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B-2017-1442 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1442 19710 WHEATON DR CUPERTINO,CA 95014-2458(316 28 006) MANNY'S ROOFING INC STOCKTON,CA 95206 OWNER'S NAME: CORTES RICHARD MICHAEL SR TRUSTEE DATE ISSUED:08/29/2017 OWNER'S PHONE:408-253-7030 PHONE NO:(209)986-7749 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#1025874 Contractor MANNY'S ROOFING INC Date 04/30/2019 X BLDG _ELECT _PLUMB MECH X RESIDENTIAL 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 OSB;COMP SHINGLES(29 SQ) I hereby affirm under penalty of perjury one of the following two declarations: i. I have and will maintain a certificate of consent to self-insure for Worker's .mpensation,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. Sq.Ft Floor Area: Valuation:$11000.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 316 28 006 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 th- pertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 8/29/2017 Issued by:AbbyAyende ( Date:08/29/2017 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofmg material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an insp- tion,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for ' spection. sale(Sec.7044,Business&Professions Code) z. I,as owner of the property,am exclusively contracting with licensed iliiirrture of Applicant: contractors to construct the project(Sec.7044,Business&Professions Cod- Date:8/29/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain 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 permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material.Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 5'i 5,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall () be deemed revoked. , eget authorized agent: ,� APPLICANT CERTIFICATION Date:8/29/2017 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 city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and 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 harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply withall non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 8/29/2017 Professional / CONSTRUCTION PERMIT APPLICATION t COMMUNl'I'Y DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255 /y I9s I y2 " (408) 777-3228 • building@cupertino.org PEMIT#B- �i01� CUPERTINO REV# DEF# ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.I. ❑MEp III RE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS I APN# 3)`„ _J�rye, /92/C2 Rai !l fir-1710 rl 0•<" �fJ (jV OWNERA.NAME r n o.( 0/ Cr,;c 7 !r \ PHONE &r n S 3 7 73 E-MAIL STREET ADDRESS 1CITY, STATE,ZI /et7/O he'emo71e, .0r Cc,pzs An 6' -C/ - cj ®/ 4 ❑ ONTRACTOR NAME ❑OWNER-BUIL ER COMPANY NAME LICENSE NUMBER LICENSE TYPE 0..... V -s: cp�Z /i`'1e,0��5 /200 o`d '�p� /O Z S 7 G 3 / �,� ���� I STREET ADDR t S i CITY,STATE,ZIP / I 2..c-,i5 / zrvi� /0 Al E-MAIL 1 P:0 N ESTl3G�Gn C �� 20 �/ BUS.LIC# c,,,,,\ 2 c7 , ,"g‘ 771c/ y 63 '7?-2 A 7,4b W ❑ARCI-IITEv❑OWNER,,❑OWNER AGENT 7, •NTRACTORAGENT❑ENGINEER 0 DEVELOPER 0 TENANT CQNTACT NAME . E-MAIL ' 1t c;..-, i"4 -> r ,,. c/-e- ---C.— /7 , STREET ADDRESSCITY,STATE,ZIP PHONE. . 2(21.5 1-i? -\;S y /®2-,j d /1/ s /4d�7oan e .4 • Z c ? .,• ` 77 # r DECRIPTON 1<e v..me, V'v." 7-265 . ©e U__.9 ®o/ SAef I/C_ Sint l ( c J3 P ‘-0-)00Z C ✓ 44/c.,.. � ' SI z,. /.S INGLE-FAMILY/DUPLEX ❑MULTI-FAMILY ❑INDUSTRIAL 0 COMMERCIAL • I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES it TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) i 1 REMODEL REMODEL KITCHEN 'REMODEL OTHR GARAGE 0 ATTACHED BATHROOM SF ' SF SF SF ❑DETACHED eg EXISFIREISPRINKLERS 0 NO EICHLER YES 0 NO SECOND STORY ADDTI'ION OYES NO DWELLING SECOND DWELLING ❑YES 0 ATTACHED DETACHED OTHER ' UNITS:# UNIT ADDITON: ❑NO S F POOLSI ❑'FIBERGLASS ❑VINYL-LINED ❑GUNITE ❑PREFABRICATED I root-SF _.. SPA-SF I SPA ATTACHED OYES �! NO I TOTAL-SF ' . RECEIVED BY: TOTAL,VALUAT ION: Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval , , 1/,it, el 0 RE-RO OFI EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES FOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) REMOVE/REPLACE 0,NO IF NO ` PLYWOOD u ❑3/8" PLYWOOD TYPE: PITCH: . , ROOF arits I #OF LAYERS ,�(/ THICKNESS❑5/8" OTHER OSB ❑CDX OTHER _ •12 A PROPOSED ROOF TYPE:❑BUILT-UP ROOF Y�'ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER I� , 'Provide a signed copy of the Cupertino's Tear-Off Policy SF 7 7 , #of SQUARES By my signature below I 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 building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection .oses. gclmowledge and authorize all information contained on this application form to be made available for public record. r` Signature of Applicant/Agent:' / ... / / Date: g-_ -7 SUPPLEMENTAL INFORMATION REQUI ED r I *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building per mit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used las part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior.to submittal of Building Permit application. 1 *HOA-Provide a letter of approval from the Home Owner's Association . B1dgApp_2 17.doc revised 08/01/17 i . kpIr: REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT*BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL ACP,Ifd; : - 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408) 777-3228• FAX(408)777-3333.buildiagacupertirloorg PROJECT ADDRESS4APR OWNAR NA Nify- I PHONE.: E-MAIL C )1'1 c,_,r d C -1 _S 1 elor E . 0 0 STPSET ADDRESS C;AY, STATE.r i FAX -0 _ A :-C.,/ r• i \--- L 0" ^r- I Y-N- / CONTRACTOR NAME / LICENSE NUMBER LICENSE TYPE BUS LIC. A ,,,,..,..,,W,_...._......K___ to 2 7 COMPANY NAME E-MAIL FAX ..,. b : - 9 Arc STREET ADDRE, CITY STATE,-IP I PHONE , / / ca, • ' ' ..... . „,,,,, ...... . 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 up to one business daV before.the requested inspection date. ... . fo schedule inspections call (408) 777-3228 from 7:303Iipit (Kon-Thurs),or 7:30-2:30pm (Frida)) 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: 7:30-10:30am and 12:30-3:30 (MOn4hurs) , ' and 7;30-10:30am and 12:30-2:30 (Friday). Final Inspections will be giVen:a.1: o hour wind:Ow. 3, Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced priortq this inspection.. Unless new plywood,roof sheathing is proposed throughout, all the nails/fasteners shall be either ' toimpletely knocked-down or removed prior to this inspection. .. I . ' . 4. If plywood is installed, a plywood Nailing Inspection is required. . , 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 reciuire 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 thebuilding inspeCtor when the re-roofing is ,. . completed. To receive a final sign-off,the following itenis-will be verified: i. ' a. Flat roofs shall have a minimum of 1/4'.'per foot of slope and demonstrate there is no ponding.' b. 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 inspeetion and the work is not complete, you will be charged a re-inspection fee. The re-inspection fee shall bepaid before another inspection can b 11 scheduled. . 1 . By my signing below,I certify each of the following is true: 1 am the property owner or authOrized agent to act cm the properly owner's behalf. I understand and agree to comply with the re-roof policy stated abOe. Pals9:miderstand that 1: smoke detectors and carbon monoxide detectors are required to be installed in accordance wi0 Section's.R314 and R3-15 of ' .. the 2016 California Residential Code.,j Date: ...4, --.-(..2. / .. Sigtte ofApplion.VAsp : ---,-/_-_ {g - . --- -- RerooPolicy...204.cloc revised 06/01/7 , H , . '