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15090005rA CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7964 MCCLELLAN RD CONTRACTOR: CALIFORNIA PERMIT NO: 15090005 RAINGUARD INC OWNER'S NAME: MCCLELLAN ASSOCIATES LLC 935 N 9TH ST DATE ISSUED: 09/01/2015 OWNER'S PHONE: 4082577514 SAN JOSE, CA 95112 PHONE NO: (408) 279-6116 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL License Class_ Lie. # S 43 �� S REMOVE BUR AND INSTALL 1/2 INCH OSB WITH TPO ROOFING (9800 SQ FT). Contractor e�illE ��� u�'� bt�Date 47f 115- 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 Conation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $29500 ormance of the work for which this permit is issued. 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 permit is issued. APN Number: 36212001.7964 Occupancy Type: 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 against said City in consequence of the Issued by: !�`7 �G Date: �� �G granting of this permit. Additionally, the applicant understands and will comply i f with all non-point source 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. p q ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant. �p Date: r11T' 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 50 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner -�// /o� permit is issued. or authorized agen Date:— 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 Lender's Address APPLICANT CERTIFICATION 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 CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Qcupertino.org . - � ; PROJECT ADDRESS=• ��'% / 1 /L ., I , r� / � AYN # 3 / _ `L 1 t 2-- � O 1 OWNER NAME 1 J �" 1. �/LfPHO W0 757 - 751 FMAIL STREET ADDRESS C CITY, STATE, ZIP( �J ,C CONITACT ', A'IF. PTIONT F -MATT. STREET ADDRESS CITY, STATE, ZIP FAX �y ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT E CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME CY•CL YGi S� I I l� J LICENSE NUNMER% �� LICENSE TYPE �` BUS. LIC. # COMPANY NAME 1' Q E-MAIL tD C'cv\; �uvr' 12Aln i, F.4X r ,, STREET ADDRESS �` q 5T CITY, STATE, "LIP C llZ PHONE 6) 2 ej-w ILI ARCHrMCT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY ?•TAME EALA I . FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex 9 -Multi -Family STRUCTURE: ❑ Commercial ROOF AREA: VALUATION: K/ EXISTING ROOF TYPE- BUILT -LT ROOF ❑ ASPIi4LT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINOLES ❑ OTHER (SPECIFY) _,/0 RF.MOVF. �RF.PT.ACF. IQ YF.S ❑ O iF NO, # L R PLYWOOD ❑ THICKNESS: ❑ 5/8" D ❑ OSB FT�YPF:❑ PITCH: 12 ROOF CLASS; A y— PROPOSED ROOF TYPE: ❑ BUILT-LTP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ! ICC -ES REPORT # DESCRIPTION OF WORK: _ 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 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 bui tion. I authorize representatives of Cupertino to enter the a ve-iden fi property for inspection purposes. Signature of Applicant/Agent: Date: t SUPPLEMENTAL I FORMATION 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 TYPE ROUTING SLIP 1 OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD BUILDING PLAN REVIEW PLANNING PLAN REVIEW ❑ FIRE DEPT ❑ OTHER: ReroofApp_201 L doe revised 03116111 CITY OF CUPERTINO IYI FEE ESTIMATOR — BUILDING DIVISION 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 nreliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution / 1-033 EtL* ?f 1/13) ADDRESS: 7964-70 MCCLELLAN RD DATE: 09/01/2015 REVIEWED BY: SEAN 14ech APN: BP#: "VALUATION: 1$29,500 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Multi -Family Dwelling USE: 1 Buildina is >3 Stories ® Yes ® No PENTAMATION 1 R2ROOF PERMIT TYPE: WORK REMOVE BUR AND INSTALL 1/2 INCH OSB WITH TPO ROOFING 9800 SQ FT). SCOPE $0.00 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 nreliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution / 1-033 EtL* ?f 1/13) dlech. Platt Check Plumb. Plan Check !ileo. Plan Check 14ech Plumb, Peralit Fe, ° Flee. Permit Fee Other 11ech. Insp. Other Plumb Irts�p. her Elec. /lisp. .Vech. Insp. Fite Plumb. Insp. Fite: Oec. 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 nreliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution / 1-033 EtL* ?f 1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 9,800 s.f. $666,00 Re -roof IREROOFMRE Suppl. PC Fee: (F) Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT To,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: A(Iministrative Fee: O 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure i Travel Doculnentauon Fees: Strong Motion Fee: IBSEISMICR $3.84 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $5.84 $ 6.00 TOTAL FEE:T , 84 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 • ' _ y ^ M (� ✓ L2.`� 'UN 8 / � j 7- - 6� 1 PROJECT ADDRESS -79 /cL -J[• �j ,E OWNER NAME � �,� � , �AJ6. PHONF Z -r 7 • S� .YfAII STREET ADDRESS h �/� n CI 7/.i�g� _ ) �y ?roll: FAX rn,..!'S'R_eCTpR (C-4 ` I �"'V ICENSE*,^•'•.[nE_ �� i.i�F=TyPF- f r2J BITS LIC. y COMPANY NAME E-MAIL FAX STREET ADDRESS 47!Z ` + 4 ' CITY, STATE, ZIP PHONE I ITNDERSTAND AND ACTRF.F. TO THF. 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 atter 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: 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 8314 and R315 of the 2013 California Residential Code9,-/__-, /I 1, of Applicant/Agent: //( / L4tZ::___ Date: -711 /, r RerooJPolicy 2014.doc revised 01/15/14