12080226 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRIiSS: 21058 RED PIR CT CON'T'RAC`T'OR:FOUR SEASONS ROOFING PERMITNO: 12080226
OWNER'S NAME: 1ADHAW CHEI'AN AND MOf1INl PO BOR 1668 DA'Z'E ISSUED:0822/2012
OR;NER'SPDONE: 4082102960 SANJOSE,CA 95109 PUONF,NO:(408)278-0330
2— LICENSED CON TRACT'OR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Class C"39 Lie.# Li1 ZIQ7 r r r
\TECH RESIDENTIAL COMMERCIAL
Contractor M R. 1 el C. Date a-ZZ' j L
—� JOB DESCRI PTION:TEAR 0I717 L•XIS'fING WOOD SHAKE ROOF.INSTALL I2"
hereby affirm(hal I am licensed under ilia prurisinns of Chapter 9
(coin menti ng with Section 7000)of Division 3 of the Business S Profession's CDX PLYWOOD THEN 30q PhhT UNDERhAYMIiNT.INSTAhI.13 SQ
Code and that tar license is in full force:umd effect. CERTAINTEED PRESIDENTIAL CONIPOSIT'ION SHINGLES
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 stork for which this pemtit 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, Ft Floor Area: Valuation:$4500
.\I'PI,IG\N'1'CPai'I'I FIG\'IT O,N
I certify that 1 have read this application and state than the above information is ARN Number;35905068.00 Occupancy Type:
correct. I agree to comply with all city and count'ordinances:tad state Imus 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 aceme against said City in consequence of the
granting of this permit. Additionally,the applicant understands 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 -Z2 '/Z Issued by: �E/t>✓ ,A4G/7/ Date: e�
O OWNE41 Ju,DER DECLARATION
1 hereby affirm flint I am exempt from the Contractor's License 1.11" formic of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any 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,I agree to remove all new materials for
will do the work,mid the structure is not intended or offered for sale(Sec.7044, inspection.
Business d Professions Code)
1,as owner of the property,am exclusively contracting with licensed contactors to Signature of Applicant: Date:
construct the project(Sec.7044,Business R Professions Code),
hereby affirm under penalty of perjury'one of the following three ALI,ROOF COVERL'GS FO BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's IIA%\RDOUS NIATERIALS 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 the
I have and will maintain Worker's Compensation Insurance,as provided for by California Health S Safety Code,Sections 25505.'_5533,and'5534. 1 will maintain
Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.1_and the Ilealth S
Safety Code,Section_553_(x)should 1 store or handle hazardous material.
permit is issued Addidormlly,should I use equipment or devices which emit hazardous air
1 certify that in the performance of doe work fort'vhich this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in my nmanner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
Compensation laws of California. If,after making this certificate of exemption,1 Ileallh S Safety Code Sections 25505.25533.and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
ner nr 1 oriz agent:
foforthwith comply with such provisions or this permit shall be deemed revoked OwDate:
A PPLI CAN'T'CERT'I RI CATION CChNS'IR UC'I'ION I-ENUINC ACENCY
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 slate laws relating I hereby affirm that there is a construction lending agency for the performance of st'ork'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
indenui N and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of die 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,Section ARCHI'TEC`T"S DECLARATION
9.18.
I understmfd my plans shall be used as public records.
Signature Date'- I,iccnscd professional
REROOF TEAR-OFF POLICY
0 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•building(akupertino.ora
PROJECT ADDRESS Z/O58 F r Cf, APN0
v I
OWNERNAME CGe 4a t, S,J kmxty PHONE O EMAIL
STREET ADDRESS re PITY.STAT P CA FAX
CONTRACTOR NAME LICENSE NUMBER LICEAE]YP� BUS.LIC.a
COMPANYNAME /f E-MAIL `• FAX
e ��cp
STREETADDRESS CITY.STATE. PHONE
so 0 o s. r o _ 8— SQ
1 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:
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: 1 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: Ir—ZO—/Z
ReroofPo1icv_201 Ldoc revised(J2116/l l
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: �GJ/ Red Fir Ct DATE: 08/21/2012 REVIEWED BY: Sean
APN:. BP#: 'VALUATION: 1$4,500
*PERDIITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2ROOF
USE: 3 Stories O Yes (F) No I PERMITTYPE:
WORK Tear off existing wood shake roof. Install 1/2" CDX plywood then 30#felt underla ment. Install
SCOPE Certainteed Presidential Composition shingles (Color: Country Gray).
FEE ID ROOFAREA
(s.f.)
1REROOFMRES 1,300
Mech.Plan Check Plumb.Phar Check Dee,Plan Check
Mach.Permit Fee: Phunh. Permit Fee: Dec.Permit Fee:
Other Alech.latp. Other Plamb/nsp. Other Elec.Insp.
Alech.Imp.Fe: Plumb. lisp.Fee: Blue.btfp. Fee:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public ll'orks. Fire.Sanitan'Seiner District,School
District. etc.). Thesefees are based on the preliminarl•information available and are onh,an estinmte. Contact the Den for adds 7 info.
FEE ITED1S (FeeResolurion I1-053 Eli: 7/1/11) FEE QTY/FEE D11SC i,rED1S
Plan Cheek Fee:
Suppl. PC Fee
Plumb_ dlech.:Elec
Pennit Fee: $195.00
Supp/. Insp Fee
Plumb.:alech.:Elee
Phimb.Alech./Elee Permit Fee:
Conswitciion Tar:
Administrative Fee:
Work Without Pennit? O Yes Q No $0.00
Aelvanced Plrmnhtg Feer:
Travel Doctimentcnion Fees:
Strong Motion Fee: IBSEISMICB S0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $196.50 $0.00 TOTAL FEE: $196.50
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUN17 DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO.CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinO(�woertino.orO
CUPERTINO / M
PROJECT ADDRESS IO r� Q +P\' 06 -- t
OWNERNAME J PHO]E E
a 0 - :21 -
STREET ADDRESS Z O S_A geaCITY. STAT P 64 i FAS
CONTACTSAM F. PHONE EJIAIL
.Q
STREET ADDRESS SO2 S CITY.STATE. ZIP qcft
FAY
❑Ow:NFR ❑ OWNER.RUILDER ❑ OWNER AGENT I CONTRACTOR Cl CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME LICENSE NC.SIBER 08 LICENSE 'PE I BUS.CIC..
COMPANY SAME SAbAIE
E-MAIL FAX
STREET ADDRESS CITY.STATE.ZIP PHONE
Sc'2.. A HSQ C 8'
ARCHITECT,ENGINEER NAME LICENSE NUMBER BUS.LIC..
COMPANY NAME I EMAIL FAX
STREET ADDRESS I CITY.STATE ZIP PHONE
LSE OF ❑ SFD or DuPICN if Multi-Family RwF AREA: (� VALUATION: r
STRUCTURE. ❑ Commercial �0
EXISTING ROOF T\PE: ❑BUILT.L'PROOF ❑ASPHALTSHINGLES r`\'GODSHAAP.'S ❑WOODSHINGLES 001-HER(SPECIFY)
RCMOYF.:REPLACE YES I IFNO. PL1'w"DOD .i CI-LAYERS
❑OSB PITCH: ROOF
7
❑ N . AYF.R I ISN 5 ❑ TYP X :12 A A
PROPOSED ROOF T\PE: CI BUILT-UP ROOF XkSPHALT SHINGLES ❑\\'OODSIIAEES ❑\vOODSHINGLES 13 OTHER IMES REPORT•
DESCRIPTION OF WOR(;: COX1
r
01 a
et' Q
By my signature below.I certify to each of the following: I am the property owner or authorized agent to act on the properrc owner's behalf. I have read this
application and the information I have provided is correct. 1 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. 1 a' rim reprcse • it of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMEWAL INFORMATION REQUIRED"`-__ OFFICE USE ONLY
_ If building is associated with a Home 0\\'ner S Association.provide letter PLANCHECK TYPE ROUTING SLIP
of approval from HOA. ❑ OYER-THE-COuNrER ❑ BUILDING PLAN REVIEW
_ Provide Planning approval to verifi if there any restrictions. ❑ EXPRESS ❑ PLANP'INC PLAN REVIEW
_ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ RRE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER:
ReroofApp_2011.doc revised 03/16/11