Loading...
140900800 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20875 VALLEY GREEN DR CONTRACTOR: NEMMER ROOFING PERMIT NO: 14090080 OWNER'S NAME: KORET FOUNDATION 5348 AUDUBON PARK CT DATE ISSUED: 09/15/2014 OWNER'S PHONE: 6505923960 FREMONT, CA 94538 PHONE NO: (510) 919-2930 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] y BLDG 616 - 631 - TEAR OFF (E) ROOF & INSTALL OSB License Class �� Lie. # 9 36 / (IF NEEDED), GAF LIFETIME COMP ROOF SYSTEM (117 Contractor e — /-&— SQ'S) 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 Sq. Ft Floor Area: Valuation: $41745 'formance of the work for which this permit is issued. 1 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: 32609064 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 180F ERMIT 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 FR M 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: 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. SignatureX949-A-7Date — RE -ROOFS: 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 /sem o� Signature of Applic a e: 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 Labor Code, for the the for which this the Health & Safety Code, Sections 25505, 5 3, and 25534. Section 3700 of the performance of work Owner or authorized agen 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 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 RER.00F PERMIT APPLICATION ' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION GO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUt.EtTt[r[4 777-3228 FAX (408) 777-3333 • building CcDcupertino.org \ /2 PROJECT ADD 9/4,y . 9^et,N Ali ► o Ej — 63 I APN # � � � � ? O .39�© EMAII/ STREET ADDRESSC ST ZIP ` - FAX CONTACT NAME PEL PHONE &MAIL STREET ADDS ;j O CIT S', STATE, ZIP �� ® FAX ❑ OWNEEL ❑ OWNE&BUR:DE& El. OwNERItGENr NTR 4CTOR ❑ CONTRACTORAGENT ❑ ARCHU= ❑ ENGAMER 13 DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE LICEN BUS. LIC. # COMPANY NAME f E-MAII FAX STREET ADDRE CITY:STAT' QLO PHOA �7 7� ARCHITECT/ENGINEER NAME LICENSB:NUMBER JJ BUS. LIC. # / J COMPANY NAME E4FAX STREET ADDRESS CITY, STATE, ZIP PHONE USB OF ❑ SFD or Duplex -)jMulttt Family ROOF APF-4: VALUATION: STRUCTURE: ❑ Commercial: % 7 C,1 7 ys EXISTING ROOF'TYPE: • ❑ BUILT-UP ROOF ❑:ASPHALT SHINGLES ROOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE 59-YES I IFNO, TIT LYWOOD )-'h' ❑ PLYWD �PI OSB PITCH: ROOF ❑ NO 4YERs: HI S: ❑ 5/8" TYPE ❑ CDX _j_: 12 CLASS: A PROPOSED ROOF TYPE: ❑ BUI T-UP ROOF ASPHALT SH.NGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC-FS REPORT # DESCRIPTION OF WORKS By my signature below, I ceatify'to each of the following-, 'I ar'sthe property owner or authorized agent to act on the property owner's behalf. I have read this application, and the information I hawprovideiT is correct. I have read the Description of Work.and verify it is accurate. I agree to comply witb all applicable local ordinances and state laws relatingtading cotistru I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicanUAgent: ' pate: SUPPLEMENTAL 114FFORMATION REQUIRED If building is associated with a,Fiotne Otvuer's Association, provide letter of approval from HOA. ' Provide Planning approval to verify if there any restrictions. i. _ Provide copy of Manufacturer's Installation Specifications: _ Provide signed copy of Cupertino s Teat=Off Policy. Reroofp 2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ik,c& Plan Check ill >, h..hnh, Hee: Other "kh" h, Ir sp, 1'Irz�rtl�, f'Irzrt t:'frt�:k 1'I?frf,b. I'e°rr;ait 1'er=: Other I11trr b Imp, I111r; REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENTDEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, RE., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(J5)cuI)ertino.org PROJECT A -lip 8' 7 /t `CJS' APN # 3 Z410", � ?'C> OWNER N2;�2 PA ,- 3 9 (s ooJ E-MAIL STREET ADDRESS Av"+C. CITY TATF, ZIP q eel H� CAH-- r7 FAX CONTRACTORNAMW Q A '_ LICENSE N[AMa!12 LICENSE T -3 BUS. LIC. # COMPANY NAME A E-MAIL FAX STREET ADDRE� g ,% / � Cq CTTY ATE> ZIP' 11`-Q-3 ?ON)111--Q-30 T UNDERSTAND AND AGREE TO THE FOLLOWING: 1. 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 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 thefollowingis true I am the property owner or authorized agent to act on the property owner's behalf. I un.derstandand agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are re uired to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. A �/ Signature of Applicant/Agent: Date: ReroofPo1icy_2014.doc revised 01115114