHONE # q09 2-9 — 47—Ll GENERAL CONTRACTOR: ti BUSINESS LICENSE# ADDRESS: 2j/p 1 A) CITY/ZIPCODE: Me476+J H1c.L `� -50 *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 SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Sig re Date Please check applicable subcontra o�andplete the fo owing information: V 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 ner/Contrac or Signature Date