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13120089 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 929 LIBERTY CT' CONTRACTOR:ANTHONY RAINIERI PERMIT NO: 13120089 ROOFING INC OWNER'S NAME: JOHNSTON LAWRENCE L AND JOAN V 1655 FORMAN AVE DATE ISSUED:12/11/2013 OWNER'S PHONE: 4082527856 SAN JOSE,CA 95124 PHONE NO:(408)265-8010 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL License Class Lic. RE-ROOF 24SQ-REMOVE EXISTING SHAKES.INSTALL, 1/2 Contractor f Date 7i OSB,CLASS A 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 3700of the Labor Code,for the performance of the work for which this permit is issued.. Sq.Ft Floor Area: Valuation:$9360' have and will maintain Worker's.Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:35611065.00 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 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 FROM LAST 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 Issued by: Date: 1 granting of this permit. Additionally,the applicant understands and will comply with all non-point source re ns per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date7-1111,13 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 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 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 Code,Chapter 9.12 and I have and will maintain Worker's Compensation hisurance,as provided for by the Health&Safety Code,Sections 55 533,and 25534. / Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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 Califomia..If,after making thiscertificate 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. 10300 TORRE AVENUE•CUPERTINO CA 95014-3255 q CUPERTENO. (408)777-3228- FAX(408)777-3333-buildina(e�cuoerdno.ong �b&-I �-9\ PROJECT ADDRESS q 217 41 6 c:x CT I mo" OWNERNAME / ^ - _ ��/ `S(, PHON14 E r 2S2 r T Q I:_MAII. STREET ADDRESS J A-" G"' CITY,STATE,ZIP I FAX CONTACT NAME 0! /!N I .I PHKVO 2� O /Q./� C0hC-4T STREET ADDRESS `s� G �}.r.. r 5 Z-ol 4,4 e- �Ti4�F� Jo S!c ��- 9 s'12 F`�O F'2(.7'of 3 9 - ❑ OWNER ❑ 01ANRR-BUILDER IE❑�.OEA �NTF/ CONTACO �❑CO� RCTORma,7 ❑ ARCHmcT ❑ENGIIQEER ❑ DEvELOPER ❑TENANT CSE LICE% T17 BUS.LIC COMPANY NAIL // V d (pF/4L C4 /�L(JC-I�s -K FA `S rT _W7`--�{-a a / sWNTESs �b 1-h r� �' /�`'i ARCHTTECTIENGINEER NAME LICENSE NUMBER BUS.LIC.k COMPANY NAME E-NIAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE of SFD or Duplex ❑ Multi-Family ROOF AREA VALUATION: G� STRUCTURE: El Commercial 00 a EXISTING ROOF TYPE: . ❑BUILT-UP ROOF ❑ASPHALT SHINGLES L/I,�/WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPPEECff1) MO /REPLACE XYFS IF NO, PLYWOOD Xw ❑ PLYWD XosB PITCH J�/ ROOF ❑NO #LAYERS: CKNESS. ❑5/8- TYPE: ❑ CDX � ' •12 CLASS: PROPOSED ROOF TYPE: ❑BUB,T-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT DESCRIPTIO W� L�f ST7 a v� �SI�F/q-KES !ALS 7 44-C- V z O S b w- By my signature below,I certify to each of the fallowing: 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 provide Corr 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 buil g o I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. S i gnature of Applicant/Age Date: SUPPLEMENTAL INFORMATION REQUIRED - _If building is associated with a Home Owner's Association,provide letter � �':� ang��E��z� of approval from HOA. �� ". •- b =c ` _Provide Planning approval to verify if there any restrictions. 1 _ Provide copy of Manufacturer's Installation Specifications.. Provide sinned copy of Cupettino's Tear-Off Policy. -12 Rerooflpp 2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION C1ADDRESS: 929 LIBERTY CT DATE: 12/11/2013 REVIEWED BY: MENDEZ APN: BP#: "VALUATION: 1$9,360 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: P PERMIT TYPE: woRK RE-ROOF 24SQ-REMOVE EXISTING SHAKES INSTALL 1/2 OSB CLASS A SCOPE FEE IDROOF AREA s.f. 1 REROOFFRES 2,400 t s120 �� , p RM. 11"WINA 11. �� Nor�Y.An 9 dttvt- ,Llech. Plan(heck_ Ph.unb. Plan Check" Elec. Plan(.,heck iLlechfern it Fee:. Plumb. Permit Fee: Elec.Permit Fee: LiC)thcr hleuh. Insp. Other Plumb Insp. Ch(rer Elec.Insp. 11ech.Insp. Fee: Plumb. Insp.Fee., Elec.Insp,lee: Ld NOTE:This estimate does not include fees due to other Departments('tie.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the relimina information available and are onlyan estimate Contact the Det or addh I info. FEE ITEMS (Fee Resolution 11-053 E . 7ff 11/13) FEE QTY/FEE MISC ITEMS Plan Cheek 1>'ee: Suppl. .PC Fee Plumb.11fech./Elee Permit Fee: $384.00 Suppl. Insp Fee Pl uin b.i:'1kech./El ec. . PlumbAWech.%Ele,c Perntit.Fee. Construction Kix: Adininis trative.l'ee: Work Without Permit? 0 Yes (j) No $0.00 A(ivcancecl Plarming Ii*ees: Travel Documentation Fees: Strong Motion Fee: IBSEISMICR $0.94 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 § �'3 $385.94 $0.00 � � TO ASL FEE $385.94 . Revised: 10101/2013 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL CUPERTIN0 10300 TORRE AVENUE-CUPERTINO CA 95014-3255 (408)777-3228- FAX(408)777-3333-buildingC-cupertino.ora PROJECT ADDRESq^ q C -F I APN# OWNER NAME JF' S I PHO n �Sn 0 J E STREET ADDRESS ,J CITY,STATE,ZIP OC FAX S CONA[° � LICENSE NUER� LICEI.SE TYPE BUS.LIC. 3 b 3 3 COMPANY NAME 'Ax 4,j'-267-4/3 9 STREET pD &/` /9STATE, 144V J 34 cA T PHO U Z 4S--90 16 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. _ Ra ffi1Q 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-roofirig 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 det s are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Co Signature of Applicant/Agent: �C.AAAA,(, Date: L «' ReroofPolicy 2012.docrevised 1017112 CITY OF CUPERTINO BUILDING PEERMIT BUILDING ADDRESS: 21928 OAKDELL PL CONTRACTOR: 114-C2 PERMIT NO: 13120086 OWNER'S NAME: CHRIS LAM DATE ISSUED: 12/10/2013 OWN 'S PHONE: 4088077986 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL Ell, Lic.# 1� iLrj UPGRADE(E)ELECTRICAL PANEL TO 200AMPS,SAME LOCATION. License Class 10* /- Contractor /\� K Date 3 I hereby affirm thatI am licensed under the provisions o Chapter'9 (commencing with Section.7,000)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:$2000 �b( 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:32618048.00 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 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 + AST 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 theb Date f 21/0a�V granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 0/ RE-ROOFS: Signature-- —�� to-- 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: 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 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. 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 rssded.. 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 l Owner or authorized agent: ate: h0 /15 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 Compensationprovisions 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 IIIGENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO,CA 95014-3255 \ MISC (408)777-3228•FAX(408)777-3333•building(cDcugertino.org M CUPERTmo [:]PLUMBING ❑MECHANICAL MELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS Z HOS Oply-bew '-?L.. APN# Z_(5 _6 1 S-, _ 0 OWNER NAMEC"�� / ,� PHONEqrA 6 �MAII STREET ADDRESS �q Z$ D A DELL CITY,STATE,ZIP FAX CONTACT NAME ( _`_ �`� PHONE ji�! CTr-ICt&/Lj STREET ADDRESS i v f� CITY,STATE,ZIP 11- r y�� I FAX ICA❑OWNER ❑ OWNER BUILDER ❑ OWNER AGENT XCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT 1:1ENGINEER ❑ DEVELOPER 11TENANT CONTRACTOR NAME /-LoCTVw LICENSE NUMBER ER n`L � LICENSE TYPE- B BUS.LIC# COMPANY NAME G (� E-MAIL ty FAX N � � � L>�� , 1La STREET ADDRESS 31�� (5�i- 0 a_ CITY,STATE,ZI l f �! � � S�� PHONE �- 34:5 4�-41G3 4 9 ARCHITECT/ENGINEER NAME F LICENSE NUMBER '1 /v J BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF s-or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL - 'URBAN INTERFACE AREA NO FLOOD ZONE NO EICHLER HOME? NO DESCRIPTION OF WORK LW !CA Q(/ P US 10lel `1`t JJ l o u 6 A w-jqS -C kr-, o(-`L--:-> 0— ... ,. TOTAL VALUATION: By my signature below,I certify to each of the following: I am the property owner or authorized a act on the property er'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: Date: LZ io -03 SUPPLEMENTAL INFORMATION IMQUIRED oFcETi'sE orY� fi ' STAND RD 091 MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 2.1928.OAKDELL PL DATE: 12/10/2013 REVIEWED BY: MELISSA APN: 326 18 048BP#: `VALUATION: $2,000. *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration/Addition/Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 REAP 2 WORK UPGRADE (E)ELECTRICAL PANEL TO 200AMPS SAME LOCATION. SCOPE APPLIANCE./EQUIP TYPE FEE ID QTY UNITS BP FEES Services 1ERT<200: 100 Amps $47 TOTALS: $47.00 Jkkch. Plan Check Plumb, Plum Check Elec.Plan Check 0.0 hrs $0.00 IW(A Pera it Fee: Plumb.Permit Fee: Elec.Permit Fee: IEPERMIT O)ihcr Alech.Insp. Other Plumb Insp. Other Elec.Insp. 0.0 hrs $47.00 Eii l�erh.Insp.Fee: Plumb. hal).Fee: Elec.Insp.Fate: NOTE:This estimate does not include fees.due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District etc). Theseees are based on the relimina information available and are only an estimate. Contact the De t or addh7 info, FEE ITEMS(Fee Resolution 11-053 E . 7111131 FEE QTY/FEE MISC ITEMS Plan Check Fee: Su1l)1. PC Fee PME Plan Check: $0.00 Penni!Fee: .Su/)[)l, Ins[)Fee PME Unit Feer $47.00 PME Permit Fee: $47.00 Construction Tax: Administrative Fee: IADM N $44.00 Work Without Permit? ®.Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fee: ITPA VDOC $47.00 Strong Motion.Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $186.50 $0.00 $186.50 Revised: 10/01/2013