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12050121 CITY OF CUPERTINO BUILDING PERMIT [III ILDING ADDRESS: 11621 ORCHARD SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 12050121 OWNER'S NAM F.: FLEANOR WENG 1703 CATIIAY DR DATE: ISSUED:05/142012 OWNER'S PHONE: 4087161888 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 OAIMERC,IAI. License Class Lic.H��t RE-ROOF 19 SQ-TEAR OFF EXISTING WOOD SHAKES, / �� INSTALL 30 LB FELT INSTALL GAF GRAND CANYON Co met Dale CLASS I hereby affirm Ihs I am licensed under the provisions of Chepler 9 A (commencing with ection 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penally of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insum 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.F1 Floor Area: Valuation:$9500 1 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:36654029.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and slate that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I 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 DAY M LAST CALLED INSPECTIO indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accme against said City in consequence of the Issued bv: Dale: granting of this permit. Additionally,the applicant understands and will comply with all non-poin(source regulations per the Cupertino Municipal Code,Section 9.18. T— _ RF.-ROOFS: Signautr Dolma — - /� All roofs shall be inspected prior to an) roofing material berg installed.If a roof is - installed without first obtaining an inspection,I agree to remove all new materials for inspection. D \VNER-BUILDER DECLARATION �_1 /)) Signature of Appht-dnt] 0 Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of I the following two reasons: ALI,ROOF C{ VERINGS TO BE CLASS"A"OR BETTER 1,as owner of the properly,or my employees with wages as their sole compensation, will do the work,aid the Slmclure 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will 1 hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Ileallh&Safely 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 1 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 1 performance of the work for whichthis 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& - Eery C'e e,Secfans 25505 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this \ / permit is issued. p Owner or authorized agent: • Dnle�� I cenify,that in the performance of the work for which this permit is issued,I shall not employ any person inany manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must 1 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, w'ork'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(his 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 properly for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCIIITF-CT'S DECLARATION 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 Dale CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION 10 ADDRESS: 11621 Orchard Spring Ct. DATE: 05/14/2012 REVIEWED BY: gs APN: BP#: 'VALUATION: $9,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY PENTAMATION USE: SFD Or Duplex PERMIT TYPE: 1SFDWLROOF WORK tear off existing wood shakes. install GAF Grand Canyon. Existin plywood to remain. SCOPE FEE ID ' ROOF AREA s.f. 1REROOFFRES 1,900 ,11o,:4. Poon Check Plumb. Plan Check Elec. Plan Chrrk F1,01, Porwil Fee: Pbmnh. P0, nir F,e Flet. Pennir Fee: Orhar,licrh. Ingr. Ocher Plumb In.ep. 011ier/ileo. Insp. 11IM1. Imp. I'de: Plumb. hrsp. Fee: Eler.Insp. Fce: NOTE: This estimate does not includejees due to other Departments(Le. Planning,Public Works, Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the relimina in ormation available and are only an estimate Contact the Dent for addn'1 info. FEE ITEMS (Fee Resohnion 11-053 E2 7/1//1) FEE QTY/FEE MISC ITEMS Plan Check Fee Supp/. PC Fec I'hunh./,blech. Permit Fee: $266.00 Suppl. Insp Fee rhmeh./aaer:r,./r:tee: Plumh./d•lech./l,lec Permil Fee: C onsn'u(lion Tax. riefin ui.vireawe Pec: Work Without Permit? 0 Yes E) No $0.00 Arlroucerl Plurmiq¢ Fees: Trured Docionentatiun Fees: S[ronc Motion Fee: IBSEISMICR $0.95 Select an Administrative Item Bldg Stds Commission Fee: . IBCBSC $1.00 SUBTOTALS: 1 $267.95 $0.00 TOTAL FEE: 1 $267.95 Revised: 04/01/2012 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: -Sub: alk: Lot : APN . . . . . . . . .. 36654029.00 DATE ISSUED.,. . . . . . : 05/14/2012 .RECEIPT #. . . . . . . . . : BS000016814 REFERENCE ID # . . . : 12050121 SITE ADDRESS . . . . . : 11621 ORCHARD SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ELEANOR WENG ADDRESS . . . . . . . . . . : 11621 ORCHARD SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5222 RECEIVED FROM . . . . : CASTILLO 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 9,500.00 1.00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 9, 500.00 0. 95 0 . 00 0. 95 0. 00 1REROOFRES SQ FEET 19.00 266.00 0 . 00 266 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 267.95 0.00 267.95 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 267. 95 17793 --------------- TOTAL RECEIPT 267. 95 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 `✓•.. 1--,+..h.�.�:=�:.:i-:.�V,::::ti:X...-i.A.,-.,v .,.- _. �r ..,. y^T�,cTJ[�;•:",TM_'t_ 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)1777-3333•building(a)cuoertino.org PROJECT ADDRESS OWNER NAME y,P ^-1 E-MAIL STREET ADDRESS` ,`��� i1 Y 0. ..I,l. C STjTr LP: PI L11I/l.i�/i� • ,If.q 0I I' FAX CONTRACTOR NAME, • L'ICEI ENUMBE fit' LICEN;F,TAPE I BUS.LIC.0 _ I /•_ COMPANY NAME. Y"` E-MAIL - FAX STREETADDRESS ' ,� -�� I , 41• �I " \ CITY TATE.14 ;IP I PH N 1/, ��( /_ �UI�_q I /TF;ND AND AI REE QiTHE FOL LOWING: n C! 1. The re-roofp gject;shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection requ6st•'�t,,be- cl3e{l�led up tathe.day%before.the l spection date. Pleas call (408)777- 3228 from 730 - 3:30pm (Mrt-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'tnspection is required. Any and all dry-rotted wood shall be replaced.prior to this inspection. Unless new plywood roof sheathing is propds�c� thr64ghout, all the nails/fas'tedr{s hall be either completely knocked-down or removed'ifr to this Inspection. I 4. If plywood-is installed, aplywood Nailing Inspection is required. _ 5. Roofing shall not be app9llied without first obtaining all prior inspection and written approvals from the building inspector. Anyydb5fing 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. Prop-ress Inst ection-is Ie C: I- hen app o>?mately-50% ��c✓' gI. i\ f 1 bfrbofcovenn i� installed. 7:0 - I A•Fid Idnspection and addrova��il be obtal 8 &om_th� liiiilding mspec)c�r vSl�en the re-roofing is �• co�pletgd) To receiv� fhal s Qr1 o(flth�fP'lowin �tert4�s will)b�e(ve�ifed: a. Flat rdofs shall have a minimum of'/4" p�r 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.Iite o reviewlat the time of the inspection. C. Proper spark\\drr to tnsta ation, vents painted, gutter/downspouts I stalled, debris removed. 8. NOTE: .If you call fl 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-inspect�n 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. 1 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 C de. / Signature of Applicant/Agent: Com_-1 L—' Date: Remo/Pnlicr_?Ill 1.tlnc reri-ced 02/I6/1[ .11L REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildinana .cuoertinO.Or 1205-012- ) PRI)IECT ADDRESS 1 APN0 ��'1✓✓✓„��� OWNER NAME PHO b% 2( � IOwW/� E-MAIL P.I We ha I AIN STREET ADDRESS i CT'. TATE,21P (�r� e of �♦� FAX ny-I-Iian Of OA CONTACT NAME •C PHON ' "I JE-MAIL STREET ADDRESS J CR TATE, Z O (�� ^+� FAX Inn 5C - rL ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMB LICE 1P BUS.LIC.k COMPANY NAME E-MAIL (� FAX STREET ADDRESS ,STATE. P ��'^^ PHONE -�, f;&S* • 1 ARCHITEC'GENGINEERNAME LICENSENUMDER BUS LICA COMPANY NAME E-MAIL FAX STREET ADDRESS CITY.STATE,ZIP PHONE USE OF SFD or Duplex ❑ Muki-Family 0.00E AREA: VALUATION'. _ STRUCTURE. ❑ Commercial �J• VV�• EXISTING ROOF TYPE: 11 BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOODSHINGLES ❑OTHER(SPECIFY) REMITV'E IREPLAC YES IF N0, PLriVOOD ❑ ' ❑ PLY' ❑ USB PITCH. ROOF 13 NO 41- YE KNE ❑ VS" TYPE ❑ CDX :12 LASS- 'a PROPOSED ROOF TYPE: 11 BUILT-UP ROOF /rASPH.ALTSHINGLFS ❑WOODSHAKES 13 WOOD SHINGLES 13 OTHER ICC-ES REPORT DESCRIPTION OF WORK. -Tp IM 1 By my signature below.I certify to each of the following- 1 am the property owner or authorized agent to act on the property owner's behalf. 1 have read this application and the information 1 have pr piled is correct. 1 have read the Description of Work and verifv it is accurate_ l agree to comply with all applicable local ordinances and stare laws relating bui ing u coon. I llorize representatives ofCupertino m enter the above-id Gf�ie)d p p/o7ny�Aur irepeaion purposes'. Signature of ApphcanUAsen Date'. 57Iq T'2..) SUPPLEMENTAL 1 ORMATION REQUIRED OFFICE USE ONLY _ If building is associated with a Home Owners Association,provide letter PLAN CHECK TYPE 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 cop; of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTTER: Reroofdpp 2011.doc revised 03%16/11