14080180CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7576 BARNHART PL
CONTRACTOR: AMK ROOFING
PERMIT NO: 14080180
OWNER'S NAME: GONZALES RUDY O AND YOKOTA KAT
184 TALMADGE AVE
DATE ISSUED: 08/15/2014
OWNER'S PHONE: 4088383350
SAN JOSE, CA 95127
PHONE NO: (408) 937 -6972
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑
LICENSED CONTRACTOR'S DECLARATION
TEAR OFF (E) WOOD SHAKE, INSTALL (N) OSB, 30LBS
License Class --c c- % Lic. # -06 ��
FELT, CLASS A COMP ROOF SYSTEM (24 SQ'S)
Contracto ate JS
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
Valuation: $14000
performance of the work for which this permit is issued.
Sq. Ft Floor Area:
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 36624023 00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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 IT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
180 DAYS + LLED INSPECTIO .
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Issue Date: (5 /
y'
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source re tions per the Cupertino Municipal Code, Section
9 18.
Signature - Date < S "
RE- ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtamm ectw I agree to remove all new materials for
inspection.
Applicant: Date:
13 OWNER-BUILDER DECLARATION^1
Signature of
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF RINGS 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
the Health & Safety Code, Sections 2 d 25534.
I have and will maintain Worker's Compensation Insurance, as provided for by
for this
/ % �f-
�r
Section 3700 of the Labor Code, for the performance of the work which
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 subject to the Worker's
CONSTRU TION 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 O
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
`k V
'(408) 777 73228 •FAX (408) 777 -3333 • buildinq(a)cugertino.orq
CUPttttl'NQ
PROJECT ADDRESS ^
OWNER NAME PHONE 416q,. C 5y r v E-MAIL II
STREET ADDRESS CITY, STATE, ZIP O �f FAX
Cv
CONTACT NAME
�j
P N& t12
E-MAIL
STREET ADDRESS .
CITY, STATE, ZIP
FAX
❑ OWNER' ❑' OWNER- BUILDER ❑ -OWNER AGENT -C� ONIRACroR ❑ CONTRACTOR AGENT
❑ ARCHII-ECI ❑ ENGATEER ❑ DEVELOPER ❑ TENANT
CONTRACfORN
LICENSENUMBER
LICENSE TYPE
BUS. LIC. #
3 g
COMPANY NAME
E -MAIL
-
FAX
V&d
4 I< QA
STREET ADDRESS
CITY, STATE, ZIP
P", .
j.�
I
- (p
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC. #
COMPANY NAME
E -MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
Ur"SFD or Duplex ❑
Mull] -Family '
ROOF AREA
VALUATION:
VALUATION:
USE OF
?� C
Z 7 LS
STRUCTURE: ❑ Commercial
ROOFTYPE: , ❑ BUILT -UP ROOF
❑ ASPHALT SH NGLES ❑ WOOD SHAKES ❑ WOOD SSH NNGLES ❑ OTHER (SPECIFY)
REMOVE /REPLACE CrYES
I IF NO,
PLYWOOD Fi" &S16
PLYWD L� OSB
PITCH:
12
ROOF
A
❑ NO
#LAYERS: 'I
THICKNESS: ❑ 5/8" +YC�
TYPE: ❑ CDX
CLASS:
❑ BUILT-UP ROOF
12 ASPHALT SH NGLES ❑ WOOD SHAKES ❑ WOOD
SHINGLES ❑ OTHER
ICC -ES REPORT #
PROPOSED ROOF TYPE:
DESCRIPTION OF WORK _
ReroofApp_2011.doc revised 03116111
Fr77-7-7 -711
CITY OF CUPERTINO
ln_vIn 1"VrV1r_R/1r A rvd-%" 1DTTT1n11%jC_ WIVIQl"N
ADDRESS: 7576 -BARNHART PL
DATE: 08115/2014
REVIEWED BY: MELISSA -
Wd APN: 366 24 023
Plan Check
*VALUATION: [$14,000
-
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re-roof
PRIMARY
USE: . SFD or Duplex
117, � 7
PENTAMATION 1SFDWLR00F
PERMIT TYPE:
WORK
I TEAR OFF (E) WOOD SHAKE, INSTALL (N) OSB, 30LBS FELT, CLASS A COMP ROOF SYSTEM
SCOPE
1(24 SQ'S)
Sewer District, School
NOTE: This estimate does not includefees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary
District, etc.). These fees are Dasea on me preumintur
FEE ITEMS (ee Resolution 11-051EX 71111.3 )
FEE
QTY/FEE
---- -- -
MISC ITEMS
Plan Check
SlIpIV, PC Fcc
Ty',"
117, � 7
",P",
Vlo, P"r,xn,,
Permit Fee:
3tke+ Plumb hnsr, El
,
fig W, Nc.
flhwd), hasp. Fee-
Ins" " 1";,:,
Sewer District, School
NOTE: This estimate does not includefees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary
District, etc.). These fees are Dasea on me preumintur
FEE ITEMS (ee Resolution 11-051EX 71111.3 )
FEE
QTY/FEE
---- -- -
MISC ITEMS
Plan Check
SlIpIV, PC Fcc
Permit Fee:
$408.00
?f, "P h? S711 F(�C
Af fig; 1", 14ech,/Elcc
1
felt Permit Fee:
("o ciion
Jdlmn;�trolhve
Work Without Permit? 0 Yes (F) No
$0.00
A
Stronp, Motion Fee: IBSEISMICR
$1.82
Select an Administrative Item
Bl� Stds Commission Fee: IBCBSC
$1.00
gr
$410.82
0.00 FEE:
$0.00 TOTAL
$410.82
MI-Vib(cu. VI/ W" !•t
I
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.ogg
PROJECT ADDRESS w
APN # 3 ! / i O Z-3
OWNERNAME
PHONE ^
E -MAIL
K-6111--T
qoln -
G
STREET ADDRESS
CITY, STATE, ZIP
FAX
C!'
CONTRACTOR NAM
LICENSE NUMBER
LICENSE TYPE
BUS. LIC. #
!J
b��
COMPANY NAME
E -MAIL
FAX
Cc
-T C, I i.,
STREET ADDRESS
CITY, STATE, ZIP
PHONE
"A -
3V l
I UNDERSTAND AND AGREE TO THE FOLLOWING:
The re -roof project shall comply with all applicable provisions of the 2013 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or 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. The hours for this service are: 7:30- 10:30am and 12:30 -3:30 (Mon - Thurs)
and 7:30- 10:30am and 12:30 -2:30 (Friday). 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 1 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/" 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 detec fired to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential "�
Sienature of Anolicant/Aeent: Date:
Re7-00fP01icy_2014.doc revised 01115114
CUPERTINO
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building(akupertino.org
Permit No.1 YOSO It $C)
Address 7 r.CN l +R1_ # of Alarms Smoke: Carbon Monoxide:
THIS CERTIFICATE
ZING DIVISION
PURPOSE
This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section 8314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single - family and multi - family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above hasihave been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to comply with the terms and conditions of this statement
Ow)nner (or Owner Agent's) Name:
��� /� ) `� 1 >�)
` /� ".-
1C I. !o
............ . .............................. ..........................Date: ,?..�-L.!<•
Si tature....W� "
Contractor Name:
ems/ �l r CC
Signature ....................... .......... ....... ......................... Lic.# �. °. 6. �a S Date:
U
Smoke and CO form. doe revised 03 118114