12070124 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21073 RED PIR CT CO\IRACI'OR:FOUR SEASONS ROOFING PERINIIT NO: 12070124
OWNER'S NAME: YU11E YANG K WEI L\ PO ROS 1668 DATE ISSUED:07/172012
OWNER'S PHONE: 4082329811 SAN JOSE.CA 95109 PHONE NO:(403)278-0330
LICENSED COYI'RACI'OR'S DECLARATION
�
'�Cr u�7 1 13UILDINC PERMIT INFO: RLDC r ELEC'1'r PLUMB
License Class C--J 1 Lie.q I I?i 1 0O r r' r
MECH RESIDENTIALCOMMERCIAL
Contractor �tJ t�- f N C- Dale -7-11'- 1'7
1 JOB DESCRIPTION: RE-ROOF TEAR OFF WOOD SHAKE,INSTALL COMP
hereby ullirm iha( I am IirrnsrJ under the provisions of Chapter')
(commencing is ilb Section 71)110)or Invision 3 of the Business S Professions SHINGLES
Code and(hal ore license is in full force and effect. 13 SQ FI'
hereby affirm under penalty of perjury one of the following la'u 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 Cade,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 for ahich this Sq.F(Floor Area: Valuation:$4500
permit is issued.
APPLICNTCF.RTI FICATION AM Number:35905023.00 OccupancyType:
I certify that I have read this application:ad state that the above information is
correct. I agree to comply with all city and county ordinances mid state laws relating
to building construction•mid hereby outhorize 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 harniless 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 mid will comply 18U DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulatkiis per the Cupertino Municipal Code,Section
9.18.
-7 Issued
Signature Date
l/
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
1 hereby affirm that I not exempt from the Contractor's License Loss for one of All roofs shall be inspected prior to my rooting material being installed.If a roof is
the follow ing two reasons: installed without first obtaining an inspection,1 agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole c0mpensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044.
Business&- Professions Code) Signature of Applicant,
I,as owner of the property,am exclusively contracting with licensed contactors to
construct the project(Sec.7044,Business S Professions Code). ALL ROOF COVERINGSTO BE CLASS"A"OR BE'PI'ER
I hereby affirm under penally of perjury one of the following three
declarations: HA•J.ARDOUS MATERIALS DISCLOSURE
I have and will maintain a Cenificate of Consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the labor Code,for the I hnve read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health S Safety Code.Sections 25505,25533,and 25534. 1 will maintain
I.have and will maintain Worker's Compensation Insurance,as provided lar by compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health S
SafelyCode.Section 25532(x)should 1 store or handle hazardous material.
Section 3700 0l the Labor Code,Ibr the performance of the work for which this Addilionally,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 certify that in the performance of die 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 I Iealth 8 Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. 1f,alter making this certificate of esennption,I
become subject to the Worker's Compensation provisions ofthe Labor Code.I must llwx• t♦r ot(urti; •agrH: /
forthwith comply with such provisions or this permit shall be deemed revoked. A!nDate'
CONSI'RUC`I'ION LENDING AGENCY
AI'I'LIC.\N'I'CER"I'IPICA'I'ION
I certify that I have read this application and state that the above information is I hereby affirm iha there is a construction lending agency for the performance of work's
correct.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,mid 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 hamiless the City of Cupertino against liabilities.judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
graving 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
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(dcupertino.org
PROTECT ADDRESSZ/O� � �/ �1 APNa
OwNERNAME w . s " , PNON E-MAIL
U A !r A D - Z Z-
STREETADDRESS �„ CV CITY.STATE,z(tt, C,� 9T0
MFAX
CONTRACTOR NAE LICENSE NUM0.B , g LICENrPFI BUS.LIC.a
COMPANYNAME EMAIL S FAX
STREETADDRESS . CITY. . PNONE
STATEz�. TOta $I l2 O 'a'7$-0330
1 UNDERSTAND AND AGREE TO THE FOLLOWING:
I. 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/4" 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. The re-inspection fee shall be paid before another inspection
can be scheduled.
By my signing below, 1 certify each of the 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. 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 Code.
Signature of Applicant/Agent: Date:7—/9-/Z
RelroofPolicv_?Ol Ldoc revised 02/16111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS:a t U-1 red fir ct. DATE: 07/17/2012 REVIEWED BY: bobs.
APN: BPS#: 'VALUATION: $4,500
*PERMITTYPE: Building Permit PLAN C11F,CKTI'PE: Alteration / Repair
PRIbIARY SFD Or Duplex PENTAMATION
USE: pPERMITTYPE: 1SFDWLROOF
i
WORK. tear off wood shake install comp shingles.
SCOPE
Alech. Plan Check PLmrh.Plan Check Ede.:. flan Cherk
Aleclr. Perin!Fee: Plunrh. Permit Fee: tiler•. Permit Fre:
Other Alech. Imp, Other Minh ln.sp. Other F,ier•,Insp. Li I
Alcch./n.,y.Fee: Plmnh. /mp. Fra: filer.Insp.Fec:
NOTE: This estinatte does not include fees due to other Departments(i.e. Planning, Public WVorks, Fire,Sanitary Server District,School
District, etc.). These fees are based on the prelintinan in orthation available and are onl,an estimate. Contact the Dept for addn'I in o.
FEE ITEMS (Fee Resohaion 11-053 E1X 711//1) FEE QTY/FEE IMISC ITEMS
Plan Check Fee: $0.00 1,300 s.f. Re-roof
SuppI. PC Fee: Q Reg. Q O'f 0•0 Ilrs $0.00 $195.00 /REROOFRES
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee.0 Reg. Q OT0.0 firs $0.00
PMC Unit Fee: $0.00
PME Permit Fee: $0.00
Conslr uction Tice:
Ad ninisirative Fee: Q
Work Without Pennit? 0 Yes (j) No $0.00 G
Advanced Planning Pee: $0.00 Select a Non-Residential r
Trm¢:1 Dncrrrnrnlul)nn Fees: Building or Structure r0
i
Strom; Motion Fee: IBSE1SHICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: /RCBSC $1.00
SU13To'I'ALS: $1.50 $195.001TOTAL FEE:, $196.50
Revised: 07/0 112 01 2
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO.CA•95014-3255
(408)777-3228• FAX(408)777-3333•ouildinalaulcupertino.ora
CUPERTINO
PROJECT ADDRESS Zlc73 /(&dO' l�- ��. I APS• 1 � O� 07-3
OWNERNAME F) pf PHONE �3z / EMAIL
�' -q8
SFREEIADDRESS CITY. STATE,ZI FAX
Zto73 AC/ LT. �r I n 6.4 nJr
CONTACT NAME e PHONE E-MAIL
STREET'ADDRESS CIT\'.$TATE.].IP/'y FA\
❑ OWNER ❑ Dw:NER-BUILDER ❑ ONNER AGENT J111601TRACrOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTORNAME I LICF,NSE.IL'SISER20 I LICF-NSE 'PE I BIIS,Lit..
COMPANY\AMC E-NIHIL I FAX
SAME
STREET ADDRESS CITY.STATE,ZIP
SeZ I a cS¢ C PHONE -2 8'O
ARCHI'rECLENGIN'EER NAVE LICENSE NUMBER BUS.LIC.
COMPANY NAME I E.AIL FAX
'STREET ADDRFSS CITY.STATE ZIP PHONE
CSE OF ❑ SFD or Duplex J. Multi-Family ROOF AREAVALUATION: Qp
$TRUCTURL: ❑ Commercial 3 $ V v�J
EXISTING ROOFTY'PE: ❑BUILT-CP ROOF ❑,ASPIIALTSHINGLES 0\10ODSHAKES ❑N'DOD SHINGLES ❑OT HER IS PECIF YI
REmOVE:REPLACE VyESIF NO. PLYWOOD .f' ❑ PLYWD ElOSB PITCH: ROOF
13 NO •LAYFR IN PE CDS •)2
: CLASS
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑wDOD SHAKES 1:1 WOOD SHINGLES ❑OTHER IMES REPORT-
DFSCRIPTION'OFWORK: L /� %/Z(f
LSTs A 6 IJ� 5�0�?. P'C Dt _ Z A
e O# I
as a 'a bin a
Ry my signature below.1 cerifY to each of the following: I am the property owner or authorized agent to act on the property 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 Inas relating to building cons- tion. 1 a orize reprcse • lic c of Cupenino to enter the above-identified property for inspection purposes.
Signature of ApplicanUA¢ent ��t Date: Sl0 12
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated with a Home Owner's Association.provide letter � PUS CHECI:TYPE �.�ROUTING SLIP
of approval from HOA. LT••OVER-THELouNTER aLLJ IILDIVO PUN REVIEW
Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PUNNuvc PUN REVIEW
Provide copy of Manufactureh Installation Specifications. ❑ STAND%RD ❑ FTRE DEPT
vide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER:
ReroojApp 2011.doc revised 03/16111