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11050061
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11511 SUNRISE SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11050061 OWNER'S NAME: USHA IYER 1703 CATHAY DR DATE ISSUED:05/10/2011 OWNER'S PHONE: 4088969988 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 L LICENSED CONTRACTO 'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# / MECH RESIDENTIAL COMMERCIAL Contra Date I hereby affir that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF SHAKES,INSTALL 30#FELT, (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL GAF GRAND CANYON COMP EXISTING 7/16"OSB SOLID CZrreb,affirm a that my license is in full force and effect. S14EETING TO REMAIN CLASS A 16SQ I 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 permit is issued. Sq.Ft Floor Area: Valuation:$8250 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:36652007.00 Occupancy Type: 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signatu Date V Issued by: Date: O NER-BUILDER DECLARATION I hcreby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain 1 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. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or ed a ent .r f dM Date: �! APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of"ork's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, cosk. and expenses which may accrue against said City in consequence of the Lender's Address r -of this permit.Additionally,the applicant understands and will comply N, _nl non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTENO (408)777-3228• FAX(408)777-3333 •building a cupertino.org PROJECT ADDRESS _ APN# i 3 (e �� J`t nci OWNER NAME '-)(. � _ PH tJ�lL J q �S E-MAIL STREET ADDRESS CITY, ATE,ZIP FAX APPLICANT NAME !�/,.� PHONE E-MAIL STREET ADDRESS ; CTY,STATE, ZIP �} FAX LC ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 2rCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME l' C /�- r LICENSE NUMBER `!\ LICENSE TYPE C 51 BUS.LIC.# COMPANY NAMEEX-4 lJ E-MAIL FAX JC4ATEPHO STREET ADDRESS ^ /1 ^ C ,Z e - 5 ARCHITECT/ENGWEER NAME �1 LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF 2,SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATIO STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE ETYiS IF NO, PLYWOOD ❑ w, ❑ PLYWD ❑ OSB PITCH ROOF El NO #LAYERS: THICKNESS: El 5/8" TYPE: ElCDX '12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF W ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: )- By my signature below,l 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-ys 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 ildin ns on. I authorize representatives of Cupertino tc enter the above-identified t for inspection purposes. Signature of AP§I Date: SUPPLEMENTAL ORMATION REQUIRED _:a�` �„.� EL —If building is associated with a Home Owner's Association,provide letterer of approval from HOA. )R s r. _ we Provide Planning approval to verify if there any restrictions. �} msLA 3M s ❑ P —Provide copy of Manufacturer's Installation Specifications. [} T k Provide signed copy of Cupertino's Tear-Off Policy. © ozez�x ReroofApp_2011.doc revised 03/02/11 J REROOF TEAR-OFF POLICY ELI COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333 - buildingk'c�cupertino.org PROJECT ADDRESS I � ` ; APN# OWNER NAME ONE (/10( _9q I E-MAII STREET ADDRESS JLV1)fA1e_ rf Y M- i' l In '014 6PI FAX CONTRACTOR NAME , l v CENSE NUMBERT�mq,� LICENSE TYP BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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/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. 6. 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 8314 and R315 of the 2010 California Residential C de. Signature of Applicant/Agent: Date: ReroofPo1icy_2011.doc revised 02/16/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: DATE: 05/10/2011 REVIEWED BY: APN: BP#: "VALUATION: 1$8,250 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK SCOPE T7 Li L1 NOTE: Theseees are based on the preliminary information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (h e Resolulion 09-051 I: f.' 7/1.,"10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,600 s.f. Re-roof Suppl.PC Fee: G Reg. 0 OT 0.0 1 hrs $0.00 $208.00 IREROOFRES PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer'' Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: 0 Yes E) No $0.00 Work Without Permit? 0 Yes E) No $0.00 G PlanninFee: $0.00 Select a Non-Residential G Building or Structure Strong Motion Fee: 1BSEISAffCR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.83 $208.00 TOTALFEE.T $209.83 Revised: 04/29/2011 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36652007. 00 DATE ISSUED. . . . . . . : 05/10/2011 RECEIPT #. . . . . . . . . : BS000013414 REFERENCE ID # . . . : 11050061 SITE ADDRESS . . . . . : 11511 SUNRISE SPRING CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER USHA IYER ADDRESS 11511 SUNRISE SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : CASTILLO'S ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY CASTILLO'S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- --------- 1BCBSC VALUATION 8, 250 .00 1. 00 0. 00 1.00 0. 00 1BSEISMICR VALUATION 8,250 . 00 0 .83 0 . 00 0.83 0. 00 1REROOFRES SQ FEET 16 .00 208. 00 0. 00 208 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 209. 83 0. 00 209.83 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 209. 83 #17073 --------------- TOTAL RECEIPT 209.83 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 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: l i J ( SL�n ri hl f C PERMIT# OWNER'S NAME: I'A'5"kcl PHONE# ' GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all busin sses working in the city to have a City of Cuperti-nJ business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcon Signature Date 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 516 wn /Contractor Signature Date