12040122 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11755 SEVEN SPRINGS PKWY CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 12040122
OWNER'S NAME: YU CATHY C R TRUSTEE 1703 CATIIAV DR DATE ISSUED:04232012
OW'NER'S PHONE: 4082537937 SAN JOSE,CA 95122 PHONE.NO:(408)251-3565
Q' LICENSED CONTRACTOR'S r r r
CTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class ,_ J 01 Lie.# /� 3o is-6 r r r
///l�• /, ` /(�� //�� 'J 9 MECH RESIDENTIAL COMMERCIAL
Contractor rias l p S Koat`,na Date
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: RE-ROOF TEAR OFF EXISTING SHAKE AND INSTALL
(commencing with Section 7000)of Division 3 of the Business&Professions 30NLB
Code and that my license is in full force and effect. FELT.INSTALL GAF GRAND CANYON CLASS A 1700SQFT
1 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.
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 Sq.Ft Floor Area: Valuation:$9500
permit is issued.
APPLICANT CERTIFICATION APN Number:36653024,00 Occupancy Type:
1 certify that l have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes, (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. Date:
�/
Signature/ — Date - Z$- /Z Issued by: E�/1� �jl/
❑ OAVNF,R-BUILDER DECLARATION
RE-ROOFS:
hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material bcug installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,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(Sec.7044,
Business&Professions Code) Signmure of Applicant: Date: �-Z?• i2
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code), ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1 hereby affirm under penalty of perjury one of the following three
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 1 have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&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 Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by The Bay Area Air Quality Management District I will
I certify that in the performance of the 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&Safety Code,Sections 25505,25533,and 25534.
Compensation Imus of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Owner orauthorized age
Date:
forthwith comply with such provisions or this permit shall be deemed revoked.
23- l2
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and slate that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
cored.1 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 ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
REROOF TEAR'-OFF POLICY
COMMUNITY DEVELOPMENT IDEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO "
(408)777-32�28- FAX(408)777-3333•buildinaCa)cuoertino.ore
PROJECTADDRESS IHSS �%VCJ J (Z� APNu
OwNERNAMEPHONEJ '�tn3� E-MAIL
STREETADDRESS 1 ITY STATE Cot q50 FAX
CONTRACTOR NA ME(N til `, �' LICENSE MBER Zf\6 LICENSE TYP§�•�J BUS.LIC.a
COMPANY NAME H w E-MAIL �J� (,r FAX
STREET ADDRESS -11)
�� CITY.STATE. CA��1 Q 2�I-�
` I ERSTAND AND AGREE TO THE FOLLOWING-
1.
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request cam.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 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 `/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.
8. NOTE: If you call fora 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. 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 Sect92,� 4 and R315 of
the 2010 California Residential Codt.Signature of ApplicandAgentDate: I�
Reroo1Po1ico_201/_doc revised 02/1611
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36653024 . 00
DATE ISSUED. . . ... . . : 04/23/2012
RECEIPT #. . . . . . . . . : BS000016599
REFERENCE ID # . . . : 12040122
SITE ADDRESS . . . . . : 11755 SEVEN SPRINGS PKWY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : YU CATHY C R TRUSTEE
ADDRESS . . . . . . . . . . : 11755 SEVEN SPGS P
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : CASTILLO' S ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTILLO' S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 251-3565
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- -——----- ----`----- -----—--- ----------
1BCBSC VALUATION 9, 500 .00 1 . 00 0 . 00 1. 00 0 . 00
1BSEISMICR VALUATION 9, 500 .00 0 . 95 0 . 00 0. 95 0.00
1REROOFRES SQ FEET 17 .00 238 . 00 0. 00 238. 00 0 .00
---------- ---------- ---- ---
TOTAL PERMIT 239. 95 0. 00 239. 95 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------
CHECK 239.95 #17760
---------------
TOTAL RECEIPT 239.95
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
309 EXTERIOR LATH 311 SCRATCH COAT
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 11755 Seven Spring Parkway DATE: 04/23/2012 REVIEWED BY: Sean
APN: BP#: "VALUATION: $9,500
*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF
USE: PERMIT TYPE:
WORK Tear off existing shake and install 30# Ib felt Install GAF grand canyon 1700 sq it).
SCOPE
FEE ID ROOF AREA
s.r.
1REROOFFRES 1,700
:Ilech. Plan i'he:•k 11hmrh. !gall(.7terk IJee. Phtn.Ch;-<;l'
Ilech. /'roan Vcza: Phunh. Prrmit Fee: /Ile(. Permit l-Ce
Orh'�;.lderh. fn`P. 011ier Plamb Insp. El
011ier Eke Inn7�.
iki It. hisp.Frr: Phiwb./rap. Fee: Elec. hi>p. Fir.:
NOTE: This estimate does not include fees due to other Departments(Le. Planning,Public(Yorks,Fire,Sanitary Sewer District,School
District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the De I or addn'I info.
FEE ITEMS (lee Resolution 11-053 Efl. 711/1 U FEE QTY/FEE MISC ITEMS
Plan Cheek Pee
Suppl. PC Fel
!'1 umh.:';14ec1 til;/ec
Permit Fee: $238.00
Su/tpl. 1ns11 Pee
l'!un t h.:PUC c%t.:`L•aa:c
Plnnni,:51/aeh.:Z:7ec Permit lee:
Construction Tar:
,ldministrxairc• Fee:
Work Without Permit? Yes (F) No $0.00
Aelvunucel Ml/min;Feer:
Travel P_ocumewalion Fees:
Strom Motion Fee: 1BSF.ISMICR $0.95 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $239.95 $0.00 TOTAL FEE: $239.95
Revised: 04/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333• buildinpacuoeriino.ong
PROIECT ADDRESS APN F
,R,Oen VA
OWNERNAME Yu 253-"1` 31 E-MAL J
STAEETADDRESS II'1SS . S. T$ZIP J ■ A -
APPLICANT NAME (�/_ r+ E-MAIL
CAA
STREET ADDRESS I ^_ Cm ZIP
as FAX .
❑OWNFE ❑ OWNER-BMIDER ❑ OWNERAGENi' CONTMLTOR ❑CONTRACTOR AC ❑ ARpnTELT ❑INGWEER ❑ DEVELOPER ❑ TENANT
CONIRAcToR NAME �S LIM4SE NUMBER LICENSE TYPES(— BUS.LIC.Y
COMME
COMPANY NAS am 3 E-MAIL FAX
SfREXT ADDRESSira-' T/]�. I =.STATE,IIP�1� CQC 2S1-35W
ARCHTTELTIENGE'�I NAMM LICENSE NUMBER `�(A • '„J Bd.LIC.p
CO.WANY NAME E-MAB. FAX
STREET ADDRESS CRY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Muld-Family ROOF AREA VALUATIpN:
STRUCTURE: ❑ Commercial l/�Y/'
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHNm re ❑OTHER(SPECIFY)
REMOVEMEPLACE <YES 1FNO. 'PLYW000 ❑ 'A" ❑ PLYwD ❑ OSB PITCH: ROOF
❑ N A 0 CXNFS ❑ La" TYPE: ❑ X :12 S, A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 41211ASHALT SHIJOIFS ❑WOOD SHAKES ❑WOOD SHL4= ❑o-rHER I ICC-FS REPORT d
DFSCAIPTION OF WORK TEQg . 1 J� f •I.r
` ` D i01 19hCCW4i\ L-D IV
By my signaw a below.I certify to each of the following: lam the property owner or authorimd agent m act on the property owner's behalf I have read this
application and the information I have p vided is correct. I have read the Description of Work and verify it is accumte. I agree comply with all applicable local
ordinances and state laws relating b ding Wmartion. I eutho representatives of Cupertino tc enter the ab v -' eDtiyad p�r,X for inspection purposes.
Signature ofApp Date:
SUPPLEMENTAL 11FORMATION REQUIRED
_If building is associated with a Home Owner's Associating provide letter MW� ou[Lvcisia.�,1 '
ofaPP roval from HOA.
s�y'DY.ER'T84`COD[.2L7t.T �hB�NG,PDAN.AEVJEW �-e:'
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacttmr's Installation Specifications.
_ Provide signed copy of Cupertino's Tear-Off Policy.
RemofApp_1011.doe revised O3/O2/ll