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12070126
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21077 RED FIR Cf CONTRACTOR:FOUR SEASONS ROOFING PERMITNO: 12070126 CANT"ER'S NADIR: KAR YIM KWAN PO RO.N 1668 DA'Z'E ISSUED:07/17/2012 OW'NER'S PI ION E: 4089466865 SAN JOSE,CA 95109 t'f IONE NO:(408)278-0330 G— LICENSED CON"1'RACI'OR'SDECLARATION BUILDING PERNI1T INFO: BLDG r ELECT r PLUMB r License Class G-39 Lic.9 , L4-7 910 r r r tic —/—n � IVIECII RESIDENTIAL COAU'11ERCIAL Contractor 1� 1{�, (1.�.- Date 1 — 2 hrrchv alTirm thatlam licensed under the provisions of Chapter9 JOB DESCRIPTION: RE-ROOF TEAR OFF WOOD SI[AKE INSTALL COMP (commencing with Section 7000)of Division 3 of the Business S Pr fcssimis SINGLES Code and that nry license is in full force and effect. 13 SQ Fl - I hereby affirm trader penally 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 dm work for which this Sq.Fl Fluor Area: Valuation:$4500 permit is issued. Al'I'LIG\N'I'CISR'rIPICA'1'ION APN\umber:35905025.00 OccupancyType: I certify that I have read this application and stale that the above infommmion is correct. I agree to comply with all city and county ordinances laid state Imes relining to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (\\'e)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep haradess the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAPS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understandsand will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulatims per the Cupertino Municipal Code,Section 9.18. 7---),%•-2_ i2 Issued by: Date: Signature Date ' ❑ O\YNF.R-BIIILDER DECLARATION RF:ROOFS: hereby affirm that 1 am exempt from the Contractor's License Law for nne of All roofs shall be inspected prior to any fooling material beirg installed.Ira roof is the fallowing Im,reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole comRnslaion, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business S Professions Code) Signature ofAppli©ne Date-? n -r2 Las owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7094,Business ti Professions Code). ALL ROOF COVERI, .S'1'013E CLASS"A"OR 131:1'1'GR 1 herchp affirm under penalty of perjury rare of the following three declarations: IL\%,\RI30lIS JL\TERN\IS DISCLOSURE have and will maintain a Certificate of Consent m self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read(lie hazardous materials requirements under Chapter 6.9.5 of the performance of the work for which this permit is issued. California Health S Safety Code.Sections 25505,25533,and 25534. I 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 S Section 3700 of the Labor Code,for the performance of the work for which this Safe( Code.Section 25532(a).should 1 store or handle hazardous material. Additionally.should 1 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 Re:dth S Safety Code.Sections 2550.5.25533,and 25534. Compensation laws of Calif lmia. If,after making this certificate of exemption.I become subject to the Worker's Compensation provisions of the Labor Code,I must Own or <tf�nrize r cat: forthwith comply with such provisions or this permit shall he deemed revoked �Datc 7� J Othr,(is NSTRUCTION LFNDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affi a construction lending agency for the performance of work's correct.I agree to comply with all city laid 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 the City ol'Cupenino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permil.Additionally,the applicant understands and will comply ARCI I I'1'FCI"S DECLARATION all non-point source regulations per the Cupertino Municipal Code,Sectio 9.18. I understand my.plans shall be used as public records. Signature Dale Licensed professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: red fir ct. DATE: 07/17/2012 REVIEWED BY: bobs. \ APN: BP#: IVALUATION: $4,500 *PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration/ Repair PRIMARY SFD Or Duplex PENTANIATION 1SFDWLR00 USE: PERMITTYPE: WORK tear off wood shake install comp shingles. SCOPE itkch. Plan Check Phuuh.Plon C heck Flee. Plan Check Alveh. Pernut Pee: Plumb.Peonit Fee: lilec. Permit Fee: Other Alech.Imp. Oilier Plumb Insp. Other Eler.buP. Ahkch.hep.Frte: Phanb.la.y.Fre: Elev.bur.F,rc: NOTE: This estimate does not include jecs due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District, etc). These fees are baser(on the preliminary information arailable and are only an estimate. Contact the Det for addn'I info. FEE ITEMS (Fee Resohaion 11-059 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,300 s.f. Re-roof Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs SO.00 5195.00 IREROOFRES PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(D Reg. 0 OT 07hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C'nnslrucr,'On Tar: Administrative Fee: Q Work Without Permit? O Yes G) No $0.00 G Advanced Plannine Fee: $0.00 Select a Non-Residential t7 TrnrO/DOcrunentulrOn Fuc•s: Building or Structure 0 A Strong Motion Fee: IBSEISAHCR $0.50 Select an Administrative Item 131dp Stds Commission Fee: 1RCBSC $1.00 SUBTOTALS:, $1.50 $195.00 rOraLFEE:1 $196.50 Revised: 07/01/2012 REROOF TEAR-OFF POLICY 0 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• buildinoCakuoertino.oro PROJECT ADDRESS �/O77 2� / F' C1. APNd OWNERNAME C� T PHONE lfdt-9 IV& 6 E-MAIL � i M a 'T a STREET ADDRESS CITY.STAT[,ZIP M FAX `l CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE�v BUS,LIC.N O G� COMPANY NAME -/ E-MAIL FAX STREET ADDRESS �(� CITY. TEZIP PHONE Sat 1-A e .;,. ,f , per oK C/1 9.r//Z -Z78-o330 I 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 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/<" 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, I certify each of the following is true: 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. 1 also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 11314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: Reraglmvicv_2011.doc revised 02116111 l7iG ' alp REROOF PERMIT APPLICATION Ell COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO•CA 95014-3255 (408)777-3228- FAX(408)777-3333•building(0)cuoertino.oro CUPERTINO PROJECT:AUDRESS 210-7? X_ / Fee '\PN- 2 Sq C.) S' O OWNER NAME //_ �) I PHONEIE-1�IL STREEI'AUDRE15Z/0'7 / �, CITY.STAMP FAX CONTACT NAAIF; d PHONE E-SfA1L 11 I-FreA o Casare S STREET ADDRESSSot S CITY.STATE.ZIP FAX ElOWNER ❑ O.NER-BUILDER C3 OWNER AGENT T 10ITKNCTOR 13C011R.AC70R.AGENT ❑ ARCHITECT ❑ENGINEER ❑ DF.Y ELOPER ❑ TENANT C'ON. ACTORNAMELICENSE NUMBER I LICENSEEPE I BUS.LIC.e Z COMPANY NAME E-MAIL I FAX STREET ADDRESS CITY.SLATE.LP Sot I o. one C PHONE 8-0 ARCHITEMENGI.11.1 \IE LICENSE,NLNIBER I BUS.LIC,- COMPANYNA.ViE EMAIL I FAX STREET ADDRFSS CIT\',STATE.%IP I PHONE CSE OF ❑ SFD or Duplex JC Multl-Familv. ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial ��..rr /3 S JDO EXISTING ROOF TYPE: ❑BUILT-L'PROOF ❑ASPIIALTSHINGLES 9000DSHAKES ❑WOODSHINOLES ❑OTHER ISPECIFYI R@?IOVF.:REPLACE Y'FS IIF NO. PLl"HOOD ❑ PLI'N'D ❑OSB PITCH ROOF ❑ NO LA1'FR THICKXESS Cl �S' T\'PE• CDS '(2 .LASS A PROPOSED ROOF TYPE: ❑BUILT-UPROOF JASPHALT SHINGLES ❑NOODSHAKES ❑WOODSHINGLES ❑OTHER IMES REPORT: DESCRIPTION OF\% YZ' lb&e 8.4 wood S +6eelt 104 e ss a 'a bin a Ry 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. I havc read this application and the information.I have provided is correct. I have read the Description of Work and verify it is actuate. I agree to comply with all applicable local ordinances and state laws relating w building cons tion. I a''orize represe [iv c of Cupenino to enter the above-identified property for inspection purposes. Signature of Applicwt,/Agenr: Date: 6td12 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ If building is associated\\'ith a Home ONner's Association.provide letterEr Pt.AN CH ECK TYPE otrrine suP Of approval from HOA. VER-TRE{OUN7ER BUILDING PLAN REVIEW Provide Planning approval to A•eri fi'if there any restrictions. ❑ EXPRESS ❑ PLeNNIN'G PLAN REVIEW _ Provide copy of Manufacturer's Installation Specifications. o ❑ FIREDEPT rovide sinned copy of Cupenino's Tear-Off Policy. ❑ OTHER: ReroofApp 2011.doe revised 03/16/11