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14100159 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10151 BYRNE AVE CONTRACTOR:DEL RIO ROOFING CO PERMIT NO: 14100159 INC OWNER'S NAME: REDWOOD CITY,CA 94063 PHONE NO:(650)364-2505 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL X02 TEAR OFF 2 LAYER COMP OVER WOOD,INSTALL(N) License Class f Lic.# OSB, d" 30#FELT,GAF TIMBERLINE COMP SHINGLE,CLASS A Contractor Date (14 SQ'S) I hereby affirm that I am licensed under the provisi sof hapter 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 pensation,as provided for by Section 3700 of the Labor Code,for the mance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$5390 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:35711010 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 DAYS + M L ED 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 ` ate: granting of this permit. Additionally,the applicant understands and will comply DZ with all non-point urce regulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature Date/ 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 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL RO O B CLASS" fOR TTER 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,Sec ions 25505 25553333^d 34. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized 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 REROOF PERMIT APPLICATION 1 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 408 777-3228•FAX(468)777-3333•building cDcupertino.org CUPERTINO ( ) \ PROJECT ADDRESS '�V '5 I V/ VAC to`C APN# r _ /;/ ' O '1 OWNERNAME t7 �JY�- E-MAIL (J STREET ADDRESW 39> CONTACT NAME S LW S�J PHONE9 STREET ADDRESS '1 �•~� --Q t�vv IL v fl• J ITY,STATE,ZIP oo o LL aV1 �A 14 V U l FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT If 7ONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMEj(_ 01kt/%a �1 �a LICENSE NUMBER ( ax LICENSE TYPE V3 61 BUS.LIC.# COMPANY NAME®� `N vl 17" E-MAIL FAX r r' STREET ADDRESS n,,�/ , I� CITY,STATE,ZIPH-9441 P� t Y PHONE ARCITMCT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: � l VALUATION: L 316, 00 16IQQ STRUCTURE: ❑ Commercial 0J EXISTING ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD OIC%i" ❑ PLYWD ❑,�.,/OSB PITCH: ROOF ❑ NO #LAYERS: THICKNESS: ❑ 5/S" TYPE: L`Y CDX _'12 CLASS: A PROPOSED ROOF TYPE: i❑BUIL(T-UP ROOF ASPHAYLT SHINGLES ❑WOOD SHAKEIS/� ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: ©��lL V �.� �� V l 1L d Y S ,(y (l �', 1[/L I 1 ( ►1/ woo r b . w hj ,�s�1�41 SAY �v�loes�� By my signature below,I certify to each of the following: 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 pr 'ded is correct. I have read the Description of Work and verify it is accurate. I aggr�ee to comply with all applicable local ordinances and state laws relating to din nstructio tho' eprese tiv s of Cupertino to enter the above-ide dfied pro pfor inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMEL ORMATION F&QUIRED FF[CEusEONIY _If building is associated with a Home Owner's Association,provide letter PLAN CMCK TYPE " xovT[xc Slip p of approval from HOA vEx T�EcourrrER" ❑ DIMMING G PLAN REVIEW _Provide Planning approval to verify if there any restrictions. ❑ 'EXPRESS ❑ PLANNING PLAN REVIBw Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD O FIREDEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroofApp_2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10151 BYRNE AVE DATE: 10/27/2014 REVIEWED BY: MELISSA APN: 357 11 010 BP#: *VALUATION: 1$5,390 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: I I PERMIT TYPE: WORK TEAR OFF 2 LAYER COMP OVER WOOD INSTALL N OSB 30# FELT GAF TIMBERLINE COMP SCOPE SHINGLE, CLASS A (14 SQ'S) FEE ID ROOF AREA s.f. 1 REROOFFRES 1,400 NO t9e<;h. 1'lar"(heck I'ftrmb. Pkin t.'hec4 h, 11"c, P/, {`neck a>,,fi. Pr>rrtuf Fees f'la�nh. Perrn;r kee: tstitc �f� Fr. r�ra'r- Other Plumb Insp. Ll Cir..r_er r ,cc J,j?v.:. la to f"'c: Plumb. hash. Fee: Jec hisp, f4> 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 mina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 11-053 E . 7/1/131 FEE QTY/FEE MISC ITEMS 1,16m Check P,ce: .`iLt y)l, PC 1°ee I'lzrrt�lY.;11ec°1�.;'llec Permit Fee: $238.00 ;St����,1, Zit:•/>1�'<�;� Iltfatl.ii-1t>c.r'r.'1'icr l'err�titPee: C"c�r�s'Irt.i<=tir�fz �ctx: Work Without Permit? 0 Yes 0 No $0.00 SIE/L'(1?dfL'Ed 11(follir,'g Fees: Strong Motion Fee: IBSEISMICR $0.70 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC 1 $1.00 $239.70 $0.00 : " TOTAL FEE: $239.70 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-buildina(a)cupertino.org PROJECT ADDRESS ('t 1 APN# // O OWNER NAME {� iii111 4 FAX CONTRACTOR NAME '` Y 1�Sj L`O LICENSE NUMBER 2 l r LICENSE TYPE ^3 + BUS.LIC.# COMPANY NAME , t) (,,.Vl _®n^. E-MAIL V J FAX STREET ADDRESS�JIj IR.�J� C\ II�. CITY,STATE,ZIP p0 -O�L3 PHONE '.!,(D I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. Please 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. 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 Inspection and approval shall be obtainedshall 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/4"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 bebefore 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 monox' detectors are accordance with Sections 14 and 15 of the 2010 California Residential Signature of Applicant/Agent: Date: ReroofPoli�2012.doc revised 10/7/12