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11110079 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11753 TRINITY SPRING CT CONTRACTOR:CASTILLO'S PERMIT NO: 11110079 ROOFING OWNER'S NAME: LIU PENG 1703 CATHAY DR DATE; ISSUED: 11/14/2011 'NER'S PHONE: 4088630177 SAN JOSE, CA 95122 PIIONE NO:(408)251-3565 / 7 Lic.H LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFfr PLUMB License Class C +5(N 5� O BLDG r:cr r AM II SIF.CI1 RESIDENTIAL COMMERCIAL Contr t Datc hereby affirm aha I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: RE-ROOF 16 SQ-TEAR 0I717 WOOD SHAKE,INS"I AU,NEW (commencing with Section 7000)of Division 3 of the Business&Professions COMP SHINGLES Code and that my license is in full force and effect, 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 pertbrmance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation:$8500 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance offl e work for which this APN Number:36653035.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS 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 DAYP F M LAST CALLED INSPE IO 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 Issued by: Dale: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RF:ROOFS: Signa ore Date �� All roofs shall be inspected prior to any roofing material being installed Ifit roof is _qinstalled without fust obtaining an inspection,1 agree to remove all new materials for inspection. OWNER-BUILDER DECLARATION Signature of App Date: "1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVINGS TO BE CLASS"A"OR BE FIT H 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) 1,as owner of the property,am exclusively contracting with licensed contractors to I IA%ARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements tinder Chapter 6.95 of the California 11ealth&Safety Code,Sections 25505,25533,and 25534. 1 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: lleallh&Safety Code,Section 25532(x)should 1 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 Day 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 Ilealth&Safe Code,Sections 5505,25533,and 25534. Section 3700 of the Labor Code,fbr the performance of the work for which this Owner oraut permit is issued. horized x Dacca 1 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 Cal ifomia. If,after making this certificate of exemption,1 CONSTRUCTION FENDING 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 APPLICANTCERTIFICATION 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 stale laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree t0 save iemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCUII'ECT'S DECLARA'T'ION ts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. tinting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.1x, Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM • COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36653035 . 00 DATE ISSUED. . . . . . . : 11/14/2011 RECEIPT # . . . . . . . . . : BS000015314 REFERENCE ID # . . . : 11110079 SITE ADDRESS . . . . . : 11753 TRINITY SPRING CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LIU PENG ADDRESS . . . . . . . . . . : 11753 TRINITY SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : CASTILLO ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO' S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 500 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 8, 500 . 00 0 . 85 0 . 00 0 . 85 0 . 00 1REROOFRES SQ FEET 16 . 00 224 . 00 0 . 00 224 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 225 . 85 0 . 00 225 . 85 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 225 . 85 chk --------------- TOTAL RECEIPT 225 . 85 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 • CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION • ADDRESS: 11753 trinity spring ct. DATE: REVIEWED BY: bobs. APN: BP#: °VALUATION: $8,500 *PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK I tear off wood shake install new comp shingles. SCOPE FEEID ROOFAREA s.f. 1REROOFFRES 1,600 I . Ue,:It, Plan Check Num!". Plan Check Elec Pinu Check :V,vck Przrnrie Pei,: Plund% Permit bee: F..rrc. Perna: • Uther dfeoh.hnsp. Dlfter Phwrh hi Qlhar Fkxt. hrsp. Li Wdl In,cp. Pee: Plumb. 1p'p. F'er: Eleo.Inap. Pee: NOTE:This estimate does not Include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the prellindna Information available and are only an estimate. Contact the Dept for addn7 Into. FEE ITEMS (Fee Resolution 11-253 Elf 7/1/111 FEE QTY/FEE MISC ITEMS Plan Check Fee: sn/girl. l'C reo" Phunh.;ii•lech.;'rlee Permit Fee: $224.00 Snppl. Insp Fee Plumb.'ArR:ch.!Itihtt: !'luml>J,LieclziB'ler. Permit Fee: (','(ol.rtrrtetiun The Adnlinisfrative Fee: Work Without Permit? () Yes No $0.00 Adrancaul Planning F<es: TravelDocianenlation Fees: Strone Motion Fec: IBSEISMICR $0.85 Select an Administrative Item • Blda Stds Commission Fee: IBCBSC $1.001 1 SUBTOTALS: $225.851 $0,001 TOTAL FEE: $225.85 Revised: 10/01/2011 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(a),cuoertino.ora PROJECT ADDRESS I /' PNM OWNERNAME PH 0- h 'Tl E-MAIL STREETADDRESS �^� CITY, SATE.Z� I.JJ ' ` FAX 1-10111 CONTRACTOR NAME -J ' LI SENUMB LICENSETYP BUS.LIC.M COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP HONE �� I UNDE STAND AND AGREE TO TWE 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, I 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 Secti s R 14 and R315 of the 2010 California Residential Code. 1 I Signature of Applicant/Agent: Date: ReroofPolicv_2011.doc revised 01/16111 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 - FAX(408)777-3333 • buildin0(a)cupertino.ory I6 6II II � ' 0 � � PROJECT ADDRESS Tr i h i S r� " 3U-��ft.6 53 b35 .60 OWNERN�, I I STREET ADDRESS \ - CITY, S A Z8 191-14i-nib 95 / .PAX APPLICANT NAME — I PHONE E-MAIL STREET ADDRESS cm,STATE,IIP 951 ❑ OWNER 13OWNER^BUILDER ❑ OWNMAGENT DNTAACTOR ❑CONTRACTOR AGENT ARCHRECr 13 ENGWE�Jt 13 nEVELOPER 13 TENANT CONTRACTOR NAME ^ (O S LICENSE NUMBER ��'( LICENSE TYPE BUS.LIC.M COMPANYNAME L+ ^ uV�J E-MAa. J,Q FAX STREET'ADDRESS CITY.STATE,ZIP I PHpNS ARCHIT MENGINEERNAME LICENSE NUMIER BUS.LIC.M COMPANY NAME E-MAB, FAX STREET ADDRESS C=1 STATF Z� PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial EMSTA'0 ROOF TYPE: ❑BUI.T-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE(REPLACE YES IF NO. (/�J PLYWOOD ❑ Y." ❑ PLYWD ❑ OSB PTTCJT ROOP PROPOSED ROOF TYPE: ❑BUILT-UP ROOF P4,ALT SHING.F ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT d DESCRIPTION OF WORK - 11 id By my signature below,I certify to each of the following I am the property owner or authorized agent to act on the properry 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 laws relating to building nstrucdon. I authorize representatives of Cupertino w enter the above-id fled pm rry for inspection purposes. Signature ofApplicanUe ' Agent Date: I 4 SUPPLEMENTAL INFO TION REQUIItED " 2K _ — �•"°.`-"' _- '- - -- - `I ;�.�tOEFJCE'i1SE:ONLYti « _ Y-:...oma:.: _If building is associated With a Home Owner's Association,provide letter ��- - «r�N��Gc�Y>'�-' �,a.na. :.:.a�"'Hou,'[atV�'sL�Ir. - ,��,5•,*�. of approval from HOA. _Provide Planning approval to verify if there Bay restrictions. - � YD'R�'fIWGP57EW� Yea Provide copy of Manufacturer's Installation Specifications. a![scnNnn'un p =- -�` 1T�' r �i�r> P tde signed copy of Cupertino's Tear-Off Policy. � "' -. _ ��--•"� 4�>oirJtER - - `-� _ ReroofApp_2011.doc revised 03/02/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 �UPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONT CTOR LIST JOB ADDRESS: —7RMIT# OWNER'S NAME: � � PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: CITY/ZI PCODE: *Our municipal code requires all busines s working in the city to have a City of Cupertino Usiness license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. Lill I am not using any subcontractors: p^ Signature Date Please check applicable subcontractors and complete the following information: 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 Sheet Rock Tile 1u ll �� Date Ow @r/Contractor Signature