13040153CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11901 PLACER SPRING CT
CONTRACTOR: CASTILLO'S ROOFING
PERMIT NO: 13040153
OWNER'S NAME: SUNEELA MUDDU
1703 CATHAY DR
DATE ISSUED: 04/22/2013
OWN 'S PHONE: 4083948488
SAN JOSE, CA 95122
PHONE NO: (408)251-3565
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALE]
LICENSED CONTRACTOR'S DECLARATION
License Class 03 Lic. # 30''ZS_�)
TEAR OFF (E) WOOD SHAKE, INSTALL 30 LBS FELT, GAF
3
GRAND CANYON COMP (1700 SQ FT). (E) SOLID
Contractor Date /
SHEETING
I hereby affirm that I am licensed under the provisions of Chapter 9
TO REMAIN
(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
Sq. Ft Floor Area:
Valuation: $9000
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
APN Number: 36655012.00
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 D Y AST LED 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
ssued by. Date: Z Z 13
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.
2
RE -ROOFS:
Sig 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 Applican : 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)
I, 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
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
& Safety, Code, Sec 'ons 2,5505, 25533, 25534.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the of the work for which this
the Health and
ek'17J/
performance
Owner or authorized age 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
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
ReroofApp_2011.doc revised 03116111
" REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 o
,(408) 777-3228 • FAX (408) 777-3333 • buildingCa)cupertino.org
GUPERTIMQ'.
PROJECTADDRESS . APN # 3
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OWNERNAME Tp"oi) 1 C� U�E-MAIL
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STREET ADDRESS \0 CA
: . .IOLCCrsou; Com, TATE. ZIP `� t FAX
CONTACT. NAME n „ ski
110 S � PHO 2 C - FrM
AIL
V`c`�1 C% ,
STREET ADDRESS 1'103 CITY, STATE, ZIP (• _ /aC) e1 FAX
❑ OWNER ❑ OWNER-BLmmFR ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECTS ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME C - LICENSE NUMBER LICENSE TYPE BUS. LIC. #
COMPANY NAME V E-MAIL FAX
STREET ADDRESS1� CITY, STATE, n I _ ^ PHONE ^ �( -`
ARCHITECT/ENGINEERNAME LICENSENUMBER y �J BUS. LIC. l
C.!#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
USE OF JFD Or Duple: C ' ❑ Multi -Family _ ROOF AREA: VALUATION:
STRUCTURE:. IQ Colnme. rC1Bl
EXISTING ROOF,TYPE: ❑BUILT-UP ROOF ' ❑ ASPHALT SHINGLES VWOOD SHAKES ❑ WOOD SHINGLES 11OTHER (SPECIFY)
REMOVE/REPLACE: YES IF NO, PLYWOOD 13%- ❑
--FPL--
REM ❑ OSB PITCH: ROOF
❑ NO # LA • D THICKNESS: ❑ 5/8" TYPE: ❑ CDX ' 12 CLASS: A
ICC -ES REPORT #
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
DESCRIPTION OF WORK �% r t
50
CITY OF CUPERTINO
Im FEE ESTIMATOR — BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, etre, sanitarysewer Vistrict, sctiooi
11Jor.._ .,s.. Tb.,o., f .,o ..:„ hnon.t .,.. sbn nrvliss.Jnnru :.,fnrs»ntin» m,.,ilnhlo and aro nnly nn nctis»nto_ d-awart tho Dont for addn'l info_
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
11901 PLACER SPRING CT
DATE: 04/22/2013
REVIEWED BY: MELISSA
JimADDRESS:
APN: 366 55 012
BP#:
"VALUATION:
1$9,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
USE: SFD or Duplex
0.0
PENTAMATION
PERMIT TYPE: 1 SFDWLR00
WORK
TEAR OFF E WOOD SHAKE INSTALL 30 LBS FELT GAF GRAND CANYON COMP 1700 SQ FT).
SCOPE I
(E) SOLID SHEETING TO REMAIN
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public works, etre, sanitarysewer Vistrict, sctiooi
11Jor.._ .,s.. Tb.,o., f .,o ..:„ hnon.t .,.. sbn nrvliss.Jnnru :.,fnrs»ntin» m,.,ilnhlo and aro nnly nn nctis»nto_ d-awart tho Dont for addn'l info_
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
1,700 s.f.
$255.00
Re -roof
IREROOFRES
Suppl. PC Fee: (E) Reg. ® OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Supp/. Insp. Fee:Q Reg. 0OT0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: _T7
Administrative .Pee:
E)
Work Without Permit? ® Yes (E) No
$0.00
Advanced Planning ee:$0.00
Select a Non -Residential
Building or Structure
Travel Uocu.inentation Fees:
Strong Motion Fee: IBSEISMZCR
$0.90
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
$1.90
$255.00
ra
$256.90
��. Revised: 04/01/2013
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 • buildin4(a)-cugertino.org
PROJECT ADDRESS. `^ \
APN # -3�S
OWNER
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ONE q l'�
� " (NAME
MA
& II.
STREET ADDRESS j
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CITY, STA ZIP / v �/1 _ .
`
FAX
CONTRACTOR NAME 1q ` LICENSE NUMB /�
Jb
LICENSE TYP
BUS. LIC. #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS ]))
CITY, STATE, ZIP e ( %l 7�
PHONECom/
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-2:30pm (Friday) to schedule
inspection. For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only.
after that phase of the work is completed. The building inspector will be available within one hour.
Final Inspections will be given a two hour window.
3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked -down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5.: Roofing. shall not be applied without first obtaining all prior inspection and written approvals from the .
building inspector. Any roofing which is applied without first obtaining an approved inspection will
down to the sheathing so a proper inspection can be performed.
require the removal of all new material
6: A Final Inspection and approval shall be obtained from the building inspector when the re-roofmg is
completed. To receive a final sign -off, the following items will be verified:
a. Flat roofs shall have a minimum of '/4" per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre -manufactured products used shall be
available ori -site to review at the time of the inspection.
Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
7. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you will be
charged a re -inspection fee. The re -inspection fee shall be paid before another inspection can be
scheduled.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections r14 and 8315 of
the 2010 Califo Ia s44r,.n_tia1 Code. t - �-I _ i 2
of
Date: i
ReroofPo1icy_2012.doc revised 10/7/12