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11060110CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20090 LA RODA CT I CONTRACTOR: WILLIAMS ROOFING I PERMIT NO: 11060110 OWNER'S NAME: CRAMB DALE S AND BILLIE R TRUS 142683 BRANTWOOD CT ' DATE ISSUED: 06/14/2011 1 f- "ER'S PHONE: 4082535591 n LICENSED CONTRACTOR'S DECLARATION p License Class a Lic. # C Contractor�� 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. 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 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations pert upertino Municipal Code, Section 9.18. Signature Date© � l OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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 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 permit is issued. I certify that in the performance of the work for which this permit is issued, I shall 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the ng of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date FREMONT, CA 94538 PHONE NO: (510) 882-4642 BUILDING PERMIT INFO: BLDG ELECT f— PLUMB r MECH I— RESIDENTIAL COMMERCIAL r— JOB DESCRIPTION: RE -ROOF REMOVE EXISTING SHAKES REPLACE WITH NEW COMP CLASS A 22SQFT Sq. Ft Floor Area: I Valuation: $7500 APN Number: 36934033.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHI 1 DAYS OF PERMIT ISSUANCE OR 180 DA OM LtST CALLED INSPECTION. Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing materia b ng installed. If a roof is installed without first obtaining an inspection, I agree o move all new materials for inspection. / Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Ow r authorized agen . ��� ` Date: 6— 7�L� (/ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of "ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional 3 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36934033.00 DATE ISSUED.......: 06/14/2011 RECEIPT #......... BS000013757 REFERENCE ID # ...: 11060110 SITE ADDRESS .....: 20090 LA RODA CT SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: CRAMB DALE S AND BILLIE R TRUS ADDRESS 20090 LA RODA CITY/STATE/ZIP ...: CUPERTINO, CA 95014-4410 RECEIVED FROM ....: STEVE G WILLIAMS CONTRACTOR STEVE WILLIAMS LIC # 32413 COMPANY WILLIAMS ROOFING ADDRESS 42683 BRANTWOOD CT CITY/STATE/ZIP ...: FREMONT, CA 94538 TELEPHONE (510) 882-4642 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ---------- NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 7,500.00 ---------- 1.00 ---------- 0.00 1.00 0.00 1BSEISMICR VALUATION 7,500.00 0.75 0.00 0.75 0.00 1REROOFRES SQ FEET 22.00 286.00 0.00 286.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 287.75 ---------- 0.00 287.75 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 575.40 --------------- 575.40 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CUPERTINO 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 (408) 777-3228 - FAX (408) 777-3333 - building6lcupertino.orq PROJECT ADDRESS L APN # A:f�s) 4!!�;rf OWNERNAME PHONE Oe Z5�/ � � E-MAIL STREET ADDRESS7µ CITY, STATE, ZIP FAX CONTRA OR N % ` LICENSE NUMBER f G 73q LICENSE TYPE BUS. LIC. # COMPANY NAME E-MAIL FAX 5" `42 [STREET ADDRESS/ Lf /�% , CITY, STATE, ZIP -� '� �� v PHONE YY6 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear -Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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. 6. 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 Residential Code. Signature of Applicant/Agent: Date: ReroofPolicy_2011.doc revised 02/16/11 CITY OF CUPERTINO FFF. F.CTIMATOR — BUILDING DIVISION FEE ID ROOF AREA s.f. 1 REROOFFRES 2,200 NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the D t.jor aaan'i info. FEE ITEMS (]�'ee Resolution 09-05I FEE QTY/FEE MISC ITEMS Permit Fee: $286.00 Work Without Permit? 0 Yes No $0.00 i Stroniz Motion Fee: IBSEISMICR $0.75 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $287.751 $0.00 TOTAL FEE: $287.75 Revised: 04/29/2011 20090 La Roda DATE: 06/14/2011 REVIEWED BY: gs AU'ADDRESS: APN: BP#: "VALUATION: 1$7,500 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Du lex7 USE: P PENTAMATION 1 SFDWLROOF PERMIT TYPE: WORK Remove existinq shakes and replace with new comp. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 2,200 NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the D t.jor aaan'i info. FEE ITEMS (]�'ee Resolution 09-05I FEE QTY/FEE MISC ITEMS Permit Fee: $286.00 Work Without Permit? 0 Yes No $0.00 i Stroniz Motion Fee: IBSEISMICR $0.75 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $287.751 $0.00 TOTAL FEE: $287.75 Revised: 04/29/2011 CUPERTINO t( 6 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(r)cupertino.org PROJECT ADDRESS Reroof4pp_2011.doc revised 03/02/11 7APN # ? / - L GI OWNER NAME PHONE —z-5-3 -Z-7/T77`7 ff'9/ E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX APPLICANT NAME � `d // PHONEZ V � E-MAIL STREET ADDRESS 42-4, 8 j a� ^ H CITY, STATE, ZIP L FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT NTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Rag" LICENSE NUMBER LICENSE TYPE C' ,34? BUS. LIC. # !N C 4ti, �C? � COMPANY NAME E-MAIL, FAX STREET ADDRESS t4 2_(,:�, 9- Z> 19P_ o CITY, STATE, Z PHONE ARCHITECT/ENGINEEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS C=, STATE, ZIP PHONE USE OF or Duplex ❑ Multi -Family �icst ROOF AREA: VALUATION: _ STRUCTURE: mercial EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE AYES IF NO, PLYWOOD ❑ %" PLYWD r_,0_,SP"1 PITCH: ROOF ❑ NO # LAYERS: THICKNESS: ❑ 5/8" TYPE: ' 12 CLASS: A PROPOSED ROOF TYPE: ❑ Bun T -UP ROOF PHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: � `v By my signature below, l certify to each of the following: I am the property o er 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 thePqecription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b m construction. I authotanves of Cupertino tc enter the above-Iden/tif d pro p }e�rt; for inspection purposes. gnApplicant/Agent:.g �g �Vz� �'� Signature of —�� Date: SUPPLEMENTAL INFORMATION REQUIRED kMA If building is associated with a Home Owner's Association, provide letter ALAN CB�CR'TYPE j � �ROIJTJNG SLIP T pu ccxlIIR 0 Bila D�tG RY AN xEv>Ew _ of approval from HOA. Provide Planning approval to verify if there any restrictions.❑raNNBvcrLAxl'viEw Provide copy of Manufacturer's Installation Specifications. ❑ STAND E — t❑IIu�nEer x signed copy of Cupertino's Tear -Off Policy. ❑ BOTHERw _Provide _ Reroof4pp_2011.doc revised 03/02/11