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12070120
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21065 RIM FIR Cl' CONTRACTOR:POUR SEASONS ROOFING PF,RMITNO: 12070120 OWNER'S NAME: MARSHALL JOHN C TRUSTI-1-1 S Gr A 1'0 BOX 1668 DATE ISSIJED:07/17/)012 OWNER'S PDO,NE: 4082101291 SAN.JOSE.CA 95109 PHONE NO:(408)278-0330 -:0— LICENSED CON TRACT'OR'S DECLARATION 13UILDING PERNIIT INFO: BLDG r ELECT r PLUMB r License Class C-35' Lic.# q-7 Og r r r.. NIECII RESIDENTIAL COMMERCIAL 6. Irvv11 . INC- Date -7 —j`1 —(2L 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 •JOB DESCRIPTION:TEAR OFF r:XISTING WOOD SHAKE ROOF.INSTALL 12" (commencing m ill Section 70110)of Ilivisiun 3 of the Business S Profession, CDX PLYWOOD TI IEN 30N 1'17LT UNDERLAYMENf.INSTALL Code and that ln% license is in full force and effect. CERTAINTEED PRESIUENTIAI.COhIP SHINGLES,COLOR herehy 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 acid will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of die work for which this Sq.Ft Floor Area: Valuation:$4500 permit is issued. A I'I'LICAN'I'CP:R'I'IT IC,\'PION APN Number:35905019.00 Occupancy Type: I certify that I have read this application and stale 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 t•of Cupertino against l iabilities,judgments, costs,and expenses which may accme against said City in consequence of the WITHIN 180 DAPS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by: Date: Signaturc_e�� ❑ 01VNI'7R-13111LDER DECLARATION RP:ROOFS: I hereby affirm that I am exempt from the Contractor's License.Law for ane of All roofs shall be inspected prior to any roofing material being installed.If roof is the follow ing(%%a reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,mid tie structure is not intended or offered for sale(Sec.7044, q Business R Professions Code) Signature ofAppli©nL' Date: /—/7 —/-Z- 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business&Professions Code)' ALI,ROOF COVERINGS TO BE CLASS"A"OR lilil-1'F,R I 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 IIA/.ARDOUS MA TERIAI S DISCLOSURE 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 S Safety Code,Sections 25505,25533,and 25534. 1 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 S Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a).should 1 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 Nlanngenment District I"ill I certify that in lite performance of die work for which this pennil is issued,I shall nmuintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any mariner so as to become subject to the Worker's I Icallh S Safety Code,Sections 25505.25533,and 25534. Compensation laws of California. If,alter making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must O"leer o toff ed<agent: _ forthwith comply with such provisions or this permit shall be deemed revoked. Darr. 7—If Z ONSI'RUCTION LENDING AGENCY ArrL1cA�rclsR'rn>Icxru)N I certify that I have read this application mid state that the above information is 1 hereby affirm that there is a construction lending agency for the performance of swrk's correct.I agree to comply with all city and county ordinances and stale laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this cit to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify acid keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCIIFFECI"S DECLARATION with all non-point source regulatiams per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used us public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION :91 ADDRESS: red fir ct. DATE: 07/17/2012 REVIEWED BY: bobs. APN: BP#: 1,27,Ac2 0 'VALUATION: $4,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD Or Duplex PERDIITTYPE: 1SFDWLROOF A WORK tear off wood shake install comp shingles. SCOPE Mech. Plan Check Plu ih. Plan Check Flee. Plan Check Misch. Permit Far: Plnmh.Penuit Fee: Flac•. Permit Fee: Other dfech.lay, Other Plumb Imp. L1 I Other F.Ice.1tup. 41och. hup.Fee: phanh.IaNp. Fee: F.le.<•.hup.F.:c: NOTF: This estimate roes not include fees due to other Departments(i.e. Planning, Public Morks, Fire,Sanitary Server District,School District„etc.). These ees are based on the prelindnarj information available and are only an cwhyt rte. Contact the Dept or athin'I info. FEE ITEMS FFee Fee 11-053 E0 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,300 s.f. Re-roof Suppl. PC Fee: Q Reg. Q OT FO.OThrs $0.00 $195.00 1RFR00FRFS PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee0 Reg. Q OTO,p hrs $0.00 PML' Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: Administrative Fee: Q Work Without Permit? 0 Yes Q No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential (F) Trrmel Documentation Fees Building or Structure O i Strong Motion Fee: IBSFISA-IICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS:, $1.50 $195.001TOTAL FEE:.' $196.50 Revised: 07/01/2012 REROOF TEAR-OFF POLICY 0 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O.. BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)77777-3228• FAX(408)777-3333•building(a0cuoertino.oro PROJECT ADDRESS Z/f76S /Gc / /•' C/_• APN# OWNER NAME b CI �a T PHONE E-MAIL Flu NN �• '0. � �Z i STREET ADDRESS Z/0 C S get/ Al. C4• -CIN. $T �P a CA .� FAC CONTRACTOR NAME LICENSENqBE 01 O LICFNSEJ�YE� BUS,LIC.M COMPANY NAME c E-MAIL �' FAx STREET ADDRESS CITI'. EZI PHO So't- ' w aA¢ C�c24112 X278-0330 I U ERSTAND 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/<" 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 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: 7' 7 ReroofPolicv_20/l.doc reviser/02/16/1 1 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO,CA'95014-3255 (408)777-3228• FAX(408)777-3333' buildina(cDrupertino.ora CUPERTINO / 0 /J7D �/ O PROJECT ADDRESS 2�OG � CT• .APS. 3-S 5019 OWNER NAME T` �K C. PHONE LiOS-�.I o- Qq� EAIAIL STREE1'ADDRESS ///Q C. `5 CITY. STAT ' Fa] 2 e6r CONTACT NAME; ! I PHONE -0 30 I EAIAIL STREETADDRESS SCZ CITY.STATE ZIP FAX ❑OwNFR ❑ OWNER-BUILDER ❑ OWNER AGENT .9CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME I LICENSE NUMBER I LICENSETV'PE I BUS.LIC a Z -39 Q13QS COMPANYSAME E-MAIL I FAX STREET ADDRESS CITY.SLUE.ZIP PHONE Set w o5e C (404R-702-OAR ARCHI'FECTiENGINEER NANIE LICENSE NUMBER BUS.LIC COMPANYNAME I E-MAIL FAX STREET ADDRESS CIT\'.STATE./.IP PHONE USE OF ❑ SFD or Duplex /yd Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial ,3 �j S'a0 EXISTING ROOF TYPE: ❑BUILT-L'PROOF Lt ASPHALTSHINGLES PCOODSHAKES ❑W'GODSHIFGLES ❑01'HER(SPECIFY) REMOYF.:REPLACE OYES IF NO. I PLY\1'OOD .i ❑ PLYW'D ❑OSB PITCH, ROOF ❑ N'0 a LAY'FR THICKNESS' ❑ "t ' 1)P '12 A A PROPOSED ROOF TYPE: ❑BCILTUP ROOF 1/C iSPHALT SHINGLES ❑WOOD SHAKES ElWOOD SHINGLES El OTHER ICC-ES REPORTS DESCRIPTION OF WORK: S 2 nc_4+a 1l 1 Z f Cox rl �wpod +1,e n '36 -Pe t l Ude A A' •! a ,,"l come s1kinj *, Aa my signature below'.I 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 is correct. I have read the Description of Work and verily it is accurate. I agree to comply With all applicable(oral ordinances and state laws relating to building cons tion. I a orize rcprese • by a of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent ,IIM�� Dam: / p0 SUPPLEMENTAL INFORMATION REQUIRED'-__ OFFICE USE ONLY _ If buildina is associated with a Home 0%%ner's Association.provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ Provide Planning approval to verifi'if there any restrictions. ❑ EXPRrss ❑ PLAN'NI\C PLAN REVIEW _ Provide copy of Manufacturer's Installation Speciiicatioris. ❑ STANDARD ❑ FTRE DEFF Provide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER: ReroojApp_201 Ldoc revised 03/16/11