11080224 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:110152 DEEPROSE PL CONTRACTOR:NEIGHBORS PERMIT NO: 11080224
ROOFING AND GUTTERS
OWNER'S NAME: STEAKLEY BRUCE C AND JOYCE M 6251 RADIANT DR DATE ISSUED:08/31/2011
ER'S PHONE: 4089221021 SAN JOSE, CA 95123 PHONE NO:(408)472-3869
❑ LICENSED CONTRACTOR'S DECLARATIONf—
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class C ��,�J Lic.# <;�-E6 C S. r— F_ 7
MECH RESIDENTIAL COMMERCIAL
Contractor Al ei �S Ctx ; Date 4C Cf
JOB DESCRIPTION: RE-ROOF 30 SQUARES,REMOVE EXISTING SHAKE ROOF
1 hereby affirm that 1 am licensed under the provisions of Chapter 9 INSTALL 1/2 INCH OSB ONE LAYER 30LBS FELT AND
(commencing with Section 7000)of Division 3 of the Business&Professions INSTALL PRESIDENTIAL COMP.CLASS A
Code and that my license is in full force and effect.
1 hereby 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. Sq.Ft Floor Area: Valuation:$14500
1 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
APN Number:36905019.00 Occupancy Type:
permit is issued.
APPLICANTCERTIFICATION
I certit'y that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to coply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to huilding constructimon.and hereby authorize representatives of this city to enter
Upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS 70M LAST CALLED INSPE TION,indemnifv and keep harmless the City of Cupertino against liabilities,judgments,costs.and expenses which may accrue against said City in consequence of thDate:e 3 /granting ofthis permit. Additionally,the applicant understands and will complyIssued by: �V
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
n— L RE-ROOFS:
Signature kh!�3r& e�,yq y2-- Date �'_�!-�?4-3 A All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection,l agree to remove all new materials for
inspection.
❑ OW'NF,R-BUILDER DECLARATION �_
Signature of Applicant:�f��►��,�/.J'"�--.[date:�-'�3j, .-�r�1
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I.as owner of the property,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 of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1
performance of the work for which this permit is issued. will maintain compliance with the Cupertino:Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Date:
permit 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 CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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
non the above mentioned property for inspection purposes.(We)agree to save
lemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
,;est,.and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
.-ranting,of this permit.Additionally.the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
CITY OF CUPERTINO
3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36905019 . 00
DATE ISSUED. . . . . . . : 08/31/2011
RECEIPT # . . . . . . . . . BS000014626
REFERENCE ID # . . . : 11080224
SITE ADDRESS . . . . . : 10152 DEEPROSE PL
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER STEAKLEY BRUCE C AND JOYCE M
ADDRESS . . . . . . . . . .
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3335
RECEIVED FROM . . . . : NEIGHBORS ROOFING
CONTRACTOR ROBERTO LOPEZ LIC # 27063
COMPANY NEIGHBORS ROOFING AND GUTTERS
ADDRESS 6251 RADIANT DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95123
TELEPHONE . . . . . . . . : (408) 472-3869
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- - --- ----- ---- --- ------ - ---- ----- ------- --- ---------- ---------- ----------
1BCBSC VALUATION 14 , 500 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 14 , 500 . 00 1 .45 0 . 00 1 .45 0 . 00
1REROOFRES SQ FEET 30 . 00 420 . 00 0 . 00 420 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 422 .45 0 . 00 422 .45 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
REROOF TEAR-OFF POLICY
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•buildingQ-cupertino.org
PROJECT ADDRESI APN#
OWNER NAME PHONE E-MAIL
STREET ADD�RESS � CITY, STATE,ZIP FAX
/
CONTRACTOR NAME, LICENSE NUMBER LICENSE TYPE BUS.LIC.#
COMPANY NAME E-MAIL FAX J
STREET ADDRESS _ CITY,S�4TE,ZIP �. PHONE
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 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 1/" 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. 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 R314 and R315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: ' Date: ?_
ReroofPolicv_2011.doe revised 02/16111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10157 deeprose place. DATE: 08/31/2011 REVIEWED BY:
APN: BP#: "VALUATION: 1$14,500
'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF
USE: PERMIT TYPE:
WORK re lace wood shake roof with comp shingles.
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 3,000
.... .. 77" , T7- Li I
NOTE. Thesefees are based on the prelindnary information available and are only an estimate. Contact the De t or addh 7 info,
FEE ITEMS (Fee Resolution 11-055/, '. 7/1.-11) FEE QTY/FEE MISC ITEMS
Permit Fee: $420.00
Work Without Permit? 0 Yes No $0.00
Strom Motion Fee: 1BSEISMICR $1.45 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.001 1
SUBTOTALS: 1 $422.45 $0.00 TOTAL FEE: r $422.45
Revised: 07/04/2011
REROOF PERMIT APPLICATION -
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTIN4 (408)777-3228• FAX(408)777-3333 • buildingaa cupertino.om
PRO=ADDRESS y_ `` APN# 2!„C� T'S-
0
OWNER NAME<< STL►�K PHONE E-MAI
STREET ADDRESS CITY, STATE,ZIPFAX
APPLICANT NAME PHONE E-MAJL
STREET ADDRESS CI1 Y,STATE,ZIP FAX
❑ OWNER ❑ OWNER BUILDER ❑ OWNEP AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAM 4•j.i 7 �S�T} / ' LICENSE NUMBER _ LICENSE TYPE BUS.LIC.#
COMPANY NAME E-MAIL FAX
in
STREET ADDRESS ,i CITY,STATE,ZIP _ PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE of 1r$ SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial _<,
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES Q'WDOD SHAKES ❑WOOD SHNCRR ❑OTHER(SPECIFY)
REMOVE/REPLACE RYES IF NO, PLYWOOD IW lig'h" ❑ _T�YPE: 11
OSB PITCR. � ROOF �
❑NO #LAYERS: THICKNESS: ❑ 5/8" CDX :12 CLASS: A
PROPOSED ROOF TYPE: ❑B=-UP ROOF 1�ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK
f� II
/_Ckl
By 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 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'Lc enter the above-identified properr;for inspection purposes.
Signature of Applicant/Agent: � � �-- Date: 2—0 L
SUPPLEMENTAL INFORMATION REQUIRED
_If building is associated with a Home Owner's Association,provide letter
of approval
_ aProval from HOA.
0—
Provide
Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
_Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_201 Ldoc revised 03/02/11