13070148"M
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20525 MARIANI AVE
CONTRACTOR: STATEWIDE ROOFING
PERMIT NO: 13070148
INC
OWNER'S NAME: 20525 MARIANI DRIVE LP
5542 MONTEREY RD
DATE ISSUED: 07/24/2013
OWNER'S PHONE: 4089961010
SAN JOSE, CA 95138
PHONE NO: (408)288-8680
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALD
❑ LICENSED CONTRACTOR'S DECLARATION
'
License Class L�— t Lic.#
REMOVE ONLY TOP LAYER OF (E) T & G, OVERLAY
404e--) Qe
WITH
Contractor I —> Date
1/4" ROOF BOARD & FLEECE BACK TPO SINGLE PLY
I hereby affirm that I am licensed under the provisions of Chapter 9
SYSTEM
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
7
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: $186400
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: 32656001.20525
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 DAYS F ST 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
Z
Is Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulationger Cupertino Municipal Code, Section
RE -ROOFS:
9.18.
`Z J
Signature Date f
All roofs shall be inspected prior to any roofing material being installed. If roof is
installed without first obtaining aninspection, I a ee remove all new materials for
inspection.
q12
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: e:
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 CLIA "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. 1 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 5ode, Chapter 9.12 and
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
the Health & Safety Code, SectioM 25505, 25533, 34.
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
ReroofApp 2011.doc revised 03/16/11
CITY OF CUPERTINO
FF.F ESTIMATOR — BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (ie. Planning, Public Works, tire, Sanitary Sewer Utstrict, school
n-O.:..r nfn 1 Thorn root .aro h"Cad nn tho nroliminar" infnrmatinn availahle a"d are aniv apt ¢.ramal¢. Contact the Dent for addn I info.
FEE ITEMS (Fee Resolution 11-053 E, . 7/1/12)
ADDRESS: 20525 MARIANI AVE
DATE: 07/24/2013
REVIEWED BY: MELISSA
APN: 32656001.20525
BP#:
*VALUATION: 1$186,400
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration /Addition/ Repair
PRIMARY
Commercial Building
Suppl. PC Fee:. (E) Reg. ® OT
PENTAMATION
1COMMLR00 i
USE:
$0.00
PERMIT TYPE:
WORK
REMOVE ONLY TOP LAYER OF E T & G OVERLAY WITH 1/4" ROOF BOARD & FLEECE BACK
SCOPE
TPO SINGLE PLY SYSTEM
NOTE: This estimate does not include fees due to other Departments (ie. Planning, Public Works, tire, Sanitary Sewer Utstrict, school
n-O.:..r nfn 1 Thorn root .aro h"Cad nn tho nroliminar" infnrmatinn availahle a"d are aniv apt ¢.ramal¢. Contact the Dent for addn I info.
FEE ITEMS (Fee Resolution 11-053 E, . 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
3500 s.f.
$2,471.00
Re -roof
IREROOFCOM
Suppl. PC Fee:. (E) Reg. ® OT
0,0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. ® OT0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
(. onstr-uction Tax:
fl dininistrative Fee:
Work Without Permit? ® Yes 0 No
$0.00
Advanced Planning_Fee.-
$0.00
Select a Non -Residential
Building or Structure
i
Travel Documentation Fcw:
Strom Motion Fee: IBSEISMICO
$39.14
Select an Administrative Item
B1dp_ Stds Commission Fee: IBCBSC
$8.00
$47.14,$2,471.00
S. WA F R
$2,518.14
C(' Revised: 07/01/2013
CUPERTINO
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 - building(a cupertino.or4
PROJECT ADDRESS
APN # /
1 216 b .6 Q 1. 2 0 SZ 5
20525 Mariani Ave
.5
OWNER NAME
PHONE
E-MAIL
Apple Inc.
STREET ADDRESS
CITY, STATE, ZIP
FAX
1 Infinite Loop
Cupertino CA
CONTRACTOR NAME
LICENSE NUMBER
1803926
LICENSE TYPE
BUS. LIC. #
Michael Courtney
C-39
23509
COMPANY NAME
E-MAIL
FAX
Statewide Roofing, Inc.
mbotil@swroof.net
408-286-7828
STREET ADDRESS
CITY, STATE, ZIP
PHONE
5542 Monterey Road #201
San Jose CA 95138
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 roofmg 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/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
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and 8315 of
the 2010 California Residenti o e. �% ` �7
Signature of Avolicant/Agent: C(?4Date: �/ 2�/� S
ReroofPolicX 2012.doc revised 10/7/12