08010046 CITY OF CUPERTINO s ^r:`k?tev�.4'° ':tr' '
Buluolrvc D1vlsioN PERMIT CQN-Tk%TOR°�I1 F0R'MATI..9
. - . -., .c=e.:� �
BUI INC TRESS: PERMIT NO.
7954 MCCLELLAN RD BLDG FRANKLIN' S ROOFING SERVICE 08010046
OWNM N e 4 4 FERM17 MME DATE
DORIS DAVIS 950 S MCGLINCEY LN #404, 505 01/09/2008
NE: SANITARY NO. CONTROL NO.
(408) 371-9495
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
3 0 o LICENSED CONTRACTOR'S DECLARATION lb Description
1 homby after,Nn oI 1 we licensed under previsions of Chapter 9(commencing P
x
with Section 700D)of Division 3 of ft Business and professions Cock,and my license is RMV EXTNG TAR&GRVL & INSTL NEW DUAL LYR APP
^_ in full force end sae ,, �e
nnz_ License clasyy f''-�"f Lic �✓R 1�4 TRCH, 92SQ ON BLT UP RF
nF Dme I"M—= conuactor y—ir-yA LN l
Qg°t ARCHITECTS DECLARATION
S U I undersand my plate shall be used u public meoNs
5��+ Licensed Professional
Oat I am exempt
Fr DECLARATION
Zo O I hmso eR,m Net 11. exempt from Pr CanuaeCo License law for the
OO following moon.(eater,]fD1A,Businrr.and Immune.
doians Cam:And m terra my
S$ which its issuance,
a poem,m makes
Il L elan Mpow,domnl W,ore A Sig any suvmum
priorbiucensdp Werequires lMappin o far such Permit ant a,Law(summmt
pp < (comme.ccensed pursuant bum provisions ofMaMe BuinessaJmvcl,w(chapter9 Sq.Ft. Floor Area Valuation
Y�g
(commencing he
pL Secfromadth basis raj of theeged Business Profeuinnscode)of $900
Q`< Nn ha b eu5 b therefrom and Mm bub far the objects
ed exmant to a civil
l lemon of
Section]071.5 by any applicant for a parotid objeeu the applicant to a civil penalty of umber Occu ane T e
net roam than flhundredth donan(Sso�. 36212001 :7Gy1•4 P Y YP
❑I,o owner attire pimpmy.a my employees with=gas as theirmle compensation,
will do the werkmel the stamnm It iblimmmded oroRemd foraab(Sm.7644,Business Required Inspections
and Prefeuions Cade:The Convector's Liam law dao e ns oat apply a an owner of q P
property who Wilds or improves andwho doessuchworkhimselfor through his
.employ..provided Net such imprommm s tee not Intended motioned forsale.If.
however.Ne building or improvement is mid within one year of mmpledon,the owner-
builder will have Ne bunian of pmHng dust K did rot build or impame,for pumpom of
ale.).
❑I,u ower of the property sr,exclusively contracting with Baued contractors an
construct the project(Sec 70x,Business and Nvfmiou Cade:)The Conuw.7ar.Li.
ams law does or,apply Or an awvur of property whe builds or impowea Mannar and,
who conuacu for such pmkca with a mnvacmr(s)licensed purawnl to the convenor's
Lianee law.
❑l am exempt under Sec ,B d P C fa this rexsen
Ower Data
WORKER'S COMPENSATION DECLARATION
1 hammy from under penalty or perjury not of the following declarations:
here and will r,ainal..Certificate of Consent to sal-I.w.far Warker'sCompen-
n.u pmvided for by Section 3700 of ode labor Cade,fa the performance of the
.art far which Nis permit is Issued.
❑1 have end will maintain Worker's Compensation Iruunna,u required by Section
3700 of um labor Code.for that performance offt work forwhich this permit is lame.
My Wortrr'a compensationWmm ursartier and Policy number tee: 1
Cartier.�N\V INStA OrItce Policy No:C tL—C-A Q C)n1 VJ
CER11MCATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(nus mini decd rot ha completed Kthe pewit u from hundred dollars(Slat
Or hoes.)
1 m+u(y dor In Ne pafannmen of the wort fa which ab prom],is bound.I shall not
employ any person in my summer an as a become object to the Warmos Compmmuon
Laws of CalirmeW Data
Applicant
NOTICE TO APPLICAND If,afar making this Cenincue of Exemption,you should
become subject m to Worker's Compensation previsions of Ne labs Cade,you mute
Oforthwith comply with such provisions a this permit shall be doomed mmked.
z 2 CONSTRUCTION LENDING AGENCY
[—m Ihemhy.Rem Out Nem iseeonstmotinn lending agency for the pc,fumrance of
a r7 Ne wh fur which this permit is issued(Ste.3097,Civ,C.)
W�Q lender's Name ,
z Lessees Addmis
V O 1 certify that I haw mad this application and sum that tha aWw information is
(y^'
comma.I agree to comply with all city and county on inances and a=law raising or
.C) Wilding construction.and hembymutain mpmxnauws ofthla city to enter upon the
W abow.menuooed property for iupecuon purposes
d (We)agree m saw,iml..ICY sad kap humleu tk City of Cupertino agdnst
r Vl 11.1ilidex,jndgarenu.coau and expenses which may in my way acedasgaimsaid City,
(„),Z in canxnana of tete panting of that permit.
.. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NOWPOINT Issued by:. Date
SOU CNE_C�t + .raA7G 1 l Re-roofs
SiglaloreofAppR" renur�lonu or Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will atm applicam or Court building occupant atom or handle htcaumus macro
as deOn^d by Ne Cupertino Municipal Code.Chapter 9.13,and the Health and Safety
Cade,Soction 15337(.)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yu XNa
Will the applicant or rubor building occupant um equipment or dcvlas which If a roof is installed without first obtaining an inspection,I agree to remove
taxations air contaminative;as donned by the Bay Arta Air Quohty Mamngi m m, all new materials for inspection.
ic,7 rrs���aaf
❑Yes 'ANu
I hew mad the overshot Materials n50abm 33 arni leu under Chapter 6.95 after,Wilding ^
doHatC ASafcty Code,Savoru e,iti Myrsons534,10 andly that Kthe buofft .-1./`
sou rot curmn,ly Mw a umml the,it b my responsibility m ratify Mm aaupsnt of the
require= hkh me uanaafsccrutamarom ature Of Applicant Date
Owner J,a marnrdages , Dem All roof coverings to be Class"B" or better
D 2-01 C� 00Wo
CITY OF CUPERTINO
REROOF
a or
®CUPERTINO PERMIT APPLICATION
APN # Date:
00
Building Address:
`18541 McClellaos Rd Ridq . 38 to y4 C,01-vibp
Owner's Name: Phone #: qc a
Dows bAvis a57- 751/
Contractor: Phone #: tfpg 71 -9y9j5
FRANKLINS Ro01=UW (? . SERVicc Fax #: y08 371 -g0jy7
Cupertino Business License #: Contractor License #:
a 31 sy 35a - Iloq
Type of Roof Covering:
Existing: Proposed:
)d Built-Up Roof Nr Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: �erAove Prj5tkh9 Tat- arnd orave.1 Re and mst"11 ruw
ciuQ� layr A ? torch or% 23ui 1t - "P Coo .
Residential ® Commercial ❑
Fire Zone: Yes ❑ No ® Confirmed with Planning Dept.t. if
there are any restrictions: ❑
Valuation:
`l DO
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
• ��lnQLllL 1 �
Signature
CITY OF CUPERTINO
REROOF
C1 OF
�CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
lREROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
c15 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
113SEISMICRE Seismic Residential B
1BUSLIC Business License B
•
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
'C 1) Pre-inspection and/or tear off approval.
k2) In-progress inspection approval.
-)r 3) Final inspection approval.
a) Spark arrester installation.
5. If plywood is installed, a plywood nail inspection is required.
® 6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1r1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roof ing.
Homeowner's Name: M CC IC MCVA f_r m ce. NPA. 6WIZ-15- ba v l s)
Job Site Address: 7454 M c C lei(u-y% Rd
Roofing Company Name: FfMakt-AS RoDEI r)g
Applicant's Signature: r A_.— Date: 1-`h-O-2
® Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: B1k: 'Lot:
APN . . . . . . . . : 36212001 .3844
DATE ISSUED. . . . . . . : 01/09/2008
RECEIPT #. . . . . . . . . : BS000003648
REFERENCE ID # . . . : 08010046
SITE ADDRESS . . . . . : 7954 MCCLELLAN RD BLDG 38, 40, 4
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DORIS DAVIS
ADDRESS . . . . . . . . . . : 7954 MCCLELLAN RD BLDG 38
CITY/STATE/ZIP . . . : CUPERTINO,. CA 95014
RECEIVED FROM . . . . : FRANKLIN'S ROOFING
CONTRACTOR . . . . . . . : FRANKLIN H DEATS LIC # 23154
COMPANY . . . . . . . . . . : FRANKLIN'S ROOFING SERVICE
ADDRESS . . . . . . . . . . : 950 S MCGLINCEY LN #404, 505
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008-5414
TELEPHONE . . . . . . . . : (408) 371-9495
• FEE ID UNIT QUANTITY 'AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1. 00 0. 50 0. 00 0.50 0. 00
1BUSLIC FLAT RATE 1. 00 110. 00 0. 00 110. 00 0. 00
IRERGOFMRE SQ FEET 95. 00 1235 . 00 0. 00 1235 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 1345 .50 0. 00 1345 . 50 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 1, 345 . 50 #5499
---------------
TOTAL RECEIPT 1, 345 .50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
•
. Community Development
'h 10300 Torte Avenue
fi Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building Department
JOB ADDRESS:7 q5 t_1 m c C l e lL a-vt Ra PERMIT # /D G
R : 38-4y (q�
OWNER'SNAME: FPAN4ALIJ DEprr PHONE # 1{pg ( -Ii -gg9S
GENERAL CONTRACTOR: F K ih p qnc!W-jy%Qk FAX# LAOS C 71 - 2a y 7
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date