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B-2017-1188CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1188 10200 MILLER AVE CUPERTINO, CA 95014-3400 (375 03 005) �ALLSEASONS ROOFING & WATERPROOFING INC SAN JOSE, CA 95112 OWNER'S NAME: FONTAINBLEU LLC ISSUED: 07/21/2017 OWNER'S PHONE: 650-578-9661 1 1 PHONE NO: (408) 9714455 potteoplammelfla _nm_ 11 License Class B C-39 Lic. #759091 Contractor ALL SEASONS ROOFING & WATERPROOFING INC Date 02/28/2019 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: 1. 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 ApTormance 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. 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, 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. i, 11i .IT I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.7044, Business & Professions Code). BUILDING PERMIT INFO: X BLDG —ELECT _ PLUMB _ MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: OFF; INSTALL 60 MIL IB PVC- (I 10 SQ) Sq. Ft Floor Area: I Valuation: $5400.00 "N Number: Occupancy Type: 375 03 005 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Jasmine Archbold Date: D7111/2017 RE -ROOFS: 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. Signatur aan Date: I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF 1. 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 performance of the work for which this permit is issued. 2. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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, 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 712112017 CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain complianc with the Cupertino Municipal Code, Chapter 9.12 and the Heal fety Code, Sections 25505, 25533, and 25534. Owner agent: 7_ Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT. - BUILDING DIVISION 110300 TORRE AVENUE - CUPERTINO, CA -9501 4-3255 (408) 777-3228 - FAX (408) 777-333.3 - building6cu'pOftino.ong PROJECT ADDRESS I* .-ID2C)C) KLLE-g, A'VAUC APN 9 OWNERNAME e'V(_ PHONE E-MAIL a coly ?I LD (f PaAess_e, STREET ADDRESSI TY ST�5jj T7 je—e(L, Cj, • FAX CONTACT ', �Lyfi-ef-Ce-Z_ PHONE VDS 20(0_qtG2 E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX I , OWNER OWNER -BUILDER OWNERAGENT CONTRACTOR 13 CONTRACTOR AGENT ❑ ARCHITECT OENGINEER 13 DEVELOPER TENANT _CONTRACTOAJMF C d -A BUS. LIC.q 6LI COMPANY NAME E-MAIL FAXI. STREET ADDRESS CITY, STATE, ZIP L ARCHITECTIEN(jlNtEk NAME LICENSE NUMBER BUS; LIC. 0 _A COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP =ONE USE OF 0 SFD or Duplex ci Multi -Family ROOF AREA:LUATION: '7v` t STRUCTURE: mmercial EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES DWOODSHINGLES 3*THER(SPECiri PV REMOVEIREPLACE Ely ES IF NO. PLYWOOD El V.", El PLYWD Q_OSB PITCH: : 12 ROOF A I O 9 LAYERS: THICKNESS: 0 SJ8­ El TYPE: COX CLASS: I ?CC-ES'REPORT PROPOSED ROOF TYPE:' 11 -BUILT-UP ROOF 11 ASPHALT SHINGLES 11 WOOD SHAKES El WOOD SHINGLES ❑OTHER DESCRIPTION OF WORK L6 C�C,6 By myy-sigridWre below, 1, certify to each of the following: lim-iheprdpertyoAmeroiaLitliorized - '47en—i to act on the pioperty owner's behalf: I haV ' e read this;! application and the information I have provided is correct. I have read the Description ofNk�ork and verify it is accurate. I agree to comply with all appl)ca9e1,l-,F-1 ordinances and state laws relating to build' authorize representatives of Cupertino to enter the above- entif,50 property. for, inspection purpos.es. P Signature ofApplicantlkent: Date: A H. SUPPLEMENTAL INFORMATION REQUIRED SOONLY p If building is associated with a Home Owner's Association, provide letter E�- AN KTVP, 2 V ofapproval from HOA. 'YOVEWTIt&ER"" td ❑WNG'PLAN�RE4 Provide Planning approval to verify if there any restrictions. EXTRESS ications. Provide copy of Manufacturer's Installation Specif Provide signed copy of Cupertino's Tear -Off Policy. Re,,-oqf,4pp 2011.ddc,revis'e,dv3li&v 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 (4 08) 777-3228 • FAX (408) 777-3333 buildinq@cupertino:org ,Z -o kl-k100 PROTECT ADDRESS9-©© I I� / O •C APN k �© OWNER NAME f , 6/ PHONE `a -E 4AIL r STREET ADDRESS AA ( I, $T TE, Zip �f Fo 4�j F CONTRACTORNANI 0� .1 ^ LICENSEN(:�1 t l' 11 LIC N E BUS. /� ^ CONIAANY NAME E-MAIL n FAx K"-�/ v 50 STREET ADDRESS �+�, CI Y, STA?rMP PHON 7) L �f / J ® I UNDERSTAND AND AGREE�TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2016 California -Codes. 2. An inspection request can be scheduled tap to one business day before the recluested inspection date. To schedule inspections call (408) 777-3228 from tl.0 3 30pm (Mon=Thurs) ;or' 7:30 2:30pm (Friday) to schedule inspection. For Teat, Off and Nailing Inspections, you musalso call. qtkthe.day ec or will of the inspection only after that phase of the work is completed. 'The building _ p be out to- the job site within one hour. The hours for this service ate. 7:30=10:30am and 12:30-3:30 (Mon Thurs) and 7:3040:30am and 12 30-2:30 (Friday). Final Inspections will be given .a two hour window. 3. 'Tear -Off Anspection i&. required. Any and all dry -rotted wood shall, be replaced,prior to -this: inspectib,m g d rior to this inspection. it,41fasteners shall,be either,. Unless new plywood roof sheathin is proposed throu hoot all ahe.natls/, completely knocked down or remove p 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 apnroval shal'1 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 ur>derstand that smoke detectors and carbonmonoxide detectors are required to bd installed in accordance with Sections 8314 andR315 of the 2016 California Residential Cele �s % , Rer0ofPolicy_2014.doc revised 06/01/7