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B-2017-1190CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1190 7375 ROLLINGDELL DR CUPERTINO, CA 95014 (359 33 012) ALL SEASONS ROOFING & WATERPROOFING INC SAN JOSE, CA 95112 OWNER'S NAME: ROLLINGDELL LLC DATE ISSUED: 07/21/2017 OWNER'S PHONE: 650-528-9661 PHONE NO: (408) 971-4455 LICENSED CONTRACTOR'S DECLARATION BUILDING PEP -NUT INFO: License Class BN C-39 'Lic. #752M Contractor ALL SEASONS ROOFING & WATERPROOFING INC Date 02/28/2019 X BLDG —ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: REROOF; TEAR OFF; INSTALL 60 MIL SIKA PLAN PVC- (63 SQ) I hereby affirm under penalty of perjury one of the following two declarations: t. 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 erformance 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 Sq. Ft Floor Area: Valuation: $76648.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 359 33 012 A (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City• in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the C' ertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. I Date 7/21/2017 Issued by: Jasmine Archbold Date: 07/21/2017 OWNER -BUILDER DECLARATION I hereby affirm that I am e*ipt,from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any ioofing material being installed. If a roof is following two reasons: i. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for i 'on. compensation, will do the work, and the structure is not intended or offered for inspe sale (Sec.7044, Business i Professions Code) 2. I, as owner of the property am exclusively contracting with licensed Signature ofAp ', contractors to constmct.the project (Sec.7044, Business & Professions Code). Date: 21 2 I hereby affirm under penalty ofperjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain &Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the of the work for which this is issued. HAZARDOUS MATERIALS DISCLOSURE performance permit z. I have and'�vill maintai}I Worker's. Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California health &Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. a. I certify that in the performance of the work for which this permit is issued, I 1''. Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous 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 air contaminants as defined b the Ba Area Air Quality Management District I Y Y,.; Q tY g with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject4o the Worker's Compensation provisions of the will maintain compliance the Health & Safe Code, Sections 2550 , 25533�andd 34. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. j Owner or auth agent. APPLICANT CERTIFICATION Date: 2 I certify that I have read this application and state that the above information is CONSTRUCTION' LENDING AGENCY correct. I agree to comply with all.cty and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction; aod; hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep Ha`rmles's the. City of Cupertino against liabilities, judgments, costs, and expenseswhich may accrue against said City in Lender's Address consequence of the granting lof this permit. Additionally, the applicant understands and will comply with alhmon-pointisource regulations per the Cupertino Municipal ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 7/21/2017 professional REROOF PERMIT APPUCATION. COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014-32'55 (408) 777-3228 • FAX (408) 777-3333 • buildirigna.cuP0rtino.org PROJECT ADDRESS - ! ✓�l� J� /� 1 II /{� \ APN # `1 OWN'ERNAM �✓ _ f,��1 PHVONIE © E-MAIL 1 . STREET ADDRESS(Q ��—C• ITY, yST�P, ZIP r FAX A04 41 CONTACT NAM$41^ r� /] C ` PHJONEQ �� l (�J AIL STREET ADDRESS CITY, STATE, ZIP FAX '❑ OWNER El OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR -AGENT ❑ ARCHITECT ❑ ENGINEER �❑ DEVELOPER ❑ TENANT -CONTRACTORN M M M . �. LICENSEJ�q I LIC E BUS. LIC. # 7 COMPANY NAME JT E-MAIL �/1¢(/SPQfOiY���yj STREET ADDRESS 5 � CITY, STATE, ZIP! ' P"0 12D ARCHITECT/ENGINEERNAME A l//� LICENSE NUMBER BUS. LIC:# COMPANY NAME E-MAIL FAX 'STREETADDRESS,CITY,STATE,.ZIP -FP-ONE USE OF q SFD or Duplex p Multi -Family ROOF AREA:�� lI1 ' VALUATION: ,$'rRUCT[JRE:Ommercial ` 'EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES •❑WOOD,SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE :11 YES IF NO. PLYWOOD ❑ w, ❑ _ 'PLYWD 'OSB PITCH; 12 ROOF A r, - # LAYERS: THICKNESS: 115/8" _ . TYPE. ❑ CDX . ' CLASS: .. PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF 11ASPHALT SHINGLES El WOOD SHAKES P WOOD SHINGLES [CC -ES REPORT # DESCRIPTION OF WORK: ^ �+�I s j By my signature below, [,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 buildi rction. I authorize representatives of Cupertino to enter the abov-identifi property for inspection purposes. Signature of Applicant/Agent: i%% Lam' Date: t SUPPLEMENTAL INFORMATION REQUIRED a .._ t,.,VL_ - - ,OFFICE; U5E ONLY„ K ALAN CitECKTiF$ ROUT—IN If building is associated with a Home Owner's Association, provide letter ❑ 04ER TETE COUNTER ❑ BUILDING FLAN REVIEW; of approval from HOA. Provide Planning approval to verify if there any restrictions.LANNINGYLP�IV R7 VIEW,,' Provide copy of Manufacturer's Installation Specifications. t D 'sTANDARI)❑ FIRC'DEPT Provide signed copy of Cupertino's Tear -Off Policy. ' © QTR ReroofApp_2011.doc revised O3/16/11 A '\ 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 o buildinga-cupertino.org 8 PROJECT ADDRESS. A e?�� ; APN it 33rd t2 OWNERNAMEPi e 4e /a PHON f' 29 f j E -MAI J� C STREET ADDRESS - , i Y, STAT ZIP '� r / FAX CONTRACTORN LICENSE LICENSETY BUS 1C.B / ' .COMPANY NAME EE -MAIL k,!T.n (,� C �0 Ah q� Q STR IEfgSS5 1' AZe C�Y� ST OZI P PHO '%/--vil I UNDERSTAND ANIS 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 up to one business day before.thexeguested inspection date. To schedule inspections call (408) 777-322$ from 7:30 330pm (Mon=Tliurs) or 7130 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 out to the job site within one hour. The hours for this service are 7:30-10:30a i! and 12;:30-3:30 (Mon4h1irs) and 7 30,40:30am and 12:30-2:30 (Friday). Final Inspections Wiltbe' given a two hour window. 3, Tear -Off .Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection. Uriless.newplywood roof'sheathing is proposed throughout, all the hails/fasteners shall be either completely knocked=down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection 'g required. S. 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 shaltbe.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 per foot of slope and demonstrate there is no ponding: b. Listings from approved testing agencies for all pre -manufactured products used shalt 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. J,il 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 underst�an'd that smoke detectors and carbon monoxide detectors are required to be. installed in accordance with Section X31]4„I laid R3'15 of the 2016 California Residential oda. RerogJPolicy i 201=1.doc!i'i ,ised 0610117 �a� S&O