The URL can be used to link to this page

10030056CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: G�3f-0F Ci�PEftg-I�10 , j .�� r :Z CONTRACTOR: LINDY ROOFING CO INC PERMIT NO: 10030056 OWNER'S NAME: CITY OF CUPERTINO ` LjII'I'1 "-' 1476W TAYLOR ST I DATE ISSUED: 03/10/2010 JER'S PHONE: 4087773407 I SAN JOSE, CA 95110 ' PHONE NO: (408)286-9990 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. # Contractor Date I 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: 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. 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. Signature Date. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 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 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 ,mnify and keep harmless the City of Cupertino against liabilities, judgments, ., and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, th applicant understands and will comply with all non -point source regulations er the Cupertino Municipal Code, Section 9.18. Signature Date BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB I— MECH r— RESIDENTIAL r— COMMERCIAL r— JOB DESCRIPTION: RE -ROOF REMOVE EXISTING ASPHALT SHINGLES, INSTALL NEW ASPHALT SHINGLES & NEW GUTTERS CLASS A IOSQ Sq. Ft Floor Area: I Valuation: $5000 APN Number: 35706018.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued ��'.. Date:_7,la-10, by: RE -ROOFS: 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. Signature of Applicant: 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 California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or uthorized a t: 3/0 �d Date• CONSTRUCTION LENDING AGENCY I hereby 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. Licensed Professional CITY OF CUPERTINO CITY OF CUPERTINO 'll Do ' elem PERMIT APPLICATION APN #Date: ri Building Address: Owner's Name: C, 01 Phone #: HOA: Yes ❑ No If yes, provide letter from HOA X77-3 `/o7 Contractor: Phone #: a (F6 - "90 / i Fax #: Cupertino Business License #: N 1A Contractor License #: a/Se/6 Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof .a --'A- sphalt Shingles zt-�sphalt Shingles ❑ 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: q,r p ��.�. �,s %s /v e tJ A s- f r,4 5 /e s A d ,v a _j /,?s 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: �,5 000 I Have Read, Understand and Will Signature with Cupertino's Tear -Off Policy: Revised 02/05/09 CITY OF CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Squares Fee ID 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 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 Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building Department Subject: Re -roofing policy for the City of Cupertino 1. Prior to permit issuance, you must agree to comply with 2007 CBC Standards and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re -roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are required: Pre -inspection and/or tear off approval. a) AT TEAR OFF PULL OUT ALL ROOF FASTENERS. 2) In -progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed, a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: if you call for a plywood nail inspection and the job is not ready, you will be charged a re -inspection fee of $126.00. The re -inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated po ' on re -roofing. / L71 Cl T AC /1Ju Homeowner's Name: Job Site Address: 22.1; 1 /-7-, ele//.,J Roofing Company Name: Applicants Signature: Date: 3 X b /O Albert Salvador Building Official Revised 3/09/10