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10080137 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7539 DE FOE DR CONTRACTOR:R E ROOFING& PERMIT NO: 10080137 CONS"I RUCTION INC OWNER'S NAME: ROBERT AND BARBARA COOK 15230 CLYDELLE AVE DATE ISSUED:08/20/2010 'NER'S PHONE: 4082539030 SAN JOSE,CA 95032 PHONE NO:(408)626-9320 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ? RE-LOOF 25 SQUARES REMOVE EXISTING 2 LAYERS OF Lic®nse flas�� ! Lic.# .� ROOF SHAKE INSTALL NEW 1/2" CDX 30#FELT AND Contractor ;-2ZDate r 10 LIFETIME COMP Tt►ereb `" 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. Sq.Ft Floor Area: Valuation:$13000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Plumber:35924023.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.l agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issue.I by: Date: granting of this permit. Additionally,the applicant understands and will comply pon-peiiaat ou ce re tions per the Cupertino Municipal Code,Section 9 1$: c \- �V RE-ROOFS: C atrafre Date U A11 roofs s be iaspeqted prior to any roofing material being installed.If a roof is \\ � �— install;d witho t first obtain an inspection,1 agree to remove all new materials for ti ? inspection. OWNER-BUILDER DECLARATION ; Signaure a- — Date: I hereby affirm that 1 am exempt from the Contractor's License Law for one of -- •---- AL'L"R69I* VERINGS TO BE CLASS"A"OR BETTER the following two reasons: I,as owner of the property,or my employees with wages as their sole compensation, Iwill do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) 11,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I hav-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 main ain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Heallh&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 mate 4al-.,,Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air a ntami ts,as-d, aed by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain c pli�nce wi frie Cuperti Municipal Code,Cha ter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the H ealth&Sa ty tr s�55(1S,25 3,and 25534. �.. Section 3700 of the Labor Code,for the performance of the work for which This Own!r or itutho zedstent: �\te permit is issued. I certify that in the performance of the work for which this permit is issued,I shalt_ - -------- 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 her by 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.) Lenc er's Name APPLICANT CERTIFICATION Lent er'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 unify and keep harmless the City of Cupertino against liabilities,judgments, .,and expenses which may accrue against said City in consequence of the I unc erstand my plans shall be used as public records. oiariting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Liceiised Professional 9.18. Signature Date CITY OF CITY OF CUPEATINO 12REROOF C U P E RT I N O PERMIT APPLICATION APN# Date: 4 o�3 2c, I 0 Building Address: } Z Owner's Name: Phone #: 3W-I� �L ��uU HOA: Yes ❑ No J& If yes, provide letter fro m HOA 4 Contractor, Phone� Phone #: �U - �Zh- �1-, 2v Fax#: Cupertino Business License #: Contractor L�e se #- q () , ?( C) J Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles KAsphalt 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:'_ em 01 2 �-./� L1 Js c;' oy- � ► I Jl o vi 12 i ti L D Y ` '56 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, ead, Understand and Will Comply with Cupertino's Tear-Off Policy: X- Signature Revised 02/05/09 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING C FFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildingc)cugertino.org PROJECT ADDRESS -� � aPN# (� �/ OWNER NAME D A TI D�A L„ PHONE ,(.. _ `J_ _�/ Z E-MAIL STREET ADDRESS �j! V �-�� IK. CITY, STATE,ZIP FAX CONTRACTOR NAM VL(M'�'l i LICENSE NUMBER 2�'� LICE ^ BUS.LIG# '2�^1� COMPANY NAME ��0.' "'`-. E MAS}-C�YJG J `1111 4U, L. -1/a� COY`') FAX L+ —K 'h l 16 STREET ADDRESS /� ' ` / CITY,S TfA,ZIP,: ,To� 91; 1 �1 PHONE, I 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. You must schedule all needed inspections a minimum c f one day before the requested inspection date. Please schedule inspections online or call (408)777-322 8 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tsar-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all c ry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30 im and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30?im and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection ii required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% o-the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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 th,; sheathing so a proper inspection can be performed. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of 1/4"per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 8. 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 of$126.00. The re-insp-,ction fee shall be paid before another inspection can be scheduledcan be scheduled. Eon y signing below, I c rtify each of the following is true: I am the property owner or authorized agent to act e pr{perty owner's be nder d and agvee toc linply with the re-roof policy stat above. 20fi --- ture of Ek'ppl aj t/Ageat: Date: Reroo oIicy_2010.doc revised 05/17/10 CITY OF CUPERrINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN 35924023 . 00 DATE ISSUED. . . . . . . : 08/20/2C10 RECEIPT # . . . . . . . . . BS000011228 REFERENCE ID # 1008013/ SITE ADDRESS 7539 DE FOE DR SUBDIVISION . . . . . . . CITY CUPERT IP fO IMPACT AREA . . . . . . OWNER ROBERT 1ND BARBARA COOK ADDRESS . 7539 DE FOE DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4306 RECEIVED FROM R E ROOFING CONTRACTOR PROCTOR, PAUL LIC # 20615 COMPANY R E ROOFING & CONSTRUCTION INC ADDRESS . 15230 C�YDELLE AVE CITY/STATE/ZIP SAN JOSE, CA 95032 TELEPHONE (408) 625-9320 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- 1BCBSC VALUATION 13, 000 .00 1 . 00 0 .00 1 . 00 0. 00 1BSEISMICR VALUATION 13, 000 .00 1 . 30 0 .00 1 .30 0. 00 1REROOFRES SQ FEET 25 . 00 325 . 00 0 .00 325 . 00 0. 00 ---------- ---------- ---------- ------- TOTAL PERMIT 327 .30 0 .00 327 .30 0. 00 METHOD OF PAYMENT AMOUNT FEFERENCE NUMBER ----------------- --------------- --- ----------------- CHECK 654 .50 2620 --------------- TOTAL RECEIPT 654 .50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION _ -- -------------- -------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF M.Indoor Air Quality and Finishes 1 IAO/I-7ipts es 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Fes D 3. :• 3 IAQ/Fes D 4.Use Salvaged Materials for Interior Finishes 3 Reso irce pts y--yes D 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Elealth pts y=yes 0 6.Use Exterior Grade Plywood.br Interior Uses 1 IAWbalth pts y--yes 0 41AQ/F1salth. pts Y--yes 0 8.Use FSC Certified Materials for Interior Finish 4 Resojroe pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resoirce pts y--yes D 10.Install Whole House Vacuum System 3 IAQ/Aealth pts y=yes 0 1 ! 1 N.Flooring 1.Select FSC Certified Wood Flooring - B Resoure pts y--yes - 0 --- - - --_- 2-!l�a 1. 4 ReSOU-CO pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resou-ce pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/H:alth pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resou-ca pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resou-ce pts y=yes 0 Total Points Available: 1401 1301 57 Total Points Project Received: 01 0 0 }\/� G:data/progs/greenbuild'mgg liderines/remodelawgreenpointsfinal2]2D4protectedxls ay'vim CITY OF CUPE RTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: $13,000 R�PERMITTYPE: Minor Building Permit PLAN CHEEK TYPE: Re-roof PRIMARYPENTAMATION Duplex It�I'�I_ 1SFDWLR00F SFD or Du USE: P V1 OOR 411 L'I PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 „ . 7h?�p' n a<<r , , ar t'_ P�wli lee. )r�tCr`It't li't7 �t j ,h 1, I<,i,. Pltrntb. h%.;�z I: C NOTE. These fees are based on the preliminary in ormation availabl?and are on1v an estimate. Contact the Dept-for addn'1 info. FEE ITEMS (Fee Resolution 09-051 Eff. TIJ0) FEE 4JTY/FEE MISC ITEMS IPurr C lwc:k Fec: sitppf IT,l'uc =L f'ft�trrfr. "Jlc�c°lr. 7>Icc: PI'm Check., Permit Fee: $325.00 .S111)I4Irr 1> I_c" ;'hrtrrlr.. tdec�fa..I�Icc t 'nii Fee: I'.trtrtth. "11cch.:7_7c=c Pcrfrril Fec: C'�;n,yIr iwiion 7,n 1':oa /lcol l ci% Work Without Permit? 0 Yes 0 No $0.00 l'Ictrtrttr7�� T=e�'i: I'r-avcl Doc'trrrte�rrf;rtit�rt I' 'e's': Strong,Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldp Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS:> $327.30 $0.00 TOTAL FEE: $327.30 11 Revised: 8/17/2010 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# (�� 3 p�, OWNER'S NAME: OK PHONE# t �Z GENERAL CONTRACTOR: L tivv ( BUSINESS LICENSE# 20315 ADDRESS: 2 �tiL N, = CITY/ZIPCODE: � C1 Jl 2 *Our municipal code requires all businesses working in the ci y to have a City of Cupertino business license. NO BUILDING FINAL OR FIN CCUPANCY INSPLCTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR D ALL BCONTRACT(� HAVE OBTAINED A CITY F CUPERTINO BUSINESS LICENSE. �, v U I am not using any subcontrac ' nature Date Please check applicable subcontractors and complete this following information: &/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date