B-2017-1373CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-1373
10605 N WOLFE RD CUPERTINO, CA 95014-0613 (316 47 019) COATINGS
WATERPROOFING CO
ST LOUIS, MO 63147
OWNER'S NAME: I I DATE ISSUED: 08/21/2017 1
OWNER'S PHONE: PHONE NO: (314) 241-6370
=W _57,04-4111-11cm
License Class ROOFING Lic. #Z34828
Contractor COATINGS APPLICATION & WATERPROOFING CO Date 04/30/2019
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.
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
performance of the work for which this permit is issued. '
ve 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
Cityof 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 egulations per the Cupertino Municipal Code, Section 9.18.
eure�� ��_ Date 8/21/2017
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
m. ' 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)
z. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
m. 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.
s. 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
relatinb;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 Cupertho 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 8/21/2017
BUILDING PERMIT INFO:
X BLDG —ELECT _ PLUMB
_ MECH _ RESIDENTIAL X COMMERCIAL
JOB DESCRIPTION:
OVERLAY; ISO; THERMOPLASTIC MEMBRANE (2840 SF)
Sq. Ft Floor Area: ' I Valuation: $72639.00
APN Number: Occupancy Type:
316 47 019 1 A (Tenant Improvements)
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: 08/21/2017
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
in ction.
Si .• eofApplicant:
8 1/20
11 A 11
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 compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety
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Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
10 RER®®F PERMIT APPLICATOON
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
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REROOF TEAR -OFF POLICY"
COMMUNITY DEVELOPMENT'DEPARTMEN-P--BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O,, BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
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I TJJNDERSTANDAND AGREE TOITIE TFOLLOWING-
i. 'rhe :re-roofproject shall comply with- all apI�li.cabi.eprov.i�si,o.n,scif the 2Ol6.Califo.miaCod.es.
2. An inspection request can be scheduled up to one: busigessday befbr6the reguested inspection date.
1 .1. 1 o schedule inspections call (408) 777-3228 from 7:3'64 pm' (lir 6 "' 6n'
mThizs). or 7:3.0 -2 -3 Opm (Friday) to
scheduleinspection. For Teal -Off aiid,Nailing .Inspecti.on$,-.you must also call. on, the day of the
inspection. only after that phase of the work is comptieted�- * The building inspector will be out, to the
job site.w'ithin one, hour. The hours for this service are: 7:3040:30aM, and 12:30-3:30 (Mon-Thua.$),
and 7:30-1.0:30am and 1.2:30-2:30 (Friday). Final Inspectio'ns 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.
Unlcss:ne,-,v plywood r:'oof sheathing is proposed throughout, all the nails/fasteners shall be either'
completely khcked-down ori ' emoved prior to this inspection.
4. If plywood is installed, a pNwood Nailing Inspection is rgquired.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. ector. Any roofing which is applied without first:obtaining an approved inspection will
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require the removal, of all nmaterial down to the. sheath! so a proper
er inspectioncan be performed.
6. A Final I InsL)O'ciion.and,,"41p.]2rov.alsliall'beobtainedfto.th:.the bui.ldiiI9 inspector when the re=roofing is
..
completed. To receive flil"I'alsign-off, the folJowina di-ems4iII be verifted:.
a. Flat roofs shall have a minimum of 1/4"' per foot Of 81QDean demonstrate, there is no ponding.
all
b. Listings ftnfl'
oappioved- testing agencies for a re-manufactw—edproducts usedshall be
available, ori -site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted.-
gqttey/doxArrispouts installed, debris removed,
7. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you willbe
charged a re-insipection. fee. The re -inspection fee shall be paid before another inspection can be
scheduled.
By my signing below, .1 certify each of the following is true: I ant 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 rnonoxidedetect are Uill be It led in accordance with Sections R314 and .R3A 5 of
the 2016 California Residential Code,
Reroq/Polic,IL2014. doe rovised 06.,'f17.- 7