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13090062 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 RESULTS WAY CONTRACTOR:STATEWIDE ROOFING PERMIT NO:13090062 INC OWNER'S NAME: ECI TWO RESULTS LLC 5542 MONTEREY RD DATE ISSUED:09/10/2013 OWNER'S PHONE: 4089749575 SAN JOSE,CA 95138 PHONE NO:(408)288-8680 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL License Class Lic.# ©J"1 2c 6 APPLE-342 SQ'S OVERLAY 60 MIL TPO OVER(E)ROOF ,d l SYSTEM(NO TEAR OFF) �1P� N244,44-4— Date Contractor c I hereby affirm that I am licensed unde;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:$147000 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:3:51 2P 04.2.5 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 forinspectionpurposes. (We)agree to save 180 DAYS FRO ED 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• d granting of this permit. Additionally,the applicant understands and will comply Issue with all non-point source regulations pe the upertino Municipal Code,Section 9.18. RE-ROOFS: Signature .': Date 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 inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant.��4v/�, I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BEC SS"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) 1,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 Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,M' 2Z55O5, 5 a 4. Section 3700 of the Labor Code,for the:performance of the work for which this Owner or authorized agentte: / 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 inconsequence 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 10 REROOF PERMIT APPLICATION v COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION no 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building cupertino.oig \Av PROJECT ADDRESS 1 Results Way, Building#5 APN# ' �' ` O V ' j -- + 5 OWNER NAME - 1 _v 0 PHONE FEILC� Apple, Inc. (408)974-9575 STREET ADDRESS 1 Infinite Loop CITY' STATE,ZIP Cupertino, CA 95014 FAX CONTACT NAME PHONE E-MAIL Michael Courtney 408-286-7828 1 mcourtney@swroof.net STREET ADDRESS 5542 Monterey Road,#201 CrrY,sTATE, ZIP San Jose, CA 95138 FAX 408-286-7820 ❑OwNER ❑ owNERBUB.DER ❑ OWNER AGENT CK CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Michael Courtney LICENSE NUMBER 803926 LICENSE TYPE C39 BUS.LIC.# 23509 coMPANYNAME Statewide Roofing, Inc. E-MAIL mbotill@swroof.net FAX 408-286-7820 STREET ADDRESS 5542 Monterey Road,#201 CITY,STATE,ZIP San Jose, CA 95138 PHONE 408-286-7828 ARCHITECT/ENGINEER NAME TCENSENUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: X Commercial 34,200 sf $147,000 EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ,a❑WOOD SHAKES ❑WOOD SHINGLES �OTHER tsPEc>FYI Single Ply REMOVE/REPLACE NI YES IF NO, PLYWOOD 9%- ❑ PLYWD ❑OSB PITCH: ROOF ❑NO I #LAYERS: THICKNESS: ❑ 5/8" TYPE: ISS CDX 25 .12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER.60 mil TP ICC-ES REPORT# DESCRIPTION OF WORK: Clean and prepare existing roof and overlay with Insulfoam EPS and a .60 mil TPO roofing system. 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 r vide is correct. .1 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t c' I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 9/9/13 SUPPLEMENTAL INF TION REQUIRED OFFICE(ISEONLY If building is associated with a Home Owner's Association,provide letter PL".CHECIKTWE ROUTING sLH? of approval from HOA. OVER THE COUNTER ❑ BUMMING PLAN REVIEW Provide Planning approval to verify if there any restrictions. t7; ss": ❑ rLaxxnvs PLAN xev>Ew Provide copy of Manufacturer's Installation Specifications. ❑ STANDeCRD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER; ReroofApp_2011.doe revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 1 RESULTS WAY BLDG#5 DATE: 09/10/2013 REVIEWED BY: MELISSA APN: 35720041.5 1 BP#e "VALUATION: $147,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY PENTAMATION 1COMMLROOF USE: Commercial Building PERMIT TYPE: WORK APPLE- 342 SQ'S OVERLAY 60 MIL TPO OVER E ROOF SYSTEM NO TEAR OFF SCOPE MINIM McOi. Plan Check Phimb. Plan Check Elec.Plan(..heck 1L1ech.Permit Fee: Plumb. Permit Fee: tlec.Permit Fee: FOnc�r Heck Insp. Other Plumb Insp. Other Elec.Insp. daech.Ins.p. fine: Plumb. Insp.Fee: Elec.Insp.flee: NOTE:This estimate does not include fees due to other Departments(La 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 addn'l info. FEE ITEMS(Fee Resolution 11-053 E . 7ff /1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 34,200 s.f. Re-roof Suppl.PC Fee: (E) Reg. OOT "00 $0.00 $2,471.00 IREROOFCOM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-0 Reg. OOT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tarr: dIninistrative.Fee: Work Without Permit? O Yes O No $0.00 O Advanced Planning Fee: $0.00 Select a Non-Residential O Building or Structure O Travel Documentation Fees: Strong Motion Fee: IBSEISMICO $30.87 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $6.00 __ $36.87 $2,471.00 f 7' z $2,507.87 Revised: 07/01/2013 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL 3CN r-UPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255(408)777-3228•FAX(408)777-333 -building0cupertino.org T l PROJECT ADDRESS 1 Results Way,,Budding#5 APN# -3 S ZQ OWNER I Apple, Inc. PHONE 408-974-9575 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, STATE,ZIP Cupertino, CA 95014 FAX CONTRACTORNAME Michael Courtney LICENSE NUMBER 803926 LICENSE TYPE C39 BUS.LIC.# 23509 coMPANYNAME Statewide Roofing, Inc. E"MAIImbotill@swroof.net FAX 408=286-7820 STREET ADDRESS 5542 Monterey Road,#201 CITY,STATE,ZIP San Jose, CA 95138 PHONE 408-286-7828 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/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 cmpI with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide det tors ar equired to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code Signature of Applicant/Agent: Date: 9�9�13 ReroofPolicy2012.doc revised 10/7/12