Loading...
1511011511 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8076 PARK VILLA CIR CONTRACTOR: FOUR SEASONS PERMIT NO: 15110115 ROOFING OWNER'S NAME: SMITHWICK RICHARD M AND DONNA PO BOX 1668 DATE ISSUED: 11/17/2015 OWNER'S PHONE: SAN JOSE, CA 95109 PHONE NO: (408)278-0330 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 14 � CIE UNITS #8076, #8078, #80980 - REMOVE (E) ROOF TILES License Class ic. # , d AND UNDERLAYMENT, INSTALL 2 LAYERS OF 40# FELT Contractor Date AND (N) BORAL OS CLAY "S" TILE - 16 SQUARE'S I hereby a m that I am licensed under the provisions of Chapter 9 (commenci g 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: $6405 performance of the work for which this permit is issued. Zecave and will maintain Worker's Compensation Insurance, as provided for by tion 3700 of the Labor Code, for the performance of the work for which this APN Number: 35610024.00 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 k harmless e City of Cupertino against liabilities, judgments, costs, and expe se which m yv accrue against said City in consequence of the �� Issued by: Date: 1 I granting of thi p it. Ad onally, the applicant understands and will comply with all non- t source r ulations er the Cupertino Municipal Code, Section RE-ROO 9.18. Signat re Date ( All roofs shall be inspected rior to y roofin aterial being installed. If a roof is installed without first obta� ing an spXee to remove all ew ma rials for inspection. ❑ OWNER -BUILDER DECLARATION ' r l Signature of Applic Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROO COVERINGS TO BE CLASS "A" OR BETTER 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 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. 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 he Bay A a Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance wit the Cupe 'no Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, ctions 55 , 2 533, an 5534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorize ent Date: t 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 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 E OOF PERMIT APPLICATION C{?tililb'IUNITY DEVELOPMENT DEPAR-MENT . BUILDING DIVISION 10300 T ORRE AVENUE • CUPERTINO, CA 350'14-3255 (408) 777-3228 -FAX (408) 777-3333 - bl ildiiq9b-.C4pPrtinO.o[q i 5(10 i I C� s ADDRESS ^ aPROJECT -j6- rU-r�✓,J� Ov rpt•a Masse- 4It?��:rannat:cc cl-ry icn FAX CO�;'T.A-C1' `_ NIE Z � PHt)AIE -A3AfL I a SrREL• 'ADDR"S'l CITY, S-f.�Tl:, "LIP l FAX F) U\YNLtw� I I OB ER 13(I[LDER Q Q�4�sc RAGF��`T COATRACTOR Q CONTRACTOR GENT El ARCfirMCr ❑ O`GQ+IEIR CJ DEVELOPER 1:1 7EIipN7 CON 1RAC FOR W LIC NSE Nt.Tli BER . j LiCI'TY_ BUS. I' 3;;Z COMPANY NAME &MAII. FAX ('y' r t c� 3 � � s, ttLcl'.� s -_.._ �y^ ,.'ti^ /f " '! f J ZLf _ _� I `• _ __ _ CI-tY� rArl z �iG t�� S-L.i C_' � � ? / / PHON �� 1 ' �� ,�sF-.T G� �.. / L i ARCHHECTIAitGINEERNAME T [_ICt:itiSl �'it1II3[R � BTS -LIC. COMPANY NA\:I: trMetlt. �� FAX - ----- l DSRESS CIIY,STACK,ZIP PHONE USE OF fj SFD or Duplex Multi -Family 'ROOF AREA � 4't11. 9A'tR��I- STRi}C'CIIRE: ElCommercial FXIS UING ROOF - YPIi: ❑ outLT i 1P RooF ❑ A.CPtiAI.T SNii�GLFS ❑ WOOD SI IAIC F. ❑ %Voon SHIiYGLES UTIILR (SPECIFY)71-_7_- I �``���J RE-MOVt�/RUPLACE #�IF;+tO. PLY%V(K)D ❑ vv ❑ .._ PLYWD SB PITCH: ROOF ❑ AU I.AYt RS Yr,l2TI CUSS. A �`RU1CC-ES REPORT # I I'itUl'O5I7) OF "rYl'1:; ❑ BUILT-UP RF}t?t, ❑ ASi'1[rII.TSIlfNGLI�S ❑ 11�CJCH) SIItllit:S ❑ L:'OUll SEt1t�C;I.E$ t�t (}7111;R �� ��' DE-SCRIPTION OF WORK- s _ _ By my signature below, I certify to eac z of the following, I am the propett� owner or authorized agent to act on the property owner's behalf. 1 have read this application and the inforntation 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 Ims relating to building construction. I authorize representatives of Cupertino to enter the above/ ntified rt�� £or inspection purposes. Signature of Applicant/Agent: �-"_,�. _ -C'' - Date; —Lill l 4, (t r SUPPLEME 17AL INFO&MAPION REQUIRED 4 If building is associated with a Home (hvner s Association, provide fetter of approval from IIOA. 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. - CHEI'KTYPE 'i.�-�` ()�'tsit 1'tiFl{'gN�'1•Elt U �xf fzl✓s� Q STANDARD OFT -WL USE ONLY ROU i ING SIdP BUILDING PLAN REVIENW' PLANNING PLAN REVIEW Film Dlr f O'ru><tit: Remof.4pp_ _201 1. doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 8076 Park Villa i Cir DATE: 11/17/2016 REVIEWED BY: Phuong APN: 356-10-024 BP#: 'VALUATION: 1$6,405 IPERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Multi -Family Dwelling uildina is PENTAMATION 1 R2ROOF USE: Stories 0 Yes E) No PERMIT TYPE: WORK UNITS #8076, #8078, #8 C580 - REMOVE (E) ROOF TILES AND UNDERLAYMENT, INSTALL 2 SCOPE LAYERS OF 40# FELT AND (N) BORAL OS CLAY "S" TILE - 16 SQUARE'S FEE ID ROOF AREA (S.f.) 1REROOFMRES 17600 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, tire, SanitaryNewer District, lychool n­fr;nf nfn I Th"c" f""v "v,& A"vad n" i1to ;"fnr"siyt;"" 7wz;1,7h1,o imd,7ro n"to "n ovdmizla Ca"tart tho Apnt fnr aild"'I itifn- FEE ITEMS (1,ee Resolution 11-053 tff.7/LU3 p QTY/FEE MISC ITEMS Nkch. permt bee: J'erprjii h­ec?" 1" Perniii I Oiher.,Wech. h? p. Oiher blec, Irsp. NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, tire, SanitaryNewer District, lychool n­fr;nf nfn I Th"c" f""v "v,& A"vad n" i1to ;"fnr"siyt;"" 7wz;1,7h1,o imd,7ro n"to "n ovdmizla Ca"tart tho Apnt fnr aild"'I itifn- FEE ITEMS (1,ee Resolution 11-053 tff.7/LU3 FEE QTY/FEE MISC ITEMS Permit Fee: $272.00 z ,c onstruction Tdx': 11. ;'Y'4. Pee.: Work Without Permit? C) Yes (F) No $0.00 Fees: Strong Motion Fee: IBSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $273.83 $0.00 TOTAL FEE.- $273.83 Revised: 10/01/2015 REROOF TEAR -OFF POLICY COMMUNI-I Y DLVE'LOPMENT DEPARTMENT 13UILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300TORR'E AVENUE - CUPERTINO. CA 950-14-3255 Ll P 1-1-f I N '408) 777-3228 -FAX (408)177-.3333 - Wildin Q-.Q-rg PROJ13CTADDRLSS ANN It E-MAIL STR Z STAIE, 11) J:AXr 41 x, CONTRACTOR NA LICUNSE NUMBER 1% BUS. Z, COMPANY NAME, H -MAIL F trX J PHONE,STREET ADDRE TF 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' n be scheduled up to one baushRess da, re th re te'. ca v befo e gues ed inspection date. Please schedule inspections online or call (408) 777-.3228 from 7-30-3:30pm (Moll --Thugs) or 7:30- 2:30pm (Friday) to schedule inspection. For Tear -.Off and Nall 1no Inspections, you must also call on the day of the inspection only after that phase of the work is coin npkted. The building inspector will be available within one hour. The hours for this service are: 7:3040:30ain and 12:30-3:30 (Mon-Mbuirs) and'7:30-10:30am and 112,:30-2:30 (Friday). Final Inspections will be given a two hour window. 3. Tear--GJjnpe� �-i 9pi as K�aAny and all dry -rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the be chheir com1pletely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood PN`F4WLitJkt�pccflon -H*sj(q 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 Insfoection and n, roval shall be obtained from the building inspector when the re -roofing is - R P K 01 S completed. To receive a final sign -'off, the following items will be verified: a. Flat roofs shall have a minimum of Vt 71) 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. NOTH: 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 fe.-Inspection fee shall be paid before _another kWcflon can be schedtfled. 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 smolpr, detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: Date: Remof Policy__2014.doc revised 01115114 ,