10040158 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20074 WHEATON DR CONTRACTOR:R E ROOFING& PERMIT NO: 10040158
CONSTRUCTION INC
"WNER'S NAME: TODD&WHITNEY MCNAIR 15230 CLYDELLE AVE DATE ISSUED:04/26/2010
OWNER'S PHONE: 4089738383 SAN JOSE,CA 95032 PHONE NO:(408)626-9320
❑ LICENSED CONTRACTOR'S DECj'LGGARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL
lass X17 Lic.# _I RE-ROOF REMOVE EXISTING 1 LAYER OF WOOD
SHAKE,
Contractor - 4Date41.0 Ito INSTALL NEW 1/2" CDX 30#FELT CLASS A 34 SQUARES
I hereby affir that I lin licensed under the provisil s 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:
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:$24000
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 APN Number:31623085.00 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
granting of this permit. Additionally,the applicant understands and will comply Issued by. �� Date:
wjth e -poinLso=r egglation er the Cupertino Municipal Code,Section
9.18. - .r
RE-ROOFS:
,nature %' Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE 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)
1,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 matgrYigl. Additionally,should 1 use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminaqts�pdefinitd-by the Bay- Air Quality Management District I
performance of the work for which this permit is issued. will maintain c e with t er[ino unicipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safe Co ns tl 3,an 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner.or.authoed agent: �-a Date: '
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
CONSTRUCTION LENDING AGENCY
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 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 relating
building construction,and hereby authorize representatives of this city to enter
)n the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
...demnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and ex nses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
gr '-this pe the applicant understands and will comply
th all no oint so c r�_ ulation er the Cupertino Muni pal Code,Section Licensed Professional
9. 8.
Signatt Date
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
C U P E RT I N O (408)777-3228 • FAX(408)777-3333•building0cupertino.org
PROJECT ADDRESS ' U \n(1 ,{�'f1� I 11 D APN#
OWNERNAME�O1)1) /1 J� I PHONE , I,/��( lv,�
E-MAIL
\ �f/�'(�� CITY STATE,ZIPS FAX
STREET ADDRESS 2v U� � �u
CONTRACTOR NAM LICENSE NUMBER —7.2-7CGI LI BUS.LIC.#
COMPANY NAME CWez�" I�1 E-MAIL 1/� O O Y� l LA � (/Yl CAO FAX ��l
CITY,STATE, �V PHONE I\�_
STREET ADDRESS V tQ 1
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 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 si ature below, ach of the following: I am the property owner or authorized agent to act on
the prop rty owner's be 1 . I u erst e to comply with the re-roof policy stat d abov .
U
Signature oQ plicant/Agent:� Date: _--_--
------------
ReroofPolicy_2010.doe revised 04/14/10
i
M.Indoor Air-Quality and Finishes
1.Use Lowft-VOC Paint 1 IADJHealth pts Ayes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAOJHealth pts Ayes D
3.Use Low/ND VOC Adhesives 3 IAO/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQIHealth pts pyes D
6.Use Exterior Grade PlNavood for Interior Uses 1 IAQIHealth pts y=yes D
7.Seal all -y6okboard Qr BIDE _ 4 IAQ/Health pts y7-yesB.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts Ayes D
10.Install Vdhole House Vacuum System 3 IAQIHealth pts Ayes D
1 1 D
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes D
2.Use Bapidly Banewahle Flooring Materials 4 Resource pts y=yes D
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes D
4.Install Natural Linoleum in Place of Vinyl . 5 M/Haalth pts y=yes D
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes D
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes D
1 1 E
Total Points Available: 1 1401 1301 57
Total Points Project Received: 01 0 0
CDs
G:data/progslgreenbuildngguidelines/remodelerslgreanpointsnnal212Mprotectad.rJs
J '
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 31623085. 00
DATE ISSUED. . . . . . . : 04/26/2010
RECEIPT # . . . . . . . . . BS000010268
REFERENCE ID # . . . : 10040158
SITE ADDRESS 20074 WHEATON DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER TODD & WHITNEY MCNAIR
ADDRESS . . . . . . . . . . : 20074 WHEATON DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2340
RECEIVED FROM . . . . : R E ROOFING
CONTRACTOR PROCTOR, PAUL LIC # 20615
COMPANY R E ROOFING & CONSTRUCTION INC
ADDRESS . . . . . . . . . . : 15230 CLYDELLE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95032
TELEPHONE (408) 626-9320
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ----
1BCBSC VALUATION 24, 000 .00 1. 00 0 . 00 1 . 00 0. 00
1BSEISMICR VALUATION 24, 000 . 00 2 .40 0 . 00 2 .40 0 . 00
1REROOFRES SQ FEET 34 .00 442 . 00 0 . 00 442 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 445 .40 0 . 00 445 .40 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 445 .40 2243
---------------
TOTAL RECEIPT 445 .40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- -------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF
CITY OF CUPERTINO
REROOF
CUPERTINO PERMIT APPLICATION
/0�
APN# Date: _ j 10
Building Address: 2-00114
Owner's Name: 0 A C
A I ru Phone #:
HOA: Yes ❑ No If yes, provide letter from HOA 40
Contractor• S Phone #:
I�( Fax#:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) Other (Specify) �I
Number of existing coverings I ❑ Provide I.C.C.E.S. Report #
/11 To be Removed ❑ Provide Mfg. Installation Specs.
Job Description:j,\EM �-xl��l�(� L�'�t�1l uy tiv off V) �R A10�
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.
Valuatn:
4 J
I Have ead, U er tand anWill CgmpTy h Cupertino's Tear-Off Policy:
Revised 02/05/09