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14080277
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10714 GRAPNEL PL CONTRACTOR:THD AT-HOME PERMIT NO: 14080277 SERVICES,INC. OWNER'S NAME: ATLANTA,GA 30339-3913 PHONE NO:(510)731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ TEAR OFF(E)WOOD SHAKE,(NO RE-SHEET)INSTALL License Class G l Li..# 00 Z HD ( ,L COMP,CLASS A(40 SQ'S) • Contractor 'TOAD A-7 Date Sc,2. Date � � 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 e f ance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$24484 I and will maintain Worker's Compensation Insurance,as provided for by t on 3700 of the Labor Code,for the performance of the work for which this APN Number:32643053 00 Occupancy Type: e it 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 DAY RMIT 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 DAY - ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, - costs,and expenses which may accrue against said City in conse ce of the granting of this permit. Additionally,the applicant underst s and will comply sue a with all non-point source regulations per the Cuperti unicipal Code,Section 9 18. RE-ROOFS: Signature Date Zq All roofs shall be inspected prior to any roofing material being install a roof is installed without first obtaining an inspection,I agree to remo new materials for inspection. ❑ OWNE LDER DECLARATION Signature of Applicant: Date: 1S I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: OOF COVERI O 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 370'0 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 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safe>Code, ns 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authoriDate: ? f 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 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 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 n � REROOF PERMIT APPLICATION D V COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildind@cuaertino.orp PROJECT ADDRESS j© �I TAPNII OWNER NAME �/ ' ST EET ADDRESS CITY,STATE,ZIP FAX 0 1 2 FC. l�/S—C GcJ P OZ7 I/) 0 C A $O I CONTACT NAME Eileen Cook PHONE 707-527-7727 E-MAIL STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP FAX 510-357-3750 SAN �94577 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT J4 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 836021 LICENSE TYPE C39 BUS.LIC.# COMPANYNAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP SAN LEANDRO,CA 94577 PHONE 510-877-4550 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 1S171)or Duplex ❑ Multi-Family ROOF A: VALUATION: STRUCTURE: //❑ `_Commercial G(�/J(/�, yFrliJ Z-4 l' EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKESWOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD ❑ h" NO I #LAYERS: THICKNESS: ❑ 5/8" TYPE: 11 Cox Lf :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF V�AStPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK / A 1 /z /11Z �"'_ , Hf, HD By my signature below,I certify to each of the following: I am the property owner or authodgent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Descripti ork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction res ves of Cupertino to enter the above-identii property for inspection purposes. Signature of Applicant/Agent: D. 7i / SUPP TAL INFORMATION D OFFICE USE ONLY If building is associated with a Home O r' sociation,provide letter gLAN=,qEWCx TYPE ROUTING SLIP Of approval from HOA. OV=ER COUNTER, ❑ BUILDING PLAN REV Provide Planning approval to verify if there any restrictions. p EXARESS P REVIEW Provide copy of Manufacturer's Installation Specifications. ;°❑ smaxnatin DEPT Provide signed copy of Cupertino's Tear-Off Policy. o ER: ReroofApp_201 1.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10714 GRAPNEL PL DATE: 08/29/2014 REVIEWED BY: MELISSA APN: 326 43 053 BP#: *VALUATION: 1$24,484 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK TEAR OFF E WOOD SHAKE INSTALL HD COMP CLASS A 40 SQ'S SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 4,000 A fec'I. IatL??t{,;,hecif I'izf7FiS..I'1LI7F 1,11t' k z:iteL.'.I3j:JP?�.iTe L,'Ii i(>L:f. I'enr?itlee; Pmaifb. ' fnrit./et: ieL'.t' F:aiti i'c Cltiz°a s.k h'isp, 01her 111ttrr b h-sp. X37 zcs E!e .Irup, Li I �Iec,a. In's,.; Fee: Non&InT.Fee NOTE.This estimate does not include fees due to other Departments(Le.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 Dept/or addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13FEE QTY/FEE MISC ITEMS 111ca ('hec A-T'ee: Permit Fee: $680.00 1'csrmit Pee: Construction "rax: Work Without Permit? 0 Yes (F) No $0.00 71wvel )oc°tnnewation Feew: Strong Motion Fee: IBSEISMICR $3.18 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 TT. TOI�AL,FEE• u $684.18 $0.00 $684.18 Revised: 08/20/2014 REROOF TEAR-OFF POLICY 10 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(a)cupertino.ora PROJECT ADDRESS f D r7/,C C,' � APN# 0 3 OWNER NAME / / ° STREET A DRESS CITY,STATE,ZIP FAX `fir G 2 A E ( P(�C c� g,Z!7r,)o c14 q_ ON CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# COMPANY NAME r .®.M �' E-MAIL �i/©.3�7 STREET ADDRESS Y,, CITY,STATE,ZIP ,/` PHONE /, ('o 4:7—J A- Cfiv f 19-� L /1 n/D J 3 C/f T 1 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm(Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm(Friday). 4. If plywood is installed,a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25%of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off,the following items will be verified: a. Flat roofs shall have a minimum of 1/4"per foot of slope and must 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. 8. 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 of$126.00. 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. Signature of Applicant/Agent: Date: Z� / ReroofPolicy_201 0.doc revised 05/17/10 CUPERTINO Address i o-71 `f 6 PERl1 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �- 10300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • building(a2cupertino.ora Per it No. 1- 09a , Carbon Monoxide: Q. THIS PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 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 has/have 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 a me to comply with the terms and conditions of this stateme t' Owner (or Owner Agents) Name: mar I �--Y=_ __.- -- __..__._ .`'--- ................... Date`:/ ........1:6..x.. Sianatma—..........:—,...-- r"''... .... ..::::........................ �� i�iflot' ( Sig naturellV:':14.... ........ Lic.# .. v..'T..GQ........... Date: Smoke and CO form. doc revised 03/18/14