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12070063 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10544 RED FIR CT CONTRACTOR:FOUR SEASONS PERMIT NO: 12070063 ROOFING OWNER'S NAME: CYN IT IIA TUTTLE PO BOX 1668 DATE ISSUED:0711012012 OWNER'S PHONE: 4085932140 SAN JOSE.CA 95109 PHONE NO:(408)278-0330 A_ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL 11 LicenseClassc—.37 I.i"M RE-ROOF 13SQ-TEAR OFF EXISTING WOOD SHAKE G ROOF, Contractor Contractor ( s12, ti C ' Date �-��" �2 INSTALL 1/2" CDX PLYWOOD THEN 30# FELT 1 hereby affirm that I am licensed under the provisions of Chapter 9 UNDERLAYMENT CLASS A (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 penally of perjury one of the following two declarations: I have and will mainmin 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 whichthis pemtil is issued. Sq.Ft Floor Area: Valuation:54500 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:35905012.00 Occupancy Type: pemtil is issued. APPLICANT CERTIFICATION I certif) 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 180 DAYS OF PERMIT 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 DAYS FROM-RAST 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 '7-/0-)` Z 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: Signature /f Ci /rr' Dale �� All roofs shall be inspected prior to any roofing material being installed If a roof is installed without first obtaining an inspection.I agree to remove all new materials for inspection. ❑ OWNE.R-BUILDER DECLARATION 7_lo-12— G I hereby affirm That I am exempt from the Contractor's license Law for one of Signature of AppliuhnC hale: the following two reasons: AL1.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) I,as owner of the Property,am exclucvely 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 Ileallh&Safety Code.Sections 25505,25533,and 25534. 1 will 1 hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Ileallh&Safely 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 performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and 1 have and will mainmin Worker's Compensation Insurance,as provided for by the Ileallh&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 7-�0-� Owner or authorized agent: Date: pl'rlllll IS ISSUCd. I certify that in the performance of die work for which this permit is issued,)shall not employ any person many manner so as to become subject to the Worker's Compensation laws of Califomia. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to die Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construclion lending agency for the performance of forthwith comply wilh 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 indemnify and keep harmless the City of Cupertino against liabilities.judgments, ARCHITECT'S DECLARATION costs,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 pernin 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 . . _:... _• . :^' . 'r _...: -: ..._�, . . „r: r;., ..- vim, ,.. q i REROOF TEAR-OFF.POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.. C.B.O.. BUILDING OFFICIAL t CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333-building(a)cuoertino.oro 1 , PROJECT ADDRESS _ APNn /O L ecr� r C OWNF.RNAME PHONE E-MAIL `- STREET ADDRESS CITY. STATE,ZIP I _ FAX CONTRACTOR NAME LICENSE NUMBER LICENSETYP_E. BUS.LIC.r L _Ja Oct L_ ;c COMPANY NAME.J�( Sn 'j n E-MAIL FAX - G S„ S ZJOt1c STREET ADDRESS(](- 1 n �� CITY.STATE.7. _o ue CACS Ill PHONEg-27O - o�i7O 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 the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm.(Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day 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. Progress and 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. Progress Inspection is required when approximately 50% of roof covering is installed. 7. 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/<" 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. 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 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. 1 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 8315 of the 2010 California Residential Code. _ Signature of Applicant/Agent _ _��/ _ Datc: HerorJPnlicr_10/Ldor rrri.e,•d IJ?/lh/l l RE ROOF PERMIT APPLICATION COMMUNITY:DEVELOPMENT DEPARTMENT•BUILDING DIVISION / 10300 TORRE'AVENUE'-CUPERTINO.CA 95014-3255 ^ CUPERTINO (408)777-3228•FAX(408)7773333•buildino(Mcupertino.ora �� 1 1 PROJECT AUDRESS APS= .2 OWNER NAMEPHONE EAIALL 6k-S93-2 STREEI'ADDRESS CITY. STATE.LI PA TAS /0 rtf!j (CA q 14 CONTACT NAIIF - PHO.\E IQ 30l E-MAIL �iV STRE1,IADDRESSSot S TIT)',STATE.ZIP FaX ❑Ow NFR ❑ OAA'NER-RUILDER ❑ OWNER AGENT , JS(CONTRACTOR ❑CONTRACTOR AGE\T ❑ ARCHITECT ❑ENGISFER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICE.\SENLMBER LICE\SE T'PE BL5 LIC"� 4,71.1 os COMPANY NAME SAME E-MAIL FAN STREET.ADDRFSS CIT)".STATE.21P PHONE $02 w o5¢, C $'O ARCHI rECT,ENGINEER NAME LICENSE Nt MBER BUS.LIC.• COMPANY NAME E-MAIL FAX STREET ADDRFSS CITY.STATE.ZIP PHONE LSE OF ❑ SFD or Duplex je Multi-Family ROOF AREA: l� VALLAI'ION A� STRUCTURE. E] Q�Commercial 3 S Svc) c) J. EXISTING ROOF TN PE ❑BLILT-LP ROOF ❑.ASPHALTSHINGLES PIII\'OODSHARFS ❑N'OODSHINGLES ❑OIHERISPECIFYI REMO\'F.:REPLACE JeYES IF NO. Plf\COOD .i' ❑ PLN%% ❑ OSB MICH ROOF ❑ N .LAYERS dd THICF:N R' ❑ 3:S- 1'YP � COX PROPOSED ROOF TYPE, ❑BLILT-UPROOF 4SPHALTSHI\GLES ❑\AOODSIIAKES ❑N'OODSHINGLES 11 OTHER ICC-ES REPORT DESCRIPTION OF\CORA: S Mr l l e r 6 C �s By my signature below.I certify to each of the follo,cing: I am the property m,ner or authorized agent to act on rhe property owner's behalf. have read this application and the information I have provided is correct. I have read the Description of Work and%erify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons ioorize represe tiv of Cupertino to enter the above --identified property'for inspection purposes. Signature of Applicant/Azent - n. I a Dace: -7 O SUPPLEMENTAL INFORMATION REQUIRED 700 OFFICE USE ONLY _ If building is associated with aHome OWner's'Association.provide letter P HELI:TYPEOUTING SLIP Of approval from HOA. - DYER-TRE-COUNTER BUILDING PLAN REVIEW Provide P ring approval to verify'if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW a copy of Manufacturer's Installation Specifications ❑ STANDARD ❑ FIRE BE" vide sighed copy of Cupertino's Tear-Off Policy. ❑ OTEIER: Rer'oofApp_201 l.doc revised 03/16/11