B-2017-0411CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0411
924 FERNGROVE DR CUPERTINO, CA 95014-4665 (375 38 028)
CASTO ROOFING INC
MOUNTAIN VIEW, CA
94043
OWNER'S NAME: KELLY TIMOTHY C AND ELIZABETH E TRUSTEE
DATE ISSUED: 03/13/2017
OWNER'S PHONE: 650-787-4918
PHONE NO: (650) 961-8922
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C39 Lic. #397223
Contractor CASTO ROOFING INC Date 01/31/2019
X BLDG —ELECT —PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
MECH X RESIDENTIAL — —COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
REMOVE (E) T&G (NO PLY); INSTALL B.U.R. (28 SQ'S)
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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.
z. �'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.
Sq. Ft Floor Area:
Valuation: $12000.00
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
"N Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
375 38 028
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.
Additionally, the applicant understands and will comply with all non-point
WITHIN 180 DAYS OF PE DANCE OR
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS F ECTI0N.
Signatore.- Date 03/13/2017
Issued by: MELISSA N
OWNER- DER DECLARAT
Date: 03/13/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RE-ROOF
following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
1. I, as owner of the property, or my employees with wages as their sole
installed without first obtaining an inspection, I agree to remove all new materials for
compensation, will do the work, and the structure is not intended or offered for
inspection.
sale (Sec.7044, Business & Professions Cade)
2. I, as owner of the property, am exclusively contracting with licensed
Signature of App rcai .
contractors to construct the project (Scc.7044, Business & Professions Code).
Date: 03/13/2017 .
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-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.
HAZARDOUS MATERIALS DISCLOSURE
z. 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 the work 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 permit 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
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If, after making this certificate of
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or authorized a
APPLICANT CERTIFICATION
Date: 03/13/2017
jj�N
I certify that I have read this application and state that the above information is�
N
I hereby affirm that there is a construction lending agency for the performance
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
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
1 understand my plans shall be used as public records.
Licensed
Signature Date 03/13/2017
Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT -.5UlLDtNGDIVISION
10300 TORRE AVENUE - CUPERTINO,CA. 95014-3255
CUPERTINO (408) 777-3228 FAX (408) 777-3 ! 33
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STRUCTURE:
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ICC -Es REPORT
DESCRIPTION OF -WORK:
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By any signature below, I certify to each of the following: 1 wn the property owner or authorized ageivt to act.on The property. owner's behalf. I -have read this
applicattionand the information 1have provi&discorrect. Ihave read the Description of Work and verify it is, accurate, I agree to comply with all applicable local
ordinances and state laws relating to build Tg construction, I authgrize representatives of Cupertino to enter the above -identified propeny for inspection purposes.
Date: --a�l
SUPPLEINIENTAL ENFQRMATION REQUIRED
If building is associated with a Hquic Owner's Association, provide letter
... . .... ... . .........
of approval from HOA.
Provide Planning approval to verify if there any restrictions. kA:R.NiN6 FLAN-KEMN:
Provide copy of Manufacturer's Installation Specifications. RI nFIRE DEPT
`".-
Pratide signed copy of QuP crtino's Tear -Off Policy.
Remo; 2011.doc revised 03176111
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 - building cu ertino org
PROJECT ADDRESS
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I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2016 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or 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. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs)
and 7:30-10:30am and 12:30-2:30 (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 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 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, 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 carbon monoxide detectors are mired to be installed in accordance with Sections R314 and R315 of
the 2016 California Residential
Signature of ADolicant/ALent: C
Date: 3 /3//7
ReroofPolicy 2014. doc revised 12/15/16
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