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B-2017-1255n CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1255 21721' GRANADAAVE CUPERTINO, CA 95014 (357 17 113) QUALITY FIRST HOME IMPROVEMENT INC CITRUS HEIGHTS, CA 95610 OWNER'SNAME: CIARDELLA CHRIS A AND DEBORAH A TRUSTEE DATE ISSUED: 07/31/2017 OWNER'S PHONE: 408-390=3100 PHONE NO: (916) 788-2921 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic. #875772 Contractor QUALITY FIRST HOME IMPROVEMENT INC Date 04/30/2018 X BLDG _ELECT _PLUMB — MECH X RESIDENTIAL 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: REROOF; TEAR -OFF; COMP SHINGLES (20 SQ) I hereby affirm under penalty of perjury one of the following two declarations: 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. 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: $12545.00 permit is issued. APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws felating to building construction, and hereby authorize 357 17 113 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 regulatio a Cupertin unicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. -9nature Date 7/31/2017 Issued by: Abby Ayende Date: 07/31/2017 OWNER-BUILb I hereby affirm'tlia't 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 anins ection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for spection. sale (Sec7044, Business& Professions Code) z. I, as owner of the property am exclusively contracting with licensed Sigolsbre of Applicant contractors to construct the project (Sec.7044, Business & Professions Code). ate: 7/31/2017 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS ' A" OR BETTER 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 z. 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 3,700 of the Labor Code, for the performance of the work for which this California Health &Safety Code, Sections 25505, 25533, and 25534. I will permits 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 Workbr'sl Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I 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, S o 255 25533 d 25 34. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. . f& or authorized agent: v i APPLICANT CERTIFICATION ate: 7 2017 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 I hereby affirm that there is a construction lending agency for the performance relating to buildingconstruction, 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 Lender's 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 ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 7/31/2017 ER OF PERMIT APPLICATION, tomMUNITY DEVELOPMENT DEPARTMENT BUILDING biVi8iow '10300 TORRE AVENUE - CUPERTINO, CA -95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building &cunertIno.orq CuPtIRTINO u)JSGT ADDMS P14ONE E-MAIL STREET ADDRESS L11 PLYWOOD 11 FAX E4MAIL FAX , t -,& CT N CITY�, STATE, ZIP 6t. PHONE e? L4 EMAIL uaAAIL Lk 3 2-57.— Z_j-q 1-& 5 5 m, LUOU QA:m� rRE-E ,m m sT ADDRESS FAX STREET ADDRESS CITY, STATE, ZIP PtiONL CITYSTATE; ZIP 'Of STRUCRJRB0 Commercial (7., S-q,5� rA\, CA V,^ (NA 'P, OWNER -BUILDER OWNF,RAGENT 13 C.ONIRACTOR 5KC01,7WACTOR AGENT 13 ARCHMCT 1311ENGLNUEP 0 mvm.OR 13 PFTr 4Tj NAME 7- ]blue: T I i 1fCRN19FTYPF ill ts, Ile 4 BUILT �%ASPHALTSHTNGLES 13WOODSHAK EXISTING ROOF TYPE; -ITP POOF FS E3 Wool) SmINGLES OTItR (§PECIFY) REMOVEtREPLACV T&YES IFNO, TT14ICKNESS: PLYWOOD 11 11, �Y,, NA A. WNIPA PSTIRFfTADDRES1' E4MAIL FAX , t -,& AIITILY"m CITY�, STATE, ZIP 6t. I -OL: 12 S 2-;�20:2- ('&g L6 uaAAIL ARCHITLUTi(ENGINErR NANlt, LICENSE NUMBER ails. LTC (,'OMPANV NAM L FAX STREET ADDRESS CITY, STATE, ZIP PtiONL usr OF SFD or Duplex El 'Pl4ulti-Family ROOF AREA: VALUATION! STRUCRJRB0 Commercial (7., S-q,5� BUILT �%ASPHALTSHTNGLES 13WOODSHAK EXISTING ROOF TYPE; -ITP POOF FS E3 Wool) SmINGLES OTItR (§PECIFY) REMOVEtREPLACV T&YES IFNO, TT14ICKNESS: PLYWOOD 11 PV�Vt) OSB PITt:l+ AIITILY"m b I -OL: 12 A 05 .4,;,.wFPs,: PROPOSED ROOF TYPE: 11mIur-vPPo,or 'F.ASPHALTSHINOLE13 S Wool) $11AKFs CC -ES REPORTig 0 W066SMNOLES 0 OTitER qFWORK P XrLcj A�)--AIA 17) Icy my s) g'qature below, , f cer(ify to each of the following: I ar the property owner or authorized"ag'ent'to act 6n the property (wner's I)Aaff. I have read this application and the information.1 have provided is correct. I have read the Description of Wotk,anid verify it is accuFAe.- lagree t6mbpl�, with`all applicable local ructiot authorize r6presentatives of Cupel-tino - tl b '11i d f, it ectionpur Oses: ordinances add state law' s relain;g�to to: enter ic a ovF ted ptoperty: or , p p neo Signature of Appi icant/Agi 7- ]blue: T . . . . . . . . . . . 777 SUPPLEMENTAL INIFffRMATION RE*IRED b letter If huilding is,assQciated Home Owner's Associati n, with a provide -w S - W of approval from HOA. Provide Planning approval to verify if there any restrictions. Pr6vido copy of Manufacturer's Instillation Specifications. 31 Providesign0l copy of Qupertiqq'S 'Cean-Off Policy. ----- ------------- L. 01J.'d6C,revised 3 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building0-cupertino.org, PROJECTADDI ESS 1 :LgL (-�;- Ic L �,, t>,A a - A\4— :I APNI 0 ( 3 - OWNER N�ME , , PHONCF., E-NMAIL Qa, 15 �'l CkYAP-W& STREET ADDRESS AJ q- 111, C_-3 nl k 5 - CITY, STATE, ZIP FAX CONTRACTOR NV,1E LICENSE NUMBER LICENSE TYPE BUS, LIC. AOMPANY NAME FAX STREET ADDRE`S? CITY, STATE, ZIP 2. I UNDERSTAND AND AGREE TO THE FOLLOWING, I The re -roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request can be scheduled u12 tie day -before thexeguested inspection date. To schedule inspections call (408) 777-3228 from 7:30-3-30P 1 in (Mon-Thurs) or.7,:30-2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections,, you must also call ort the day of the inspection only after that phase of the work is completed. The building in,spector will be out to the job site within one hour. The hours for this service are: 7,.-30;-1,0:30am and 1,2:3;0-3:30 (Mon-Thurs) and 7:30-.10:30am and 12:30-2.30 (Friday). Final Inspections will be given a tNv,o hour window. 3. Tear -Off Insl2ection 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/fasten0r st, shall'be either completely knocked -down or removed prior to this inspection. 4. If plywood is installed, ap lywood Nailing Inspection is reguired. 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 appr&6d inspection will require the removal of all new material down to the sheathing so a proper inspect'ion can be performed. 6. A Final.. Insl2ectioriand aRj2roval shall be obtained from the building inspector en 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 1/4" 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/doNknspouts-'install"ed, debris removed. 7. NOTE: If you call for a tear -off or plywood nailing inspection and the woilkis; rioti`icomplete, you will be charged a re -inspection fee. The re -inspection fee shall be paid before an'other' inspection can be scheduled. By my signing below, I certify each of the following is tnie: I am the property owner or authorized agent to act oil the pro erty owner's behalf. I understand and agree to comply with the re -roof policy stated above;: Valso under9tand that .p smoke detectors and carbon monoxide detectors are required to be, ingtalle''d in accordanc�with Sections R.314 Viand RIJ S., of the 2016 California Residential -k Rer oojPolicy,,.3014,doc reviscd 06101/17