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13100193 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20088 LAS ONDAS CT CONTRACTOR:R A CONSTRUCTION PERMIT NO: 13100193 OWNER'S NAME: YIN CHI KANG AND ALICE C 3851 R CHARTER PARK DR DATE ISSUED: 10/29/2013 OWNER'S PHONE: 4087718630 SAN JOSE,CA 95136 PHONE NO:(408)559-1877 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL License Class ' Lic.# <;.3 >' 3 Y RE-ROOF 24 SQ-TEAR OFF,INSTALL COMP SHINGLES CLASS A Contractor Date 1G __G 9 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:$9500 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:36930040.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT E RES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 1 0 AYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS#ftOM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Z'9 y / granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regula' per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature_-- Date `?-- All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an ins ion,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION --- 1 Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL R COVERINGS TO 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 the Bay Area Air Quality Management District I performance of the work for which this 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 Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this.- Owner or authorized age 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 Compensation laws of California. If,after making this certificate of exemption,I ONSTRUCTION LENDING AGENCY 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 9.18. Signature Date REROOF PERMIT APPLICATION 2 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION \v 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \� (408)777-3228• FAX(408)777-3333•building(cDcupertino.org CUPERTINO PROJECT ADDRESSAPN# OWNER NAME PHONE a 1 E-MAIL STREET ADDRESS CITY, STATE,ZIP FAX CONTACT NAME PHONE E-MAIL ff CITY,STATE,ZIP FAX STREET ADDRESS �// � � -. � A _ ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT IONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMEJ - LICENSE NUMBER LICENSE E BUS.LIC.# 6-Y11 _ COMPANY NAME /,/- '�_ E-MAIL FAX f / � jL•�y( ` 1 7 11 STREET ADDRESS el CITY,STATE ZIPy 1 y� PHONE I ARCHITECT/ENGINEER NAME `N LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE �J USE OF FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: _ ❑BUILT-UP ROOF ❑ASPHALT SHINGLES )P*OOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD El %­ ❑ PI) S13 PITCH: .12 ROOF A ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX CLASS: - - -_ PROPOSED ROOF TYPE: ❑BUILT-UP ROOF *�KSPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is corre read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin c o . authorize representatives of Cupertino to enter the above-identified property for ins ection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTA ATION REQUIRED ^- ;oPFicE usE oNLY: ,ax _If building is associated with aHome Owner's Association,provide letter PLAI'ICt�Ecz�TrnE tb xovT>zvcsL>P i of approval from HOA. ❑ OYER4TH1<COUNTER ❑ BUII DIN PLAN REVIEW r _Provide Planning approval to verify ifthere any restrictions. © ExPi ss x ❑,,PI.ANNIIVGPLANREVIEW x , _Provide copy of Manufacturer's Installation Specifications. ❑ STAND ' ❑ FIRE DEPT vI a [e rl Provide signed copy of Cupertino's Tear-Off Policy. s';¢ F � 6T ReroofApp_2011.d6c revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20088 LAS ONDAS WAY DATE: 10/29/2013 REVIEWED BY: MENDEZ its I APN: BP#: `VALUATION: 1$9,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: P PERMIT TYPE: WORK RE-ROOF 24 SQ-TEAR OFF INSTALL COMP SHINGLES CLASS A SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 2,400 afe'<;lt /'lar ChccE I'lrrrnb P!crn C'hrrh lace_ VhmC'nck 6frch. Prn±it f�,: 1'lur'tf. Pc'rti,t P�cI;It c. Par' it l�za Op'w r Afizc h. ln,v, 01N;er P/mIlb In, 01"Wi limp, tld�cr�. low, Nv 11/71mb, 1p"p, /'cc 11ec_Imp, NOTE. This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate Contact the Dept-for addn'l info. FEE ITEMS (Fee Resolution 11-053 E .' 7/1!13) FEE QTY/FEE MISC ITEMS Plan Cheet, Fcc. :S'trphl. PC Fcc P/11111h.i111cch. Elec; Permit Fee: $384.00 Supp/. In.op Fee Ph h. ch.%Flue: Plurrth %",tteclt.;T;iec Permit Fccr; Coit,SIFW'IiOP7 I C):T "jd1r1t;Wr(1Iiv(,Fec: Work Without Permit? 0 Yes 0 No $0.00 11th"" cd Plcrrnlintr Ices: -1 i-a el Oocmac aluliran FCC : Strong Motion Fee: IBSEISMICR $0.95 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $385.95 $0.00 TOTAL FEE: $385.95 Revised: 10/01/2013 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•buildingCaDcugertino.org PROJECT ADDRESSi' r .�6 ©NO APN 9 OWNERNAME / PHONE _;�©�!•�� (�`J E-MAIL Y, r Y � 1- `3 STREET ADDRESS A CITY, STATE,ZIP FAX CONTRACTOR NAME SE NUMBER ` LICENSE TYPE .. BUS.LIC.# Zd s 3 COMPANY NAME ® ^ , uc ,- E-MAIL FAX F TREET ADDRESS i - �'/ j [` CITY,STATE,ZIP PHONE 7 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 one business day before the requested inspection date. Please 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. 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 appliedwithout 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/4"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 understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide de ooire required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: / Date: ReroojPolicy_2012.doc revised 1017/12