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12070065 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10540 RED FIR CT CONTRACTOR:FOUR SEASONS PERMIT NO: 12070065 ROOFING OWNER'S NAME: GENGSIiENG&YINGFANG ZHANG PO BOX 1668 DATE ISSUED:07/102012 OWNER'S PHONE: 4082103652 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11COAI\IERCIAI. License Class C-3 r Lica I`2_C os RE-ROOF 13 SQ-TEAR OFF EXISTING WOOD SHAKE ROOF, Contractor �S 2 ItiC - Date �'��' I2 INSTALL 1/2" CDX PLYWOOD THEN 300 FELT a I hereby affirm that l am licensed under the provisions of Chapter 9 UNDERLAYMENT CLASS A (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 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 Perf'ommnce of the work Ibr whichthis permit is issued. Sq.Ft Floor Area: Valuation:$4500 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 \PN Number:35905010.00 Occupancy Type: permit i5 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 DAYS OF PERMIT ISSUANCE OR to building construction,mid hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DA -FRok LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may acerae against said City in consequence of the O �� granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all nun-point source regulatiahs per the Cupertino Municipal Code,Section 9.18. RE:ROOF'S: Signature Dale All roofs shall be inspected prior to any rooting material being installed_If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-RUILDER DECLARATION Signature of Appli©nC Date: 7—/o- �2 I hereby affirm that I am exempt from the Contractor's License Law for ane of the following two reasons: ALL ROOF CO\'E T3S TO RE CLASS"A"OR BETTER I,as owner of 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 IU\'ZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Ilcalth&Safety Code,Sections 25505,25533,and 25534. 1 will 1 hereby affirm under penally 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 1 store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 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 the Bay Area Air Qualilv Management District I performance ofthe work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Ilcallh&Safety Code,Sections 25550055 25533.and 25534. Section 3700 of the labor Code,for Ste performance of the work for which this Owner or authorized agent: rte' Deter-I'D permit is issued 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person many manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGF.NC.I" become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby alfum that there is a consimetion lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify Ihm I have read this application and slate that the above information is correct. I agree to comply with all city and county ordinances and stale 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 indemnity and keep harmless the City of Cupertino against liabilities,judgments, ARCIIITECT'S DECLARATION 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 9.18. Signature Date REROOF TEAR-OFF�POLICY i COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION t ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 t (408)777-3228•FAX(408)777-3333•building(Wcupertino.ora PROJECT ADDRESS n APN a OWNER NAME(,� _ P('' PHONE E-MAIL: n= ✓1l I,1GY� PG ZlIGn - STREET ADDRESSJ J TY. STATE,LP FAX Z"I C�- is . p r 615G U CONTRACTOR NAME: LICENSE NUMB R LICENSETYPE BUS.TIC.4 '),21 n 9, C 5 C COMPANY NAME E-MAIL FAX � n! �l2G G.nG Dr) STREET ADDRESS _ -"1 CITY,STATE.21P PHONE ":.->2 1;..�n i �e �—.�•... ':C CA C1T11 I/,. - 7:%—�i3 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: t; 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. J� 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. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections I1314 and R315 of the 2010 California Residential Cod/e.. Signature of Applicant/Agent: G>" _. Date: ?- J Rono(Pulier ?011.rlue nwi.sed 02/16/11 i, _ REROOF PERMIT APPLICATION �b !. COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 11b 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 V CUPERTINO (408)777-3228•FAX(408)777-3333•buildingpcupertino.ora \�p� PROJECT ADDRESS 0� APS= S O\CNER NAm PHONE E-MAIL 4 yikq o- 6 2 STREEI'ADDRESS C SiSJp�RE.ZIP EAN CONTACT NANIE PHONE EJIAIL .0 30 STREET ADDRESS Sot Sgook Tose. CA, qS-1 I CITY STAIE, ].IP FAX 11O11FR ❑ OWNER-BLILDER ❑ O%\ER AGENT . 01TRAC TOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGIIFFR ❑ DFaELOPER ❑ TES:\uT ('ONnRACI'OR NAME LICE SE]LSIBER 2LICF\SET PE BLS LIC= � COMPANY NAME E-NIHIL FAN SAME STREET ADDRESS CITY.STATEZIP PHONE S"07- w o5e C -0 ,ARCHI TECT-ENGINCER NAME LICENSE Nr:\IBER BLS.LIC.- COMPANY N:\,\IE E-NIAIL FAX STREET ADDRESS CIT\'_STATE.LI P PHONE LSE OF ❑ SFD or Duplex j( Multi-Famil\' RODF AREA'. �/ VALL At ON 's� STRUCTURE ❑ Commercial 3 S y `+Q'V If EXISTING ROOF TNPE'. ❑BUILT-LP ROOF ❑ASPHALTSHINGLES A\OODSHAKF.S ❑NOODSHINGLES ❑OIHF.RUPECiF\') RE\IO\'F,REPLACE XIYFS IF NO PLY11'OOD jd! ❑ PLY%cD ❑ OSB P11 CH' ROOF ❑ N AN'FR dd THICKN S ❑ SB" i'1'P CDN 'I z CAS A PROPOSED ROOF TYPE. ❑BCILT-LPROOF 4SPHALTSHINGLES ❑\\OODSIIAAES ❑\\OOD SHINGLES ❑OTHER ICC-ES REPORT° DESCRIPTION OF\CORA'. 1/a" e a- AN my signaure below.I cenifv to each of the following: I am the propem'owner or authorized agent to act on the propem owner's behalf. 1 have read this application and the information I have provided is correct. I have read the Description of Work and verilb it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons tion, I a orize represe tie of Cupenino io emer the above-idemilied property for inspection purposes. Signature of Appfieanl/Agenc Dare: O 12 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ If building is associated with a Home Oaner'S Association.provide letter PLAN CHECK TYPE OUTING SLIP Ofappro%al front HOA. OYER-THE{HUNTER BUILDINGPLANREVIEw Provide Planning approval to veri f)if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW ZProv a cop)'of Manufacturer's Installation Specifications. El STANDARD ❑ FIREDEPr rovide signed cop)of Cupertino's Tear-HIT Police. ❑ OTHER: ReroofApp_7011.doc revised 03/I6/I I