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11080011 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10341 GLENVIEW AVE CONTRACTOR:GWI ROOFING PERMIT NO: 11080011 OWNER'S NAME: RATEGH HAMID AND ESTAKI LEILA 22434 THUNDERBIRD PL DATE ISSUED:08/01/2011 (""NER'S PHONE: 6502813795 HAYWARD,CA 94545 PHONE NO:(510)887-6964 Lt LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C6!3 C1.J3 Lic.# Cc,':�L-44 1 q // MECH RESIDENTIAL COMMERCIAL Contractor (—to f Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF-REMOVE 1 LAYER OF WOOD SHAKES,INSTALL (commencing with Section 7000)of Division 3 of the Business&Professions OSB Code and that my license is in full force and effect. DECKING AND NEW 30YR COMPOSITION SHINGLES CLASS A 34SQ I 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. I 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 permit is issued. Sq.Ft Floor Area: Valuation:$10765 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:36911025.00 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 of Cupertino against 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 permit. 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. Signature Oi)�Date — Issued by: Date: OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,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). —� I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 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 Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the 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 laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. mer or authori agent: Date: -.sty APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 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, and expenses which may accrue against said City in consequence of the Lender's Address ,ng of this permit.Additionally,the applicant understands and will comply ti;a all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Elk: Lot: APN . . . . . . . . : 36911025 . 00 DATE ISSUED. . . . . . . : 08/01/2011 RECEIPT #. . . . . . . . . : BS000014267 REFERENCE ID # . . . : 11080011 SITE ADDRESS . . . . . : 10341 GLENVIEW AVE SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : RATEGH HAMID AND ESTAKI LEILA ADDRESS . . . . . . . . . . : 10341 GLENVIEW AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GUTTER WORKS, INC CONTRACTOR . . . . . . . : MICHAEL A FAZIO LIC # 27531 COMPANY . . . . . . . . . . : GWI ROOFING ADDRESS . . . . . . . . . . : 22434 THUNDERBIRD PL CITY/STATE/ZIP . . . : HAYWARD, CA 94545 TELEPHONE . . . . . . . . : (510) 887-6964 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 10, 765 . 00 1 . 00 0 . 00 1 .00 0 . 00 1BSEISMICR VALUATION 10, 765 . 00 1. 08 0 . 00 1 .08 0 . 00 1REROOFRES SQ FEET 34 . 00 476 . 00 0 . 00 476 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 478 . 08 0 . 00 478 .08 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 478 . 08 #4275 --------------- TOTAL RECEIPT 478 . 08 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 � AOR REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building(cDcupertino.org CUPERTINO PROJECT ADDRESS ' ' t 1 I /y�p^ APN# ✓�( ( [ 0 )_ E5 OWNERNAME _ c E-MAIL 3 ..J STREET ADDRESS o CIT S T ftvg \ CA T FAX CONTACT NAME ( `�� E L09 _ �� E-MAIL w1n IU_o (0I d f�Tilb STREET ADDRESS l L CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEy Cha y I �� LICENSE?J_ EItt LICENSE TYPE,I,-� BUS. IC� f j, COMPANY NAME G,(I �[/` E-MAIL ' , I 1 ' AX STREET ADDRESS �. 1 I�,(.1 CH TATEW,ZIPn 4-S q� 7NFn ^�� ARCHITECT/ENGINEER NAME n I ` LICE NSENUMBE I BUS LIC 4 u COMPANY NAME Iv E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF '( SFD or Duplex ❑ Multi-Family ROOF AREA VALUATION t O O 6STRUCTURE: E] Commercial 3L4 � `� 1 145), EXISTING ROOF TYPE( 1:1 BUILT-UP ROOF ❑ASPHALT SHINGLESWOOD SHAKES ❑WOOD SHINGLES El OTHER(SPECIFY) REMOVE/REPLACE I�F,YES IF NO, PLYWOOD -9 ``," ❑ PLYWDOSB PITCH. ROOF /❑ NO #LAYERS: THICKNESS. ❑ 5/8" TYPE ❑ CDX 'l 2 CLASS A PROPOSED ROOF TYPE ❑BUILT-UP ROOF � IASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER [CC-ES REPORT# DESCRIPTION OF WOR._ UV l ( S h��lWo ..lUS O dsmdao Md ruw v l L By my signature below,1 certify to each of the following: 1 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 t bu lding con ruc on. I authori sentatives of Cupertino to enter the aabo -i ntitied property for inspection purposes. Signature of Applicant/Agent: Date: 75 SUPPLEMENTAL IN ORMATION REQUIRED OFFICE USE ONLY 44f building is associated with a Home Owner's Association,provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroofApp_201 1.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10341 glenview ave DATE: 08/01/2011 REVIEWED BY: larry s APN: BP#: 'VALUATION: 1$10,765 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK remove 1 layer wood shakes install osb decking and 30 yrs. composition SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 3,400 L_j NOTE: Theseees are based on the preliminary information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 I ff. T_b`11) FEE QTY/FEE MISC ITEMS Permit Fee: $476.00 Work Without Permit? 0 Yes G No $0.00 A Strom Motion Fee: IBSEISMICR $1.08 Select an Administrative Item BldgStds Commission Fee: IBCBSC $1.00 SUBTOTALS: $478.08 $0.00 TOTAL FEE: $478.08 Revised: 07/04/2011 REROOF TEAR-OFF POLICY its 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 aQcupertino.or4 PROJECT ADDRESS ,103 i t 1��`t A0 APN# OWNER NAME u n , D t/� I.. pppPHONE U'n �C+ _3�,5 E-MAIL STREET ADDRESS 1 501� FAX 97 I ^ 10 I tw CONTRACTOR NAME t; p rtt p- y' .\ LICEN E 'v I� LICE.3 TYPE ^ BUS IC 1V� `'ICT U c, L,3 G/ SL COMPANY NAME �I \ E-MAIL F I A .51 r��-7I4CnS STREET ADDRESS 2� 7 JG �' (. �� CI STATE ZIP `"'q S `1 P�� ' 7 J 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. Process 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'/4" 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 de. , Signature of Applicant/Agent: Date: i ReroofPolicy_2011.doc revised 02/16/11 r