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B-2016-2957 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR:. PERMIT NO:B-2016-2957 20045 STEVENS CREEK BLVD CUPERTINO,CA 95014-2356(316 23 095) STATEWIDE ROOFING INC SAN JOSE,CA 95138 OWNER'S NAME: ARBOR PROFESSIONAL CENTER II,LLC DATE ISSUED: 10/20/2016 OWNER'S PHONE:408-971-2700 PHONE NO:(408)286-7828 LICENSED CONTRACTOR'S DECLAItAkTION BUILDING PERMIT INFO: License Class C39 Lic.#803926 Contractor STATEWIDE ROOFING INC Date 02/28/2018 X BLDG _ELECT —PLUMB MECH_RESIDENTIAL X COMMERCIAL I hereby affirm 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. JOB DESCRIPTION: RE-ROOF;CLEAN/PREPARE B.U.R.;INSTALL TPO COOL ROOF I hereby affirm under penalty of perjury one of the following two declarations: SYSTEM(100 SQ'S) 1. 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. tr,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:$55000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 316 23 095 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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.. Signatur,6 ! ! Date 10/20/2016 Issued by: Date. 10/20/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) ,.( 2. I,as owner of the-property,am exclusively contracting with licensed Signature ofAppheant, contractors to construct the project(Sec.7044;Business&Professions Code). Date:10/20/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should;.I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Ouality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12.and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:10/20/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lenders Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARC'HITECT'S DECLARATION Code;Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 10/20/2016 Professional KF-KUUF PERMIT APPLIGATIUN COMMUNITY DEVELOPMENTDEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 � „ ,� (408)777-3228NO ti FAX(408)777-3333•buildingl_cuperno.org CUP __ _ (3 7-0 Z- PROJECT ADDRESS 20045 Stevens Creek Boulevard. APN# OWNER NAIVIE PHONE E MAM Arbor Professional Center 2;LLC 408-971-2700 STREET ADDRESS CITY, STATE;ZIP FAX 34 West Santa Clara Street San Jose,CA 95113 CONTACT NAME PHONE E-MAIL Kyle(LK) Hypes 408-286-7828 kyleh@swroof-net STREET ADDRESS CITY,STATE,ZIP FAX 5542 Monterey Road,#201 San Jose,pC�yA 95138 408-286-7820 OWNER ❑ OWNERBUILDER 13OWNERAGENT El CONPRACfOR ❑CONTRACTORAGENT u' ARCHrrEcT ❑ENGINEER ❑ DEvELOPER 11 TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC. Kyle Hypes 803926 C39 23509 COMPANY NAME E-MAII. FAX Statewide Roofing,Inc. mbotill@swroof.net 408-286-7820 STREET ADDRESS CITY,STATE;ZIP PHONE 5542 Monterey Road,#201 San Jose,CA 95138 40817286-7828 ARCHITECT/ENOINEER NAME LICENSE NUMBER BUS.LIC. COMPANYNAME E-MATT. FAX STREET ADDRESS CITY,STATE,ZiP PHONE USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: (C!G S54'5 VALUATION: STRUCTURE: 21 Commercial 10,000 -;. . $55,OOQ EXISTING ROOF TYPE. ❑BuiLT UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ®OTHER(SPECIFY) REMOVE/REPLACE 13 YES IF NO, PLYWOOD % ❑' PLYWD ® OSB PITCH: Z ROOF 13 NO #LAYERS: 1 THICKNESS: El 5/8" TYPE: ❑CDX `.l� CLASS: PROPOSED ROOF TYPE: ®BUI T-UP ROOF El ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHNGLE$ ❑OTHER ICC ES REPORT DESCRIPTION OF WORK: Clean and prepare existing built up roof and install a 60 mil TPO roofing system. 2.G f� SYS TLS^ By my signature below,I certify to each of the following: I 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 to b 'ldi o p on. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: "" Date:10/20116 SUPPLEMENTAL INFORMATION REQUIRED _If building is associated with a Rome Owner's Association,provide letter of approval from HOA. Ui Provide Planning approval to verify if there any restrictions. ;.. Y Provide copy of Manufacturer's Installation Specifications. ] [ 2 Provide signed copy of Cupertino''s Tear-Off Policy. �� RF-RUUF TEAK-UFF PULIGY COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION ALBERT SALVADOR, P.E.,C,S.O_,BUILDING OFFICIAL �,�� 10340 TORRE AVENUE CUPERTINO,CA 95014-3255 CUPER (408)777-3228 FAX(408)777-3333.buifdinr.@cugertino.oro PROJECT ADDRESS APN# 20045 Stevens Creek Boulevard OWNER NAME PHONE E-MAIL Arbor Professional Center 2, LLC 408-971-2700 STREET ADDRESS CITY,STATE,ZIP FAX 34 West Santa Clara Street San Jose,CA 95113 CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# Kyle Hypes 803926 C39 23509 COMPANY NAME E-MAIL FAX Statewide Roofing Inc. mbotill@swrootnet 408-286-7820' STREET ADDRESS CITY,STATE;ZIP PHONE 5542 Monterey Road,#201 San Jose,CA 95138 408-286-7828 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm(Mon-Thurs) or 7:30- 2:30prn (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. The hours for this service are: 7:3040 30am and 12;30-3:30(Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday). 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 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,vents painted,gutter/downspouts installed, debris removed. 7. 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. 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 8314 and R315 of the 2013 California Residential Co Date: 10/2011 6 Signature of Apphcant/Agent: