14050120CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 721 STENDHAL LN CONTRACTOR C +
PERMIT NO: 14050120
0,k -
OWNER'S NAME: JUDY YU
DATE ISSUED: 05/20/2014
OWNER'S PHONE: 4088571635
PHONE NO:
L7 LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL
TEAR OFF (E) TORCH DOWN & INSTALL (N) TORCH
� ^�
License Class /c/ I Lic. # < `l //, � tF
DOWN
Contractor /tb� C Date �- —/V
ROOF SYSTEM (35 SQ'S)
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
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.
Sq. Ft Floor Area:
Valuation: $23000
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
APN Number: 37542031 00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 D ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
180 +RO LLED INSPECTION.
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 may accrue against said City in consequence of the
Issued b Date: S 2 U /—t!f
granting of this perm t. Additionally, the applicant derstands and will c
/
with all non -poi so rce regulations per pertino Municipal ection
9 18.
d/
RE- ROOFS:
Signature Date `
All roofs shall be inspected prior to any roofi ial being installed. If a roof is
installed without first obt inspec ' agree to remove all new materials for
inspection.
Signature ofApplic t: Date: LN
❑ OW B ILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL RO F CO ER GS BE CLASS "A" OR BETTER
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self - insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by a Bay Area Air ali anagement District I
performance of the work for which this permit is issued.
will maintain compliance wi the pertino Mu al Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, ections 505, 2 nd 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized ag t: Date: �/
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
CO TR CTI DING AGENCY
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 must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C )
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
918.
Signature Date
ReroofApp_2011.doc revised 03116111
CITY OF CUPERTINO
�uU Tcrr7MArrn12 _I2ITII.nIN(i' 11IVICICIN
LaADDRESS:
721 stendhal In
DATE: 05/20/2014
REVIEWED BY:
Plan Checl,-
APN:
BP #:
*VALUATION: $23,000
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY SFD or Du lex
P
PENTAMATION 1SFDWLR00F
PERMIT TYPE:
USE:
Permit Fee:
$560.00
WORK
tear off a torch down & install n torch down roofs stem 35 s 's
SCOPE
Plyolilh ''�'1ttC'lJ.: t',loc
clwrk
f1r`iif;? ri1C't_;k
FEE ID ROOF AREA
s.L
1REROOFFRES 3,500
11I1ut1h. Plorr C:'fac :ck
PIV'07 h. PCI-PI il °t:
Other hurnh Inv?.
i' /r nh, lu p. Fee:
NOTE: This estimate does not include fees due to other Departments (Le. rianning, ruouc rrorns, rere, ouresoa.y -.1
_1 r'nntact the Dent for addn'l info.
LLJlr L1., GLH • a•[-.1- - ---- -
FEE ITEMS (Fee Resolution 11 -053 E . 7ff /1/13)
.__ ____________ __- ______
FEE
QTY/FEE
MISC ITEMS
Plan Checl,-
Permit Fee:
$560.00
suppl.. IF7,tp Fc',r
Plyolilh ''�'1ttC'lJ.: t',loc
,"hilml). Permit
CCJi2. ira.C'non Lax:
F71
tchnhri5irc.riivt> f�e.f:
Work Without Permit? ® Yes (F) No
$0.00
,ldconc cd Plurmirlg Fees:
/
Y'r,w'/ %) {tC'!.b/12t't2If,%do n Fees:
Strom Motion Fee: IBSEISMICR
$2.30
Select an Administrative Item
Bldg Stds Commission Fee: IBRRCBSC
$1.00
�, w ffi i r
$563.30
$0.00 , , TOTAL FEE:
$563.30
Revised: 04/01/2014
CUPERTINO
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(ftupertino.org
PROJECT ADDRESS ,14 4,J v � D L A
APN # Z 1
OWNER NAME I '1 U C
P L E
E -MAIL
STREET ADDRESS g
CITY, STATE, ZIP /
FAX
CONTRACTOR NAME L
LICENSE NUMBE�, L
LICE TY� B
BUS. LIC. #
COMPANY NAME !
E -MAIL F
FAX
STREET ADDRESS P
PHO /y
UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2013 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 /a" 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 underst d agree to comp/1'y comp/1'y with the re -roof policy stated above. I also understand that
smoke detectors and carbon mon ide tectors ar q ed to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential ode. I
of Applicant/ARent: / /� II&VIdam ( Date: 5 U
ReroofPolicy_2014.doc revised 01115114
lk:
�St. i flsf
ra -3 113
Address 7
PURPOSE
SMOKE / CARBON MONOXIDE ALARMS F _1L
OWNER CERTIFICATE OF COMPLIANCELa.�.,
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408).777-3228 • FAX (408) 777 -3333 • buildingO)cuaertino.org / S U
Permit No.
Cmnlra• ('orhnn Tdnrn..�.70•
This affidavit is a self - certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single- family and multi- family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with�e manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to copvly with the terms and conditions of this statement
Owner (or Owner Agenfs) me:
~
Si nature........ ..................... ............................... Dat .
C tr' e:
-h- Ci %lC
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Si natu C
...... ...... ...... ... ................... Lic.# .... ... .. ............... Date:..................
U�d
Smoke and CO form.doc revised 03118114