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B-2016-2218CITY OF C UPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2218 10100 TORRE AVE CUPERTINO, CA 95014-2167 (369 02 032) B A Q I CAMPBELL, CA 95008 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 06/27/2016 OWNER'S PHONE: 408-252-4008 PHONE NO: (408) 489-1362 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class )3 Lic. #a35983 Contractor B A Q I Date 04/30/2018 X BLDG —ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: TEAR OFF; INSTALL DENS DECK; (30 SQ'S) - THE PODIUM I hereby affirm under penalty of perjury one of the following two declarations: i. I have and will maintain a certificate of consent to self-in I e for Worker's Compensation, as provided for by Section 3700 of the Lab dr Code, for the J performance of the work for which this permit is issued. V-11 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 Sq. Ft Floor Area: Valuation: $15000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 369 02 032 J 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regu tions per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/2712016 Issued by: Abby Ayende Date: 06/27/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS- following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is i. I, as owner of the property, or my employees with wages as heir sole installed without first obtaining an inspection, I agree to remove all new materials for I do is intended for inspection. insp compensation, will the work, and the structure not or offered , sale (Sce.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 6/27/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain a Certificate of Consent to self-in7e 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of theork for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this p rmit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making lthis certificate of 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 exemption, I become subject to the Worker's Compensation revisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions o this permit shall be deemed revoked. ` Owner or authorized agent: APPLICANT CERTIFICATION Date: 6/27/2016 I certify that I have read this application and state that the above i 1formation is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representa Ives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purpo es. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino again�t liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the appli ant understands and will comply with all non-point source regulations per the Cuprtino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date mzqlmProfessional REROOF PERMIT APPLICATION COMMUNITY DEVELO MENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (4108) 777-3333 • building(5-cupertino.org 26 ZOI(o- 2'2f? PROJECT ADDRESS Tort -e- APN n O OVT'ERNAME I I.PHONE E-MAIL. I STREET ADDRESS I CITY,fTATE�IP FAX 16400 Toroe- rf CONTACT NAME PHHONE - E-MAIL STREET ADDRESS 2 CITY, SFAX eTATE, ZIP car 1 ,`b b 90IYNER ❑ OWNER -BUILDER ❑ 0)XVERAGENr CONTRACTOR ❑ CONTRACTORAGENTT ❑ ARCHITECT ❑ ENGiNmR ❑ DEVELOPER ❑ TENANT CONTRACTORNAME OL_pOrp'� C V ((ii LICENSENUMBER LICENSE TYPE BUS. LIC. R r COMPANY NAME E-MAIL FAX STREET ADDRESS y� CITY, STATE, ZIP co _4 6' z c 34 HONE 2 s o q - �+�•� .5 ARCHITECT/ENGINEERNAME LICENSENUMBER (� � � o Bus.LIC:m COMPANY NAME I E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONTE USE OF ❑ SFD or Duplex ❑ Multi -Family ROOF AREA: VALUATION: b Commercial (9c>� STRUCTURE: EXISTING ROOF TYPE: &,BUILT-UP ROOF ❑ ASPHALT S+FS ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE KYFS IF NO, PLYWOO ❑ Y.- ❑ PLYWD ❑ OSB PITCH: ROOF ❑ NO R LAYERS: THICKNS: ❑ 5/8" TYPE: ❑ CDX 12 CLASS: A PROPOSED ROOF TYPE: El BUILT-UP ROOF ElASPHALT SHINGLES ElWOOD SHAKES 11WOOD SHINGLES ElOTHER I ICC -ES REPORT R DESCRIPTION OF WORK VZ—, LAI(r=j LAS( 2 1�- P o F S By my signature below, I certify to each of the following: I am tihe property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I hay rovided 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 t b ding construe ' n. I aAorize representatives of Cupertino to enter the above-identifie property for inspection purposes. Signature of Applicant/Agent:I Date: f7 12 Ik SUPPLEMENTAL INFORMATION REQ>JIRED ter � �' � ° ` `� r � a r i If building is associated With a Home Owner's Association, protide letter � s- �� � ROZITiTjG�L3P � '�—� {rte• -u-b ` {Y�-�•' �`tEaS -wxt Nt ? } ©_3OPER THE COULTER f vnV2"z, L i of approval from HOA. € 7 $ DIT\�CrpS An RE��;y�fi _Provide Planning approval to verify if there an restril tions. PP fy 3 �s1Z RESSOz "'4( P`4Ai�IhLAn AMMON Provide copy of Manufacturer's Installation Specifica ions. �]a F,t Provide signed copy of Cupertino's Tear-OffPblicy. ❑ _ ul C3jL`t. G?l-rKJ-i'ti, 0 Rerooftlpp_2011.doc revised 03116/11 i REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, PI.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX ( 1108) 777-3333 - buildino ja�cuoertino.orq PROJECT ADDRESS •a / LPg rol '^ e- APN n, VANERNAME �� 2 jk!E� PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP Wo ' o FP P I„ b I FAX CONTRACTOR NAME I LICENSE NUMBER LICENSE TYPE BUS. LIC. R COMPANY NAME -7 E-MAIL FAX STREET ADDRESS 9_0 o `o" CITY, STATE, ZIP n PA- - l ' PHONE qeflws rbpq(J � / I UNDERSTAND AND AGREE TO THE FOLLOWING: The re -roof project shall comply wi h all applicable provisions of the 2013 California Codes. 2. An inspection request can be schedl Please schedule inspections online c 2:30prn (Friday) to schedule inspect day of the inspection only after tha available within one hour. The hour .and 7:30-10:30am and 12:30-2:30 ed uD to one business day before the requested inspection date. call (408) 777-3228 from 7:30-3:30pin (Mon-Thurs) or 7:30- )n. For Tear -Off and Nailing Inspections, you must also call on the phase of the work is completed. The building inspector will be for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs) Friday). 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 lis 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 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 I/4" per foot of slope and demonstrate there is no ponding. b. Listings from approved test ng agencies for all pre -manufactured products used shall be available on-site to review �t the time of the inspection. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. ID 7. NOTE: If you call for a tear -off or pl�ywood nailing inspection and the work is not complete, you will be charged a re -inspection fee. The re -i spection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the follpwing 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 rnonoxA detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential C de I a _ Signature of A Date: Reroo)To1icy_2014.doc revised 01/15/14