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10040147r CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19975 PEAR TREE CT CONTRACTOR: DONE RIGHT INC PERMIT NO: 10040147 OWNER'S NAME: GRANT TERRY L 1129 LONG FELLOW AVE DATE ISSUED: 04/23/2010 ER'S PHONE: 4082573189 CAMPBELL, CA 95008 PHONE NO: (408)377-8777 ❑ LICENSED CONTRACTOR'S DECLARATIONBUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. # 7 7 G`- I- r- r- ,� �( �� L � 7 � MECH RESIDENTIAL COMMERCIAL Contractor �� lusts I hereby affirm that I am Incensed under the provisions of Chapter 9 JOB DESCRIPTION: RE -ROOF CLASS A 25SQ INSTALL 30 PAD FELT 40YR CERTIFIED SHINGLES &RMV 2 LAYRS ASPHLT SHINGLES& (commencing with Section 7000) of Division 3 of the Business & Professions COMP 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 Sq. Ft Floor Area: Valuation: $13500 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 31630088.00 Occupancy Type: 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 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 180 DAYS FROM LAST CALLED INSPECTION. with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. A1 qt nn ��/� Date � Issued by: i �%-. -'"_ , - �_._ -7 Date: Signature ,�yv` _ L OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Applicant: y�L�I �(�� ate: Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to 1, 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: 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California 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. Additionally, should I use equipment or devices which emit hazardous air permit is issued. contaminants 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 must Owner or authorized agent: forthwith comply with such provisions or this permit shall be deemed revoked. '( -� -� { Dater CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby 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 upon the above mentioned property for inspection purposes. (We) agree to save -mify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address 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. I understand my plans shall be used as public records. �t �// Signature �1�V� Date , � Licensed Professional I— U, 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31630088.00 DATE ISSUED.......: 04/23/2010 RECEIPT #......... BS000010252 REFERENCE ID # 10040147 SITE ADDRESS 19975 PEAR TREE CT SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER GRANT TERRY L ADDRESS 19975 PEAR TREE CT CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2318 RECEIVED FROM DONE RIGHT, INC CONTRACTOR .......: LENKER, GLENN LIC # 17272 COMPANY DONE RIGHT INC ADDRESS 1129 LONG FELLOW AVE CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE (408)377-8777 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT ------ THIS REC NEW BAL ----------------------- 1BCBSC VALUATION ---------- 13,500.00 ---------- 1.00 0.00 1.00 0.00 1BSEISMICR VALUATION 13,500.00 1.40 0.00 1.40 0.00 1REROOFRES SQ FEET 25.00 325.00 0.00- ---------- -325_00 -- - -0_00 TOTAL PERMIT ---------- 327.40 0.00 327.40 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT AMOUNT --------------- 327.40 --------------- 327.40 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- #1421 VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN # � � t � fi � � Date: Building Address: cA -,I Owner's Name: Tc -CC`� �, ;� v -� Phone #: "� HOA: Yes ❑ No ❑ If yes, provide letter from HOA Contractor: Phone #:. _ 0L Fax #: Cupertino Business License #: -— Contractor License #: -� -I Type of Roof Covering: Existing: Proposed: ❑ uilt-Up Roof ❑ Built -Up roof ar Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles u�7ood 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: 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: I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature Revised 02/05/09 CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1 REROOFCOM Re -roof Commercial B 1 COMMLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMIC0 Seismic Commercial B 2 (— 1REROOFRES Re -roof Residential B 1SFDWLR00F / 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1RER00FMRES Re -roof Multi -Family B 1MFDWLROOF 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 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildingO)cupertino.org PROJECT ADDRESS �( p 1 APN # OWNER NAME �� ` PHONE :�C '-' j q E-MAIL STREET ADDRESS CITY, STAT, ZIPr,w V �v 1 FAX CONTRACTOR NAME i ' !� • -FNSE NUMBER r i LICENSE TYPE BUS. LIC.7H 9 fY1 �'7 ` G_ - COMPANY NAME Y� (� ` V-7 __ E-MAIL FAX 77-,. 7 STREET ADDRESS �t C� r� - j U C S�AE,Z HON lf 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. 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/" 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_ By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on .e property owner's behalf. I understand and agree/ �to� comply with the re -roof policy stated bove. �e"� � i12-3 ,( �) Signature of Applicant/Agent: __0111"A Date: v _ ReroofPolicy_2010.doc revised 04114/10 1. Use Low/No-VOC Paint 1 ]AD/Health pts y=yes 2. Use Low VOC, !dater -Based Wood Finishes 2 IADJHealth pts y=yes 3. Use Low/Mo VOC Adhesives 3 [A0/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea 5 IAUHealth pts y=yes Formaldehyde 61AQ/Health pts y=yes S. Use Exterior Grade Plynvood for Interior Uses 1 IAO/Health pts pyes 7. Sad ail�olb �P—. eDiard or MDF _ 4lAQIHealth pts ),=),es. B. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts Ayes 10. Install lhrhole House Vacuum System 3 IAQ/Health pts y=yes N. Flooring 1. Select FSC Certified Wood Flooring B Resource pts Y=yes 2. Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 4. Install Natural Linoleum in Place of Vinyl 5 IAUHealth pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y=yes S. Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes I• Total Points Available: 1401 1301 57 Total Points Project Received: 2� �� 01 01 0 G:data/progs/greenbuilcUngguidelines/ramodelers/greenpointsfinal212D4protec1ed.xls CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: c `I OWNER'S NAME: k�ri� GENERAL CONTRACTOR: ADDRESS: S�q t L- - 41 �� —t �'� C-- PERMIT # �- PHONE # BUSINESS LICENSE # 7 y `� G CITY/ZIPCODE: 1 0t -cool ._4V d— hnc:nPcc liCPnRP- *Our municipal code requires all businesses worKiug ill <11c - y j NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Date Signature c..hPnntrnvtnrc and comDlete the following information: Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing onry I ting / Wallpaper ng Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date