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12080113
CITY OF CUPERTINO BUILDING PERMIT 13111LDL\C,\UUItESS: 21092 RIM FIR CT COQ TRACTOR:FOUR SEASONS ROOFING PERMITNO: 12080113 OWNER'S NAME: CIIEUNG SIIIRI.FY C HT AL PO BOX 1668 DATE ISSUED:08/132012 OWNER'S PHONE: 4089579188 SAN.IOSE.CA 95109 PHONE NO:(408)278-0330 lb" LICENSED CONTRACTOR'S DECLARATION BUILDING PERDIIT' INFO: BLDG I- ELECT r PLUMB(- License Class C-31 Lie.4 47(00 r^p plECll r RESIDENTIAL r— COMMERCIALContractor ( 3 ft trlC. Date r .10B DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE ROOF.INSTALL 12" I hereby affirm that I nm licensed under the provisions of Chapter') (commencing with Section 71101))of Division 3 of the Business S Professions CDX Code and that ntv license is in full force and effect. PLYWOOD THEN 3011 FELT UNDO:g1�1'YNT.INSTALL I3SQPf CLASS A CERTAINTEED PRESI f 1. OMPSHINGLES. I here M•affirm under penally of perjury one of the following two declarations: I have and will maintain a certificate of consent Io selfincure Ivor Worker's Compensation,is 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 die work for which this permit is issued. Sq. Pt Floor Area: Valuation:54500 AI'I'I,IC.\NI'CIiR'1'IPIC.\'I'ION I certify than I have read this application and state that the above information is ,U.N Number:35905048.00 OccupancyType: correct.I agree to comply with all city and county ordinances mid state Imes 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 grmingoflhispemnir Additionally,(lie applicant anderslands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR With all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date q"1)- IZ Issued hy: � l✓ 144zz-11 Date: ❑ OWNI IILDER IIISCLARATION 1 hereby Alinn that 1 am exempt from the Contractor's License Lawfor one of RE ROOFS: (he following two reasons: All roofs still]]be inspected prior to may roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,1 agree to remove all new materials for will do the work,mid(he structure is not intended or offered for sale(Sce.7044, inspection. Business S Professions Code) p I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Appli©ne Date: 3—12 consnaet the projec((Sec.7044,Business&Professions Code). 1 hereby affirm under penally of perjury one of the following three ALI,ROOF COVE ,'G, TO Ill,CLASS"A"OR BE ITER declarations: I have and will maintain a Certificate of Consent to self insure for Worker's ILV ARDOUS MATERIA S DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of(he I have and will maintain Worker's Compensation Insurance,as provided for by California I Icalth S Safely Code.Sections 25505.25533,and'553.1. 1 will maintain compliance with the Cupertino Municipal Code.Chapter 9.1_and the health S Section 3700 of the Labor Code,for the perfomnance of the work for which this Safety Code.Section 25532(a)should [store or handle hazardous material. permit is issued Additionally..should I use equipment or devices which emit hazardous air I certify(hat in the performance ol'dne work Ivor which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Almmgement District I will not employ any person in any manner so as to become subject to the(Porker's maintain compliance with the Cupertino Municipal Code-Chapter 9.12 and the Compensation laws of California. If,after making this certificate ofexemption,I Ilealth C Safety Code,Sections 25505.25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I[]last forthwith comply wish such provisions or this penni(shall he deemOwner �r`an hrrized i ill:ed revoked. )ate: AI'I'I,IC,\N'I'CI?IfI'1IICA'I'ION CONS'I'ItUCI'ION I,F,NDING AGENCI' I certify that I have rend this application mid state that the above information is correct.I agree to comply with all city aw3 county ordinances and state laws relating I hereby a(linn that(here 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,Civ 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 Habilitics,judgments, costs,and expenses which may accrue 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,Sectio AItCI I I'1'ECI"S DECLARATION9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional EigREROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO.CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333 •buildinD(aa)cupertino.ora PROTECT,\UDRE55 OW'N'ERNAME PHONE /✓lr✓-` V a � Q E-Y1AIL STREE'I'.AUDRESS 7,10/G CITY.STAT P O I FAX 1112-da., 14 CONTACT NAAIF PHONE E-NAIL 402-1-18-03sol STREET ADORES)SCZ CITY.STATE.ZIP FAX S ,,,/ QSII? ❑O-%FR ❑ ON'NER-RVILDER ❑ OWNER AGEn'r JS CO1TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TE�ANI CONTRACTOR.CAME LICE SENCNIBER IACF.NSEI 'PE BUS LIC.• 2 COMPANY NAME 6\I:\IL H-71 opt 9 5 FAX STREET ADDRESS CITY'.STATE.ZIP PHONE S02 a ease C E-0 ARCHI'TEE-PENGI.NEER NAVE LICENSE NUMBER BUS.LIC.r COMPANY NAME E-,\HIL FAX STREET ADDRESS CITY'.STATF ZIP PHONE ER, USE OF ❑ SFD or Duplex J Multi-Family ROOF AREA: ../ vALL'Anon: STRUCTURE: C) Commercial / •3 JCC _00 EXISTING ROOT TYPE: ❑BUILT-L'PROOF ❑ASPI[ALT SHINGLES rRR��w'OODSHAKF.S ❑UOODSHINOLES ❑OWER(SPECIFY) l/ RC\IO\'F.:REPLACE ONES IFNO. PLYWOOD ❑ PLY'Y\'D ❑OSBPITCH; ROOF ❑ NO -LAYTHI 'NESS ❑ : Yp p' :I,) LAS T, PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 91SPHALTSHINGLES 00000 SHARES El WOOD SHINGLES ❑OTHER ICC-ES REPORT- DESCRIPTION OF WORK: _r wocA ear sroa . 1/Z( 1 CbX v� +6en �o# 1 .1- VAdQrlw�tyEn�. F;nalll� Br my signature below.I ccmffi-to each of the following: I am the proper'owner cr authorized agent to act on the proper'ormer'S behalf. I have read this application and the information I have provided is Correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons tion. I a• orizereprese Ov so Cupemno to enter the above-identified proper'for inspection purposes. Signature of Applicanl/Agenr. Date go SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY If building is associated With a Home Owner's Association,provide leper PLN'CHECKTYPE ROUTING SLIP of approval from HOA. ❑ OYER-THE-COUNTER ❑ BUILDING PLAN REVIEW' _ Provide Planning approval to veri R'if there any restrictions. ❑ ]EXPRESS ❑ PLANNING PLAY REA'IEN' _ Provide copy ofManufacturer's Installation Specifications. ❑ STANDARD ❑ fIREDEPT _ Provide signed copy of Cupertino-Tear-OT Policy. ❑ OTHER: ReroojApp_201 l.doc revised 0.3116/11 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• buildingCg'cuoertino.org PROJECT ADDRESS C14 I APN4 I7 /i OWNER NAMEC 1 I Q PIIONE S — E-MAIL STREETADDRESS J CITY,STA _ IP FAX S CA 91zlif CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.a COMPANYNAME S E-MAIL /�A OOZ FAX STREETADDRESS w— HOr^1nj 1 5CITY.ST _SC a� q� P JL 79"'03g^ SQL I UNDERSTAND AND AGREE TO THE FOLLOWING: �lJ 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. 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 Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: k-.? ReroofPolicv_2011.doc reviser)02/16/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 21092 Red Fir Ct. DATE: 08/08/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $4,500 *PERMIT TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof PRIMARY Multi-Family Dwelling Buildino is PENTAMATION 1R2R00F USE: 3 Stories 0 Yes 0 No PERMITTYPE: WORK SCOPE FEE ID ROOFAREA (s.f.) 1REROOFMRES 1,300 Mech. Plan Check Plumb. Plan C/; Elec.Plan Check Meeh. Permit Fee: Plumb. Permit Fee: flee.Permit Fee: Other Alech. !nap. Oiher Plumb I P. Other Blec.Insp. ,llech,limp. Fee: Plumb. h sp. Fee: Elec.Insp. Fee: NOTE: This eviinate does not include jets due to other Departments(i.e. Planning, Public Works, Fire.SanitaryServer District,School District,etc.). These feev are baser/on the prelitninan information available and are only an estinane. Contact the Dept for adrin 7 info. FEE ITEMS (Fee Resohaion 11-053 ED' 7/I/ll/ FEE QTY/FEE MISC ITEMS Plan Check Fee: SnppL PC Fee PI u m h./,11e c h./F.1 ec Permit Fee: $195.00 SuppL Insp Pee Plumb./dlech./F_ler. Plamh./A•lec/t./Flee.Permit Fee: Consrrriction Tax: Administrative Fee: Work Without Permit? O Yes (j) No $0.00 Advanced Pletnning Fces: Travel Docutnenmtinn Fees: Strong Motion Fee: IeSEISAHCR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCeSC $1.00 SUBTOTALS: $196.50 $0.00 TO'T'AL FEE: $196.50 Revised: 07/01/2012