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11060109 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22431 CARNOUSTIE CT CONTRACTOR:WILLIAMS ROOFING PERMIT NO: 11060109 OWNER'S NAME: PAUL.FINDLEY&NAOMI KOTAKE 42683 BRANTWOOD CT DATE ISSUED:06/14/2011 C ''NER'S PHONE: 4082535506 FREMONT,CA 94538 PHONE NO:(510)882-4642 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB f License Class L_31 Li # MECH RESIDENTIAL COMMERCIAL Contractor Date C�> I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVE EXISTING SHAKES&INSTALL NEW (commencing with Section 7000)of Division 3 of the Business&Professions COMP Code and that my license is in full force and effect. CLASS A 22SQFT 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 Sq.Ft Floor Area: Valuation:$6500 permit is issued. APPLICANT CERTIFICATION APN Number:35603026.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 D OM LAST CALLED INSPECTION. with all non-point source regulations per th ertino Municipal Code,Section 9.18. Issued by: �/ —/ 6 Date: Signature Date 6)(0 ( / OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing materi being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agr o'remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. A will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: ZE� Date!GG) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 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&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& 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. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 2 05,25533,and 25534. 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 Own an -agent: 3 forthwith comply with such provisions or this permit shall be deemed revoked. Date: 1j APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of Aork's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accrue against said City in consequence of the ag of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION wim all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35603026 . 00 DATE ISSUED. . . . . . . : 06/14/2011 RECEIPT #. . . . . . . . . : BS000013757 REFERENCE ID # . . . : 11060109 SITE ADDRESS . . . . . : 22431 CARNOUSTIE CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER PAUL FINDLEY & NAOMI KOTAKE ADDRESS 22431 CARNOUSTIE CT CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-3949 RECEIVED FROM . . . . : STEVE G WILLIAMS CONTRACTOR . . . . . . . : STEVE WILLIAMS LIC # 32413 COMPANY WILLIAMS ROOFING ADDRESS 42683 BRANTWOOD CT CITY/STATE/ZIP . . . : FREMONT, CA 94538 TELEPHONE (510) 882-4642 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 22 .00 286. 00 0. 00 286 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 287.65 0. 00 287.65 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: 22431 Carnoustie DATE: 06/14/2011 REVIEWED BY: gs APN: BP#: "VALUATION: $6,500 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTAMATION 1SFDWLR00F USE: SFD or Duplex PERMIT TYPE: WORK 22s re-roof. remove existing shakes and install new comp. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 2,200 NOTE. These fivs are based on the preliminary in ormation available and are only an estimate. Contact the Dept for addn 7 info, FEE ITEMS (fee Resolution 09-051 fs f '/l.-/D) FEE QTY/FEE MISC ITEMS Permit Fee: $286.00 Work Without Permit? 0 Yes No $0.00 i Strong,Motion Fee: IBSEISMICR $0.65 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $287.65 $0.00 TOTAL FEE: $287.65 Revised: 04/29/2011 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• buildingQcupertino.org PROJECT ADDRESS (1 O l 1 ! �i APN# OWNER NAME ` ! I� PHONE Clog _7,5 3 � E-MAIL STREET ADDRESS / ! CITY, STATE,ZIP FAX CONTRACTOR NAME / LICENSE NUMBER/ _ 7 2C?, LICENSE TYPE/ 1:5�) BUS.LIC.# 7 COMPANY NAME EMAIL FAX STREET ADDRESS ��/ �� n n `'—"i � CITY,STATE,ZIP .T"'G f}— 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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/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. 6. 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: ReroofPolicy_2011.doc revised 02/16/11 REROOF PERMIT APPLICATION ELI] COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTENQ (408)777-3228• FAX(408)777-3333 • building aacupertino.ong PROJECT ADDRESSZ c-1-3 A t ,A0 STI� APN# 115 OWNERNAME ) � PHONE Z / E- MAIL STREET ADDRESS [ �] CITY, STATE,ZIP S �O FAX APPLICANT NAME 1, /` PHONE�r� ray 2- E-MAIL STREET ADDRESSt 2-4- r 3 r CITY.STATE,ZIP FAX 6 23 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT rXONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR N l LICENSE NUMBER A LICENSE TYPE _ 7,n BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS Lf 2 �l a CITY,STATE,ZIP G PHONE- C�1j 2 `�/ , ARCHITECT/ENGINEE_RIINAME LICENSE NUMBER // BUS.LIC.# O(� G COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF �SFDS'rr Duplex ❑ Multi-Family ROOF AREA: VALUATION: hSTRUCTURE: 00 ercial --2-2,0 � �� y EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES .WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD %n" ❑ PLYWDOSB PITCH: ROOF ❑ NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CD :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF >ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: 6 C /' --p �.tf� / By my signature below,I certify to each of the following: I am the property er or authorized agent to act on the property owner's behalf. I have read this application and the information I hav,provided is correct. I have read the escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to il'ing construction. I uthoriz sof Cupertino tc enter the abo en,A d pro m;fo;inspection purposes. Signature of Applicant/Agent: ,--3 Date: l �� SUPPLEMENTAL INFORMATION REQUIRED If building is associated with a Home Owner's Association,provide letter �LAxc> cx z�rE , .t-. ovrnvc sL� n of approval from HOA. pu>x rs> co AWN G PLAN RIE �> Provide Planning approval to verify if there any restrictions. ❑_E s5 ❑ 'ELANbIINPLANREVIEW Provide copy of Manufacturer's Installation Specifications. gA ❑ � ., �, -' ❑ , � _Provide signed copy of Cupertino's Tear-Off Policy. - ❑ =oTB�x ReroofApp_2011.doc revised 03/02/11