10090016 CITY OF CUPERTIN O BUILDING PERMIT
BUILDING ADDRESS: 7909 BELKNAP DR _-ONTRACTOR:M C ROOFING PERMIT NO: 10090016
OWNER'S NAME: MURAMOTO EDWIN E AND SALLIE R 14800 MCVAY AVE
DATE ISSUED:09/02/2010
"'ER'S PHONE: 4082531401
SAN JOSE,CA 95127 PHONE NO:(408)729-3436
Ll LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Class �' Lic.# �c�7s r
MECH RESIDENTIAL r COMMERCIAL
Contractor `
Date G
JOB DESCRIPTION:RE-ROOF TEAR OFF SHAKE OVER WOOD SHINGLES
I hereby affirm that I am licensed under the provisions of Chapter 9 INSTALL
(commencing with Section 7000)of Division 3 of the Business&Professions 7/16 OSB TECH SHIELD WITH 30LB FELT&PRESIDENTIAL
Code and that my license is in full force and effect. TL CLASS A 33SQ
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 Valuation:$17980
permit is issued. Sq.Ft Floor Area:
APPLICANT CERTIFICATION
Occupancy Type:
I certify that I have read this application and state that the above information is APN Number:36208039.00 P Y YP
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 Date ` .Z Issued by: Date:
1 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
1,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) Signature of Applicant: Date:
1,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:
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
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. I 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.
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 mus: Own or or ed %�
forthwith comply with such provisions or this permit shall be deemed revoked. ate:_yC (G`
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 relatin; 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.)
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 inconsequence of the
mg of this permit.Additionally,the applicant understands and will comply
v;as all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION
9Y... 1 understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
3 ITEMS OF 4 PERMI" RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: BL'.: Lot:
APN 36208039. 00
DATE ISSUED. . . . . . . : 09 /02/2010
RECEIPT #. . . . . . . . . BS)00011370
REFERENCE ID # . . . : 10)90016
SITE ADDRESS . . . . . : 799 BELKNAP DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MURAMOTO EDWIN E AND SALLIE R
ADDRESS . . . . . . . . . . : 7909 BELKNAP DR
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4973
RECEIVED FROM . . . . : MIGUEL CASTILLO
CONTRACTOR . . . . . . . : MIGUEL CASTILLO LIC # 24741
COMPANY . . . . . . . . . . : M C ROOFING
ADDRESS . . . . . . . . . . : 14800 MCVAY AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95127
TELEPHONE . . . . . . . . : (408) 729-3436
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------------
---------- - --------- ------
1BCBSC VALUATION 17, 980 . 00 1. 00 0 . 00 1. 00 0 . 00
1BSEISMICR VALUATION 17, 980 . 00 1 .80 0 . 00 1.80 0 .00
1REROOFRES SQ FEET 33 . 00 429 .00 0 .00 429. 00 0 .00
- --------- ---------- ---------- ----------
TOTAL PERMIT 431 .80 0.00 431.80 0 .00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- ------ ----
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: DATE: REVIEWED BY:
APN: BP#: '`VALUATION: $17,980
FPERMIT TYPE: Minor Building Permit PLA11 CHECK TYPE: Re-roof
PRIMARY PENTAMATION
SFD or Duplex ����"�� 1SFDWLROOF
USE: 1`1 Cit)l `i f, =1. PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AREA
s f.
1REROOFFRES 3,300
P` rrri>- 1'Iu;r Ci,i°ct, t'.iec. 11!�m Chck k
11,11" I't mif lO
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O,i1,-s3Pctt ir.ti_ Olfit� Ptzraih f�sf�
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M'Zi i h L.ii;, T est /,lac. hive . 1"v
NOTE: These fees are based on the preliminairTv in ormation available and are only an estimate. Contact the De t or addn'l info,
Q MISC ITEMS
sS,
FEE ITEMS (Fee Resol tion 09-051 Eff 7`1/10! FEE: TY/FEE
/'kart CCliec:k 1'e�cr:
tr1�11/. PC Fee
f'lrtrrtlr.;tltcTr.il:l c:P1art C`Itec:k:
Permit Fee: $429.00
Stippl, lash
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1'/tarrth.-;l�1<�c1t.;Z�lc°c 1'crrrtit hc-c::
Consirtection fax
1c:austica1 Rcview1'cc
Work Without Permit? 0 Yes 0 No 50.00
1'lcrrtttin<� f''cc'.1.
f,r-iriell)ocr+rrr�ntatir�rr I�ec=,�: �
1BSEISMICR 61.80 Select an Administrative Item
Strom Motion Fee:
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $431.801 $0.00 TOTAL FEES $431.80
Revised: 9/01/2010
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, GA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333-btiilding00cugertino.org
PROJECT ADDRESS CIO C *� APN#
9
PHONI 17 E-MAIL
OWNER e*�'�,�. t _, ''�', ,�
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STREET ADDRESS
CITY, STA-E,ZIP FAX
LICENSENUM— _ LICENSE TYPE BUS.LIC#
CONTRACTOR N or . 1 _ — C
E-MAIL FAX.—� —��.
C%4PANY NA E !/
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I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicat le provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a minimum of one day before the requested inspection date.
Please schedule inspections online or call (408)7"7-3228 between 7:30-3:30 (Mon-Fri).
3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all
the nails/fasteners have been removed. Any ar d all dry-rotted wood shall be replaced prior to this
inspection. A building inspector will be available; within one hour.
There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs);
7:30 — 10:30am and 1:00—2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspe,--tion is required.
5. In Progress roof inspection is required. Call for an in-progress roof inspection to verify building is
weather tight after installation of approximately 2_5% of the roofing material.
6. New roof coverings shall not be applied without first obtaining all inspections 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 dow a to the sheathing so a proper inspection can be
performed.
7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is
complete. To receive a final sign-off, the follow ing items will be verified:
a. Flat roofs shall have a minimum of per loot of slope and must 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 inspectic n.
c. Proper spark arrestor installation.
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 -e-inspection fee shall be paid before another
inspection can be scheduled.
By my signing below, I certify each of the following i;true: I am the property owner or authorized agent to act
on the property owner's behalf. and and an gr e 'comp ith the re-roof policy stated above.
nt/A Date: —
Signature of Apphca gent
ReroofPolicy_2010.doe revised 05117110
-M.-Indoor Air Quedity and Finishes
1.Use Low/No-VOC'Paint 1 IAQJHealth pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IA(JHealth pts y--yes 0
3.Use Low/No VOC Adhesives 31AOJHealth pts y--yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts Y--Yes0
5.Use Engineered Sheat Goods with no added Urea
Formaldehyde 61AQIHealth pts y--yes0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal A. dor MDF _ 4 IAOJHealtit pts = es 0
B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yes 0
2 Use Rapidly Renewable Flooring.MatEdals 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y--yes 0
I1 i 1
Total Points Available: 1401 1301 57
Total Points Project Recelved: 0 U 0
G:data/prog dgreenbuildrngguidelines/remodelers/greenpointsfina1212.D4pro1eoted.xis
CITY OF
CITY OF C UPERTINO �J l
REROOF
CUPERTINO PERMIT APPLICATION
APN# /-� Date:
ok '�9
Building Address:
1-6< flr
Owner's Name: v �(` �C� r=te" �' Phone #:
HOA: Yes ❑ No �f es, rovide letter from HOA 5 D
ntractor: Phone #:
Co -7 -6
1'�3`�3�
Fax#:
Contractor License #:
Cupertino Business Licensec�V .7 / 3 C
Type of /Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles u-- Asphalt Shingles
®,,Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Num ❑ Provide I.C.C.E.S. Report#
er of existing coverings
❑ Provide Mfgr. Installation Specs.
f o be Removed
Job Description: I Z 6, GC' -S rrv�
L
6 c`�
S
Residential �— Commercial
Green Building: Please complete relevant portion of the Conf rmed 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: 00
C
I Have Read, Understand and Will Comply wit i Cupertino's Tear-Off Policy:
Signatur
Revised 02/05/09