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13060078 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10835 NORTHVIEW SQ CONTRACTOR:FOUR SEASONS PERMIT NO:13060078 ROOFING OWNER'S NAME: RAMA MEKALA PO BOX 1668 DATE ISSUED:06/10/2013 OWNER'S PHONE: 4085170160 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL[] License Class Lic.# `0 RE-ROOF 12 SQ-REMOVE EXISTING COMWOOD ROOF SYSTEM Contractor Date' AND INSTALL NEW GAF GRAND SEQUOIA 1 hereby affirm that I am licensed un he provisions of Chapter 9 SHINGLEROOF, (commencing with Section 7000)of Division 3 of the Business&Professions CLASS 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. Sq.Ft Floor Area: Valuation:$5200 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:31636011.00 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 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 DA F M LAST 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 Issued by: Date l ' granting of thi it. Additionally,the applicant understands and will comply with all noxi-p nt source regulationser the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Sign DaR& All roofs shall be' ted prior to any roofing material being installed.If a roof is installed wi t first taining an inspection,I agree to remove all new materials for inspection ❑ OWNER-BUILDER DECLARATION Signature of I hereby affirm that I am exempt from the Contractor's License Law for one of ; the following two reasons: ALL ROOF 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 isnot 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(See.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 define y the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compli ce wit the Cup rtino Muni ipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safe Code, ections 2 0 553 534. J Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized Date: 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 bate REROOF PERMIT APPLICATION ILICOMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION j 10300'TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO l/ (408)777-3228•FAX(408)777-3333•buildingefficuoertino.ora PIYOJE � APN# 5((.p 3 W oil CIW14ERNA AMNA � D E-MANE STREET ADDRESS" "-Y rm STATE,ZIP FAX CONTACT NAME PHONE E-MAIL. c h -v 57-cal ❑OWNER ❑ OWNER-BUILDER ❑OWNERAGENr CONTRACTOR ❑COMAACfORAG[Nr ❑ ARCIMECr ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACT R NAME 'a�� L IC�1SE TAPE ij�� 1 COMPANY NAME �/�E-MAIL `37 FAX ar A VW X333 CF.STA 33FaM ��t IARCHITECTIEENGINEER NAME LICENSE NUMBER BUS:LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex 4Multi-Familyj0,tQOFAREA- VALIJATTON: STRUCTURE: ❑ Commercial �f EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHA_ES ❑WOOD SHINGLES J�{�OTHER(SPECIFY) � Q - . �• I-A sit REMOVE/REPLACE YES 1FNo, PLYWOOD ❑ PLYWD ❑OSB PITCH: �I ROOF NO LAYERS: /8" TYPE: CDX —f—:12 CLASS: A PROPOSED ROOF TYPE: ❑BULLT-w Rom ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER 1CC-ES REPORT# DESCRIPTION OF WORK: ® / � �G1'/1� �Artw�Yi� I'bot'" ,S S.f►N- �'�l n:aare�l it.Gw 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-identified property for inspection purposes. Signature of Applicant/Agent: ��'� Date: SUPPLEMENTAL INFORMATION REQUIRED oc1 use ortry If building is associated with a Home Owner's Association,provide letter xocnnN� of approval from HOA. o=zcolnNiEx �inNcvr AlxvnW Provide Planning approval to verify if there any restrictions. ❑° ❑ rz nfinNnvG ri AIN tw Provide copy of Manufacturer's Installation Specifications. ❑ , ❑ n�PT Provide signed copy of Cupertino's Tear--Off Policy, ❑ � •, ReroofApp Z011.doc revised 03116111 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL GU E TINO 10300 TORRE AVENUE•CUPERTINO,CA 95094-3255 (408):777-3228•FAX(408)777-3333•building aaguoertino.org PROTE s APN# ov A49 ♦ P �J°`'J► Q l�V E MAIL STREET ADDRESS CITY, STATE,ZIP ! FAX C CT RN LICENSE /6k LICEN BUS.L J �� CS E-MAIL FAX 117 STRE T ADDRES -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 phase of the work is completed. The building inspector will be available within one hour. 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. 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'/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. There-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 ers d and a e.to comply with the re-roof policy stated above. I also understand that . smoke detectors and car n mon 'de dere o ar requ' d to be ' stalled in accordance with Sections R314 and .15 of the.2010 CaliforniaR identi ode. Signature of Applicant!' Date: ReroofPo1icy_2012.doc revised 10/7/12 NORTHPOINT HOMEOWNERS ASSOCIATION Northpoint Homeowners Association 10880 Northpoint Way April 23, 2013 Cupertino, CA 95014 PR 408-996-3734 FX:408--996-0226 UNC Community City of Cupertino Managernent 6840 Via Del Oro Suite 265 San Jose, CA 95119 Re: Roofs PR 408-229-6000 F/X.-408-229-6001 To whom it may concern; Northpoint Homeowners Association has contracted Four Season's Roofing to install new GAF Grand Sequoia Roof Shingles on homes here at Northpoint. Sincerely, Linda Starnes On Site Manager