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15070146I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1574 JAMES TOWN DR CONTRACTOR: RIDGETOP DBA CAL- PERMIT NO: 15070146 PAC ROOFING OWNER'S NAME: BALUSU MADHAVI AND PRASAD 1350 DELL AVE DATE ISSUED: 07/21/2015 OWNER'S PHONE: 4084222600 CAMPBELL, CA 95008 PHONE NO: (408) 370-3332 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL[:] TEAR OFF (E) SHAKE (NO RESHEET) INSTALL (N) METAL License Class li 3 Li.. # �Z� S�1 SHAKE (UL LISTED OR EQUAL) CLASS A ROOF SYSTEM Contractor R, ? Date 7 124 'IfSQ'S)(ESR (27 3098 ON SITE) I hereby affirm fiat Ian licensedand a provisions of Ch er 9 (commencing with Section 7000) of rvision 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 C en tion, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation:.` I SOun e ce of the work for which this permit is issued. I a d will maintain Worker's Compensation Insurance, as provided for by ion 700 of the Labor Code, for the performance of the work for which this APN Number: 36610072.00 Occupancy f} pc: it is sued. APPLICANT CERTIFICATION I certify th I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I ee 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)�iesgree to sav YS FROM- INSPECTION. indemnify and keep harmless the City of Cupertino against liabilit' ents, costs, and expenses which may accrue against said City in co nce of the 2% granting of this permit. Additionally, the applicant and ds and will ssued b e: with all non -point source regulations per the Cu ' o Municipal Code, Section 9.18. 2, OFS: Signature Date All roofs shall be inspected prior o any roofing inbeing installed. If a r f is installed without first obtaining an inspection, I agree to remov�niterials for inspection. ❑ OW R -BUILD ECLARATION Signature of Applicant -Date: 2( I hereby affirm t at exempt from the Contractor's License Law for one of the following two reasons: ROOF CO 2IN OBE 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) 1, 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 nd I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2557 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 Compensation laws of California. If, after making this certificate of exemption, I C NSTR LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is nstruction 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 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org R Y-6 PROTECT ADDRESS 1574 ` �,.,-/IrLz�r�tj� `j )2 12� J i' ry�' C CU/ AI'Nn OWNER NAME 0 PjN q 2 �^ �' L /V CC--S��TATTE, E-`MAIL��-- STREET ADDRESS %t� I /2 . CITY, ZIP / ©r , ( LtJ 611-17110490 C A `% `'f FAX CONTACT NAME - A r ? /1, (N W ` `7 PH . 3 - X3)'2- E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT jZ"CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENAN i CONTRACTOR NAME Tom Spading LICENSE NUMBER 920596 I LICENSE TYPE C39 BUS. LIC. # COMPANY NAME CAL - PAC ROOFING ID61' 7 E-M FAX 408-370T -3353 STREET ADDRESS 1350 Dell Ave CITY, STATE, ZIP Campbell, CA 95008 PHONE 408-370-3332 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex ❑ Multi-FamilyROOF STRUCTURE: ❑ Commercial AREA: -1'17Cr- VLUON: �/[� 1 O t EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES j2rwOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE AYES ❑ NO IF NO, #LAYERS- PLYWOOD ❑ ./," ❑ THICKNESS: ❑ 5/8" PLYWD ❑ OSB PE: ❑ C X PITCH: 2 ROOF CLASS: A PROPOSED ROOF TYPE: ❑ BUB.T-UP ROOF 11ICC-ES ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES OOTHER r71 FA I r REPORT # DESCRIPTION OF WORK: By my signature below, I certify to each of the following: I am the property owner or authorize nt 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 o r and verify it is accurate. I agree to comply with all applicable local owoordinances and state laws relating to building construction. I authorize represent ' of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 2-1 SUP AL INFORMATION _ If building is associated with a Home Owner' sociation, 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 Cupettino's Tear -Off Policy. OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP ❑ OVER COUNTER ❑ EXPRESS ❑ STANDARD ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ FIRE DEPT ❑ OTHER: ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION FEE ID ROOF AREA s.f. 1REROOFFRES 2,700 ADDRESS: 1574 JAMES TOWN DR DATE: 07/21/2015 REVIEWED BY: MELISSA Hach I"IPMi1Pe:rmil APN: 366 10 072 BP#: "VALUATION: 1$18,000 rtPERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: /'Iwiib. hasp. Fee: PENTAMATION 1SFDWLR00 PERMIT TYPE: WORK TEAR OFF E SHAKE NO RESHEET INSTALL N METAL SHAKE UL LISTED OR EQUAL SCOPE I CLASS A ROOF SYSTEM (27 SQ'S)(ESR 3098 ON SITE) FEE ID ROOF AREA s.f. 1REROOFFRES 2,700 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 preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-033 E,(f 7,,1%13) Mech. Plan Check QTY/FEE Floc•. Plan Check Hach I"IPMi1Pe:rmil Oilier Mech. hasp )tlwr l'itlinb lndvl. Other 0"'C. lnup. E17 Mech 1.aap. Fee: /'Iwiib. hasp. Fee: Elec. Insp. Fee: 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 preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-033 E,(f 7,,1%13) FEE QTY/FEE MISC ITEMS flan Check Fc, Suppl. P( Fee Plzlmb.lAfech.iFlec Permit Fee: $459.00 Suppl. Insp Fee Plumb.%Afech.,'Elec Plumb. ItLfech./Elec Permit Fee: Construction Tax: 9cllninl,ch�:tir� Fee': Work Without Permit? 0 Yes 0 No $0.00 Icl6wncM Pl<IYl11lYtg 1'c:cs. 1 ravel Docul'nenlalion Fe'es: Strong Motion Fee: 1BSEISMICR $2.34 Select an Administrative Item Bld�4 Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $462.34 $0.00 TOTAL FEE: $462.34 Revised: 07/02/2015 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina aacupertino.org PROJECT ADDRESS I 5?4 �� � T� � I r2 7 APN # OWNER NAME �^ K / ► r PHO Lt� � / (�C�C J E-MAIL STREET ADDRESS 1 5��-{ �t3 ,���,� rz Z CITY, STATE, IP c� �2�r� FAX CONTRACTOR NAMET� 'I LICENSE NUMBER [] .J /` (A) G_ LICENSE 2 E J BUS. LIC. # COMPANY NAME �� AJG ��p11 E I I Ler Z .i ICttj AX F v15 70` STREET ADDRESSE, r3 5 7 ZIP CITY, STATP � � L< < �- 9' S��" PHONE -3 2 0,,o3 Z 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 un 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 %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 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 acco ections R314 and R315 of the 2013 California Residential Co of Applicant/. Date: ReroofPo1icy_1014.doc revised 01/15/14