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12050015CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20313 NORT14COVE SQ I CONTRACTOR: FOUR SEASONS ROOFING I PERMIT NO: 12050015 OWNER'S NAME: MAO ROGER A PO BOX 1668 1 DATE; ISSUED: 05/01/2012 OWNER'S PHONE: I SAN JOSE, CA 95109 I PHONE. NO: (408)278-0330 I LICENSED CON'TRACTOR'S DECLARATION License Class{', -S 1 Lic.q 41A(ap Contractor 1^_J- F ,Nc- Date S -Z- I11Z_' I hereby affirm That 1 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 penally 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 perfomnance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, its provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 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 hamtless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting ollhis permit. Additionally, the applicant understands and will comply. with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Dale 5'2•/2 ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the properly, 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) I, as owner ollhe properly, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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, t'or the performance of the work for which this penult Is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's 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 forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 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 hamnless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this pennil. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: RE -ROOF TEAR -OFF EXISTING CAI: SHAKE ROOFING SYSTEM AND INSTALL 30R FELT UNFRLAYME13NT AND INSTALL GAF GRAND CANYON SHINGLES, COLOR: STONEWOOD CLASS A 15 Sq. Ft Floor Area: I Valuation: $6500 APN Number: 31641066.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS LAST CALLED INSPECTION. r Iss a Date: RF. -ROOFS: All roofs shall be inspected prior to any roofing material being installed If a roof is installed without first obtaining an inspection. 1 agree to remove all new materials for Inspection /��/�J Signature of ApplicanU�i �f , Date ALL ROOF COVERINGS TO BE CLASS "A" OR BEITER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California llcallh & Safety Code. Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the llealth & Safety Code, Section 25532(x) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the llealth & Safety Code. Sections 25505, 25533, and 25534. CONSTRUCTION LENDING AGENCY I hereby affimn that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C) Lender's Name Lender's ARCIIITTF.CT'S DECLARATION I understand my plans shall be used as public records. Licensed 3 ITEMS OF 24 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Elk: Lot: APN ........: 31641066.00 DATE ISSUED.......: 05/01/2012 RECEIPT #.........: BS000016675 REFERENCE ID # ...: 12050015 SITE ADDRESS .....: 20313 NORTHCOVE SQ SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 METHOD,OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 1,693.20 --------------- 1,693.20 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF PEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION -------- ---------------------------- 311- SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF OWNER ............: MAO ROGER A ADDRESS ..........: 20313 NORTHCOVE SQ CITY/STATE/ZIP ...: CUPERTINO, CA 95014-0507 RECEIVED FROM ....: FOUR SEASONS ROOFIN CONTRACTOR .......: DIAZ, ALFRED LIC # 21323 COMPANY ..........: FOUR SEASONS ROOFING ADDRESS ..........: PO BOX 1668 CITY/STATE/ZIP,...: SAN JOSE, CA 95109 TELEPHONE ........: (408)278-0330 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- ---------- 1BCBSC ------------------------------------------- VALUATION 6,500.00 1.00 ---------- 0.00 1.00 0.00 1BSEISMICR VALUATION 6,500.00 0.65 0.00 0.65 0.00 1REROOFRES SQ FEET 15.00 210.00 0.00 210.00 0.00 ---------- ---------- ---------- TOTAL PERMIT 211.65 ---------- 0.00 211.65 0.00 METHOD,OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 1,693.20 --------------- 1,693.20 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF PEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION -------- ---------------------------- 311- SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 FINAL REROOF REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O.. BUILDING OFFICIAL u C: P RTIL10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 •FAX (408) 777-3333 • building(dcuoertino.org PROJECT ADDRESS APN a OWNER NAME P PHONE _ -).2 E-MAIL oGnr e•o O1•L/Le- STREETADDRESSI )) CITY. STATE,ZI (FAX CONTRACTOR NAME LICENSE B�^ LICENSC.. Y!E� /T BUS. LIC.b COMPANYNAME So,r, EMAIL FAX .J,Jr _ STREET ADDRESS -oZ I CITY, STATE. ZIP {- ` �r IUT.P �.a. 7 IIZ PHONE 7 I UNDERSTAND AND AGREE TO THE FOLLOWING: 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. 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. Proeress 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 I/<" 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. 1 understand and agree.to comply with the re -roof policy stated above. I also understand that smoke detectors and carbonmonoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. _/ _ Signature of ADolicanUAeent: // -- - Date: Remo(Policv_201 I.doc revised 02116111 _,:18 4085 960226 q NORTHPOINT; 0 a[ ovin UQUIMI Nb J ity:df Cupertino J.; N-11-thpoint R 9 j6ct a City of Cupertino . P. -i-ase nose that the Itorth int iiomeowiiersAssociatia"-. ontracted and apprd ed Ur Season's Roofing to p6rfQrr­n re- v Do6g of our homes. Th M11 replace the current CAL -Shake cofbystem with nev A rand Canyo9vNsphalt C4n ilio r hihbles.. We have lac the StoneQcolor 1,0010Uroc; Siwe,eiym J. Linda Starnes On Site Manager; ��,����� CITY OF CUPERTINO I��//JI FEE ESTIMATOR—BUILDING DIVISION FEE ID ROOFAREA s.f. 1REROOFFRES 1,500 ADDRESS: 20313 Northcove Sq. DATE: 0510112012REVIEWED APN: I l 0_ P#: BV: Sean VALUATION: $6,500 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex lilor, Permit Frc: PENTAMATION PERMITTVPE: 1SFDWLR00F WORK Tear -off existing cal -shake roofing system and install 30# felt underla ment and install GAF Grand SCOPE Canyon shingles, color: Stonewood. FEE ID ROOFAREA s.f. 1REROOFFRES 1,500 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These lees are based on the preliminary information available and are only an estimate Contact floe Dept for addn 7 info. FEE ITEMS (Fee Re.sohoion 11-053 Ef. 711111) ,tlerh. Plan Check Plumb. Plan Check !ilea. Plan Chrck 41rr./ ,r. Prrnlil Fee: Plumh. Permit Fre: lilor, Permit Frc: (Alror,Verh. ln.q'. Odrer Plumb Imp.El Other Else. In. ¢ ID. ,Ihr/r. /n•p. Pyre: rhumb. lmap. ret: tree. Inq,. Frye: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These lees are based on the preliminary information available and are only an estimate Contact floe Dept for addn 7 info. FEE ITEMS (Fee Re.sohoion 11-053 Ef. 711111) FEE QTY/FEE MISC ITEMS Plzen Check Feu: .Sapp/. PC 1-'ve Phuth.1d1ech.1/i/c u Permit Fee: $210.00 .S111)111. 1n.V/) l'et' P1i nlh.hblech./Elec Pertnit Fee: Construction Tar: Admillisfralive Fen: Work Without Permit? O Yes Q No $0.00 Advo! ced Planning Peas: A 7"l—mvl Docunnentalinn Pees: SI10116 Motion Fee: IBSEISMICR $0.65 Select an Administrative Item 13lda Slds Commission Fee: IBCBSC $1.00 SUBTOTALS: $211.65 $0.00 TOTALFEET $211.65 Revised: 04/01/2012 CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cuoertino.orD /2'US ooi:S- PRO= ADDRESS 0 , V . / a r 4+ J C, s G4 p(�i W y/- U (0`P OWNEA NAME n V ,a-4- rrn1 CA PHJ 8-`- Y q _tI SPREETADDRESSJr..�.s-rQ4+%wJ� j.r4-{n P4 AFF AFF e.t4V Z (L-ecs O a 7 ?% T ^�� 33v E -MALL ADDRESS �� 1 apt en CRY, STATE, ZIP FAX ❑ OWNEA ❑ OWNER -BUILDER ❑ OWNERAGENT ErCONTRACTOR ❑CONTRACTORAGFNr ❑ ARCIVTEcT ❑ Etunmeea Cl OEVEr.OPFR ❑ TENANT COW Y RNA1� f� J�-RSu�S ao'TEn LICENSE NUMBER �� LICENSE TYPE x'39 BUS. 7ICY Zf �✓ COMPANY NAME E-MAIL FAX STREET'ADDRESS a, -e n, n S{-. a�� STATE, awn �os.- Q-A 7.5 7S-oag o ARCHCTECTIENGPIDE2. NAME LICENSE NUMBER BUS. LIC Y COMPANY NAME - E-MAILFAX STREET ADDRESS CITY, STATE ZIP PHONE USE OF ❑ SFD or Duplex 'A Multi -Family ROOF AREA. VALUATION: ' STRUCTURE: ❑ Commercial 1.% cy.�/ EMSTING ROOF TYPE: ❑ BUILT-IrP ROOF ❑ ASPHALT SIGN Ec, ❑ WOOD SHAKPS ❑ WOOD sNiNO[FS REMOVIIAUPLACE YFS IF NO. PLYWOOD ❑'A" ❑ _ PLYWD ❑ OSB PITCH to ❑ N a ❑ TYPE: ❑ i / G i : I2. CI SS. 11 PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF .'ASPHALT MiINGL SS ❑ WOOD SHAKES ❑ WOOD SHWCdfS ❑ OTM ICC -ES REPORT Y DFSCRIPRON OF u C 3 O �� ! f un �!u'l m eirF V-- i nh4! C C�t4 6?1 ti o�: �ar1e u�►ood , By ray signature below. I certify to each of the following I am The property owner or authorimd agent to act on the property owner's behalf. 1 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 p=rt, for inspection purposes. Signature ofAppli=t(AgmC Date: SUPPLEMENTAL INFORMATION Qt1IRFD _ Ifbuilding is associated with Home Owner's•Association,.provide letter of approval from HOA. _ Provide Planning approval to verify if there my restrictions.+._" y ��c.ExnRr•±ss�kc�- �:-Q",�i-aTmrc�Pr.AN�asP>zw;-. �-s Provide copy of Mmmufactmer's Installation Specifications. signed copy of Cupertino's Tear Policy. .. _Provide -Off xt � RemcifApp_2011.doc revised 03/07111