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B-2017-1703 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1703 7675 SHADOWHILL LN CUPERTINO,CA 95014-5053(362 25 016) • NEIGHBORS ROOFING SAN JOSE,CA 95138 OWNER'S NAME: BONNIE JOHNSON DATE ISSUED: 10/02/2017 OWNER'S PHONE:805-450-6859 PHONE NO:(408)472-3869 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C39 Lic.#806508 Contractor NEIGHBORS ROOFING Date 04/30/2018 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: RE-ROOF;TEAR-OFF;INSTALL COMP SHINGLES-(21 SQ) 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 performance of the work for which this permit is issued. 9i 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:$9600.00 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 362 25 016 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 Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Sign-t_ , Date 10-02-2017 Issued by:Kim Dunbar • • • Date: 10/02/2017 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 roofing 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 inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for •nspection. sale(Sec.7044,Business&Professions Code) /_ 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applic ,( 1-'v` contractors to construct the project(Sec.7044,Business&Professions Code). Date:10-02-2017 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 2 505,25533,and 25534. Labor Code,I must forthwith damply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION • Date:10-02-2017 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 with all non-point source regulations per the Cupertino Municipal . _EC ' r :T 0 Code,•Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 10-02-2017 Professional CONSTRUCTION PERMIT APPLICATION ri& •COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 • •d`;s 7�� - r (408) 777-3228 • building@cupertino.org PEMIT#B- l 11— - i F-03 CUPERTINO REVS DEF S ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.I. ❑MEP RE-ROOF ❑SWIMMING POOL/SPA PROTECT ADDRESS ` c.,, ( r �� ( I I • /M�� APN N � OWNER NAME /) ly Ill,+' '('6 PHONE II V, E-MAIL - DI G © 1/ rL? e_ Coln Y\,so pos-150-6)G 9 STREET ADDRESS CITY, STATE,ZIP CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE ft4\Grfft� (ot '- NQc�1pc Or/ ffec 'g06 S 0 c 3 9STREET ADDRESS ` QTY,STATE, ZIP; ( I S M G�h A4 95 0 `f I CIL(� foo f1 ( •>r c E-MAIL PHONE BUS.LIC It •,." QC von 0 vt 9-3 n v-0igma;l qO 3 -9 'y3 0 ARCHITECT D OWNER ❑OWNER AG CONTRACTOR AGENT ENGINEER 0 DEVELOPER❑TENANT ' CONTACT NAME E-MAILtv+ (J c,a -2-t-' LIQrotivLoc? 034 fZIP i NE CQ�y W-. STREET TY, / g 6 F o*I) Ar-kit <a. /U'Cc4-r'kt 14 964 I(.--z- Y If 3 DECRIPTON V sfvu3Qce CD vv\v. alika 11A-s-- t. l ( e-\--'( U`9 ow.rot.n 4- Q( Co VAio4s� 'a Ai SGLch c /0 2. / .Suavj .15SINGLE-FAMILY/DUPLEX' ;❑'MULTI-FAMILY ❑INDUSTRIAL 0 COMMERCIAL • I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(B) REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED BATHROOM SF SF SF SF ❑DETACHED EXISTNG ❑YES I EICHLER 0 YES SECOND STORY ADDITION 0 YES FIRE SPRINKLERS❑ NO ❑ NO 0 NO DWELLING SECOND DWELLING ❑YES ❑ATTACHED❑DETACHED OTHER UNITS I UNIT ADDITON: , ❑NO S F POOLS' ❑FIBERGLASS'.❑VINYL-LINED ❑GUNITE ❑PREFABRICATED POOL-SF SPA-5F.1i', I SPA ATTACHED 0YES 0 NO L TOTAL-SF CommercialREC or Multi-Family BiiildiE s with Public Swimming Pools requires Department of Environmental Heath approval ` �. A #.9 o �`p A RE-ROOF EXISTING ROOFTYPE:' ❑BUILT-UP ROOF❑ASPHALT SHINGLES WOOD SHAKES E WOOD SHINGLESAAA888 ❑TILE/OTHERTHK (SPECIFY) REMOVE t f .C. I r REMOVE/REPLACE 0 NO ;IF NO. PLYWOOD ❑1„ 1=13/8" PLYWOOD TYPE: PITCH: ROOF CLASS " a / YES ;SOF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER , •12 PROPOSED ROOF PE:❑BUILT-UP ROOF DASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER / *Provide a signed copy'of the'Cupertino's Tear-Off Policy SF / 0CISQUARES 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 purposes. I acknowledge and authorize all information contained on this application form to be made available for public record. qI� '� j Signature of Applicant/Agent: Date: / _/ SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings,i Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter,or Meeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of approval from the Home Owner's Association BldgApp_2017.doc revised 08/01/17 _ REROOF TEAR-OFF POLICY • COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, RE, C.B.O.,BUILDING OFFJCIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERtINO (408) 777-3228•FAX(408)777-3333 building@cupertinooro _201 -7...03 , . PROJECT ADDRESS ? 5 , I ( La APN4 (e2. OWNER NAME al I F IONE E-MAIL cU 0 VL .J0 rlso O - - SO S MEET ADDRESS CITY, STATE,ZIP FAX CON.IRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC. g - • "" COMPANY NAM E-MAIL IL '• 0 a crAX)6. „, STREET, DRESS CITY,STATE,ZIP PHONE Li .0° rl- ANI jwit — / .; 6- I UNDERSTAND AND AGREE TO TIM FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request call be scheduled up to one business'.dav befOre the requested inspection date. To schedule inspections call (408) 777-3228 from 7:30L32:30Piri(Mon-thurs)or 7:30-2:30pm(Friday) to schedule inspection. For Tear-Off and Nailing Inspect:jot-44M 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 12:30-3:36 (Mon-Thurs). and 7:30-10:30am and 12:30-2:30 (Friday). Final Inspections 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. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked-clown or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all.priorinspection 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 ail d approval shall be obtained from' the building inspector when the re-rooting is completed. To receive a final sign-Off,the following:441ns:will be verified: r a. Flat roofs shall have a minimum of V4” 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. )r, 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 iunderstand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Section'S R314.b.nd R315 of the 2016 California Residential Code. / A g IlAtt re of p p I icAnti A ge. 40, 814 Date: . 2 Reroeolicy._2614.doe revised 06/01,7 t _ Hiec'.^c r^Am1a f I l ' t e Conti:mtr:r t_::_-s 806508 i i 4. t% �f Roberto Lopez, Owner • Neighbors Roofing 200 Ford Road#236 San lose, CA 95138 1 License No. 806508 September 14. 2017 . To Whom It May Concern, g, 1.Roberto Lopez owner ofNeighbors Roofing, hereby authorize.Martha Lopez :as • Neighbors Roofing official representative and give Martha Lopez. :the authoriaition to 1' acquire permits for sale and trade in cities in the state of California. If you have �on• ' _ u any concerns orquesuons,do not hc�itate in contacting mc_ Roberto Lopez at 408-472-3869.. tThank you_ 0- 1i Roberto Lopez.Owneif Neighbors Roofing License No. 806508 Y , appy , , • ' , , 31313131 1 • 1i ' 1 RERQQF TEAR-OFF POLICY 6ft1UNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O BUILDING OFFICIAL CUPS INO 10300 TORRE AVENUE•CUPERTINO,CA 95014-32t5 (408) 777-3228• FAX(408)777-3333•buildin•d)cu.ertino.or• I --2i 1^ 1703 PRO ri tiDrrFss �j f 3(€7,_ Cj o I `f' 1WN:cR AME S 4t1:CT ADDRESS � C1T1' ST.TE 7," FAX C('NTRAt OR AME 1.CENSE 1.5NSE3ER... _.+ LICENSE ENSE T'PF __... RI S. COWAN? NAM I 1 2Z STRICT *DRESS CITY STATE ZIP / PHONE L� [� 04 .f( ' ✓� ;1� �I[ ( I g`" / 2—?49 I UNDERSTAND AND AGREE TO T.I-IF FOLLOWN& I The re-roof project shall comply with all applicable provisions of the 2016 California Codes. 2 An inspection request can be st..heduled up.to one business day, before the requested inspection date. To schedule inspections call (408) 777-3228 from 7 30-3.30pii.(l Mon-Thurs) or 7.30-2.30pm(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: 7:30-10,30am and 1.2:30-3:30 (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday). Final. Inspections will be given a.two hour wind:o«, 3 Tear-Off inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection. I nless new plywood roof sheathing is proposed throughout all the nails/fasteners shall be either completely knocked-down or removed prior to this inspection. 4 If plywood is installed, a plywood Nailing inspection is 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 shall be obtained froni.the building inspector when the re-rooting is completed To receive a final sign-off the following items will be verified. a.. Flat roofs shall have a minimum of1,4" per foot of slope and.demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be atiailable on-site to review at the time cf the inspection. c Proper spark arrestor installation, vents painted, gutter'downspouts installed, debris removed 7 NOTE Ifyou 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 'aid before another ins; ectioncan be scheduled. ft my signing beiov. I ceriif> each of the following is true. I am the property owner or authorized agent to act on the properh. owner s behalf I understand and agree to comply with tilt.re-roof policy stated abo`.e. 1 also understand that smoke detectors and carbon monoxide detectors are required to be .nstalled in accordance with Sections R314 and R3 ''of the 2016 California Residential Code / LSignraure of ApplicantAgeio . w • Daie Re,•n0'Polict. 2014 doc rer sec!(` '