12080259 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7427 BOLLINGER RD CONTRACTOR:MILLERS ROOFING PERMITNO: 12080259
OWNER'S NAME: KANG WENLUNG AND YU MANIUEN 2246 LOS GATOS ALMADEN RD DATE ISSUED:08272012
OWNER'S PHONE: 5109106399 SAN JOSE.CA 95124 PHONE NO:(408)356-6211
❑ LICENSED CONIRAC`f0R'S DECLARATION BUILDING PERMIT INFO: BLDG C ELECT I-n PLUMB[
License Class G3 Lie.9 es ✓Q /
n^ N1ECH r RESIDENTIAL rl COMMERCIAL r
Contractor �/� !✓I I II`{r Date
1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REMOVE EXISTING WOOD SHAKES.INSTALL NEW 7/16'
(commencing with Section 7000)of Division 3 of the Business& PrOfCNAMIs OSB
Code and that my license is in full force and effect. AND NEW COMPOSITION SRINGELS(2500 SOFT)CLASS A
hereby affirm under penally 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 tlme work for which this Sq.Ft Floor Arca: Valuation:$9000
Permit is issued.
.1I'1'I,IC\Nf CER'1'IPICA'I'ION APN Number:35923019.00 Occupancp'I'ypc:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against Iizbilitics.judgments,
costs,and expenses which may accrue against said City in consequence oflhe WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting ofthis permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
/ 9.18. W/�,_ Issued b -
Signature Date y': Date: G-
/V !9TG �j 'Ig
❑ OWNER-RIIILDER DECLARATION
RF:ROOFS:
hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.Ifa roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all nese materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sce.7044,
Business R Professions Code) Signature of Applicant: Date:
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business R Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BE'1-I'F-R
hereby affirm under penalty of perjury one of the following three
declarations-. HAZARDOUS MA'T'ERIALS DISCLOSURE
I have and will maintain a Certificate of Conserv to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Ilealth S Safety Code.Sections 25505,25533,and 25534. 1 will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilealth S
Section 3700 of the Labor Code,for the performance of the work for which this Safely Code,Section 25532(a)should 1 store or handle hazardous material.
Additionally,should I use equipment or devices which end(hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I cenify that in the performance ofthe work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health S Safety Code.Sections 25505,25533,and 25534.
Compensation Imus of California. If,alter making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Own``ffLLr or authorized agent:
&
forthwith comply with such provisions or this permit shall be deemed revoked. �1•`�/�- Date'
,O'I'I:ICAN'I'CER'1'I PIC..CI'ION CONS'1'It11C1'ION LI.NDING AGENCY
I certify that 1 have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCI IITECI"S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. I understand my plans shall be used m public records.
Signature Dale Licensed Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildincl OlcuoertinO.orc
CUPERTINO MPROTECT ADDRESS �^ lJ APN#
OWNER NAME •1 PHONE E-MAIL
STREET.ADDRESS�L-1� l I CITY, STA ZIP FAX
/ I
CONTACT NAME PHONE E-NI.AIL
STREET ADDRESS ,.ter/ CITY.STATE.'ZIP FAX
EA
❑OUNER, ❑ ORNAU[LDER ❑ OWNERAGENT t/�C0wmkCrOR ❑CONIRACrOR AGENT ❑ ARcHr ECT ❑ENGNEER ❑ DEvELOPEt ❑TENANT
CONTRACTORNAME I I� r,^Illl LICENSE NIRMER J`0)/ LICENSETYPEC'? BUS.LIC.#
XCOMPANY NANOPool E-ALAR. FAX
STREET.ADDRESS / en, M pt)jCITY.STATE.ZIP_fM�O� gj� PA
ARCHITECTIENGINEER NAME(-, LICENSE NUN®ER BUS.LIC.#
COMPANY NANIE E-MAIL FAX
STREET.ADDRESS CITY,STATE.ZIP PHONE
USE OF SFDor Duplex ❑ h•Iultl-Family, ROOFAREA'4o01 } VALUATION:
///�
STRUCTURE: ❑ Commercial J++UU[[ I / D O
EXISTMGROOFTYPE: ❑BUILT-UPROOF ❑ASPHALTSHINGLES 14WOODSHAKES ❑WOODSHINGLES ❑OTHER(SPECIF )
REMOVE REPLACEYES IF N0. PLYWOOD ❑ 15- )1 r PLYRm OSB PITCH: ROOF
❑ N #L RC THICKNESS ❑ vA- i(DTYPE ❑ 't, L 4S 'a
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES 1 0\'t\` l❑W IOOD SHAKFS ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK: 1^ r� \ W1 1
tr! QQ i11 pl
Tn,
By nW signature below,)certity m each of the following: I am the property owner or audiorized agent to ac(on the property owner's behalf. 1 have read this
application and die information I have provided is correct. I have read the Description of Wort:and verify it is accurate. I agree to comply With all applicable local
ordinances and stare laws relating to building eonsiniction. I authorize representatives of Cupenino to enter the above-identified property forins ction purpo e .
l �! Z
Signature of Appl icanUAgenc !ice Date: k
SUPPLENIENTA L INFORMATION REQUIRED - OFFICE Use ONLY:,
_If building is associated With a dome Owners Association,provide letter . PLANcHEce'rvPE
- - Rouiinc-sLlr
of approval from HOA. y�'OVER.THE-COUNTER )4'UI1 uiNG PIAN REvveW
_Provide Planning approval to verify if there any restrictions. `❑ EXPRESS IIYPLiNNING PLAN REVIEW
_Provide copy of Manufacturer's llstallation Specifications. ❑ STANDARD ❑ naE NETT A/P
Provide signed copy of Cupertino s Tear-Off Policy.
• .❑ OTHER: GiS• PlA.,,t
Reraoflpp_?011.doc revised 03116/11
T_
-- - - - — - -- --- - - - — - — ---
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.
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 7427 Bollinger Road DATE: 08/27/2012 REVIEWED Bl': Sean
1722-14 APN: �3 BPN: 'VALUATION: $9,000
*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PFNTAMATION 1SFDWLROOF
USE: PERMITTYPE: A
WORK Remove existing wood shakes. Install new 7/16" OSB and new composition shingles 2500 sq ft
SCOPE
FEE ID ROOFAREA
s.f.
1REROOFFRES 2,500
bleclr. Plan Check Plumb. Plan Check Elec. Plan Check
Mech.Permit Gee: Plumb.Permit Fee: ries. Permit Fee:
Othev,llech. /rtrp. Other Plumb Insp. Other Elec.Insp. ET
.l/ech.MAP. Pec: Plumb. bap. ree: . rice.Insp.Fee:
NOTE: This estinutte sloes trot include fees clue to other Departments(i.e. Planning, Public 11'orks, Fire,Sanitary Server District,School
District,etc.). These ees are based at the prelintinan•information available and are only an eminate. Contact the Dept for addn'I info.
FEE ITEMS (Fee Resohuion 11-053 Eff 7/I/lI1 FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Supp/. PC Fee
PhanbAl,fech./Elec
PennitFee: $375.00
Supp/. lisp Fee
Plumb./hlech./rlec
Plunih./d•lech/rlec Permit Pee:
Construction Tac:
Administrative Fee:
Work Without Permit? O Yes Q No $0.00
Adrrniced Planning Fees:
Travel Documentation Fees:
Strong Motion Fee: IBSEIS,b1ICR $0.90 Select an Administrative Item
Blde Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $376.90 $0.00 TOTAL FEE: $376.90
— — Revised: 07/01/2012
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
CUPERTINO
(408)777-3228• FAX(408)777-3333•building(a)cuoertino.oro
PROJECT ADDRESS /J I� O� APNp
OWNER NAME M71 L PHONE E-MAIL
STREET ADDRESS [�� Il ltll CITY. STATE ZIP FAX
CONTRACTOR NAME II nl�� �I LICENSF.NUMB R G LICEUSETYPECV BUS.LIC.#
COMPANYNAME i OQ I I' E-MAIL o FAX
STREET ADDRESS III(1 t CITY.STATE ZIP PHONE
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 the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day 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. Progress
and 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. Progress Inspection is required when approximately 50% of roof covering is installed.
7. 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 Y<" 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.
8. 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 of$126.00. 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. 1 also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date: r
ReroofPol cv_201 Ldoc revised 02116/11