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11120011
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20314 GILLICK WAY CONTRACTOR:R E ROOFING& PERMIT NO: 11120011 CONSTRUCTION INC OWNER'S NAME: ZHONGHUA CHEN&11ANPING ZHUAN 15230 CLYDELLE AVE DATE ISSUED: 12/012011 'R'S PRONE: 4083189455 SAN JOSE,CA 95032 PHONE NO:(408)626.9320 v �y LICE. ED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r--, PLUMB r +cense sLiaN ���% ` trj MECH r RESIDENTIAL r COMMERCIAL r mracQ Date )) n - 1 hereb f icensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REPLACE WOOD SHAKE WITH COMP SHINGLES (commencing with Section 7000)of Division 3 of the Business&Professions 34SQ Code and that my license is in full force and effect. CLASS A 1 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 forwhich this Sq.Ft Floor Area: Valuation:$15000 permit is issued. APPLICANT CERTIFICATION APN Number:36936039.00 Occupancy Type: 1 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. w' aNnn-pointr the Cupertino Municipal C de Section 18. at Date l L�� Issued b�• Date: OWNER-BUILDER DECLARATION RE-ROOFS: hereby affirm that l am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: instayodViTF.`tCf tst ohtammg an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, insction. I I will do the work,and the structure is not intended or offered for sale(Sec.7044, , Business&Professions Code) Sign ure of Appli + Date: I,as owner of the property,am exclusively contracting with licensed contractors to �'-- construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read the hazardous materials requirements under Chapter 6.95 of(he performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District 1 will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code, as 25505,25533,and 25534. Compensation laws of California. If,atter making this certificate of exempti ,I become subject to the Worker's Compensation provisions of the Labor Co ,I mu rte zeif"egen • / 12-(l I ) forthwith comply with such provisions or this permit shall be deemed revok d. �Bate�— APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that 1 have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.1 agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save �ftnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accrue against said City in consequence of the mg of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION 'with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional • CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36936039.00 DATE ISSUED. . . . . . . : 12/01/2011 RECEIPT #. . . . . . . . . BS000015460 REFERENCE ID # . . . : 11120011 SITE ADDRESS . . . . . : 20314 GILLICK WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ZHONGHUA CHEN & JIANPING ZHUAN ADDRESS . . . . . . . . . . : 20314 GILLICK WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4413 RECEIVED FROM . . . . : R E ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING & CONSTRUCTION INC ADDRESS . . . . . . . . . . : 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 15, 000.00 1. 00 0. 00 1. 00 0.00 1BSEISMICR VALUATION 15, 000. 00 1.50 0 .00 1 .50 0.00 1REROOFRES SQ FEET 34 .00 476 . 00 0.00 476 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 478 .50 0.00 478.50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 478.50 #4030 --------------- TOTAL RECEIPT 478.50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • L r REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 ® CUPERTINO (408)777-3228 • FAX(4008")777-3333 •buildingecupertino.orO PROJECT ADDRESS // 031 /v��8 ` 5 OWNER NAME I� H �)j PHONE �J,I G- 1 r E-MAIL �TREE�AnDRPss 2 o 2 v a�1.L I C�L arr, srA1 'o�c, ,r&-T)IV 0 APPLICANT NAME 1p / PHONE l E-MAII. I� Tom YeYuo�-in �{u(d Aol•Co STREETADDRESS y 23rD °Ll. r ,fir N\A�I CRY,STATE. LIP s 130k , %2 'AM- G?lo- 7l b I . ❑OWNER ❑ OWNER-BDILDRR ❑ OWNERAOFAT XONTRACTOR ❑CONPLAC[DR AGENT ❑ XMI]IECT ❑FNO]SMM ❑ OEvELOPRN ❑TE/NANT CONTRACTOR NAME I/ J I / LmENBE MIMBER -7 2 L[CE1�fl;E ,G, I BUS.LIC.° -M .1 I COMPANY NAME C/ EAJL ` "l FAX V SIRFETADDRESS I nr� '\ N_^ ` • CRY.STATE, IJ Z"Sy) ( �jV�\� Ni Z PHONE S ARCI ECT/ENGINEER NAME/(J 1 J r 1 LICENSE NUMBER 'T �J BUS.LIC B COMPANY NAME r E-MAIL FAX STREET ADDRESS CRY.STATE,LIP PHONE use OF SFD or Duplex ❑ Multi-Family ROOF ARES. , I)..I. vALuanoN: VU STRUCTURE; ❑ Commercial I EXTSTWO RDOF TYPE: ❑BUB.T-UP ROOF ❑ASPHALT SMNGLffi AOD SHARES ❑WOOD SHINCT ES ❑OTHER(SPECIFY) REMOVE/REPLACE IF NO, PLYWOOD X4. ❑ PLYWO ❑ Call PITCH: :12 ROOF A ❑ e C FSa ❑ TYPE, CLASS PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT 0 DESCRI 01111F WCRK: TeWtoyt t, �l / LM a_ ov KZ I I'j kT Kln IJ L� I I?TI �� X U 1�-�� s t By my signature belo a each of the following I am the property owner or authorized agent to act an the property owner's behalf. I have read this application and the fortnntien I ha provided is comet. I have read the Description of Work and verify it is accurate. I agree to compI with all applicable local ordinances and laws relating to- I c ns ono . otepmSentatives oCCupeNno.c enter the above-identified pro ertr Cor inspection purposes. �= Signature afApp' t/Agent Date; 2 I SUPPLEMENTAL INFORMATION REQUIRED _If building is associated with a Home Owner's Association,provide letter ..xK- L'rC of approval from HOA. �"f.:i Id�aR Teau,r-Dtro-s5}lix�' 1'r�L`'I `sriif v> t r pc' . _Provide Planning approval to verify if there any restrictions. ,,i .EaPwwsSr -' "- "r yD'cfie.Lm.VrY� `fes _Prov' copy of Manufacturer's Installation Specifications. _Provide signed copy of Cupertino's Tear-Off Policy. - - © Q .yt<, �.,� -:-nay ' T'• Rerog6App_2011.dnc revised 03/02111 �� CITY OF CUPERTINO U FEE ESTIMATOR- BUILDING DIVISION • ADDRESS: 21314 gillick way. I DATE: REVIEWED BY: bob s. APN: BP#: "VALUATION: 1$15,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK re lace wood shake with comp shingles. SCOPE FEE ID ROOFAREA g.f. 1REROOFFRES 3,400 Afi zJr.1'tuu C;her7e Plumb. Plan Check E1ec,Pfau ChsCk ."tech_Pr.rudr Pore: Phm+h. Pa+:a+iz hee: Fide. {'arms Fee: • other.11i'ch. hap, 0111er 1111410bup. other hu.u. !n-g>. 119,rh. Imp. Pee: 111unrb. Indp.l'er; EIec,Insp. Fera: NOTE:This estimate does not Include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prellidna in ormation available and are only an estimate. Contact the Dept for addn'l Into. FEE ITEMS ( ee Rcsolutlon 11-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Phan Cheol flee: Sleppl. PC Pee Plnrnh.;1rlech.:2 /ec Permit Fee: $476.00 ,SuppL 11tsp Fee Plnrnh,;iYlech.-"Llec Plumh,./Wech.%Elate Permit Fee: Construction 7i1,c Administrati,"e Fete. Work Without Permit? O Yes 0 No $0.00 Adrancercf Planning Fees: Travel Docmncniati,m FeeB: Strong Motion Fee: IBSEISMICR $1,50 Select an Administrative Item • Bldg Std s Commission Fee: 1BCBSC $1.00 SUBTOTALS: $478.50 $0.00 TOTAL FEE: $478.50 Revised: 10/01/2011 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION • ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333•buildinc0cupertino.ora PROJECT ADDRESS IL I�1 1 c/Y W�j I APNN0 (� ��,,// OWNER NAME V r� I L`Vr PHONE 40 „`l l I(�,OIII.[,'- E-MAIL STREET ADDRESS 203 /IIv' 1 I 1 I ( CITY, STATE.ZIPV12 kk u J l U fY�/�%I� FAX CONTRACTOR NAME VJ ,� I/t..l V�J LICENSENUMBER �iJ�r LICENSEPE BUS.LIC.# e2Z r\11 COMPANY NAME IVi E-MAILf�c,Y ooi-7 rii n!I`C vm FAX STREETADDRESS �C/12,` 1M '! CITY.STATE,ZIP rl l/1%1"V PHONE 4o 7 ( /O I UNDERSTAND AND AGREE TO THE%FOLLOWING: V I 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 I/<" 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,l certify each of the following is true: 1 am the property owner or authorized agent to act on the property owner's behof—r—undMtand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors an carbon mono a detect r equired•ta be 'nstalled in accordance with Sections R314 and R315 of the 2010 Califomia esidential Co I Signature ofApplicant/A nt 1 Date: RerogtPolicv_201/.doe revised 02116111 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 O-U P E RTI N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDR W L PERMIT# D I OWNER'S NAME: PHONE# Zlo' Z J GENERAL CONTRACTO -�'\ t�, Ola F lhl ' BUSINESS LICENSE# 2O ADDRESS: 4n CITY/ZIPCODE: Sa ctq t j *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OnFIOCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOSUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. �1 am not using any subcontr (�- 1 ( l Signature Date Please check applicable subcontractors and complete the following information: I/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum / Wood Glass /Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal I Sheet Rock VL_JjiIe Owner/Contractor Signature Date