14120102 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10162 ALPINE DR CONTRACTOR: -TO BE PERMIT NO: 14120102
DETERM
OWNER'S NAME:
1 CW I I PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
�+ UNIT C-REMOVE AND REPLACE BUILT UP ROOFING
License Class LLic.#r W1,
�2-7Pl 3 (1400
Contractorl�JNiI 1�1Q� Iat,
Z SQ FT).
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:$8000
I 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:32615023 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 FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue againstsaid City in consequence of the Issued by:c_��r✓ 9r�_ Date: /_-c?./-?
-/,
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9 \ 1 I y NRE-ROOFS:
Signature
ature 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. �I
❑ OWNER-BUILDER DECLARATION ! ��d
Signature of Applicant:
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,Sect' 25505,2 33 and 25534. )
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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
///�/j 0/,/) �
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO3 1 (408)777-3228•FAX(408)777-3333•building(c)-cupertino.ora
PROJECT ADDRESSIvirke
ims APN# /,� D
OWNERNAME -'
C r I t „ FAX
TCONTACT NAME oto PHONE Not]V;�z_74#o E-MAIL
STREET ADDRESS 6.50 JW I,1CITY,STATE,ZIP Cly q/2 FAX
OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER E-MAIL /l p/, LICENSE TYPE BUS.LIC.# q q
COMPANY NAME E� ooF ��rL_t.�J 1�',O.elCumil�o@gnwa�V.c FAX(g0j1)Z/
STREET ADDRESS�� 5-1�' c�. CITY,STATE,ZIP/'�a� n�j, „� PHONE 1 ��_7/_1Y
ARCHITECT/ENGINEER NAME J J LICENSE NUMBER (r1 BUS.LIC.
# aJ V 7
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: D 000.
00'Q O
STRUCTURE: ❑ Commercial I N Sq
EXISTING ROOF TYPE: OLPUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE �S IF NO, PLYWOOD ❑ %a" ❑ PLYWD ❑OSB PITCH: ROOF
❑NO I #LAYERS: ' THICKNESS: ❑5/8" TYPE: ❑CDX .12 CLASS: A
PROPOSED ROOF TYPE: PIPUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK: O"rs r off v) T'r&4- cA.-Id A/rG�-✓-C�
u A,cJ 1 r 5 f-"/ P8, t-F-e 5 k,# tet- Ory- Swtoaa-h M e rA b rime-
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 provide orrect. 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 buil " tives of Cupertino to enter the above-identified rpperty for inspection purposes.
Signature of Applicant/Agent: Date: (Z'.��-�
SUPPLEMENTAL INFORMATION REQUIRED
,. o�icE�trsE o�.Y
_If building is associated with a Home Owners Association,provide letter J�LAN CRET RouTuvc sLlr
of approval from HOA. UT...
pp - OYj�R TSE-COUNTER STIILDING PLAN REVIEW
Provide Planning approval to verify if there any restrictions. ExPREssPIANNING-PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications. [� STANDARD " ❑ FOUMEPT
Provide signed copy of Cupertino's Tear-Off Policy. " D OTMR:
y
116-i
ReroofApp_2011.doc revised 03/16111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10162 Alpine Rd Unit C DATE: 12/19/2014 REVIEWED BY: Sean
AI BP#: -VALUATION: $8,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: p PERMIT TYPE:
WORK Remove and replace built up roofing 1400 so ft).
SCOPE
Lt.t,rr }°Jtrrz(barr c PlairtPb. 11tura Pion �tv!(,c
I' iml Fee" F h"M!". Permit F ce.
C t1re, ;i1c-iTa. Ir.<sr. Li Other Plkrab hqv),
Phinih hiss. lee: 1 t,_<_lre.rt,
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . These fees are based on the prelimina information available and are only an estimate. Contact the Dept/or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 FTZfl s.£ Re-roof
Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 $238.00 IREROOFRES
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. ® OT Rolhrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
r'lIt2ilPf.g',."1"1111 L't?. e?t': 0
Work Without Permit? 0 Yes (F) No $0.00
Advanced PlTjningFee: $0.00 Select a Non-Residential
Building or Structure
Strong;Motion Fee: IBSEISMICR $1.04 Select an Administrative Item
Bldp,Stds Commission Fee: 1BCBSC $1.00
IN S>cl; ®TALS $2.04 $238.00 TOTAL FEE: $240.04
Revised: 10/01/2014
SYSTEM DESCRIPTION:
Base sheet,one interply sheet and an APP modified Approved Mechanical Fastener
cap sheet. 6-1 '
Nailable Deck End—
Lap
SUBSTRATE: Sheathing Paper
(if required) ,
• Nailable(mechanically attached,Sec.3.0) 9" 3„ End Laps
• Re-coverSec.5.0 Drainage --•-------•------- Lap Staggered
Re-cover(
) I 12' -;---- 3'Apart(min)
MAXIMUM SLOPE:Up to 6" :12"(Sec.15.3) 113• , ', '1 ',
2"-4- 393/8"
12" -Lap :, 1 3"
ROOF ASSEMBLY: - - - 393,8, Lap
----- -
Base sheet mechanically attached to approved ..--••
261/4' 19"he"
substrate(Sec.15.0). 9•
Interply sheet set in hot asphalt(Sec.7.0),torch-welded cap sheet
Base Sheet Interply Sheet
(Sec.8.0)or self-adhered(Sec.10.2).
Flintlastic APP modified cap sheet torch-welded(Sec.8.0) SEE WARRANTY SELECTION CHART
FINAL SURFACING: BASE SHEETS: INTERPLY SHEETS:
For optional surfacing,see Section 14.0. (one of the following) (one of the following)
Flintlastic STA requires reflective coating. •All Weather/Empire •APP Base T
•APP Base T • Black Diamond Base
FLASHING ASSEMBLY: • Base 20 Sheet(self-adhered)**
•Standard.Over a base sheet or bonded to a primed •GlasBase •STA
substrate.One-ply Flintlastic modified cap sheet, •Ultra Poly SMS • Ultra Glass SA
per CT detail. •Yosemite Venting Base (self-adhered)**
• Premium.Over a base sheet or bonded to a primed CAP SHEETS: SURFACING:
substrate.One smooth and one granulated modified (one of the following) • FlintCoat(over STA)
membrane flashing,per CT detail. •Flintlastic GTA*
•Flintlastic GTA-FR*
• Premium Alternate.Over a base sheet or bonded to a •Flintlastic STA
primed substrate.One smooth modified membrane and
CT SmartFlash,per CT detail. *Available with CoolStar reflective granules
**Not appropriate over APP Base T
SUMMARY OF MATERIALS:
Base sheet(1 ply) Asphalt:Type III or Type IV(Sec.7.0).
Interply sheet(1 ply)
Cap sheet(1 ply) Cants:In angles of roof deck and vertical surfaces,the
ASTM D 312 asphalt(one mopping) roofing contractor shall furnish and install an approved
(No mopping if interply is torch-welded or self-adhered) cant strip with a minimum 3"face.
CertainTeed
SAINT-GOBAIN
Commercial Roofing