10090251 CITY OF CUPERTI NO BUILDING PERMIT
BUILDING ADDRESS: 11643 FOREST SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 10090251
OWNER'S NAME: LIK CHENG 1703 CATHAY DR DATE ISSUED:09/27/2010
VER'S PHONE: 4084210345 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB
License Class el Lic.# D �-'cl/ r
MECH RESIDENTIAL COMMERCIAL
C Date 9
I hereby affir that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF WOOD SHAKE,INSTALL#30LB FELT
&
(commencing with Section 7000)of Division 3 of the Business&Professions
INSTALL GAF GRAND CANYON COMP CLASS A 16SQ
Code and that my license is in full force and effect.
I hereby affirm under penalty 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 the work for which this Sq.Ft Floor Area: Valuation:$7500
permit is issued. G
APPLICANT CERTIFICATION f APN Number:36651058.00 Occupancy Type:
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 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.
D ��� 7-SCJ Issued by:��- - Date: �� 2 ?
Signature Date
OWNER-BUILDER DECLARATION
RE-ROOFS:
I 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 being 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) Signatur of Applicant Date:
1,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
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I 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. I 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&
Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this 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 laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I mu:;t Owne or th ized /, -7-/0
forthwith comply with such provisions or this permit shall be deemed revoked. Date: 7
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I hereby a
I certify that I have read this application and state that the above information is affirm that there is a constriction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relatir g 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
;ndemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
its,and expenses which may accrue against said City in consequence of the
.1anting 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. I understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR--BUILDING DIVISION
ADDRESS: DATE: REVIEWED BY:
APN: BP#: *VALUATION: $7,500 131
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY PENTAMATION
SFD or Duplex ��))`� ' 1SFDWLROOF
USE: P FJ0OR 41 ;, : PERMIT TYPE:
WORK
SCOPE
FEE ID ROOT'AREA
;.E
1REROOFFRES 1,600
r
LtG'EIt_ l luYr C'nc'r_'k
W",I1 Prrm1 t•i>c:
1'lttr tf5. Pc will i"c''
11c t?.IrrsP Inc
NOTE. These fees are based on the prelinddnatry in ormation available and are only an estimate. Contact the Dept for addn'1 info.
FFEEITEIM* S Fee Reso/�etion 09-051 E(. 7,%IilOj FEE QTY/FEEMISC ITEMS
Fcc.'c>
PlzImb.%Vech..1;lec:Plun C,lwc:k.
Permit Fee: $208.00
sup1_4, Itt I I.1V
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Cattsirttc'tioa
.1c:azislii;a/ Revi,,w Fc'c:
Work Without Permit? 0 Yes No $0.00
Plcttzrtiu�> t�'c'c',ti':
Travel 0oc'tttrtc'tttatim, 1`FcreS`: A
Strong;Motion Fee: IBSEISMICR $0.75 Select an Administrative Item
BldgStds Commission Fee: IBCBSC $1.00
SUBTOTALS: $209.75 $0.00 TOTAL FEE: $209.75
Revised: 9/22/2010
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPAWMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUI-DING OFFICIAL
10300 TORRE AVENUE•CUPERTINO CA 95014-3255
CUPERTINO
(408)777-3228•FAX(408)777-3333•.)uilding a(�cupertino.org
PROJECT ADDRESS a/t ,(. ��., PN#
^ /_ n PH4 �- )3 E-MAIL
OWNER NAME / .VII (f
STREET ADDRESS (� 2 CITY, ST ,ZIP no
/A �61i FAX
CONTRACTOR NAME 7 � LICENSE NU lr � LICENSE TYPE BUS.LIG#
COMPANY NAME QQ E-MAIL C FAX
L
STREET ADDRESS -2403 (r�//,f CITY,ST ITE,ZIP A 04
PHO
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a min mum of one day before the requested inspection date.
Please schedule inspections online or call (408)-/77-3228 between 7:30-3:30 (Mon-Fri).
3. Tear-off roof inspection is required. Please cE 11 for tear-off inspection after the roof is torn off and all
the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this
inspection. A building inspector will be availab e within one hour.
There are special hours for this service: 7:30 -- 10:30am and 1:00— 3:30pm (Mon—Thurs);
7:30 -- 10:30am and 1:00—2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspection is required.
5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is
weather tight after installation of approximately 25% of the roofing material.
6. New roof coverings shall not be applied withoul first obtaining all inspections 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 doyen to the sheathing so a proper inspection can be
performed.
7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is
complete. 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 must demonstrate there is no ponding.
b. Listings from approved testing agencies fol all pre-manufactured products used shall be available
on-site to review at the time of the inspection.
c. Proper spark arrestor installation.
8. NOTE: If you call for a tear-off or plywood n2 iling 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.�nders;Qnd_and comply with the re-roof policy sa9d �veSi nature of Applicant/Agent: �-�� Date:
Signature
ReroofPolicy_2010.doc revised 05/17110
M.Indoor Air Quality and Finishes
1.UseLmv1NoVO3G:P.alnt 1 IAO/Health pts Y--yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y--yes 0
3.Use Lowft VOGAdtesive5 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y--yes 0
7.S8d aY+ ee1 qr M DF - 4 IAQ/Health pts y--yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes 0
10.Install Whole House Vacuum System 3 IAQIHealth pts y--yes 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y--yes 0
2 Use Rapidly flenewaWe Foori Jylaferaais 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Hsalth pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y—=—yes 0
Total Points Available: 1401 130 57
Total Points Project Recelved: 0 01 0
G:d g eenbuildngguidelines/n modelersrgreenpointsfinal212Mprotectedxls
CITY OF
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CITY OF CUPERTINO c,
[EllREROOF
CUPERTINO PERMIT APPLICATION
APN # Date:
Building Address: I c ---;s L
rHOA:
Name: Phone
e J� A ..r"
Yes ❑ Noes, rovide lett.-r from HO
Phone #: 2 5- S
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Contractor: S--
Fax#:
Cupertino Business License #: Contractor icens
e .
Type of R)of Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Wilt-Up roof
❑ halt Shingles
Asphalt Shingles
Wood Shakes ❑ Wood Shakes
c3Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Nu ber of existing coverings ❑ Provide I.C.C.E.S. Report#
To be Removed ❑ Provide Mfgr. Installation Specs.
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Job Description: T PS-I�— F �
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Residential - Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the a 3plication or if there are any restrictions:
applicable, include in plan set & the sheet index.
Valuation: —1 sco, o 6
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
re
Revised 02/05/09