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11070136 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22744 MAJESTIC OAK WAY CONTRACTOR:DRAEGER PERMIT NO: 11070136 CONSTRUCTION INC OWNER'S NAME: WICHMAN ALICE L 605 COMMERCIAL ST DATE ISSUED:07/20/2011 f ER'S PHONE: SAN JOSE,CA 95112 PHONE NO:(408)536-0420 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# /- MECH RESIDENTIAL COMMERCIAL Contractor ��'G!� q�P/1/ k S Date 1?-0,4a I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REROOF,13.5 SQ,REMOVE WOOD SHAKE,INSTALL NEW (commencing with Section 7000)of Division 3 of the Business&Professions SHEETING AND ASPHALT SHINGLES 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 performance of the work for which this permit is issued. 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 Sq.Ft Floor Area: Valuation:$12882 permit is issued. APPLICANT CERTIFICATION APN Number:34232120.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may acc a against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additi0 the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source re ons per the�Cupertino unicipal Co e,Section 9.18. Signature Date 2 e I Issued by: Date: L OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected pr7— =ate:,,7, material being installed.If a roof is the following two reasons: installed without first obtaininall new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: —A�� I,as owner of the property,am exclusively contracting with licensed contractors to (((( construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 O r or authorized a ent s , forthwith comply with such provisions or this permit shall be deemed revoked. Y/ N! Date: CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save i- -inify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 37 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34232120 . 00 DATE ISSUED. . . . . . . : 07/20/2011 RECEIPT #. . . . . . . . . : BS000014110 REFERENCE ID # . . . : 11070136 SITE ADDRESS . . . . . : 22744 MAJESTIC OAK WAY SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : WICHMAN ALICE L ADDRESS 1855 CAPISTRANO WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 94024 RECEIVED FROM . . . . : DRAEGER CONSTRUCTIO CONTRACTOR . . . . . . . : DRAEGER, JOHN EDWARD LIC # 21895 COMPANY . . . . . . . . . . : DRAEGER CONSTRUCTION INC ADDRESS . . . . . . . . . . : 605 COMMERCIAL ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 536-0420 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 12, 882 .00 1. 00 0 . 00 1 .00 0 . 00 1BSEISMICR VALUATION 12, 882 .00 1.29 0. 00 1 .29 0. 00 1REROOFRES SQ FEET 13 .50 189. 00 0. 00 189. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 191.29 0 . 00 191.29 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF 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 (d)cupertino.org PROJECT ADDRESS � + APN# Z 7 ,�� m OWNER NAME PHONE E-MAIL STREET ADDRESS C , STATE,ZIP FAX CONTRACTOR NAME�� n /._ LIC ENS MBER LIC SE TYPE BUS.LIC.# C ?fwG COMPANY N+4.1).,,, FAX STREET ADDRESS CITY,STATE ZIP PHONE I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes. 2. 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. 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. 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 1/" 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 for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: ReroofPolicy_2011.doc revised 02/16/11 California Oak Way I I I 3 I I I z / v+ Mossy Oak Cou O _ I r r r r$ r r 2282 22774 4 22772 L �3 IjIIjjI Flat Roofs-Shake Mansards s 22764 22762 Flat Roos-Tile Mansards 22754 Steep Slope-Shake Dove Oak Court 227 / L� ^. 22742 d j j 22734 f- 22732 --22732 r r r r r r SZ g g Q � g 22724 � 1 v v .wi 22722 ----------------------------1 1 1 � En lish Oak Wa 1 I Spanish Oak Court I I I 10 j r r r r r r r 22702 22706 Ii 22694 m 226960 ar+ &+ I I I 22692 < 22686 p I w I O 1 CL --------- 22684 x 22676 I 1 22681 9 r r r r r r r I 22682 22666 r r w o 1S O0 A ari v j j p IN73 I 1 22674 22656 wt w u, v, v, v, u, Reereatlon m Center 1 22672 Swan Oak Lane j 1 p 22663 I I Liberty Oak Lane �� 22661 1 I I Irl I L...... F, 22687 22689 I Ic I I o ° m I w 22677 v 22679 22653 22670 Liberty Oak Cour ti g ° 00 22669 22667 I I 22651 i I s o I I I 1 _._._._._._._._._.. d 22657 � 22659 I I 22643 < 22647 22649 I I 22641 I I rr r r r r r r I 1 22633 25 $ 3 I 1 22631 w w w 22637 c r - r N - r - 1 1 I c 22627 p g w w �u w w j 1 I Long Oak Lane m 22617 I 1-------------------------------- O I 22607 Amador Oak Ct 1 22597 I 1 r Q Q o 0 0 o I 22587 8 bii OS r d r�yy r r 22577 N N N N N N N I I I I I Silver Oak Way 22608 j 22598 1 Si 1 u, 22588 < I I 22578 I WESTRIDGE HOMEOWNERS ASSOCIATION T Lazy Oak Ct I ------------------� Foothill Blvd 4 of 4 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 -2-7"f4-+ Telephone: 408-777-3228 CUPERTINO 2-21ce2- Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: k__ PERMIT# ' 0.1 OWNER'S NAME: (,k.5 y PHONE# X 210 GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: V-0CITY/ZIPCODE: v- *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY I ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCO ACTORS HAVE INED A CITY OF CUP RTINO BUSINESS LICENSE. 1 I am not using any subcontractors: - Signature ate Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting /Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 - CUPERTIN4 (408)777-3228• FAX(408)777-3333 • building cDcupertino.org U PROTECT ADDRESS � �� / � APN OWNER NAME ', / /_�! / PHONE E-MAIL STREET ADDRESS 1� T a CITY, STATE,ZIP FAX 1� 'A r ►� v APPLICANT NAME ``n �`�� 1 PHONE E-MAII STREET AD �G ! C �STATE,ZIP FAFX INC vt^eaGa f' 1 e Com- !/� ❑OWNER ❑ OWNER-BUILDER : OWNER AGENT ❑ CONTRACTOR _5<60NTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRA R NAME LICENSE NUMBER LICRJSE TYPE BUS.LIC.# -7 �' `` COMPANY NAME FAX E STREET ADD CITY,STATE,ZIP G PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or DuplexUlti-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE S IF NO, PLYWOOD -&:h" ❑ L ❑ OSB PITCH: ROOF ❑ NO #LAYERS: THICKNESS: El 5/8- T TYPE: ElCDX :12 CLASS: A PROPOSED ROOF TYPE: 11BUILT-UPROOF ❑ASPHALT SHINGLES 11WOOD SHAKES ElWOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK 1, t By my signature below,I certify to each of the following: I am r erty owner or a on ed agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I e d the Descripti of Wor and verify it is accurate. I agree comply 'th all applicable local ordinances and state laws relating to building constructio onze represen ' es of Cup rtino to enter the above-identifieropertm .or inspection purposes. Signature of Applicant/Agent: Date: �c C SUPPLEMENTAL INFO N REQUIRED If building is associated with a Home Owner's Association,provide letters of approval from HOA. L�-�f.1'V$R'I'HE-GOrFN�E`iIt- t❑'BUII'DING PAN REY�'R'4r` lr; Provide Planning approval to verify if there any restrictions. ❑;ExP ss ❑`PL ANNING PLANMEVIEW Provide copy of Manufacturer's Installation Specifications. ❑ �� ❑ Iii Dir Provide signed copy of Cupertino's Tear-Off Policy. = _ _ _ ❑-oTH� _ ReroofApp_2011.doc revised 03/02/11