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13070053 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7918 MCCLELLAN RD CONTRACTOR:EL CAMINO ROOFING PERMIT NO: 13070053 CO INC OWNER'S NAME: MCCLELLAN ASSOCIATES LLC 1650 S 7TH ST DATE ISSUED:07/09/2013 OWNER'S PHONE: 4082577514 SAN JOSE,CA 95112 PHONE NO:(408)292-7644 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL11 License Classc 3 y Li,.# °.. 3 Z BUILDINGS 7938,7940,7942&7944-TEAR OFF ,,n CAPSHEET ROOFING,INSTALL 4 PLY FIBERGLASS T&G Contractor �'�� a e T_`'Da�e 7-1� 3 ROOF SYSTEM 100 5t? 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:$20900 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:36212001.00 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 WITHW I80 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 F T CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, ?_/,I 4 costs,and expenses which may accrue against said City in consequence of the I granting of this permit. Additionally,the applicant understands and will comply Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-5,� any Signature [ Date All roofs shall be inspected prior to y 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 �•- 3Signature of Applicant: `�"""�Uate: / 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 I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533.,,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: �" `� `"� Dater 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 subjectto 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 n„O 10300 TORRE AVENUE I CUPERTINO,CA 95014-3255 {408)777-3228•FAX(408)777-3333•building(c�cupertino.org cud Gnro PROJECT ADDRESS 7 9 Q 7 ( 'A' ii M f I eff-" ®L� APN# � b 2 r Z ' 6 O OWNERNAME .�tj fI I.S b A.v I PHONE D G /�` 3 E-MAIL STREET ADDRESS 717 , CITY, STATE,ZIP FAX CONTACT NAME _ D;` PHON�og r /f��� E-MAI. STREET.ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ owNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHMCT ❑ENGINEER ❑ DEVELOPER- ❑TENANT CONTRACTOR NAME 5 N rxI e AS`7-1z-LU LICENSE NUMBER� Y3 '7L LICENSE TYPE/_ , BUS.LIC.# COMPANY NAME l'A-w CNV / Al'6 cl{//It, uPJ I G E-MAIL (6'm(+fru.,u/ /L Fa'm 4 F^Ye/Ud'-�2`/�?-Of 6 z STREET ADDRESS // C D CITY,STATE,ZIP ��l jt.� L'� PHONE� ARCHITECT/ENGINEERC7NAMJ E LICENSE NUMBER J BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex multi-Family ROOF AREA: VALUATION: 00 /00 —5r � �C/ U` - STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: v BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES El WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE VYEs IFNO, PLYWOOD ❑ PLYWD OSB PITCH: ROOF ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑CDX :12 CLASS: : A, ICC-ES REPORT# PROPOSED ROOF TYPE: V BUILT-UP ROOF ❑ASPHALT SHINGLES 13WOOD SHAKES ❑WOOD SHINGLES OTHER DESCRIPTION OF WORK By rliy gignature.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 re re a tatives of Cupertino to enter the above-identified pro erty for inspection purposes. Signature of Applicant/Agent: � Date: SUPPLEMENTAL INFORMATION REQUIRED _ 2110 1 -° If building is associated with a Home Owner's Association,provide letter of approval from HOA. c E z Provide Planning approval to verify If there any restrictions. Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear-Off Policy. 12 ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO ..FEE.ESTIMATOR-BUILDING DIVISION ADDRESS: 7938,7940,7942,7944 MCCLELLA I DATE: 07/09/2013 REVIEWED BY: MELISSA APN: 36212 001 BP#: "VALUATION: $50,900 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Building is PENTAMATION 1 R2ROOF USE: Multi-Family Dwelling >3 Stories ® Yes � No PERMIT TYPE: WORK BUILDINGS 7938 794D 7942 &7944 -TEAR OFF CAPSHEET ROOFING INSTALL 4 PLY SCOPE FIBERGLASS T& G ROOF SYSTEM Ntech,Flan Check Plumb. Plan Check Elec.flan(.,'heck Ltech.I'errnit Fee: Plumb,Pe,mi1 Fee: Elec. Permit Fee: Othe r Nleceh.Insp. Other Plumb Insp. 01her Elec.Insp. ifech. Insp.Fee: Plumb. Insp.Fee; Elee.Insp,Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 10,000 s.f. Re-roof Suppl.PC Fee: 0 Reg. Q OT 0.0 hr3 $0.00 $1,600.00 1REROOFMRE PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT Q.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ( omso-fiction :Tax: 0 �ldrninistrative l*cep: Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure Travel Doeurnentation Fres: Strong Motion.Fee: 1BSEISMICR $5.09 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $3.00 $8.091$1,600.00' F, ® y � 8.09 Revised: 07/01/2013 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 CUPERTINO 408)777-3228•FAX(408)777-3333•building d-cupertino.org PROJECT ADDRESS "1 1 CC v� A ^ D.a_ , APN# 2 �J 0 O PHO 41-5 7^ 7 7 (' E-MAIL OWNER NAME'� I S q lJ D cLN 4 Q� STREET ADDRESS CITY,STATE,ZIP FAX CONTRACTORNAME rl L�V LICEN,S E) LICECNSEYPE BUS.LIC.# COMPANY NAMEAX � !/T•Y P, k4a fl A` &MAIL P ax . .STREET ADDRESS. .�S� 57. �-U CITY,STATE,ZIP`�'-,j ��S I12_ PHONE/of r .2�d'79 . 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 /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 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 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 . smokedetectors and carbon.monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential C e. 7— y Signature of Applicant/Agent : Date: ReroofPo1icy_2012.doc revised 10/7/12 CI.�tlan R NIoad N 26 24 2 22' .amu •5 . •+wy?'C:'^,s. is�-1 Atti•,£•L£ . ., Y4 3 2 36 .3 38 3 /,;ZOO 1 a APT 7� �, z,3 V(2 12 50 52 ly 112 orf' ane �C��� August L Site P a.n : McClellan:Terrace Apartments :- Sitting Area.. Rental Office.. fib 7954 McClellan Road �o Cupertino, ci.95014 Q (44$) 257 7514'