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10020136 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11230 BUBB RD CONTRACTOR:DONE RIGHT INC PERMIT NO: 10020136 OWNER'S NAME: BIGLER ROBERT A AND PUNITA P 1129 LONG FELLOW AVE DATE ISSUED:02/24/2010 NER'S PHONE: 4086912415 CAMPBELL,CA 95008 PHONE NO:(408)377-8777 ❑ LICENSED CONTRACTOR'S DECLARATION IIUILDING PERMIT INFO: BLDG r ELECT r— PLUMB r 7 License Class �� Lic.# �` � / MECH r— RESIDENTIAL r COMMERCIAL r Contractor 004-f_ g/�� -i ..�_Date G �-0 {T- JOB DESCRIPTION:RE-ROOF REMV WOODSHAKES INSTAL OSB 30#FELT I hereby affirm that I am licensed under the provisions of Chapter 9 0YR (commencing with Section 7000)of Division 3 of the Business&Professions OMP CLASS A 14.5SQ 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 Sq.Ft Floor Area: Valuation:$9318 permit is issued. APPLICANT CERTIFICATION APN Number:36206050.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source re ul tions per the Cupertino Municipal Code,Section 9.18. /(J Dater `/ Issued by: Signat a Date Li 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, ��Z Date: Business&Professions Code) Signature of Applicant: I,as owner of the property,am exclusively contracting with licensed contractors to 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: HAZARDOUS MATERIALS DISCLOSURE 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 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. 1 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& Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this 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 Own r aut zed agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date forthwith comply with such provisions or this permit shall be deemed revoked. 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 I: nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address ind 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 s ce lations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signatur Dat _ Licensed Professional CITY OF C UPERTINO REROOF CUPEkTINO PERMIT APPLICATION APN # Date: Building Address: Owner's Name: U l 4�� Phone#: C62 HOA: Yes ❑ No ['�If yes, provide left..r from HOA Contractor: Phone #- 3 �� 7 ly(� 777 Fax # j Cupertino Business icense #: - Contractor License Type of R,)of Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles a---Asphalt Shingles .p�ood 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: 3 Residential Commercial Green Building: Please complete relevant portion of the Coi1firmed with Planning Dept. if Green Building Checklist & attach it to the a aplication or if there are any restrictions: applicable, include in plan set & the sheet ine.ex. Valuation: I Have Rea U erstand and Will Comply with Cupertino's Tear-Off Policy: Sig re Revised 02/05/09 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 Ca1'Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Res:dential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 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 4-ity of Cupertino 1. Prior to permit issuance,you must agr.e to comply with 2007 IBC 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 apphE d 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 pxiox to any roofing installation. 4. To receive a final sign off from the Citi,the following steps are required: 1) Pre-inspection and/or te=-Off approval. 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 ins d the job is not ready, you will be charged a re-inspection fe� o=sceduled. The re-inspection fee must be paid before another insvection can b 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 policy on re-roofing. Homeowner's Name: ti Job Site Address: Company Roofing p y Name: Applicant's Signature: Date V/o Greg Casteel Building Official Revised 07/30/08