14100034 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7586 WATERFORD DR CONTRACTOR:ABOVE ALL ROOFING PERMIT NO: 14100034
OWNER'S NAME:
SAN JOSE,CA 95126 PHONE NO:(408)292-4188
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑
RE-ROOF 28 SQ-REMVOE 2 LAYERS OF SHAKES&WOOD
License Class C 3 Lic.# /�yy�� SHINGLES,INSTALL 7/16 OSB CLASS A
Contractor 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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$12546
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:36616004.00 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 DA)�S FQST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, '90A
costs,and expenses which may accrue against said City in consequence of the �6
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.
ROOFS:
Signature � Date d 6 �`� All roofs shall be inspected prior to anyny 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: i 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. 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,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agen . �
_ . Date:
permit is issued. l
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
♦,; A
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 I
(408)77773228•FAX(408)777-3333•buildingacupertino.org
CUPERTINO
PROJECT ADDRESS 7 X W -4' APN# W
OWNER NAME J CCCJ�JJ PHONE -�� E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
CONTACT NAME PHONE EMAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ' ❑:OWNER AGENT X,CONTRACrOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME /^ LICENSE NUMBER LICENSE TYPEBUS.LIC.#
COMPANY NAME ( �'//// E-MAIL J / FAX
STREET ADDRESS . h CITY,STATE,ZIP ( ^r f C /� G�S�L PHONE Z�Z yl�
ARCHITECT/ENGINEERNAME LICENSE NUMBER J J� C / BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: -•2
STRUCTURE: [3 Commercial
(� /
EXISTING ROOF TYPE:. ❑BUILT-UP ROOF ❑ASPHALT SHINGLES XWOOD SHAKES ❑WOODS�HINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE) YES IF NO, PLYWOOD krw, E3PLYWD &S-OSB PITCH: r ROOF
E3NO I #LAYERS: THICKNESS: 135/8" TYPE: 13CDX J 12 CLASS: A
ICC-ES REPORT#
PROPOSED ROOF TYPE: 13H BUILT-UP ROOF ASPHALT SNrLES 13WOOD SHAKES 13WOOD SHINGLES ❑OTHER
DESCRIPTION OF WORK: ffC yt LlAoe tj �T ✓ G f % � �✓",
By my signature below,I certify'to each of thefollowing: 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 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-ide tified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED - ,
If building is associated with'a Horne Owner's Association,provide letter
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
_Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear-Off Policy. f
ReroofApp_2011.doe revised 03/16/11
_J
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 7586 waterford dr DATE: 10/06/2014 REVIEWED BY: Mendez
APN: BP#: VALUATION: 1$12,546
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 SFDWLROO
WORK re-roof 28 sq- remvoe 2 layers of shakes &wood shingles, install 7/16 osb class a
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,800
NRI
x a
i.kcca. 11,1rjYr(_'duck Plrrrsdh. Pima Cheek f r'ec. Z'r rr Check
rI f=ee; Plurnb. PL-mxt 1,ee: l iet. Per, r;h r
Other f'iumb frrsp. oiber.t ux'. fust?.
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). Theseees 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 Ef. 7/1/13) FEE QTY/FEE MISC ITEMS
Man Chcck
Permit Fee: $476.00
/}E'rnfi11`('e:
C,U}'utifrvctiOJ l t UA,: F
Work Without Permit? 0 Yes No $0.00
11'ttl'E'L l}(tc'j.Pif{e:311(.Xli`{a!7 Fees.
Strong Motion Fee: IBSEISMICR $1.63 Select an Administrative Item
Blda Stds Commission Fee: IBCBSC $1.00
im B 478.63 $0.00i, TOTAL FEE: $478.63
77, $
Revised: 08/20/2014
REROOF TEAR-OFF POLICY
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-buildinaCcDcuoertino.org
PROJECT ADDRESS ! ®( APN#
OWNER NAME
FAX
CONTRACTOR NAME ¢ // f LICENSE NUMBER 7L/�S LICENSE TYPEBUS.LIC.#
COMPANY NAME G,(,// ��-- &MAIL / / FAX ` C
STREET ADDRESS ACITY,STATE,ZIP_5�; �i_ �r/L� PHONE
I 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 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 detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Cod
Signature of Applicant/Agent: Date: /6
ReroofPolicy_2014.doc revised 01/15/14
SMOKE / CARBON MONOXIDE ALARMS
OWNER. CERTIFICATE OF COMPLIANCE
COUIM()NI -, V OEVELOPME-NT CEPAR''-Y@NT • OUILDINC, 01VISION
CUPERTINO 10300 TORRE AVENUE • CUPERTINO. CA 05914.3256
(408) 77? -3229 • FAX (406) 77x_3339 UsJ1C cunerNn� ors
Addreit
SJ-400 0 3�
PURPOSE
This affidavit Is a self- cerzi6cation for the it sta.latlon of aU required Smoke and Carbor. 14cmoxade Alarms for
c�rnpllanoe with 201,3 CRC 5ectfun F.314, 2013 CBC Sectiuna 4,20,6 and 907.2,11.2 where nc+ i.r,kerlo access for
inspections axe required,
GENERAL INFORMATION
Existing single- family and multi•farnily dwerings shall be provided with Smoke Alarms and Carbori
Monoxide alarms. When the valuation of additions, alterationt, or repairs to existing dwc,',ing units exceeds
$1000.00, CRC Section 8314 and CDC Sections 9072.11,5 and 420.6 regUire that Smoke Alarms and/or Carboni
Monoxide Alarms be installer: in the following( locaffons:
_ AAF,A SMOXE ALARM. — CC_At.ARM__ �
Outside o1 each asoars-e slet#pii;; area sn the immediate, vicinity ai tine ` X X
bedroarnis) i
O - _ - x -_
Ot+eve level of a dwe`L unit Includin barornants X
I Within each s1e 1 rlooir,
Carbon Monoxide alarms ve not requited in dwellings which do not contain fuebburnl?ig appliances and that
do not have an attached garage. Carbur monoxide elarms comb.ned with smoke alarms Shag comply with
L-3C Section 420:6 and Qhall be approved by the Office of the State Fire MarShal.
Power &j.pply: In. d welling units with no commercial power supply, alarms) may be solely battery operated,
In existing dwelling units, &]Arms are permitted to be solely battery operated where repair.& oft alt--rations do
not result in the removal of wall and ceiling finishes or there 19 no access by meat* of at-lc. baa®tmrA or crawl
space. Refer to CRC Section 8314 and CDC Sections 907.2.11,.9; and 420.6.2. An electrical perrrdf :s ,required for
alarms wMeh must be connected to the building wir;ng.
As owner of the abmre- referanCed :troperty. I hereby certify that the alarnr(e) Mferensxd Above haslhave been
installed in accordance with the r.nanufacturer`s instractions and in compliarte with the Cauforjue BAildirg
and California Residential Codes. The alarms have been testQd and eze oTperetlonal, as of the date signed
below,
•d
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