14080008 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7918 MCCLELLAN RD CONTRACTOR:EL CAMINO ROOFING PERMIT NO: 14080008
CO INC
OWNER'S NAME:
SAN JOSE,CA 95112 PHONE NO:(408)292-7644
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
BLDG'S 7956,7958,7960& 7962-TEAR OFF(E)T&
License Class/— ��Lic.# .� G,INSTALL NEW PLY T&G ROOF SYSTEM(80 SQ'S)
Contractor_Xalw.„.b EQ Date ^�T
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:$55848
,44 ave 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 WITHIN 180 DA RMT
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 D ' OM LAS LED INSPECTIO
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the /
granting of this permit. Additionally,the applicant understands and will comply ssued b • ate:
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
,. leRE-ROOFS:
SignatureA,—, Dte 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: " /r
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,
permit is issued. Date:
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
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
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
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 7918 MCCLELLAN RD(7956) DATE: 08/01/2014 REVIEWED BY: MELISSA
APN: 362 12 001 BP#: *VALUATION: 1$55,848
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Building is PENTAMATION 1 R2R00 F
USE: >3 Stories 0 Yes Q No PERMIT TYPE:
WORK BLDG'S 7956 7958 7960 & 7962 -TEAR OFF E T& G INSTALL NEW PLY T & G ROOF SYSTEM
SCOPE (80 SQ'S)
FEE ID ROOF AREA
s.f.
1REROOFMRES 8,000
1'ltir,r,,. P/ctr`t i.hea:'ti
z 1 h f'E>rmil Fete' t'1?,rm/�. ;'ermiT N'c
(?/'ter Numb InsoILI El
/h.nll Insp. !'r'e
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 11-053 a.. 711113) FEE QTY/FEE MISC ITEMS
P/a {'lt:crt pc"'.'
Permit Fee: $1,360.00
tgltfn??; /'enrrit 1f'ec>:-F-F
t:`rtjxt,'ttcPi��tt 7trt:
Work Without Permit? 0 Yes 0 No $0.00
rPcirb't ftc'c;Ll/`e`E;Yr`b17P7�X P'e'es.
StronW Motion Fee: IBSEISMICR $7.26 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $3.00
c5 9—f ®tTALS $1,370.26 $0.00 TOTAL FEE: $1,370.26
u� . . , .� ,. ._
Revised: 07/10/2014