The URL can be used to link to this page

10050003CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19045 PENDERGAST AVE CONTRACTOR: WORK FORCE ROOFING WFR +ER'S NAME: WADE 1U 5569 CAMDEN AVE OWNER'S PHONE: 4087772972 SAN JOSE, CA 95124 LICENSED CONTRACTOR'S DECLARATION .icense Class Lic. # ontractor ADwitC c �— llate f hereby affirm that I am licensed under the provisions of Chapter 9 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 declarations: l 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. APPLICANT CERTIFICATION 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: BLDG PERMIT NO: 10050003 DATE ISSUED: 05/03/2010 I PHONE NO: (408) 892-5096 ELECT PLUMB r MECH r RESIDENTIAL r— COMMERCIAL JOB IIESCRIPTION: RE -ROOF REMV EXISTING ASPHALT SHINGL ROOF, INSTA �L 30# 36' UNDERLAYMNT FELT PAPER. INSTALL 40YR CERT/JNTEED LANDMARK PLUS ASPHALT SHINGLE OVR Sq. Ft Floor Area: APN slumber: 37537045.00 Valuation: $9187 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED `'VITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. iture �tii t,,eI Date O 2aj?l Issued by,. �— ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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 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. 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 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. APPLICANT CERTIFICATION 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 the above mentioned property for inspection purposes. (We) agree to save mnify 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature 1" `iC vel 6' `n 1 Date Date- 3- jr 6 RE -ROOFS: All rc ofs shall be inspected prior to any roofing material being installed. If a roof is instal ed without first obtaining an inspection, I agree to remove all new materials for inspe;tion. f 1'^� ' fit""` rDate- ALL Sign<ture of Applicant: �r� Date: ^ —� —��- ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the Cali ornia Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain com Aiance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safe ty Code, Section 25532(a) should I store or handle hazardous material. Add,tionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will mahitain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Hea th & Safety Code, Sections 25505, 25533, and 25534. Owl orized a nt:5 �10 I Date: CONSTRUCTION LENDING AGENCY I hei eby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Lie _used Professional 3 ITEMS OF 3 CITY OF CUPE:ZTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37537045.00 DATE ISSUED.......: 05/03/2010 RECEIPT #......... BS000010300 REFERENCE ID # ...: 10050003 SITE ADDRESS .....: 19045 FENDERGAST AVE SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER'****'*'*''' WADE JLC ADDRESS 19045 FENDERGAST AVE CITY/STATE/ZIP CUPERT]NO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM MIGUEL A NOYOLA CONTRACTOR .......: MIGUEL ANGEL HERNANDEZ NOYOLA LIC # 30357 COMPANY WORK FORCE ROOFING WFR ADDRESS . 5569 CAMDEN AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95124 TELEPHONE ........: (408) :392-5096 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT ---------- THIS REC NEW BAL ----------------------- 1BCBSC VALUATION ---------- 9,187.00 ---------- 1.00 0.00 1.00 0.00 0.00 1BSEISMICR VALUATION 9,187.00 1.00 0.00 1.00 260.00--- 1REROOFRES SQ FEET 20.00 250.00 0.00 ---------- ---------- -- TOTAL PERMIT ---------- 262.00 0.00 262.00 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 262.00 --------------- 262.00 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CITY OF CUPERTINOM4 REROOF CUPERTINO PERMIT APPLICATION APN # .� �3 Date: Building Address: v S- A v� Owner's Name: Phone #: ct02 HOA: Yes ❑ No 2<1f Yes, provide letter from HOA Contractor: r Phone #: Fax #: Cupertino Business License #: Contractor License #: C-39 4f 6633 Type of Roof Covering: Existing: P roposed: ❑ Built -Up Roof ❑ Built -Up roof 0 Asphalt Shingles 0 Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings 2-v ❑ Provide I.C.C.E.S. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: fl e ` ZFI,,,s 4,0, (1 30 # 3�`` c - r �-he, (r) n As _oLI Residential Commercial Green Building: Please complete relevant portion of the Confirmed with -Planning Dept. if Green Building Checklist & attach it to the applical ion or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature Revised 02/05/09 CITY OF CITY OF CUPERTINO 96 REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Squares Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Seismic Commercial B 1RER00FRES 2� Re -roof Resident:.al B 1SFDWLR00F 1BCBSC / Cal Bldg Standar3s Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1REROOFNIRES Re -roof Multi-FE.mily B 1MF'DWLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 9EO14-3255 (408) 777-3228 - FAX (408) 777-3333 - buildin ina cupertino.orq I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable p.-ovisions 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 the next day inspection. 3. After the roof is torn off and the nails/fasteners have 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 1/" per foot of slope and demonstrate there is no ponding. b. A listing from an approved testing agency shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 7. 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 shall be paid before another inspection can be scheduled. "y my signature below, I certify to each of the following: I am the property owner or authorized agent to act on _.ie property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I M1 n Date: 3. Signature of Applicant/Agent: yv 15 u e- / — -- ReroofPolicy_Z0l0.doc revised 04114/10 N# PROJECT ADDRESS PHONE E-MAIL OWNERNAME r lhj c G - STREET ADDRESS CITY, STATE, ZIP FAX CONTRACTOR NAME L k f 4 F✓� LICENSE NUMBER LICENSE TYPE BUS. LIG # COMPANY NAME :.�� `c vLy W �>Z ` _ J E-MAIL FAX 7 1 ` A L D STREET ADDRESS (o I"` J' PA CITY, STATE, ZIP PHONE / f7 3J c b� S L3 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable p.-ovisions 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 the next day inspection. 3. After the roof is torn off and the nails/fasteners have 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 1/" per foot of slope and demonstrate there is no ponding. b. A listing from an approved testing agency shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 7. 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 shall be paid before another inspection can be scheduled. "y my signature below, I certify to each of the following: I am the property owner or authorized agent to act on _.ie property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I M1 n Date: 3. Signature of Applicant/Agent: yv 15 u e- / — -- ReroofPolicy_Z0l0.doc revised 04114/10 M. In oor Air Quality aMinislas 1. Use Low/ND-VOC Paint 1 IACJHealth pts y=yes 2. Use Low VOC, Water -Based Wood Finishes 2 IACJHealth pts y=yes 3. Use Low/No, VOC Adhesives 3 IACIHealth pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Re3ourDa pts y=yes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6. Use Exterior Grade Plywood for Interior Uses 7. Seal aft Emxzed t'�o�' laloiaard or IJIDF B. Use FSC Certified Materials for Interior Finish 9. Use Finger -Jointed or Recycled -Content Trim 10. Install Whole House Vacuum System H. Flooring 1. Select FSC Certified Wood Flooring 2. Use RapigUy Renewable Flooring Materials 3. Use Recycled Content Ceramic Tiles 4. Install Natural Linoleum in Place of Vinyl . 5. Use Exposed COncrefe as Finished Floor 6. Install Recycled Content Carpet with Low VOCs 6IAO/HeaJth pts y=yes 1 IAO/Health pts y=yes 41AO/Health pts y=yes 4 Re3Dufce pts y=yes 1 Resource pts y=yes 3 IADJHealth pts y=yes Total Points Available: Total Points Project Received: 8 RecoUFce pts y=yes 4 Re: ource pts y=yes 4 Resource pts y=yes 5 IACJHealth pts y=yes 4 Res ource pts y=yes 4 Re: ource pts y=yes 1 1401 130 57 0 0 0 G:datalprogs/greenbuilc ngguidelinestremodelers/greenpointsfinal?IIU4proleoteci is Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST PERMIT # JOB ADDRESS: t q O PHONE OWNER'S NAME: GENERAL CONTRACTOR: lo -clLc e aC ��2 BUSINESS LICENSE # ADDRESS: ?-G/ 0� CITY/ZIPCODE: *Our municipal code requi s all businesses working in the city to have a City of Cupertino business license. BE HUNTIL THE NO BUILDING FINAL OR FINAL OCCUPANCY INSPF-CTIOCITY OF CUPERT[NO GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A BUSINESS LICENSE. `• ( /I, I -Or/ 03 /201 6 I am not using any subcontractors. " Signature Please check applicable subcontractors and complete the following information: SUBCONTRACTOR 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 BUSINESS N. Owner / Contractor Signature Date Kai, V 3, �i a Date