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11070191 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10695 MINETTE PL CONTRACTOR:QUALITY FIRST HOME PERMIT NO: 11070191 IMPROVEMENTS OWNER'S NAME: REX ISHAN 6545 SUNRISE BLVD STE 202 DATE ISSUED:07/26/2011 ER'S PHONE: 6502704742 CITRUS HEIGHTS,CA 95610 PHONE NO:(916)788-2921 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# MECH� RESIDENTIAL r COMMERCIAL F Contractor cqU LL' JJ Y s t- Date 77-06?— I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF 20 SQUARES-TEAR OFF,INSTALL COMP CLASS (commencing with Section 7000)of Division 3 of the Business&Professions A 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. I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$10000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:37532043.00 Occupancy Type: 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 and state laws relating to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulati s per the Cupertino Municipal Code,Section 9.18. i Issued by: ` -` Date 2 � Signature r to ��I1 L OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtainingan inspecti ree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: L o ,( Business&Professions Code) 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 HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 wnei ut ized become subject to the Worker's Compensation provisions of the Labor Code,I must o, Date: l forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of Hork's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address i•-' mnify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333-buildingc&-cupertino.org PROJECT ADDRESS y�j � APN# 2 ,`q-3 .c OWNER NAME V VPHEn Y E-MAIL L (� STREET ADDRESS M CITY STATE,ZIP • FAX C RACTOR JqANVI t S� LICENSE B LICEN PE BUS.LIC.# C ANY NA(1�l ` E-MAIL FAX LA 0-11 STRE TSQI{E� C1 TE,ZIP P �/'7 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 1/"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. 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 R314 and R315 of the 2010 California Residentia Code. Signature of Applicant/Agent: �' l s Date: ReroofPo1ic.v_2011.doc revised 02/16/11 CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37532043 . 00 DATE ISSUED. . . . . . . : 07/26/2011 RECEIPT #. . . . . . . . . : BS000014196 REFERENCE ID # . . . : 11070191 SITE ADDRESS . . . . . : 10695 MINETTE PL SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . . REX ISHAN ADDRESS . . . . . . . . . . : 10695 MINETTE PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : QUALITY FIRST HOME CONTRACTOR . . . . . . . : GC ANDERSON LIC # 30398 COMPANY . . . . . . . . . . : QUALITY FIRST HOME IMPROVEMENT ADDRESS . . . . . . . . . . : 6545 SUNRISE BLVD STE 202 CITY/STATE/ZIP . . . : CITRUS HEIGHTS, CA 95610 TELEPHONE . . . . . . . . : (916) 788-2921 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 10, 000 .00 1. 00 0 . 00 1 .00 0 . 00 1BSEISMICR VALUATION 10, 000 .00 1. 00 0 . 00 1 .00 0 . 00 1REROOFRES SQ FEET 20 . 00 280. 00 0 . 00 280 .00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 282 . 00 0 . 00 282 .00 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 550.20 visa --------------- TOTAL RECEIPT 550 .20 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 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333 • building cupertino.org Io�UI � PROJECT ADDRESS -�" eMeP APN# 3-15 32 0143-00 OWNER NAME � � � � ,p E-MAIL STREET ADDRESS C STATE FAX APPLIC N " P O E-MAIL STREET ADDRESS C TA+TE',`ZIP 1 _ FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 4 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CO CT I, Ll LIC TYPE BUS.LIC.# P yr (U E-MAIL FAX &�LfflKv&ytrlSv 1u `� i{ V co`` �s G IA e'/ 6 ARCHTTECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL, FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex Multi-Family ROOF AREA: VALUATION: 00 STRUCTURE: ❑ Commercial Coo EXISTING ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE ..YEST.IIF, NO, PLYWOOD 13W'. PLYWD C1OSB PITCH: ROOF El NOAER YS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX 3—:12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHADS ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK.- —t�Itt r p•v�S c� vw 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 relatingtobuilding construction. I authorize.representatives of Cupertino tc enter the above-identified pro1perty for inspection purposes. Signature of Applicant/Agent 1iy l V(;/�X_ Date: "' 6,"— SUPPLEMENTAL INFORMATION REQUIRED If building is associated with a Home Owner's Association provide letter ow� ' RM of approval from HOA. _Provide Planning approval to verify if there any restrictions. ��' — � — Y _Provide copy of Manufacturer's Installation Specifications. " - y .�,�ND9�FT`s-�-;..—�.c.�` ❑yFTR'W'�T'G!bT s—= 4 _ _Provide signed copy of Cupertino's Tear-Off Policy. _> �os ReroofApp_2011.doc revised 03/02/11