12070005 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10546 RED FIR CT CONTRACTOR:FOUR SEASONS ROOFING PERMIT NO: 12070005
OWNER'SNAME: LIN LING-WEN TRUSTEE PO BOX 1668 DA'Z'E ISSUED:07/02/2012
OWNER'S PHONE.: 4085591977 SAN JOSE„CA 95109 PHONE NO:(4118)=78-0330
Er LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUNIB r
License Class C" 3q Lic.N 41 a1(C)O r r r
[[�� MECH RESIDENTIAL CCOMMERCIALContractor FJ I`n I N C . Date -7-y 12
1 hereby affirm That that am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SI IAR1i ROOF,INSTALL 1/2"
CDX
(commencing with Section 7001)of Division 3 of The Business&Professions PLYWOOD AND 30N PELT,INSTALL CIiRTAINTIa!D
Code and that my license is in full force and effect. PRESIDDENTIAL. AND
SI IINGLIiS 135QPT
I hereby affirm under penalty 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.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,Ibr the performance of the work for which this Sq.FI Floor Area: Valuation:$4500
permit is issued.
APPLICANT CERTIFICATION APN Number:35905001.00 Occupancy T'ypc:
I certify(hat I have read this application and stale 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 de%pend nseswhichmaythe City ofCnstsai Cityi consequence
WITHIN Igo DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may acerae against said City in consequence of the
granting of This pennit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
TIssued �`-Date:��.`Z
Signature � �a....� Date
loor
❑ OWNER-BUILDER DECLARATION
RF:ROOFS:
1 hereby affirm that 1 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: installed without first obtaining an inspection,I ngftt to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant Date:7-Z-/2
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 B ITER
1 hereby affirm under penalty of perjury one of The following three
declarations: HAZARDOUS MATERIALS DISCLOSURE:
I have and will maintain a Ccrlilicatc of Consent to selGinsurc for Worker's
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 the
performance of'Ihe 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 Cade,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(a)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 I will
I eerily that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Nlunicipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Ilealth&Safely Code.Sections 25505,25533,and 25534.
Compensation Imes of Cal i fomia. If,after making this certificate of exemption,I
become subject m the Worker's Compensation provisions of the Labor Code,I must Owner or a Mfo ' a=
forthwith comply with such provisions or this permit shall be deemed revoked. Dole:
APPLICANT CERTIFICATION _1000NSTRUCTION].ENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the perlommance of work's
corect. I 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
indemnify and keep harmless(he 61),of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accme against said City in consequence of the
granting of this pemnit.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
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10546 Red Fir Ct DATE: 07/02/2012 7REVIEWED BY: Sean
APN: BP#: -VALUATION: $4,500
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2ROOF
USE: 3 Stories O Yes OW No PERMIT TYPE: Al
WORK Tear off existing wood shake roof, install 1/2" CDX plywood and 30#felt install certainteed presidential
SCOPE comp shingles.
FEE ID ROOF AREA
s.f.
1RER00FMRES 1,300
U„L. /'l un!'lord /-'lamb. IYun Chard P]rc. l'h+n Lhrnk
,1 L.:L. l'ri Wil Fri-.- l'lwnb. Pw'mii 14t: li4;r. I'vanG F:n
ih4rr 1k,h_fwe . Orhw Plumb Int/:. Orhrr harp In y�_
Hdrh. Lr.p. 1." I'lund>. imp. Fr.r lila_ ht,p, 1,c
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanirarp Sewer District,School
District,etc. . Thesefees are based on the prelimina in ormation available and are only an estimale. Contact the Der or mldn'I info.
FEE ITEMS (Fee Resahrlion 11-0531-ff. 71111/1 FEE QTY/FEE MISC ITEMS
Plan Clwrli I(! '
lippl. N('/ ,w
h.Ailec
Permit Fee: $195.00
NuppL
l'lrrmb.ial�rli_'/Bice
hcu i,. rrl..7:7rc Pel Wil !t c
(,ouur'I I('/iUR /_(n
:4 rin�ini�nrui�tr lrr:
Work Without Permit? Yes (j) No $0.00
,Irhanccal l'hnuiiig,' h'res:
7rurrl1.)w mm-niathm Fects:
St,rome Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
131de Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $196.50 $0.00 TOTAL FEE: 1 $196.50
Revised: 0 7101/2 01 2
REROOF TEAR-OFF POLICY
.COMMUNITY DEVELOPMENT.DEPARTMENT-BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE -CUPERTINO,ICA 95014-3255
(408)777-3228•FAX(408)777-3333•building CCD.cuoertino.ora
PROJECT ADDRESS APN0
S
OWNERNAME PHONE 'r 77 E-MAIL
STREET ADDRESS CITY,STATEZIP FAX
S
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS,LIC.4
3
COMPANY NAME I E-MAIL FAX
Four SeaxoAs
STREET ADDRESS 502 CITY.STATE.ZIP PHONE
-b
1 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'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 prio'r'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'V4?' 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 S 126.00. There-inspection fee shall be paid before another inspection
can be scheduled.
I
By my signing below, 1 certify each of the.following is tnie: I am the property owner or authorized agent to act on the
property owner's behalf. 1 understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are,r_e_quired to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential Code.
Signature of ApplicanUAgent: Date:7-de-
Rep oo.1poliev-201
e-Remo/Policy-?01 Leloe rerised 02116111
i
� 2o71 � t' �
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
GUPERTINO (408)777-3228• FAX(408)777-3333• building(cDcupertino.org
PROJECT ADDRESS APS= 6 _ v o /
OWNER NAME 1A _ PHONE O S.T/' //77 E\AIL
STREET ADDRESS CIT)'. STATE,
LIP FAN
0 V
CONTACT NAME PHONE EMAIL
-0 30
STREET ADDRESS Sat CITY.STAI'E.ZIP FAX
❑ O11'SFR ❑ OPNER BUILDER ❑ OWNER AGENT JeCO\TRACrOR 11 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINFFR ❑ DEN ELOPER ❑ TENANT
CONTRACTOR NAME LICENSENINISER LICENSE I'-PE BLS LIC.•
4-17.1 QS7
CONPA\Y NAME E-%TAIL FAX
STREET ADDRESS CITY_STATEZIP_ PHONE
Sot w ose C B-0
ARCHI rECTENGI\'GER SA>IE LICESSENUNIBER BUS LIC.
COMPANY N;\ME E-MAIL FAN
STREET ADDRESS ./ CIT)'.STATE_ZIP PHONE
LSE OF El j1 SFD or Duplex Multi-FIni ROOF AREA A vALL AT ION p
STRUCTURE ❑ Commercial II�� l3 S Sao
EXISTING ROOF T)YE 11 BUILT-LP ROOF ❑ASPIIALTSHISGLES Pe"OODSHARFS ❑W DIED SHINGLES ❑0111 F.R(SPEC]FYI
R@]IOCF.,REPLACCYFS ,.1FS PLY\\'OOD 11PU'1\'0 ❑ OSB PIl'CH ROOF
❑ YO •LA,FRSTHICKNESS ❑ S.S" T')'PF NrCDX `4
12 CLASS
PROPOSED ROOF T)PE ❑BUILT-UPROOF KddASPHALT SHINGLES ❑WOODSIIAKES ❑UOODSHINGLES 11 OTHER ICC ES REPORT=
DESCRIPTIO]OF\t ORX- Z 11
tiCID X
se a �s �� d
Ar my signature belo\v.I certify to each of the following; I am the propem'o\\ner or authorized agent to act on the propeny ov.rer's behalf. I have read this
application and the information I have provided is correct. I have read the Description of work and peril\'it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building cons tion. a onZe repres tiv ol'Cupenino to enter the above-identified propem'for inspection purposes.
Signature of Applicant/Agcm DateO
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ II-building is associated With a Home Owner's Association.provide letter PLAN CHECK TYPE ROUTING SLIP
of approval from HOA. 0%.ER-THE-COUNTER ❑ BUILDING PLAN REVIEW
Provide Planning approval to verify if there any,restrictions. EXPRESS ❑ PLAR\INC PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER:
Reroof4pp_.2011.doc revised O3//6/1I