12080227 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21060 RED 17IR CT CON'IRACI'OR:POUR SEASONS ROOFING PERMIT VO: 12080227
OWNER'S NAME: MAO KWOKUANG I'O RON 1668 DATE ISSUED:08222012
OWNER'S PRONE: 4083146767 SAN.IOSh.C\ 95109 PHONE NO:(408)I78-0330
1�— LICENSED C0N7RACI'0R'S DIiCLARATION BUILDING PERMIT INFO: BLDG r ELECT C PLUMB I-1
License Class C-M Lie.9 LA'I 2 I.OB"
N
��qECH (- RESIDENTIAL r COMMERCIAL r
Contractor (JLt W C-1 Date Z2 -(ex-
1 hereby affirm that I am licensed under the provisions of Chapter') JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE ROORINSTALL 12"
(commencing with Section 7000)of Division 3 of the Business S Professions CDX
Code and that rov license is in full force and effect. PLYWOODTHEN 308 FELT UNDERLAYMENT.INSTALL 13 SQ
CERTAINTEED PRESIDENTIAL COMPOSITION SHINGLES
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
permit is issued. Sq.Ft Floor Area: Valuation:$4500
\I'1'LIC\N'I'CICR'I'I FIC\'PION
I certify that I have read this application and state that the above information is APN Number:35905064.00 Occupancy')}pe:
correct.I agree to comply mith 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
indemnify and keep harmless the City ofCupetinoagainst liabilities,judgments. PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting ofthis permit. Additionally,the applicant understmndsandwill 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. ///n
Signature /./� Date 8'ZZ'/'L Issued by: ,�E�� I T,5;1—/ Date: '15"
❑ O\YNER-IHHLDF.R DECLARA'T'ION
1 hereby affirm that 1 am exempt from(lie Contractor's License Lav for one of RE-ROOFS:
Ile 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 nese materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business K Professions Code)
1,as owner of the property,am exclusively contracting with licensed contmctors to Signature of ApplicanC Date:��2
construct the project(Sec.7044,Business&Professions Code).
hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO.BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's DAZARDOHS AIATEItIALS DISCLOSURE
Compensation,as provided dirt 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 Safely Code,Sections 25505.'_5533,and'5534. I will maintain
Section 3700 of the Labor Code,for the pedommance of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.1_and(he health S
Safely Code.Section_5532(a)should I store or handle hazardous material.
permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air
I certify that in the performance of the work forwhich this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will
not employ any person in any manner 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,alter making this certificate of exemption,I health S Safely Code,Sections 25505.25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,d must Z-
t. forthwith comply with such provisions or this permit shall be deemed revoked Goner w •u`Sriz agent:
ate:
\I'I'LICAN'I'Clilffl FlC,\'1lON ONSTR0C`fI0N'LENDING AGENCY
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 I hereby affirmw there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this Cil) 1r enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(\\'e)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,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,Section ,\RCI I I"I'1?Cf'S DF.CL,\R,\")'ION
9.18.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO.CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildino(dcupertino.oro
CUPERTINO
PROJECT ADDRESS AP?• 11!:5
Q C..
OWNER NAME PHONE p E-MAIL
QQ I 0\
STREEI'ADDRESS CITY, ST.>T P FAX
CONTACT NAMF. PHONE EJIAIL
.QI.
1301
STRELT ADDRESSSot S CITY.STATE.ZIP FAS
❑OWNER ❑ OW'FER-a UILDER ❑ OWNFRAGENT JvCOvrRACTOR ❑CO\TRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CUPTRACrORNAME LICF.NSENUMBER LICENSET'PE I BUS.CIC.-
COMPAN\'NARIE S E-NLVL HS
AMF
STREET ADDRESS CIT\'.STATE.ZIP PHONE
S"07- a o5¢ C 8'0
ARCHTrECT•ENGINEER SAME LICENSE NUMBER BUS,LIC.
COMPANYNA.ME I E-MAIL FAX
STREET ADDRFSS I CITY.STATE.ZIT PHONE
CSE OF ❑ SFDOr Duplex j< Multi-FamilyROOF AREA: VALUATION: AD
STRUCTURE: ❑ Commercial /-3 5 -5-00j
EXISTING ROOFT\PE: ❑BUILT-CPROOF ❑ASPHALT SHINGLES $1VOODSHAKES ❑WOODSHINGLES 001HERISPECIFYI
REMOYF.:REPLACE 01YES IF NO. PLYWOOD ❑ PLYWD ❑ OSB PITCH;
❑ \ AYFR '
T I N R' ❑ T' ROOF.•)� CLASS A
PROPOSED ROOF T\PE: ❑BLILT-UPROOF XISPHALTSHINGLES ❑WOOUSIIAKES El WOOD SHINGLES C)OTHER IMES REPORTS
DESCRIPTIONOF WORE; Y `/Z 1 f
Cox
l►
♦! ,s o6
By mV signaturc below.I certify to each of the following: I am the property whet or authorized agent to act on the property owner'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 lavTs relatine to buildin¢cons - tion. 1 a• orize represe • tiv R of Cupenino to enter the above-identified property for inspection purposes.
Signature of ApplicanulAgent: Date: O
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated with a Home Owner's Association,provide letter PLANCHECKTYPE ROUTING SLIP
of approval from HOA. ❑ OVER.THE.COUNTER ❑ BUILDING PLAN REVIEW'
_ Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
_ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
Provide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER:
Rerpojdpp_201 Ldoc revised 03116111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
1:2 ADDRESS:/,p6 Q Red Fir Ct DATE: 0 8121/2 01 2 REVIEWED BY: Sean
APN: BP#: 'VALUA'rION: $4,500
*PEwmi'r TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAtMATION 1R2ROOF
USE: >3 Stories O Yes (] No PER,IIIT TYPE:
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
Alech.Plan Check Plumb. Plan Check Elec.Plan Clrack
Afech. Pcnnir Fee: Phonb. Permit Feer Elec.Permit Fee:
Olher Afech./asp. Other Plumb dnsp. Other Elea.Inst). Ll I
Afech. last).Fee: Plumb.hrsp.Fee: Elec.Intp. Fee:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public II'orkv, Fire.Sanitary Sewer District,School
District,erc.). These ees are based on the preliminarl information available and are only an avlhmate. Contact the Det for addn'd info.
FEE 1'rENIS (Fee Resolution 11-053 Ef 7/1/11) FEE QTY/FEE MSC ITEN1S
Plum Cheek Fee:
Suppl. PC Fee
Plumb.. Afech.iElec
Pennit Fee: $195.00
Suppl, hrsp Fee
PlumbJAfech.%Elec
Plumb.htlech./Flee Permit,Fee:
Consnvcnon Tia:
Administrative Fee:
Work Without Permit? 0 Yes Q No $0.00
t dvancetl Planning Fees:
Travel Documentation Fees:
Strome Motion Fee: 1BSEISUICR $0.50 Select an Administrative Item
Blde Stds Commission Fce: IBCBSC $1.00
SUBTOTALS: 1 $196.501 $0.001 TOTAL FEE: 1 $196.50
Revised: 07/01/2012
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
CUPERTINO
(408)777-3228• FAX(408)777-3333•building(McuDertino.org
PROJECT ADDRESS APN0
2ie6o
OWNER NAME11101E -MAIL
hJ u w M0. E
STREET ADDRESS7-,e6OLe
CITI'. TE.ZIP FAX
CONTRACTOR NAME LICENSE NUMBER LICE\'$E=P� BUS.LIC.a
COMPANYNAME E-MAIL G•: •S FAX
> 0 S�nr o
STREET ADDRESS ! ` CITY.STATE. CA PHONE ^a7 -033
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 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.
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. I 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:
ReroofPolicv_201 Ldoc reviser/02116111