12100084 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10598 WHITE FIR CT CO,NTRAC`fOR: FOUR SEASONS ILOOFING PERMI'TNO: 12100084
OWNER'S NAME: HE LIMIN PO BOX 1668 DA'I'S ISSUED: 10/112012
OWNER'S PIIONE: 4086748422 SAN.IOSF-.CA 95109 I'I IONF.NO:(408)278-0330
❑ LICENSED
jCON'IRAC`F.O/R'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT 0 PLUMB F-
License Class 1 !/ Lie.N Y /Q b
—�-�`/_T�- -� MECH r RESIDENTIAL r, COMMERCIAL r
Contmcto �;t. 1X�fi24 Date
hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE ROORINSTALL NEN'
(commencing with Section 7000)of Division 3 of the Business& Professions 12' _
Code and that my license is in full force and effect. CDN PLYWOOD AND 30M FELT UNDERLAYMF-NT.INSTALL 13
• SQ NEW CERTAINTEED PRESIDENTIAL-COMPOSITION
hereby affirm under penalty of perjury one of the following two declarations:
I have and will mainmin 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.
1 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:$4500
APPLICANT CERTIFhcATiON
I certify that 1 have read this application mid state that the above information is APN Number:35905131.00 Occupancy•Type:
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understmmds and will comply WITHIN 00 DAYS OF PERMIT ISSUANCE OR
aithallnon- asourc regulaticus per(he Cupertino Municipal Code,Section 180 DAY M LAST CALLED INSPECTION.
9.18. /
Signature DatS�? / 7� Issued s': Date:
/d
❑ OAVNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law formic of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any rooting material being installed.Ira roof is
1,m owner of the property,or my employees with wages as their sole compensation, installed without first obi 'ming am inspection,1 a ree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business d Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicu Date:
construct the project(Sec.7044,Business&Professions Code).
hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BE'FI'ER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the
perfomance of the work for which this permit is issued. 1 have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Ilenith&Safety Code.Sections 25505,25533,and 25534. 1 will maintain
Section 3700 of the Labor Code,for theerformance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
p Safety Code.Section 25532(a)should I store or handle hazardous material.
permit is issued Additiumdly,should I use equipment or devices which emit hazardous air
1 certify that in the performance of the work for which this permit is issued I shall contaminants as defined by the Bay Area Air Quality Management District 1 will
not employ an}'person in any manner so as to become subject to the Worker's Tiflihain cam plia lice with the Cupertino Municipal Code,Chapter 9.12 and the
Compensation Imus of California. If,after making this certificate of exemption,I4ner
&Safety Cod Sections 255115,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
forthwith comply with such provisions or this permit shall be deemed revoked ar a ori( d e t
Date
APPLICANT'f.FN'I'IFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state(hat the above information is
correct.I agree to comply with all city and county ordinances and state Imus relating I hereby affirm that there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Cir C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilitics,judgments,
costs,and expenses which may acerae against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITE.CT'S DECLARATION
9.18.
1 understand my plans shall be used as public records.
Signature Date
Licensed Professional
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•buildinaCdcupertino.org
APN0
O N&ME P -7 �+I( E-MAIL
STREETADDRESS STATE FAX
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COi OR AME /� LICE\' E E l Q LICEN n S.LIC.Me7_3
COMPA NAME ` E-MAIL FAX G��
STREET � V✓/✓ \ , TAT ZIP
I UNDERSTAND AND AGREE TO THE FOLLOWING: (J
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 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, 1 certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. 1 understand and agree to comply with (here-roof policy stated above. I also understand that
smoke detectors and carbon mon ''de detectors ar requir to be installed in accordance with Sections R314 and 8315 of
the 2010 California Residen ' ode.
Signature of Applicant/Agent. Date:
ReronJPo1icv_201/sloe revised 02/16111
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
12 ADDRESS: 10598 White Fir Ct. DATE: 1 011 012 0 1 2 REVIEWED BY: Sean
APN: BP#: 'VALUATION: $4,500
*PERMITTI'PE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARYBuildina isPENTAMATION
USE: Multi-Family Dwelling >3 Stories O Yes 0 No PERh1ITTl'PE: 1R2R00F
WORK Tear off existingwood shake roof. Install new 1/2" CDX plywood and 30# felt underla ment. Install
SCOPE new Certainteed Presidential composition shingles. Color: Country Gray.
FEE ID ROOF AREA
s.f.
1REROOFMRES 1,300
Xlech.Plan Check Plumb,P/on Check Flec.Plan Check
blech. Permit Fee: Plumb.Permit Fac: Fleas Permit Fee:
Otlrer Hech.lnsp. Other Plumb Insp. Other Fier.Insp.
kfech. hup.Fee: Plumb. /asp. Fee: Elea.Insp. Fee:
NOTE: This evtinrate does not include fees Clue to alter Departments(i.e. Planning, Public Works, Fire.Sanitary Swver District,School
District,etc.). These es are based air the retia»nor)information available and are on6,an estimate. Contact rhe De t or ac dn7 info.
FEE ITEMS (Fee Resolution 11-053 E1I711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Sapp/. PC Fee
Phimb./11ech./1,lea
Permit Fee: $195.00
Suppl. Insp Fee
Plumb./,Meeh./Flee
Phtmh.1A•lech.lElee Permit Fee:
Consnvcdon Tax:
Administrative Fee:
Work Without Permit? O Yes Q No $0.00
Advanced Planning Fees:
Travel Documentation Feer:
Strong Motion Fee: IBSEISHICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: /BCBSC $1.00
SUBTOTALS: $196.50 $0.00 TOTAL FEE: $196.50
Revised: 10/01/2012
-.-� - 12— 1
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333' buildingpcupertino.org
PROJECT ADDRESS/ aPNe
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OWNER NAME ' PHONE E-MAIL
STREETADDR5 CIT' STATE.ZIP FAX
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CONTACT NAME PHONE E-MAIL
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STRELI'ADDRESS
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❑OW NFR ❑ OWNER-BUILDER •❑ A OWNER AGENT CONTRA('TOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ OF ELOPER ❑ TENANT
C'OhTRACTOR NAME - LICENSENLAIBER 1.10ENSET PE BUS,LIC.-
FISEIr gg S-12-108
COMPANY\AME SAME
E-MAIL FAY
STREET ADDRESS . E ZIPS,,,, PHONE
Sol CITYSTAT
Iose C 8-a
ARCHrrE.CDENGINEER NAME LICENSE NUMBER RUS.LIC.u
COMPANY NAME I E-MAIL. FAX
STREET ADDRFSSI CITY,STATE ZIP PHONE
USE of ❑ SFD or Duplex Atd Multi-Family ROOFAREA: +e VALUATION:
STRUCTURE ❑ Commecial 13 Sa so
EXISTING ROOF TYPE: []BUILT-UPROOF ❑ASPIALTSHINGLFS rWOODSHAKES ❑WOODSHINGLES ❑OTHER(SPECIFY)
RCMOVF.IREPLA(-E YFS IF NO. PLYWOOD .- ❑ PLYwD ❑OSB PITCH ROOF
❑ NO eL YF.R ��// ICKNER ❑ -'9' TYPE D ,12 CLASS A.
PROPOSED ROOF TYPE: ❑BUILT-UPROOF iR4SPHALTSHINGLES ❑t;OODSHAKES ❑IFOOD SHINGLES 13 OTHER ICC-ES REPORT
DFSCRIPTION OF\PORK:
:redx 454 !s+� n��
I.so_od l+e^ 30# elk A._FIn�_'
01 e 464k A se A Qres1dtfi+Z4 coma a
By my signature below,I certify to each of[he following: I am the Property owner or authonud agent to act on the property owner's behalf, I have read this
application and the information I have provided is correct. I have mad the Description of Work and verify it is accumm. I agree to comply with all applicable local
ordinances and state laws reaming to buildin¢cons tion: I a orize rtprese t of Cupenino to enter the above-identified property fo;inspection,purposes.
Signature of AppImJmL/AgCm: Dam: O
SUPPLEMENTAL INFORMATION REQUIRED 77 OFFICE USE ONLY
_If buildin@ is associated with a Home 0\vner's Association.provide letter PLAN CHECK TYPE000Omp111I ROUTING SLIP
of approval from HOA. OYER-THE-COUNTER I BUILDING PLAN REVIEW
_Provide Planning approval to verify if there any restrictions. ENPRE55 ❑ PLANNING PLAN Review
Provide copy oPManufacturer's Installation Specification, ❑ STANDARD ❑ FIRF-DF-Pr
Provide signed copy,of Cupertino's bear-Off Policy. ❑ OTHER:
ReroojApp_Z011.doc revised 03/16/11