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12060022 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10929 NORTHSHORE SQ CONTRACTOR:POUR SEASONS R00I7ING PERMIT NO: 12060022 OWNER'S NANIE: IIEIKKINEN GREGORY J PO BOX 1668 DATE ISSUED:06/052012 OWNER'S PI IONF.: 4082525322 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 1kr LICENSED CONTRACTOR'S DECLARATIONr BUILDING PERMIT INFO: BLDG ELECT r PLUMB r— License License Class C D t7ic k 11 ae2 ((•• �nJ R �`�'`2 MECH r RESIDENTIAL r COMMERCIAL r Contractor �J 1` Dale b I hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAROPF EXISTING CAL-SI IAKE ROOFING (commencing with Section 7000)of Division 3 of the Business&Professions SYSTLM,INSTALL Code and that my license is in full force and effect. CLASS A 4NSo RLAVMENI'AND INSTALL(iN GRAND CANYON 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 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(he work for which this permit is issued Sq.Ft Fluor Area: Valuation:$6500 APPLICANT CERTIFICATION I cenif) that I have read this application and stale that the above information is APN Number:31638029.00 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 ofCupcninoagainst 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 pcmmit. 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. _/ z Signature ate �S' Issued by:9 ���/V pTGIZ Dafe: ❑ OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of RF.-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed If a roof is h as owner of the propeny,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). 1 hereby affirm under penalty of perjury one of the following three At,[,ROOF COVERINGS I'D BE:CLASS"A"OR BE:'1-1'ER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's ILN%ARDOUS MATERIALS DISCLOSURE; Compensation,as provided for by Section 3700 of the Labor Code,for the perfixmance of the work for which this permit is issued. 1 have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Ilealth&Safely Code,Sections 25505,25533,and 25534. 1 will maintain Section 3700 of the Labor Code,Ibr the performance of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health& Safely Code,Section 25532(a)should 1 store or handle hazardous material. permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air I eenil'y that in the performance of Ole 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 Imus of California. If,after making this certificate of exemption,I Health&Safely Code,Sections 25505.25533,and 25534. become subject to the Workers Compensation provisions of the Labor Code,1 must forthwith comply with such provisions or this permit shall be deemed revoked, Owner or o '. egenl: Date• APPLICANT CERTIFICATION NST'RUMON LENDING AGENCY I certify that I have read this application and state that the above information is correct I agree to complywith all city and county ordinances and stale laws relating I hereby affirm that there is a construction lending agency for the performance of work'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, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with nil non-point source regulations per the Cupertino Municipal Cade,Section ARCIIITF.CT'S DECLARATION 9.18. 1 understand my plans shall be used as public records- - Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 18 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: 'Rng: Sub: Blk: Lot: APN . . . . . . . . : 31638029. 00 DATE ISSUED. . . . . . . : 06/05/2012 RECEIPT #. . . . . . . . . : BS000017000 REFERENCE ID # . . . : 12060022 SITE ADDRESS . . . . . : .10929 NORTHSHORE SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : HEIKKINEN GREGORY ADDRESS 10929 NORTHSHORE SQ CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : AL DIAZ 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 14 .00 196 . 00 0. 00 196 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 197. 65 0.00 197 .65 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 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 10929 Northshore Sq DATE: 06/05/2012 REVIEWED BY: Sean APN: BP#: -VALUATION: $6,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK Tear off existing cal-shake roofing system, install 30#felt underla ment and install GAF Grand Canyon SCOPE shingles, color: Stonewood. FEE ID ROOF AREA s.f. 1REROOFFRE6 1,400 Medi. Ptun Chock plua,b. pram Check f.'It'c_ Pion Chrck d och. Pm-nrd Fee: Plcunb. Pcrnric F,c•: I:Icr. Penh Fre: Ocher,l lrch. Imp. - Odrer plumb Insp. Ocher Llcr. hr.cp. ,610th. lneP. Fir: Phunb. hap.Fre: Oct.Lisp./'"r: NOTE: This estimate does not includejees due to other Departments(Le. Planning, Public Works, Fire,Sanitary Sewer District,School District,etc. . These fees are based on the Prefinddha information available and are only an estimate Contact the De t or addn'!info. FEE ITEMS (Fee Resolution /1-053di/L 7/1/1l/ FEE QTY/FEE MISC ITEMS Plan Check Pec: Supp/. PC Fee 1'hnnb_hl•leelr./Flet: Permit Fee: $196.00 Suppl, htep I is 1'hunh.i,1•lecb.!li lcc 1'lunih.A1-lecb.11ilcu Permit Pic: C•nnsiruction T ay. Admini.vowlive Pi'a•: Work Without Permit? O Yes 0 No $0.00 Advelnced Phnuring Pies: %ravel Documentraion Feer: Strove Motion Fee: IBSEISMICR $0.65 Select an Administrative Item 131de Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $197.65 $0.001 TOTAL FEE: 1 $197.65 Revised: 05/01/2012 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(cDcuoertino.org PROJECT ADDRESS APN P 0 OWNER NAMF PHONE E-MAIL or t" e o -Z S2- 3.32 STREET ADDRESS CITY.ST E-ZIP FAX /07.26P A4r S So CONTRACTOR NAMELICENSE NU ER LICENSE TYPE BUS.LIC.p C-3!1 COMPANY NAM /f E-MAIL FAX STREET ADDRESS T-OZ SIL CITY.STATE,7.IP CM, Soso ^ ^� P'IO�O�_Z78-0330 JJ I UNDERSTAND AND AGREETOTHE 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 Y<" 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, 1 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 11314 and 11315 of the 2010 California Residential Code. // Signature of Applicant/Agent: Date:—&0'- _Z_ ReronJPnlir_r 201 Lrlur n•1'i.vrd 112/!fill! d REROOF PERMIT APPLICATION a i' I CO,'.fA�UUII'( DEVELOPMENT DEPARTPAECT• 6UILUII:G UIVISIviJ 10300 TORRE AVEt,UE •CUPERTIIJO, CA,501;-3255 ° :U P E RTI N O (408)777-K20..• FAX(400)777-3333 •buildingunertinao«n Sl ,l21:' ' � -.:: I: , � _�� C=-;_:•.: �� PIIONE �u2_:b78�;3Q�-.\,:,II _-- - C.'l. ...CFE. 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