Loading...
13060044 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19650 AUBURN DR CONTRACTOR:KEITH ROOFING CO INC PERMIT NO:13060044 OWNER'S NAME: LISA FENG 920 LINCOLN AVE DATE ISSUED:06/06/2013 OWNER'S PHONE: 4089309048 SAN JOSE,CA 95126 PHONE NO:(408)295-8616 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIALE] License Class C- Lic.# (25 SQ'S)TEAR OFF(E)B.U.R,INSTALL(N)B.U.R MODIFIED BITIMIN ROOF SYSTEM Contractor Date y 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. Sq.Ft Floor Area: Valuation:$12600 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:31635024.00 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 WITIIIN 180 DAYS O + T 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 F ALLED 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 Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point so ce regulations per the Cupertino Municipal Code,Section ko 9.18. E-ROOFS: Signatu Date y All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an ins ection,I agree to remove all new aterials 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 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 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 perfonnance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections ,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Date 4� Owner or authorized agent: 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 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 1 _© 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �O CUPERTINO (408)777-3228•FAX(408)777-3333•buildingt�-)cupertino.org PROJECT ADDRESSApN# OWNERNAME - PH J l b E-MAIL STREET ADDRESS CITY,STATE,ZIP FF vh CONTACT NAME go PHONE �� 'Le" E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER 13 OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CO CTOR AMLIS LICENSE T E BUS.LIC.# ✓ ( l COMPANY NAME�T r E-MAIL FAX STREET ADDRESS CITY,STATE,ZI � � PHO J ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF D or Duplex ❑ Multi-Family ROOFAREA: VALUATION: STRUCTURE: ❑ Commercial g- EXISTING ROOF TYPE: UILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE 11 YES IF NO, PLYWOOD ❑ Y." ❑ PLYWD ❑ OSB PITCH: l ROOF #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ COX 12 CLASS: A PROPOSED ROOF TYPE:ikuILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: I A4 IAO By my signature below,I certify to each 7vied llowing: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I hav Is correct. I have read the Description of Work and verify it is accurate. I p gree to comply with all applicable local ordinances and state laws relat' o bu' struction. I authorize representatives of o to enter the above-i ntifi property for inspection purposes. Signature of Applicant/A nt: Date: SUP ENT INFORMATION REQUIRED OFFICE USE ONLY _If building is associated with a Home Owner's Association,provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. OVER-THE-COUNTER El BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVI FA Provide copy of Manufacturers Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroofApp_2011.d revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION a: ADDRESS: 19650 AURBURN DR DATE: 06/06/2013 REVIEWED BY: MELISSA APN: 316 35 024 BP#: *VALUATION: 1$12,600 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTAMATION 1SFDWLR00F USE: SFD or Duplex PERMIT TYPE: i WORK TEAR OFF E B.U.R INSTALL N B.U.R MODIFIED BITIMIN ROOF SYSTEM SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 SOON 511" .� Ili Ig _ � y I_31r Lfech. Plan Check Plumb. Plan Check F_lec.Plun C"heck lle&Permit Fee: Plumb.Permit l°`ee: I lec. Permittee: Oliler:Wcech.Insp. other Plumb Insp. oilier Elec.Insp. :11ech.Irzsl�.I'ee: Plumb. Irish.Fee: Elec.Insp.I'ee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc . These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addh7 info, FEE ITEMS (Fee Resolution 11-053 E . 7fj /1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: tSuppl. PC Fee 7-7-71 I'lum6.i��lech.;L'lec. Permit Fee: $375.00 Suppl. Insp Fee Plurnh.i�t�fc'c{z.lFlec Plurnb,/Mech.lElec Permit Fee: Construction Tq : T-7:1- Administrative Fee: Work Without Permit? ®Yes No $0.00 Advanced Planning Fees: Travel Documentation Fees: � Strong Motion.Fee: IBSEISMICR $1.26 Select an Administrative Item Bldjz Stds Commission Fee: IBCBSC $1.00 r � Gk��JC`4T° lE $377.26 F . ° ,, $377.26 $0.00 Revised: 04/29/2013 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E.,C.B.O.,BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228-FAX(408)777-3333•building(a)cupertino.oro PROJECT ADDRESSy / APN# — ? S OWNERNAME c PH ,/ D E—MAIL/ CJ v S STREET ADDRESSQgo? vVI CITY, ATE,ZIP �� FAX CONTRACTOR NA �, ,4,/_ LICENS LI NS E BUS.L # COMPANY NAME '^► ✓ E-MAIL FAX it STREET ADDRE$ � �t CITY,ST E PHO ",G �GJ 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 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 items will be verified: a. Flat roofs shall have a minimum of I/"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 on-site to review at the time of the inspection. c. 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 be paid before another inspection can be 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 mo a detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residen ' C le. / Signature of Applicant/Age Date: ReroofPolicy_2012.doc revised 10/7/12