Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
B-2017-1754
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1754 10454 STERLING BLVD CUPERTINO,CA 95014-3832(375 23 042) ROOF ROOFING INC SAN JOSE,CA 95118 OWNER'S NAME: BENSON PROPERTIES INC DATE ISSUED: 10/12/2017 OWNER'S PHONE:303-730-1251 PHONE NO:(408)265-9270 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#687568 • Contractor ROOF ROOFING INC Date 07/31/2019 X BLDG _ELECT _PLUMB MECH X RESIDENTIAL_COMMERCIAL I hereby affirm that I amlicensed 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 2-PLY BRI TORCH-(20 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 •I.-rformance of the work for which this permit is issued. 6 i^'`'have and will maintain Worker's Compensation Insurance,as provided for by rr Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$10750.00 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 375 23 042 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 p is Cupertino Muni '.a /ode,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 111. .'ature mate 10/12/2017 Issued by:Jasmine Archbold • Date:10/12/2017 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 inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owher of the property,am exclusively contracting with licensed Signal a •pplicant: contractors to construct the project(Sec.7044,Business&Professions Code), Da 2/20 7 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 Compeiisation,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. 1 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,Cha, •r 9.12 and exemption;I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sect'.• 25505,25533,a. Labor Code,.I must forthwith comply with such provisions or this permit shall4111, be deethed revoked. O. ,9,1,0mauthorized agent. *_.�_. ._�• APPLICANT CERTIFICATION ©a 10/12/2017 I certify that I have read this application and state that the above information is 11114 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 ARCHITECT'S DECLARATION Code,Section 9.18'. I understand my plans shall be used as public records. Licensed Signature Date 10/12/2017 Professional CONSTRUCTION PERMIT APPLICATION \I'''`,—/ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION „6,, 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 stirs,, w ..s (408) 777-3228 • building kupertino.org PEMIT#B- - l 7S-9 CUPERTINO REVS DEFT✓ ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.I. ❑MEPIRE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS APN p 2 (l •A►. 1I E , P ,"N E-MAIL -. • — .PbPa sid le- OEC.Eu Ares -31 230 42-57 STREET ADDRESS CITY, STATE,ZIP o.fix /2-71 capiristaTtyigrz Gik Li rzz 72, Ccs.. 'CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAME p LICENSE NUMBER LICENSE TYPE . ffd'A/. ®t:r3c� Y J F g®r��--& 6S --7,g- c.-37 STREET ADDRESSCITY,STATE, ZIP ,�( I -S .7 77 sA.f'_ s 0Aj s c,, G-7 E-MAIL PHONE BUS.LIC I ❑ARCHITECT 0 OWNER ❑OWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT - CONTACT NAME E-MAIL STREET ADDRESS CITY,STATE,ZIP PHONE I DECRIPTON I 2E wi6 0;z c‹Ti of G 16SSriL.L Z PL 1 SP, 37-6u P-0W C 41r t fts.i t DNS SatooThl- E(22 lim). 4t5-90E uIiT Ji 1 9NGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL ❑COMMERCIAL EXISTING USE EXISTING SF NEW FLOOR 5F PORCH 5F DECK SF DEMO SF STORIES A TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) REMODEL REMODEL KITCHEN REMODELOTHR GARAGE ❑ATTACHED BATHROOM SF SF SF SF 0 DETACHED EXISING ❑YES, EICHLER 0 YES SECOND STORY ADDITION ❑YES , FIRE SPRINKLERS❑ NO 0 NO 0 NO DWELLING (SECOND DWELLING ❑YES 0 ATTACHED!:DETACHED OTHER UNITS# UNIT ADDITON: ❑NO 5 F I POOLS 0 FIBERGLASS ❑VINYL-LINED ❑GUNITE ❑PREFABRICATED POOL-SF SPA-SF I SPA ATTACHED ❑YES 0 NO I TOTAL-SF I; ' RECBY: 6 Commercial or Multi-Family'Buildings with Public Swimming Pools requires Department of Environmental Heath approval /J A 1 t1�tQN: RE-ROOF EXISTING ROOF TYPE: ❑BUILT-UP ROOF E ASPHALT SHINGLES WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) r fg' l/// REMOVE/REPLACE D NO IF NO PLYWOOD ❑1"" ❑3/8" PLYWOOD TYPE: PITCH: 12 ROOF CLASS ES '✓<OF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER A PROPOSED ROOF T ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER 4R/I _ cc� *Provide a sigrted;eopy of the Cupertino's Tear-Off Policy SF_Z.OQ#of SQUARES 2 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 poses. I ackno dge and authorize all information contained on this application form to be made available for public recor `� Signature of Applicant/Agent: �� Date: kJ --J Z l 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: 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 ;I. BldgApp_2017.doc revised 08/01/17 I / 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 CUPERTINO (408)777-3228• FAX(408)777-3333• building@cupertino.org _ Z© t (_ l 7 S PROJECT ADDRESS lJ L APN# --7 J _ /e-� if)4- l S l�'a2L Ai R1, i1 ( (� OWNER NAME PHONE E-MAIL STREET ADDRESS CITY., STATE,ZIP FAX 54 04 CuPt CONTRACTOR NAME��ei< O L A� LICEN$I -)ELI SENSE � BUS.LIC.# COMPANY NAME�F E-MAIL ( FAX f eoa tv 1 P . STREET ADDRESS57 7 v.4.55,4 - n CITY,SE,ZIP �}Tki(Z6rS C,A / 7i 9 glig)2-� �c1 Z?c7 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 day before the requested inspection date. To schedule inspections call (408) 777-3228 from 7:30-3:30pm (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 12:30-3:30 (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-down 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 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 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/a"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 understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2016 California Residentiale. Signature of Applicant/Agent: Date: Id ^ L ReroofPolicy_2014.doc revised 06/01/7