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10050096I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 6 RESULTS WAY OWNER'S NAME: REINHARDT BLAKE NER'S PHONE: 6502924101 LICENSED CONTRACTOR'S DECLARATION License Class `3 /� Lic. # 4� 70Zs Contractor a e—� 1/0 I hereby affir cc rider the provisions of Chapter 9 (commenc' ith Sec 00) of Division 3 of the Business & Professions Code an hat 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 so rce regulations per the Cupertino Municipal Code, Section 9.18. Signature Date id U N -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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, 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 -nnify and keep harmless the City of Cupertino against liabilities, judgments, _s, 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 sAurce regions per the Cupertino Municipal Code, Section 9.18. Date �/ �0/r CONTRACTOR: ALLIANCE ROOFING PERMIT NO: 10050096 1250 CAMPBELL AVE DATE ISSUED: 05/10/2010 SAN JOSE, CA 95126 PHONE NO: (408)261-2595 BUILDING PERMIT INFO: BLDG F ELECT I— PLUMB MECH F RESIDENTIAL F COMMERCIAL f— JOB DESCRIPTION: RE -ROOF TEAR OFF EXISTING BUR/GRAVL.NO RESHEET, INSTALL 60MIL TOP OVER 1/2" DENS DECK 450 SQ CLASS A Sq. Ft Floor Area: Valuation: $204996 APN Number: 35720041.6 RESULTS I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED 'WITHIN 180 DAYS OF PERMIT ISSUANCE OR 1.80 DA7 OM LAST CALLED INSPECTION. l Issued by: ` r ��' lv Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is insta led without first obtaining an inspection, I agree to remove all new materials for inspection. i Signature of Applicant:Date: -50611(o ALL ROOF ERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I hai a 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 & Safe y Code, Section 25532(a) 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 mair tain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Own er or 1t1 a nt: Date: / CONSTRUCTION LENDING AGENCY I her. affirm that there is a construction lending agency for the performance of work's for v hich this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I unc erstand my plans shall be used as public records. Lice used Professional 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: loot: APN ........: 35720041.6 RESULTS DATE ISSUED.......: 05/10,2010 RECEIPT #.........: BSO00010369 REFERENCE ID # ...: 10050096 SITE ADDRESS .....: 6 RESULTS WAY SUBDIVISION ...... CITY .............. CUPER-INO IMPACT AREA ...... OWNER REINH;kRDT BLAKE ADDRESS ..........: 6 RESULTS WAY CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: JEFF ]2AINEY CONTRACTOR .......: MILLE]2, ROD LIC # 20791 COMPANY ..........: ALLIA14CE ROOFING ADDRESS ..........: 1250 CAMPBELL AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95126 TELEPHONE ........: (408):261-2595 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 204,996.00 ---------- 9.00 ---------- 0.00 ---------- 9.00 0.00 1BSEISMICO VALUATION 204,996.00 43.05 0.00 43.05 0.00 1REROOFCOM SQUARES 450.00 2376.00 0.00 2876.00 0.00 ---------- TOTAL PERMIT ---------- 2328.05 ---------- 0.00 ---------- 2928.05 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 2,928.05 --------------- 2,928.05 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- MC VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF „TY Of CUPERTI O CITY OF CUPERTINO RER01OF PERMIT APPLICATION APN # Date: s/ ta /0 Building Address: VA-LI �V Owner's Name: �(4Kc + 4 I AM � ��I Phone #: b 5 o L97-_ q101 HOA: Yes ❑ No 91 If yes, provide letter from HOA Contractor: �� Phone M `- ” Lh ZSR S Fax #: �, ZE 26 5 Cupertino Business License M Contractor License #: q 7 QQ-_5 Type of Roof Covering: Existing: Proposed: X Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) -4 Other (Specify) 60 el 1 1. -T?p Number of existing coverings ❑ Provide I.C.C.E.S. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 7BO z r, Residential ❑ Commercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: ?? I Have Read, Understand and Will Comply with Cur ertino's Signatur Tear -Off Policy: Revised 02/05/09 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT, BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95C 14-3255 (408) 777-3228 - FAX (408) 777-3333 - building Dcupertino.org PROJECT ADDRESS b '-12 % d APN # OWNER NAME j� KC �it/I��• PHO 5 C, . I c 2 ICi f E-MAIL STREET ADDRESS CITY, ATE ZIP e C j FAX CONTRACTOR NAME LICENSE NUMBER L4 -7 4z Ll ENSE TYPE BUS. LIC. c: - COMPANY NAMEE-MAIL ,I FAX STREET ADDRESS CITY, ST TE, ZIP -mact �^ Si z6 PHONE �o �-0 C I UNDERSTAND AND AGREI= TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable previsions of the 2007 California Building Code. 2. An inspection request shall be scheduled the day before the inspection date. Please call (408)777- 3228 between 7:30 - 3:30pm (Mon -Fri) to schedule the; next day inspection. 3. After the roof is tom off and the nails/fasteners have been removed and all the dry -rotted wood has been replaced, you must call for a roof inspection. A -)uilding inspector will be available with one hour. There are special hours for the service: 7:30 — 10:30am and 1:00 — 3:30pm (Mon — Thurs); 7:30—10:30am and 1:00 — 2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. 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. 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 :tem will be verified: a. Flat roofs shall have a minimum of/" per foot of slope and demonstrate there is no ponding. b. A listing from an approved testing agency shall be avidlable on-site to review at the time of the inspection. c. Proper spark arrestor installation. - 7. NOTE: If you call for a plywood nailing inspection and the job is not ready, you will be charged to a re- inspection fee of $126.00. The re -inspection fee shalt be paid before another inspection can be scheduled. my signature below, I certify to each of the following: 1 am the property owner or authorized agent to act on ane property owner's behalf. I nderst d agree to comely with the re -roof policy stated above. Signature of Applicant/Agent: Date: -/lv �- — ReroofPolicy_2010.doe revised 04114110 CUPERTINO C"NITU A (-TOR /,,;I TBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: �)� 'O PERMIT OWNER'S NAME: PHONE # (� S0 272--L)/01 GENERAL CONTRACTOR: u. BUSINESS LICENSE # ADDRESS: 1'2-S40 f ...;23c(/ //"►/z CITY/ZIPCODE: 4") 3(751 � -4V h■,e;nncc lies nu -- *Our municipal code requires all businesses worxmg In Me city tu in vu u —.7 -r--- NO BUILDING FINAL OR FINAL OCCUPANCY INSF ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND 2,rs SU CONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: - Date eulgete re cnhenntr andhe following information: —Z� enel �raetor Signature sW/Obb Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile —Z� enel �raetor Signature sW/Obb Date