The URL can be used to link to this page

13010069 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18601 RUNO CT CONTRACTOR:R E ROOFING& PERMIT NO:13010069 CONSTRUCTION INC OWNER'S NAME: FRANK&MAUREEN MESSERSMITH 15230 CLYDELLE AVE DATE ISSUED:01/11/2013 OWNER'S PHONE: 4082577175 SAN JOSE,CA 95124 PHONE NO:(408)626-9320 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALE] C -7 Z -75 RE-ROOF 12SQ-REMOVE EXISTING 2 LAYERS OF FELT cense '! Lic.I CLASS A ROOF,INSTALL 3 PLY COOL CAP Contracto Date I hereby a trm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 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. Sq.Ft Floor Area: aluation:$13000 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 aPN Number:37525021.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED to comply with all city and coup ordinances and state laws relating correct.I agree p y ty county DAYS OF PERMIT ISSUANCE OR authorize representatives o f this c� to enter WITHIN 180 to building construction,and hereby authp h' upon the above mentioned property for inspection purposes. (We)agree to save 180 D =,I-#< M LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued by Date: 1.112-013 granting of this permit. Additionally,the applicant understands and will comply on-point ere r the Cupertino Municipal Code,Section 9,18. : RE-ROOFS: Si tore Date 1 All roofs sha d roofing material being installed.If a roof is t first an ins a 'on,I a e to remove all new materials for installed tho g p inspectio . _ ❑ OWNER-BUILDER DECLARATION Signature lic ate: I hereby affirm that I am exempt from the Contractor's License Law for one the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct tIie project(3ec.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. I 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: Code,Section 25532(a)should I store or handle hazardous I have and will maintain a.Certificate of Consent to self-insure for Worker's material. Addi ally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contain' coed by the_Ba3.-Ar it Quality Management District I performance of the work for which this permit is issued. will m ' tain comp) nce ' h e Cupertino nicipal Code,Chapter 9.1 and 1 have and will maintain Worker's.Compensation Insurance,as provided for by the H alth&Saf od Seons 255 5,25533 n 5534. Section 3700 of the Labor Code,for the performance of the work for which this Ow or autho ' a Date: permit is issued: I certify.that in the performance of the work for which this permit is issued,I shall _moi not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY 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 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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the 1 understand my plans shall be used as public records. granting 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 9N44REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 950143255 O CUPERTIN (408)777-3228 FAX(408)777-3333•building(ftupertino.org PROJECT ADDRESS �i I �AJ APN# y Com,4��444 \ �] OWNERNAME Q M Ili / 1 PHONEgUS Lql_- E-MAIL STREET ADDRESS 'f(/ ,11Iv U f O I� C.ITY,STATE,ZIP (i ul1Pot -n )4 J FAX CONTRACTOR NAME n/f,. / / LICENSE NUMBER /J1 I {LIC1ENTye BUS.LIC.# 2-41 V\ 1 �a COMPANY NAME UI l Iv E-MAIL Yo(/O y1 n 4 Lk 9 a0l,e FAX1f4 — STREET ADDRESS ,�^-� r CITY,STATE.ZIP "') � (�j 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 one business day before the requested inspection date. Please call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-2:30pm (Friday) to schedule 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. 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. A Final Inspection and approval shall be obtained from the building inspector ector when the re-roofing is p Up 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. 7. NOTE: If you call fora tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below,I each of the following is true: I am the property owner or authorized agent to act on the property owner'fiaResidential f. I unders d and agree to ly with e're-roo olicy stated above. I also understand that smoke detectorarbon monoxi a for are requir t �e i stall e accordance with Sections R314 and R315 of the 2010 Califo Code:Signature of Appgent: Date: _J ReroofPolicy_2012.doe revised 10/7112 REROOF PERMIT APPLICATION CA COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION lJ� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 1 (408)777-3228• FAX(408)777-3333•building cDcupertinO.Grp CUPERTINO PROJECT ADDRESS S(�U I I J I. 11 .(' 7APN OWNER NAME �/{� /1 A,}J K MV,- I( (�4— 1lL J A I� / PHONE 2�1_ I I 1_I E-MAIL � STREET ADDRESS did hhh CITY, STATE,ZIP UO I'Lj�Tj I\j FAX CONTACT NAME •�� /�, GI n l PHONE E-MAII. STREET ADDRESS V CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT AoNTRAcTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME i! bw,(�/ LICENSE NUMBER �'1 C A LICENSE TYPE��L� BUs.LICE.1# (�o f 1 COMPANY NAME `( E-MAIL��ii Oo�`I nJ l (A 6(01,6" tV l,li)�/• F �1(I I STREET ADDRESS / �" CITY,STATE,ZIP l (lI PHONE 2�] �1 [, 1 t� 523 � �b24 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.m COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF S or Duplex [I Multi-Family ROOF AREA: t VALUATION_ �(� v u STRUCTURE: ommercial ' ccc��yyy I �1 �'�V r EXISTING ROOF TYPE: 1:1 BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES 8LQTHER(SPECIFY) REMOVE/REPLACEI?fA'TS IF NO, �J PLYWOOD ❑ 'h" ❑ PLYWD ❑OSB / PITCH: 2-12 ROOF A ❑NO #LAYERS: L-- THICKNESS: 115/8" COX CLAS TYPE: ❑ S: PROPOSED ROOF TYPE. ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTIONOF WORK: i,7 /�, J./ A„/, nUV— By my signature bel w,I certify to each of the f Ilowing: I am the ope owner or au rized agent to act on the property owner's behalf. I have read this ormation I have r vide I c ect. I have r the ri tion of and verify it is accurate. I a e to co ply with all applicable local application and the p d fY gr ordinances and state aws relating too bui n co 1 aut5o a epre iitatt pe no to enter the above-identifie prlop for inspection purposes. Signature of Applican ems: Bate: \I t 1 II SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY If building is associated with a Home Owners Association,provide letter PLAN CUVCK TYPE_. ROUTING SLIP of approval from HOA. flfOVER-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_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 18601 Runo ctDATE: 01/11/2013 REVIEWED BY: mendez APN: BP#: `VALUATION: 1$13,000 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: P PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,200 Lfech. PlanCheckPlumb. Plan Check Elec.Pun Check recl1. P(IrWir 1 Plumb.Permit Fee: Elec. Permit 0ther.Alech.Inch- ED Other Plumb Insp. Other Elec.Insp. Li ,Meeh:Isla;). Fc" Plumb. Lisp.Fee: Glee.Insp.Fee NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 717%72) FEE QTY/FEE MISC ITEMS Plein Check Fee: Suppl. PC Fee Plumb./Mech.IEtee Permit Fee: $180.00 SuppL Insp Fee P1umbAVech.;Elec Plumb./MechJElec Permit Fee: Cbns*wuction :Tar: 4dtninistrative.Fee: Work Without Permit? Yes (E) No $0.00 A'dvunced Planning Fees: Travel Documentation Fees: i Strong Motion Fee: IBSGISMICR $1.30 Select an Administrative Item Bldf Stds Commission Fee: IBCBSC $1.00 - SUBTOTALS: $182.30 $0.00 TOTAL FEE: $182.30 Revised: 10/01/2012