15100065 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22315 RANCHO DEEP CLIFF DR CONTRACTOR:SORENSON& PERMIT NO: 15100065
ASSOCIATES ROOFING INC
OWNER'S NAME: BALLWEBER DAVID TRUSTEE PO BOX 786 DATE ISSUED: 10/08/2015
OWNER'S PHONE: 4089731003 BRENTWOOD,CA 94513 PHONE NO:(925)626-7682
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
(DUPLEX-1/2 OF ROOF FOR UNIT 22315 ONLY)OVERLAY
License Class 'f'/9-310 Lic.# BUR ROOF WITH(N)DURO-LAST PVC MEMBRANE(16 SQ'S)
Contractor a i''e SQ,` 4 bSQ t e to e-z Date In- IK-1 S
1 hereby affirm that 1 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.
1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Area: Valuation:$14421
t. 1 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 APN Number:35602042.00 Occupancy Type:
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this
permit is issued. PERMIT EXPIRES IF WORK IS NOT STARTED
APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR
I certify that I have read this application and state that the above information is 180 DAYS FR LLED INSPECTION.
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 — ak-
upon
the above mentioned property for inspection purposes. (We)agree to save Date: 0
indemnify and keep harmless the City of Cupertino against liabilities,judgments
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply with RE-ROOFS:
all non-point source ns per the Cupertino Municipal Code,Section 9.18. All roofs shall be inspected prior to any roofing material being installed.If a roof is
Si re Dare 1 b "1 installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION Signa a Date:
ts1 Appttt m�.
I hereby affirm that I am exempt from the Contractor's License Law for one of ALL GS TO BE CLASS"A"OR BETTER
the following two reasons:
i 1,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 HAZARDOUS MATERIALS DISCLOSURE
sale(Sec.7044,Business&Professions Code) I have read the hazardous materials requirements under Chapter 6.95 of the
2 1,as owner of the property,am exclusively contracting with licensed contractors to California Ilealth&Safety Code,Sections 25505,25533,and 25534. I will maintain
construct the project(Sec.7044,Business&Professions Code). compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Safety Code,Section 25532(a)should 1 store or handle hazardous material.
1 hereby affirm under penalty of perjury one of the following three declarations: Additionally,should I use equipment or devices which emit hazardous air
i 1 have and will maintain a Certificate of Consent to self-insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will
Compensation,as provided for by Section 3700 of the Labor Code,for the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
performance of the work for which this permit is issued. I lcalth&Safety Code,Sections 25505,25533,and 25534.
2 1 have and will maintain Worker's Compensation Insurance,as provided for by O 1
Section 3700 of the Labor Code,for the performance of the work for which ' Date:l0—5�'-I'S-
permit is issued.
3. 1 certify that in the performance of the work for which this permit is issued,l shall CONSTRUCTION LENDING AGENCY
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 I hereby affirm that there is a (Sec.3construction7,lending agency for the performance of work's
become subject to the Worker's Compensation provisions of the Labor Code,I ler which this permit is issued(Sec.3097,Civ C.)
Lender's Name
must forthwith comply with such provisions or this permit shall be deemed
revoked. Lender's Address
APPLICANT CERTIFICATION ARCHITECT'S DECLARATION
I certify that I have read this application and state that the above information is I understand my plans shall be used as public records.
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 Licensed Professional
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the
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.
Signature Date
1
f
REROOF PERMIT APPLICATION
U. -Is COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
CU P E RTI N O (408)777-3228 • FAX(408)777-3333• buildinG(o cupertino.oro
PROJECT ADDRESS I
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CWNER 'AME PHONE E-MAIL
— 140 0-5
STREET ADDRESS CITY, STATE,ZIP, FAX
CQNTACT NAME PHONE E-MAIL
\CT:kz!. 9.25 � *-e) �
5 ET AURESS r CITY,STATE, ZIP FAX
❑ OWNER ❑ 0\ITER-BL'ILDFR ❑ CWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGL.EER ❑ DEVELOPER ❑ TENANT
CONTRACTOR ME LICENSE NUMBER LICENSE TYPE BUS.LIC.#
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COMPANY NAME E-MAIL FAX
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STREET ADDRESS CITY,STATEZIP PHONE
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ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS LIC.#
COMPANY NAME E-MAIL FAX
S'I-REET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex Multi-Family ROOF AREA: ALUATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: 'ALBUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE ❑YES IF NO. PLYWOOD h" ❑ ❑ OSB PITCH: ROOF
NO #L.AYERS THICKNESS- ❑ 5/8" Tl P ❑ CDX rWl- :12 CLASS A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF El ASPHALT SHINGLES ❑WOOD SHAKES ElWOOD SHINGLES Rl O HERD,�O/ ICC-ES RFPOR 0o
DESCRIPTION OF WORK: - CD
By my sienatare below,1 certify to each of the following: I am the property owner or authorized agent to act on die 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 building c ion. I au Drize representatives of Cupertino to enter the above-identified property for inspection purposes.
S i gnature of Appl ic Pe
SUPPLEMENTAL INFORIAATION REQUIRED OFFICE USE ONLY
If building is associated With a Home Owner's Association,provide letterPLAN caeca:TYPE RO TLNG SLIP
of approval from HOA. _4 VER-THE-COUNTEt ❑ Br]LDING PLA' KED IER'
Provide Planning approval to verify if there any restrictions. O
EXPRESS ❑ PLANNING rL:,0,RETE l`
—Provide copy of Manufacturer's Installation Specifications. D.STANDARD ❑ FIRE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. C 01HFR:
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO 15)006LO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 22315 Rancho Deep Cliff Drive DATE: 10/08/2015 REVIEWED BY: PAUL
APN: 356 02 042 BP#: *VALUATION: $14,421
PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF
USE: —7
PERMIT TYPE:
WORK Du lex - 1/2 of Roof for Unit 22315 Only) Overlay BUR roof with N duro-last PVC Membrane 16
SCOPE Sq's)
FEE ID ROOF AREA
S.r.
1REROOFFRES 1,600
Li I
1 .
NOTE. This estimate does not include fees due to other Departments(Le. Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . Thesefees are based on the preliminarl information available and are only an estimate. Contact the De t or addn7 info,
FEE ITEMS (Fee Resolution 11-03 Ejl: 711/131 FEE QTY/FEE MISC ITEMS
Plzen Check FC L'..
NIII)pl. PC Fc(
Plumb l lrc'lt 7:l
Permit Fee: $272.00
"Supp/. h1vi l.c,(.
P/urtth. Mech. I./cc
Phnnb./,,IA,ch. /:/c c Pcrmil F,.
Coustrucliott lax.
4(hninlslr01il'e hc'C.
Work Without Permit? C) Yes 0 No $0.00
41lvanced Planui i.i�Fee,
/rely/ I)oC11utetucuiou lees.
Strong Motion Fee: IBSEISMICR $1.87 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $274.87 $0.00 TOTAL FEE: 1 $274.87
Revised: 10/01/2015
REROOF TEAR-OFF POLICY
r COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P,E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO
(408)777-3228 FAX(408)777-3333• buildina(c�cupertino.org
PROJECT ADD S APN N %j�
OWNE,RNAME PHONE �C/ E-MAIL
yob 313 - W
STREET ADDRESS CITY, STATE,ZI? FAX
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CONTRACTOR NAN '� LICENSE NUMBER O LICENSE TYPE BUS.LIC.k
COMPANY NAME E-MAFAX
STREET ADDRESS 6 CITY,STATE,ZIP PHONE 1
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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 up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pin (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 7:30-1.0:30am 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 R314 and R315 of
the 2013 California la o
Signature of Ap icanUAgent:
RerooJPolicy_2014.doc revised 01115114
Xancho DeeC(iff7)
)Tomeow-ners .association
October 8, 2015,
City Of Cupertino,
On the behalf of the Rancho Deep Cliff Board I as property manager of the Rancho Deep Cliff
Homeowners Association give Sorenson & Associates Roofing Inc, permission to re-roof(4)
units at 11092, 10922 Canyon Vista Drive, 10901 Kester Drive & 22315 Rancho Deep Cliff
Drivelocated in Cupertino, California 95014.
Jason Overhulse
Association Manager
Compass Management
77 Las Colinas Lane
San Jose, CA 95119
Unit file
RECEIVED
OCT p 8 2415
Compass Management Group, Inc. 77 Las Colinas Lane San Jose,CA 95119 Phone: 408.226.3300 Fax: 408.226,3406