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12050109CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18000 CHELMSFORD DR CONTRACTOR: ABOVE ALL ROOFING PERMIT NO: 12050109 OWNER'S NAME: RANCHO RINCANADA PARK DISTRICT 700 NORTHRUP ST DATE ISSUED: 05111/2012 OWNER'S PHONE: 4082528429 SAN JOSE, CA 95126 PHONE NO: (408)292-4188 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL License Class/DLie.4 R' 7 / �� 3 S� COMM RE -ROOF 66 SQ- TEAR OFF COMP, BUILT UP Coil actor 4 � l� fBI FYI `~f 57--//-/ Z Date INSTALL LANDMARK COMP. TITLE 24 CLASS A 1 hereby affirm that l 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. I hereby affirm under penalty of perjury one of the following two declarations: 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 Sq. Ft Floor Area: Valualion: $27161 performance of the work for whichthis permit is issued. I have and will maintain Workers Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 37522104.00 Occupancy Type: permit is issued APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with a0 city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY M LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the - �Z granting of this permit. Additionally, the applicant understands and will comply Issued by: G Date: 5 �� with all non -point source r Iations per the Cupertino Municipal Code, Section 9.18. _ - -iZ RE -ROOFS: Signature to-- _ All roofs shall be inspected prior to y roofing material being installed If a roof is installed without first obtaining - spection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicuhf Dztc: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL RO F COVERINGS TO .ASS "A" OR BETTER 1, 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) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE; construct the project (See.7044, Business & Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safely Code, Section 25532(x) should 1 stare or handle hazardous I have and will maintain a Certificate of Consent to salf-insure for Worker's material. Additionally, should 1 use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area .Air Quality Management District performance of the work for whichthis permit is issued. will maintain compliance with the Cup linoMunicipal Code, Chapter 9.12 and ' I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for She performance of the work for which this the Health &Safety Code, Sec s .05, 25533 and 25534. // y permit is issued. Owner or authorized agent: Dat I certify that in the performance of the work for which this permit is issued, I shall not employ any person inany manner so as to become subject to the Worker's Compensation laws of California, If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097. Civ C.) Lender's Name .APPLICANT CERTIFICATION Lender's Address 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 and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.1& Signature Date CUPERTINO ;l 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 • buildinana.cuoenino.ora C oa) C MSr��aV r--�I-/ (�(�/L�� PROJECTADDRESS1� I APN d OWNER NAMEy w INC�N L11 �jDe '� / PHONE M /� -a,5� .SLItT( E-MAIL STREIT ADDRESS �1rv� CI , STATE13 trjo G u 1 FAx CONTRACTOR NAM; , 2m�NC, LICENSE NUMy�BER35 I�i LICENSE TYPE BUS LIC, q C COMPANY NAMIi ��(,IC,SOL"11ON5 Itx. EMAIL (jIJOJQq� S C C.D . CGn FAX (fQ$ Z%2 x/35 STREET ADDRESS -700 iJ0IZ-T1J'9-UPSI. CITY, STATE, l.IP �� SAS 1bSG GA 15)Z(p PIIONI: J/'�� 2!z - l)i - I UNDERSTAND AND AGREE TO THE FOLLOWING: The re -roof project shall comply with all applicable provisions of the 2010 California Codes. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day 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 available within one hour. Progress and Final Inspections will be given a two hour window. 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 Insnection 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. Progress Inspection is required when approximately 50% of roof covering is installed. 7. 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/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 available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 8. NOTE: If you call fora tear -off or plywood -nailing inspection and the work is not complete, you will be charged a re -inspection fee of $126.00. 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. 1 understand and agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide detec are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Co Signature of Applicant/Agent: Date: 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37522104.00 DATE ISSUED......-.: 05/11/2012 RECEIPT #.........: BS000016791 REFERENCE ID # ...: 12050109 SITE ADDRESS .....: 18000 CHELMSFORD DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 529.70 --------------- 529.70 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER ----------- chk VOICE ID DESCRIPTION --------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF OWNER ............: RANCHO RINCANADA PARK DISTRICT ADDRESS ..........: 1029 BLOSSOM HILL RD STE 3 CITY/STATE/ZIP ...: SAN JOSE, CA 95123 RECEIVED FROM ....: ABOVE ALL ROOFING CONTRACTOR .......: KEN SULESKY LIC # 23092 COMPANY ..........: ABOVE ALL ROOFING ADDRESS ..........: 700 NORTHRUP ST CITY/STATE/ZIP ...: SAN JOSE, CA 95126 TELEPHONE ........: (408)292-4188 FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW'BAL 1BCBSC ----------------------- VALUATION 27,161.00 --- ---------- 2.00 ---------- 0.00 2.00 ---------- 0.00 1BSEISMICO VALUATION 27,161.00 5.70 0.00 5.70 0.00 1REROOFCOM SQUARES 66.00 522.00 0.00 522.00 0.00 TOTAL PERMIT ---------- ---------- 529.70 ---------- 0.00 529..70 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 529.70 --------------- 529.70 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER ----------- chk VOICE ID DESCRIPTION --------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF Frim "hwelSdOwd POW Bien Rt11" Rod. Fortes am wood orotlYer.Wool docks an lneltiree 01up tier' wfoot. 00 mw1m) _ �,YW Yyy1VVWNVIIIr IlOyal MUBMPkrbPamaRy23m'VentatdadonFab tpb OWFtiPmdvorBigiintiv 2phs . A$pMI orotherJMAppmndAgftk Imanaperkot, Asphak .. Nombudwakht Upto1'(tDmmfm► 11D'F9MTVpe14Rat wlbLDtkpa) 1'ter(83te21Darym)" l9rF(881C1 :type III, ftep 69 lbs. (M kgs) Specbl Stem 0 ma IN koa) upwria8mmfm) PommMoe 88ma(3kkILI 8amal This speeklcadon Is for ua over anytype of approved sauemrel deck WOW age oradmrtypes of mechanical faatanmathat maybe rata► mowed by the dock memdechmer. 6umples of such decks are wood o d plywood. Thi speaUkathm blmtfor use dlreetlyover 8gMwBIgM boudedap.00ninim decks. M ammest CommerdeV IMudridRosflnp S�retame Memel ehadd M scall- ered partdtide epdBoaflot Ralloos eddng dulah can be found In the'hboa Rahingd settles b mm JM CoereleWwmmBibolel Roofing Symms ManuaL Overwadboard dake, one pie of ung paper muetbe used under Ne ties fok and on top of the rood board deck Nota On ref deco wkh dopes up to 1' per foot (838 iaVm► the mobgfob maybe handled eNierpnpordloftrorparalleltorte and tadlna On dopes over 1'- per fad (US mmba), War to PamprgnkMcf hbaadioofordpeclatregdram.ma .Utbg.8luBm Pk% PamwPly2B or Vamdadon,aertwilh e .ir=nm$wMM(ospnftbapdnam vboaoondldonof .OumwdwJ Thafo orftbaadwac msesaretobeeppgadtdl wwk lapping ote preceding fair (81 mm) onto aide lope end 4llM tits) on dwmdWL Neo fireside kips r (223'mm) as DownthelonpNd(mlc,i moofeahfest,phos8Nomrisdalb gnaoed apprwftd* 110 MO mm) apart wkhthe age daogered (28 mien) rnWamm dkuoster: Wall System, Manual. 'rrwalabanaarblraeaam-seroe cmNoa. Built=Up Roofing Specifications SpacHiestionAGNC Using BlaMV Promferer Inat'hr iv, apply a piece 1rty mm) Wide, then orer#4 a NO width Placa The following fob are to be applied NII wlO owdmpine the preceding }efts w it (ego rmm) m utast at least3 plies of fah cover the base feltleubsbuto at all loca- dons.lnaplleach felt adthathIsflmdvand wftn ysatwithm vokb, Into the to aphdl(wWn s2rF(s14C1 of the BM applied :lust before the felt at a nominal ram of 23lbe. per square (1.1 k&4in overthe endre aurfeee. $mlalo0 Prierto appllcadon of�OWMp, culthe cap dost bdo handleable brgtls (12' • 1tT [3.88 m - 6ti0 m11. laythe materiel autostlw reef and daw tam relax and flatten To accommodate a NII width sheet, apply a mapping of hot asphalt apprawindely2al (tYC) above the k1?, at a nominal rate of 23 lbs. per square (1.1 WOW Phe Nghar bunimebae d awhaft nmxVntreathe bondbq elthe cep dreatto the *fftl Then Bopthe cap shat haothe hol aaphak On wbs- quadxroma e,thecapshwis *tlomredupsidedown dbecdy overthe sheat in Na preceding comae such tlmtthe side lop era of the preceding &bad Is exposed. Care should be teles to maNmin r (51 mm) side laps and r (102 mm) end bps. Asphalt is applied In the same meaner as balom maldno an to aim covertks r (51 mm) exposed side lap Asphalt ray also be applied to the o ixtsed 'updde down' cap shost pe&to lWpptng' It ho tis to asphalt The cap sheet must be firmly and uniformly sat.wM=voids, Into the hart asphak MIN all edges and laps well sealed. AspMh shoved meetthe requhemoa of ASTM D 312 JM Guarantees require thauee of Tnabull" asphakor anoebrJM Approved Asphalt Check whh a JM Technical Service Spedda for spoeiel asphak requbemem In Trot dknaunt' Refer to the Materiel 8efety Data Sheet and Product label prior to using lNsproduct a9-0013 dar(Nowt CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org 12056 ) (D 9 tj PROJECT ADDRESS ILS ��Fa ? ( IT`E/ APNN 5�� OWNER NAME I ' / - C lu cotv'�(��v PII h 5�4 —9 22 U�T E-MAIL STREET ADDRESS �n�1L A- r� CRY. �UF. .ly-//G ��D FAX CONTACT NANIE / `� �,p �yi/nI' PHONE �r(1 q 6� `AN F.-SIAIL STREET ADDRESS 00 O��/1 M1N fr CITY, STATEGZIP rj CS1 J FA\ 311 ❑ OWNER ❑ OWNER BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑l ARCHITECT ❑JEN%GINEF.R ❑ DEVELOPER TENANT COf OR'AN1Eq//nv�✓t/ T• LICENSENUMBER C� J LICENSE. TYPIi�.s (I S BUS. I.IC.<�3v 10 CONIPANY NAME E-MAIL FAX STRLET ADDRESSCITY. STATE, ZZPI IONS ARCHITEC fFNGINEER NANIE LICENSENUNIBER BUS I.IC.4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE. ZIP PI IONE USE OF ❑ SFD or Duplex❑ Multi -Family STRUCTURE E] Co ROOF AREA. Z VALUATION; / 6_/ / EXISTING ROOF TN PE 'BUILT-UP ROOF UASPHALT SHINGLES ❑WOODSLAxES ❑WOODSIIINGLES ❑ OTHER (SPECIFY) RENIOVE (REPLACE ❑ YES 13 NO IF NO, 4 LAYERS' PLYWOOD ❑ 9" ❑ _ THICKNES ❑ 5l8. PLYWD ❑OSB TYPE [IDX PITCH: :12 ROOF CLASS A �T'� PROPOSED ROOF TYPE ynUILT-UP ROOF ASPHALT SHINGLES ❑WOODSHAEES ❑WOOD SHINGLES ❑OTHER ICC -ES REPORT a DESCRIPTION OF WORK'. z oic/ / / Y / (zl c�M,�dsfr//La�l�� nuc 7 Z By my signature below, I certily 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 omect. I have read the Description of Work and verify it is accurate, I agree to comply with all applicable local ordinances and state laws relatin const ion I authorize r resentatives of Cupenino to enter the above. idendlied property for inspection purposes. Signature of ApplicanVAgcnl: Date: SUPPLEMENTAL INFORMATION REQUIRED _ If building is associated with a Home Owner's Association, provide letter ofapproval from IIOA. Provide Planning approval t0 verify if there any restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear -Off Policy. OFFICE USE ONLY PLANCIIECATYPE i ROUTING SLIP ❑ OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ FIREDE" I ❑ OTHER' ReroofApp_2011-doc revised 03/16/11