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B-2016-2779CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2779 19907 FIG TREE CT CUPERTINO, CA 95014-2314 (316 30 079) CUPERTINO ROOFING INC SAN JOSE, CA 95129 OWNER'S NAME: CHEN XIAOXIN AND FANG VANIA NINGTRUSTEE OWNER'S PHONE: 408-806-5280 LICENSED CONTRACTOR'S DECLARATION License Class C39 Lic. #565437 Contractor CUPERTINO ROOFING INC Date 03/31/2018 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. ISSUED: 09/22/2016 NO: (408)973-9427 BUILDING PERMIT INFO: X_ BLDG —ELECT —PLUMB MECH X RESIDENTIAL — COMMERCIAL DESCRIPTION: RE -ROOF; TEAR -OFF; INSTALL OSB; COMP SHINGLES - (33 SQ) hereby affirm under penalty of perjury one of the following two declarations: 1. 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 13- -5! Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point sourc�.egul�tions per the Cupertino Municipal Code, Section 9.18. Date 9/22/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for, one of the following two reasons: 1. 1, 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code).. I hereby affirm under penalty of perjury one of the following three declarations: 2. 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. 2. 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. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date/9 22/2016 Sq. Ft Floor Area: I Valuation: $26000.00 APN Number: Occupancy Type: 316 30 079 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: AbbyAyende Date: 09/22/2016 RR -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. signature of Applicant: Date: /9 22/2016 ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: I / Date: 9/22/2016 t— CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARC'HITECT'S DECLARATION I understand my plans shall be used as public records. Licensed ez+N REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 , � (408) 777-3228 FAX (408) 777-3333 • building(cDcugertino.orCUPERg PROJECT ADDRESS 9 I � �'e APN # -" Fr („ 2 1 oqq OWNERNAME i ;i PHONE �! �E--EMAIL c" )til k a, _ ,� -sa I STREET ADDRESS C CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS 1 \ - CITY, ST ZIP Gti FAX ❑ OWNER ❑ OWNER -BUILDER ❑ :OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER: ❑ TENANT CONTRACTOR NAME LICEN NUMBER_ LICENSE T E Q� BUS. LIC. # COMPANY NAME 1 �z _-�- Id � c E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP tt pp ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS` CITY, STATE, ZIP PHONE USE OF SFD or Duplex ❑ Muhl -Family STRUCTURE: ❑ Commercial ROOF AREA: 7 VALUATION: `-•- G' EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGIMS'-� ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ 04R (SPECIFY) REMOVE/REPLACE^© YES ❑ NO IF NO, g #LAYERS: ! PLYWOOD ❑ %" ❑ THICKNESS: ❑ 5/8" PLYWD OSB TYPE: ❑ CDX PITCH: 12 ROOF CLASS: L, PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: C q'� P ReroofApp_2011.doc revised 03116111 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 (408) 777-3228 • FAX (408) 777-3333 • building(a.cupertino.org PROJECT ADDRESS l c L) ( & -e-r g _ - APIC# O\�NERNAME i i (-q3 .� PHO o � Ci Na" E-MAIL _. STREET ADDRESS . CJ C2 CITY, STATE, ZIP FAX CONTRACTOR NAME p LICENSE NUMBER LICENSE TYPE BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS i y. CITY A� E�ZI _Ci PHU (E ^�q � , I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. Please schedule inspections online or 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. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday). 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 te 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 %" 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; l cerfify each -of th , 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 detectorslfre required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Gode. — i of Date: ReroofPolicy_M4.doc revised 01/15/14