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15070228EI CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10055 N PORTAL AVE CONTRACTOR: BIGHAM TAYLOR PERMIT NO: 15070228 ROOFING CORP OWNER'S NAME: 10055 NORTH PORTAL LLC 22721 ALICE ST DATE ISSUED: 07/31/2015 OWNER'S PHONE: 4083691800 HAYWARD, CA 94541 PHONE NO: (510)886-0197 LICFLNSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL F] / � � 3 f b 5 / REMOVE (E) SHAKES TO PLYWOOD AND REPLACE WITH License Class Lic. # (N) Contractor O\ % �/IctwlT O f Date '7'31 — 50' GAF COMP COLOR WEATHERED WOOD (78 SQUARES) I hereby affirm that I am licensed under the 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: $67000 performance of the work for which this permit is issued. 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: 31621088.00 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 PAYS FROM LAST CALLED INSP CTI N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the �VA Issued by: v(,l`-'� ' �' v 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. T Signature Date — 3 t �-cs RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspectiol I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION vzzi�Signature 3 �� of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVER S 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) 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. 1 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 Mu 'cipal 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, d 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: l( LS 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 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 CM -69` 8 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building o1cupertino.org PROJECT ADDRESS 100 1/ / A APN # 31601( I OWNER NAME \�)a� t m J ' HONE D _ o^ l- E-MAIL STREET ADDRESS185 CITY, ST TE, ZIP r. C L^[^�/ 7cj FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP t 7FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT CR OR 'AMEN 1q O {� LICJTMB G.� 5E- (MAILt LIONS E BUS. LTC. # COMPANY > C S 6� r (>W -40!h !/ FAX jTt7 �r�i Cf3 i f STILET AD�DRESS % f— c CITY, ST ZIP / �A / It . t/t�L1r0/` L/ PHONE �� o ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial ROOFAREA VAL ION: O� EXISTING ROOF TYPE: o BUILT-UP ROOF 11L` ASPHALT SHINGLES ,� WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE ❑YES ElNO IF NO. # LAYERS: PLYWOOD THICKNESS: El vi- ❑ El 5/8 PLYWD ❑OSB TYPE: ❑ CDX PITCH: Y:12 ROOF CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: p A�` d re-In:ka O l! 1 it / 'l Li By my signature below, I certify to each of the following: I am the pro rty o'A er or authorized agent to act on the property owner's behalf. I have read this application and the information I hav rovided is co . I have re t Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t ildi g cons cti n. uth resentatives of Cupertino to enter the above -identified property for inspection purposes. fV Signature of Applicant/Agent: Date: 4 31 SUPPLEMENTAL IN CATION REQUIRED _ If building is associated with a Home 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. OFFICE USE ONLY ' PLAN CHECK TITE ROUTING SLIP OVER -TAE -COUNTER Eli :EXPRESS STANDARD ❑ BUILDING PLAN REVIEW ❑ -. PLANNING PL' AN REVIEW:. ElFIRE DEPT ❑ OTHER: ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO EM -7, FEE ESTIMATOR - BUILDING DIVISION C`�� FEE ID ROOF AREA s.f. 1REROOFCOM 7,800 ADDRESS: 10055 N. PORTAL AVE DATE: 07/31/2015 REVIEWED BY: PAUL Wech. Permit Fee: APN: 316 21 088 BP#: *VALUATION: 1$67,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Commercial Building USE: P',``im PENTAMATION 1COMMLROOF PERMIT TYPE: WORK Remove E shakes to plywood and replace with (N),301 GAF Comp Color Weathered Wood 78 SCOPE Squares) FEE ID ROOF AREA s.f. 1REROOFCOM 7,800 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 onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 UL' 7/1/13) aleck. flux Check. Plumb, Plan Check! h3ec. New Check, Wech. Permit Fee: P111b, Permit Fee Elec. Permit fee: Other 9Jech. hz,yp. )cher Pluraab Ire p. Other tilec. rasp. Li I _... t,;. k�... P',``im 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 onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 UL' 7/1/13) FEE QTY/FEE MISC ITEMS :` h'al Check P ippI. PC Fee Permit Fee:$75 , 'Plumb./,M.M. ch_/Elec 1'htmb.Jfe,eh. F.1ec Pertnit Fee: L on,struction Tax: h1ministrWive Fee: Work Without Permit? Yes (F) No $0.00 It1vonced Planning Fees: � 3 ravel Documentation Tees: Strong Motion Fee: IBSEISMICO $18.76 Select an Administrativei;lf Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $773.76F $0.00 TOTAL FEE: 6 Revised: 07/02/2015 CUPERTINO 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 • building aacupertino.org PROJECT ADDRESS ©® 5 APN # 400 OWNER NAME ,6 4 PHONE4 f� VV .- /� E-MAIL STREET ADDRESS A CITY, $7'ATEE / FAX CONTRACTWA L LIC ENS B S BUS. LIC. # COMPANY M£ f -'e/v / "lL� E-MAIL f6� STRE�F A/ �!� CITY, T TE, ZIPM�V' PHOSNED(JQ* 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 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 be scheduled. . By my signing below, I certify each of the following is true property owner's behalf. I understand and agree to comply smoke detectors and carbon mor�,oxide detn are re,Ay�ie the 2013 California Residential/ oche. �� / of I am the property owner or authorized agent to act on the with the re -roof policy stated above. I also understand that 3 to be installed in accordance with Sections R314 and R315 of Date: ReroojPolicy_2014.doc revised 01/15/14