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11010067 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20111 STEVENS CREEK BLVD CONTRACTOR:STATEWIDE PERMIT NO: 11010067 ROOFING INC OWNER'S NAME: COATES&SOWARDS 5542 MONTEREY RD DATE ISSUED:01/11/2011 NER'S PHONE: 4083718770 SAN JOSE,CA 95138 PHONE NO:(408)288-8680 LICENSED CONTRACTOR'S DECLARATION r r r V Q / BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# / 2C,Or MECH RESIDENTIAL COMMERCIAL Contractor W ate �/ /,/ I hereby affirm that I am licensed and the provisions of Chapter 9 JOB DESCRIPTION: COMM RE-ROOF 137 SQ TEAR OFF EXISTING ROOF AND REPLACE WITH TITLE 24 COMPLIANT CAP SHEET ROOFING (commencing with Section 7000)of Division 3 of the Business&Professions SYSTME 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: Valuation:$62500 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 wj1= this APN Number:31623026.00 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 correct.I agree to comply with all city and county ordinances and state laws relating WITHIN ERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DA S 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 1 / granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: $j ltC All roofs shall be inspected prior to any roofing material being installed. If a roof is if installed without first obtaining an inspection,I agree to remove all new materials for inspection. Li OWNER-BUILDER DECLARATION / Signature of Applican ate: I hereby affirm that I am exempt from the Contractor's License Law for one of 4"� ?; 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) 1,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. 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: Health&Safety 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. Additionally,should I 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 I 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, ections 2 05,25533,and 534. Section 3700 of the Labor Code,for the performance of the work for which thisBH,Qr tk4thoTlzedegr 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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION mnify and keep harmless the City of Cupertino against liabilities,judgments, s,and expenses which may accrue against said City in consequence of the I 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 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31623026 . 00 DATE ISSUED. . . . . . . : 01/11/2011 RECEIPT #. . . . . . . • . : BS000012452 REFERENCE ID # . . . : 11010067 SITE ADDRESS . . . . . : 20111 STEVENS CREEK BLVD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : COATES & SOWARDS ADDRESS . . . . . . . . . . : 1725 S BASCOM AVE STE 104 CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 RECEIVED FROM . . . . : STATEWIDE ROOFING CONTRACTOR . . . . . . . : KYLE HYPES LIC # 23509 COMPANY . . . . . . . . . . : STATEWIDE ROOFING INC ADDRESS . . . . . . . . . . : 5542 MONTEREY RD CITY/STATE/ZIP . . . : SAN JOSE, CA 95138 TELEPHONE . . . . . . . . : (408) 288-8680 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 62, 500 . 00 3 . 00 0 . 00 3 . 00 0 . 00 1BSEISMICO VALUATION 62, 500 . 00 13 . 13 0 . 00 13 . 13 0 . 00 1REROOFCOM SQUARES 137 . 00 980 . 00 0 . 00 980 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 996 . 13 0 . 00 996 . 13 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 996 . 13 VISA --------------- TOTAL RECEIPT 996 . 13 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: 20111 stvns crk blvd. TDATE: 01/11/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: $62,500 RkPERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTAMATION 1 COMMLROOF USE: Commercial Building PERMIT TYPE: WORK tear of existinq roof and replace with title 24 compliant cap sheet roofing system SCOPE FEE ID ROOF AREA s.f. 1REROOFCOM 13,700 .'�.1<c.;t. 1,10),l{IEe.'c'ii Pxialo C hC(' C Lt2 ,f F r,u'F Fc'c M? Isr'eIrsr�. 11x°ia.l�ts�. 1°�a. T'herrth- ft c�z Fu,<,: 1:i<t.t��s71. if NOTE: These-ms are based on the preliminary into rmation available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS ( ce Resohition 09-051 Ef. 711%101 FEE QTY/FEE MISC ITEMS Plan Check uppl. PC/:cle Plaa ("heck: Permit Fee: $980.00 .SlIppl. hasp F'herrzh.:':lter°Tz. l;lec: Z:'r�it f~ee: f'luntlt.i ll rc It.'1`lCc Permit I'Ce' t'onstrzzction 14coitstic al Rc vie> Work Without Permit? 0 Yes 0 No $0.00 Planning F CCS f'rcnel I)c�carPrz�rntcrtit�rt t�`��'s. Strong Motion Fee: IBSEISMICO $13.13 Select an Administrative Item Bldw Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $996.13 $0.00 TOTAL FEE: $996.13 Revised: 12/07/2010 January 10, 2011 City of Cupertino Building Division 10300 Torre Avenue Cupertino, CA 95014 To Whom It May Concern: I authorize Maureen Botill,an employee of Statewide Roofing,Inc.to obtain a Building Permit for Statewide Roofing,Inc. using the credit card information below. Sincerely, Allan Courtney Vice Presiden Ka by Robe n Vice President Credit Card Type: Visa Name as it appears: Kathy Robertson, Statewide Roofing, Inc. Credit Card#: 4802138092611920 Expiration: 03/13 Statewide Roofing, Inc. A Commercial Roofing and Re-roofing Specialist 5542 Monterey Road,#201 •San Jose,CA 95138-1529•CA License#803926•Tel (408)286-7828•Fax(408)286-7820 LOW SLOPE ROOFING SYSTEM SPECIFICATION morwAr Roofing Products' FOUR-PLY CONVENTIONAL 524 RCap? Plus (Base, Ply & Cap) System Config uration ROOF DECK/ f, /.� BASE SHEET/ R4-AHO(515,2-500 Type IV,524 RCap Plus) INSULATION �� MECH.ATTACH OR R4:-A10(515,2-506 Type VI,524 RCap Plus) /•' �'� 1'• FULLYADHERED R4-BHO(501,2-500 Type IV,524 RCap Plus) 114-0I0(501,2-506 Type VI,524 RCap Plus) � %,� Materials per 100 sgJfL of Roof Area: Base Sheet:(choose one of the following) One(1)ply of 515 27.6 lbs One(1)ply of 501 30.6 lbs Ply Sheet Options:(choose one of the following) f/ �'�• Two(2)plies of 500 7.2 lbs.per ply/14.4 lbs. -OR- Two(2)plies of 506 , 9.2 lbs.per ply/18.4 lbs. Cap Sheet: One(1)ply of 524 RCap Plus 77 lbs. ` Adhesive for Roofing Plies: ASTM D 312 Type III,or IV 25.0 lbs.per ply/per sq. Insulation: Specified 2 PLIES 524 RCap PLUS Weight per Square:(-insulation) 195.0 lbs.to 202.0 lbs. rr `• FULLYADHERED CAP SHEET .Four-.ply,hot mopped,built-up roofing system with fiberglass base/ply Roof deck and general information: Roof deck must be sheets;and a highly-refiective,factory coated cap sheet installed over clean, dry, smooth, and structurally sound to receive the new an approved roof deck. roofing system. Drainage must be incorporated in the design to prevent ponding water.For more information,please refer to the current Malarkey Roofing Products (Malarkey) Specifica- tion Manual: General requirements and Commercial Installa- Flashings: Install all primed flashings(lead, metal,scuppers, tion Instructions: etc.) in a layer of plastic cement on top of the inter-ply and Special requirements:This roofing system can be installed as stripped off with Two (2)of reinforcement,feathering each ply illustrated on slopes up to 1"in 12".Slopes that are greater than 3"from the edge of the flange and corresponding ply. Install 1"in 12"are to be installed in a strapped fashion using ASTM cap sheet after all flashings have been stripped in. D 312 Type IV asphalt, and wood nailers/insulation stops to facilitate back nailing of the roofing system. For more informa- Base flashings:Base flashing stripping ply(s)are to be installed tion,please refer to the current Malarkey Specification Manual: over the inter-ply before the installation of the field surfacing. General Requirements/Strapped Installations. Stripping ply(s)are to extend 3"beyond the toe of the cant and up the vertical surface of all flat to vertical transitions (curbs, Application: Hot Mopped- Install all inter-plies so that the walls, roof top equipment,etc).After the installation of the field water runs over(shingle fashion)or parallel to(strapped), but surfacing, install the specified cap sheet base flashing extend- never against the laps in a uniform mopping of hot asphalt at ing 6" beyond the toe of the cant and up the vertical surface. the nominal rate of 25 lbs.per ply, per square. Broom all plies Terminate the base flashing as shown in the commercial roofing to ensure contact between the asphalt and the bottom surface details of the current Malarkey Specification Manual. of the roofing felts.Cap sheet will be installed so that the water Fire Ratings:The specification carries a Class'A'rating up to runs over(shingle fashion)or parallel to(strapped), but never 112" in 12" over the following decks:Wood, Metal, Concrete, against the laps. Cut cap to 1/3 of the total length (11') and allow to relax prior to installation. Position cap membrane for Lightweight Concrete,Structural Wood Fiber,and Gypsum.For installation and embed into a uniform mopping of asphalt ap- other ratings, contact the Malarkey Technical Services Depart- plied at the rate of 25 lbs.per square.Ensure contact between ment. the asphalt and the bottom of the sheet.Stagger all end laps a Touch Up: Install 824 RCap Touch Up to dress out roof for minimum of 12". a more pleasing appearance. Standing water locations must Prior to the application of interply sheets, all valleys and wa- receive additional coatings of 824 RCap Touch Up. terways shall receive an extra layer of Malarkey ply sheet(or comparable product)which shall be at least a full width sheet and shall extend at least 12 inches (30 cm) up to the inclines out of the valleys. REV.10/10 4-24 Specification Manual www.MalarkeyRoofing.com-800-545-1191 CITY OF CUPERTINO REROOF C U P E R T t N O PERMIT APPLICATION I I of �ocQ APN # Date: l0 23 CCb��.G� / i� Building Address: elCf2 S Owner's Name: T�� Q�cs{ 'ou�a � Phone#: HOA: Yes ❑ No If Yes, provide letter from HOA Contractor: Phone#: Fax #: 0 Cupertino Business License#: Contractor License #S 03 I 2350 1 l0 Type of Roof Covering: Existing: Proposed: Built-Up Roof /* Built-Up roof ❑ Asphalt Shingles o Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other(Specify) Number of existing coverings 1 ❑ Provide I.C.C.E.S. Report # To be Removed Provide Mfgr. Installation Specs. Job Description: 71 Residentfal ❑ Co mercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: SD I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 02/05/09