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13060080 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10855 NORTHVIEW SQ CONTRACTOR:FOUR SEASONS PERMIT NO:13060080 ROOFING OWNER'S NAME: JAMES SMITH PO BOX 1668 DATE ISSUED:06/10/2013 OWNER'S PHONE: 4089963734 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALS — RE-ROOF 12 SQ-REMOVE EXISTING COMWOOD ROOF License Class Lic.# i AkSYSTEM Contracto Date — AND INSTALL NEW GAF GRAND SEQUOIA I hereby affirm thatI am licensed unc the provisions of Chapter 9 SHINGLEROOF, (commencing with Section 7000)of Division 3 of the Business&Professions CLASS A 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:$5200 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:31636009.00 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 WITS eDYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enterupon the above mentioned property for inspection purposes. (We)agree to save180 DAY ,F LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, ' f costs,and expenses which may accrue against said City in consequence of the � Date: granting o is permit. Additionally,the applicant understands and will comply Issued by: with all no point source regulations er the Cupertino Municipal Code,Section 9. RE-ROOFS: Date 4,10. 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 inspec OWNER-BUILDER DECLARATION Si a ant2,//,aate: 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 con rna is as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will aintain mpliance with the Cupertino Municipal Code,Chapter 9.12.and I have and will maintain Worker's Compensation Insurance,as provided for by tit ealth Safety Code,S ions 255 ,25 nd 25534. Section 370.0 of the Labor Code,for the performance of the work for which this O 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 vg REROOF PERMIT APPLICATION 3pCO COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300TORRE AVENUE•CUPERTINO,CA 950143255 CUPERTINO (408)777-3228-FAX(408)777-3333•buildinci@_gUpertino.ora PttOTE /+a/ APN# O `JJ J mnWE EMAIL r O STREET ADDRESS 61TY,STATE FAX CONTACT NAME PHONE E-MAIL ❑�O 4wNER' ❑ owNER.Bumm f❑oWNm AGEm YCORMACID1 ❑CONTRACTOR AGENT ❑ ARcurmer ❑FNGmm ❑ DEVELOPER ❑TENANr CONTRACT R NAME LICFsNSEaN Lia iJ�SI I; p " COMPANYNAME E-MAIL FAX(� 33� P! PHONE WADAESS, ARCHn7-c ENGaim NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME EMAIL FAX STREET ADDRESS CITY.STATE,ZIP PHONE USE OF ❑ SFD or Duplex Multr:Family i,ROOF AREA: LUATION: STRUCTURE [3Commercial /f EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHARES ❑WOOD SHINGLES )(OTHER(SPECIFY) `✓ 3�' -11 1 REMOVE/REPLACE ES FNO. PLYwOOI) • - ❑ PLYWD ❑OSB PITCH: .12 ROOF A 1 #1 518^ E: &C—DX TCC-FS REPORT# PROPOSED ROOF TYPE: ❑Bu1LT UP Roof ,ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES l3OTHER DESCRIPTION OF WORK: f By my signature below,I certify to each of the following: 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 have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: ��"� = 7 SUPPLEMENTAL INFORMATION REQUIRED jIf building is associated with a Home Owner's Association,provide letter of approval from HOA. othrtJR © air 5 Provide Planning approval to verify if there any restrictions. Q ❑ > Provide copy of Mamtfacturet's Installation Specifications. [ ARD Provide signed copy of Cupertines,Tear-Off Policy. ReroofApp_2011.doe revised 03116111 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPsttTlik0 10300 TORRE AVENUE-CUPERTINO;CA 950143255 (408).777-3228 FAX{q08},777-3333•buildinoCa�cuoertino.ora PROJE APN# , O PHONE E MAII STREET ADDIkESS• crrY,STATE,ZIP FAX C Cf RNAME LICENSENUMS vi 7� LICEN T BUS. Nr C E MNL o FAX / S T D S T TE,Z `P 3L1 -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 u 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 hoer. Final Inspections will be given a two hour window. 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. S: Roofing.shall not be applied without first obtaining all prior inspection and written approvals from the: building inspector. Any roofmg which is applied without first obtaining an approved inspection Will -require'the xemoval 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 1/4" per foot of slope and demonstrate there is no ponding. b. Listingsfrom approved testing agencies for all pre-manufactured products used shall be available`on-site to review at the time of the inspection. c'. Proper spaxk arrestor installation, vents painted, gutter/downspouts installed, debris removed . T . 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 ahother inspection can be scheduled.. By my signing below,I certify eac the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I un and agree to comply with the re-roof policy stated above. I also understand that . smoke detectors and carbo ono de det tors are re qu' d be installed in accordance with Section R 14 and R315 of the-2010 California Residti"de. Signature of ApplicantlAgen• Date: L Reroofpo&5 2012.doc revised 10/7/12 NORTHPOINT HOMEOWNERS ASSOCIATION Northpoint Homeowners Association 10830 Northpoint Way April 23, 2013 Cupertino, CA 95014 P H: 408-996-3734 FX:408--996-0226 City of Cupertino UNC Community Management 6840 Via Uel Oro F Suite 265 San Jose, CA 95119 Re: Roofs P H: 408-22.9-6000 FX:408•-229-6001 To whom it may concern; Northpoint: Homeowners Association has contracted Four Season's Roofing,to, install new GAF Grand Sequoia Roof Shingles on homes 11 here at Northpoint. Sincerely, Linda Starnes On Site f4anager a P