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13050188
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10857 NORTHRIDGESQ CONTRACTOR:FOUR SEASONS PERMIT NO: 13050188 ROOFING OWNER'S NAME: MEHRA BINODANANDA PO BOX 1668 DATE ISSUED:05/28/2013 OWNER'S PHONE: 4089963288 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 ❑ LICENSED CONTRACTOR'S DECLAQR�ATION JOB DESCRIP'T'ION: RESIDENTIAL COMMERCIALE] License Class Lic.# 6 0 (12 SQ'S)TEAR OFF(E)CEMWOOD SYSTEM&INSTALL (N)50 YR COMP ROOF SYSTEM OVER(E)PLYWOOD. Contractor Date I hereby affirm that I am licensed Ali,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 3760 of the Labor Code,for the performance of the work for which this,permit is issued. " Sq.Ft Floor Area: Valuation:$5500 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:31636031.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify 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 DAYSOF IT 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 ALLED 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 1Q. Date: granting of this permit. Additionally,the applicant understands and will comply with all oint source regulations per the Cupertino Municipal Code,Section 9.1 . a 12E-ROOFS: S ,awe; Date 3 All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspe tion, gree to remove all ne materi s for 71- 41 inspection. ❑ OWNER-BUILDER DECLARATION 2 Signature of Appli t Date: Ll V I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL OF COVERINGS TO BE CLASS"A"OR BETTER 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) I,as owner of the property,am exclusively 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 Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertjuni pal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Co tion 5 , d 25 Section 3700 of the Labor Code,for the performance of the work for which thisOwner or authorize Date: l 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, 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 permit.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 110. REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �v 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 O CUPEitT1N0 (408)777-3228•FAX(408)777-3333•buildingecupet-tino.org PROJECTAPN# 2 G '�( ©_ZJJVA�a - �� OWNER T �y n� / �I PW t `JI E-MATL STREET ADDRESS / / STAZ ZIP / FAX CONTACT NAME PHONE E-MAIL C- ST S��j F 11 � ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT YCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACT RNAI LICENSE-NU0e LICISTS�E E BUS.J.!2 3 COMPANYNAME 7 �E-MAIL c' FAX��y®ar -�;' c�33'3 S AD SS pp C STATE PHOATE O�� 141 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex Multi-FamilyROOF7 A REVALUATION: Ss ` 0 ElSTRUCTURE: Commercial O Vp EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER(SPECIFY)t Wcelr�- REMOVE/REPLACE YES ff NO, PLYWOOD • /:" ❑ PLYWD ❑ OSB PITCH: ROOF ❑NO #LAYERS: X93: 8" TYPE: CDX :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: ufli d �i /c ss/ o�c� �J�'•��ii� 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 relating to building construction. I authorize representatives of Cupertino to enter the above-ident ed propfor inspection ps. Signature of Applicant/Agent: Date: V9 e urpo SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY If building is associated with a Home Owner's Association,provide letter PLAN CHECK TYPE RO P of approval from HOA. OVER-THE-COUNTER ❑ BUILDIN A w _Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLA G P w _Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DE Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroofApp_2011.doc revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION " ADDRESS: 1.0857 NORTHRIDGE SQ DATE: 05/28/2013 REVIEWED BY: MELISSA APN: 316 36 031 BP#: VALUATION: 1$5,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Du lex PENTAMATION 1SFDWLROOF USE: p I PERMIT TYPE: i WORK 12 SQ'S TEAR OFF' E CEMWOOD SYSTEM & INSTALL N 50 YR COMP ROOF SYSTEM OVER SCOPE (E) PLYWOOD. p FEE ID ROOF AREA s.f. 1REROOFFRES 1,200 on M NEW Mech.Plan Check PlumL Plan Check Elec.Plan Check Ntecit.Permit Fee: Plumb.Permit Fee: Elec•" Permit Fee: Fh Al ch.Insp. Other Plumb Insp. E171- 01her f lec.Insp..Insp.Fee: Plumb. lusp.I,e: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the relimina information available and are onlyan estimate. Contact the Det or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E : 7f� 11112) FEE QTY/FEE MISC ITEMS Plan Check F'ee: .Suppl. P(,'P'ee .Plumb.131fech./Elec Permit Fee: $180.00 .Suppl. Insp Fee PlumbAllfech./Elee Plumb.111ec h./ lec:Permit 17ce construction 'Tax.. Administrative fiee: Work Without Permit? 0 Yes (E) No $0:00 Advoweed Planning}Fees: Travel Documentation Tees: � Strong Motion Fee: IBSEISMICR $0.55 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $181.55 $0.00 - $181.55 Revised: 04/29/2013 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 CUPEk7tko (408)777-3228•FAX(408)777-3333•building aecupertino.org PRO APN 9 t STREET ADDRESS l CITY ATE,7�r Z C_D C( FAX CdC'OR f� i / . -; LICENSE 7,;2, LITYP BUS. C.jf E-MAII, FAX. Q D C STATE ZIP IV&_1 PHONE To 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 one business day before the requested inspection date. Please call(408) 777-3228 from 7:30-3:30pm(Mon-Thurs) or 7:30-2:30pm(Friday)to schedule inspection. For Tear-Off and Nailing Inspections,you must also call on the day of the inspection only. after,..that:phaCe of the work is completed The building inspector will be available within one hour. Final Inspections wihbe givena 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 . is applied without first obtaining an approved inspection will building inspector. Any roofing which 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 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 ori-site to review at the time of the inspection. -c., Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. .7. 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. 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 carbo on aide etect e quired to be i ecC in accordance with Sections R314 and R315 of the 2010 Californ 'ia Resenti aktode. Signature of Applicant/A Date: RerooJPo1icy_2012.doc revised 10/7/12 04/22/2013 22:57 4089960226 NORTHPOINT PAGE 02/02 f NORTHPOZNT HOMEOWNERS ASSOCIATION Northpoint Homeowners Association 10880 Northpoint way April 23, 2013 Cupertino,CA 95014 PH:4013-9W3734 FX:408.996-0226 City-of Cupertino UNG Community Management 6840 Via Dei Oro Suite 265 Son Jose,CA 85118 Re: Roofs PH:408-229-6000 FX:408-229-6001 To whom it may concern; Northpoint Homeowner's Association has contracted Four Season's Roofing to install new GAF Grand Sequoia Roof Shingles on homes here at Northpoint, Sincerely, Linda Stames On Site Manager