12070180CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21087 RED FIR CI' CONI'RACI'OR: FOUR SEASONS ROOFING PERMIT NO: 12070180
OWNER'S NAME: YANG JUNIIE AND C11I7N JIL PO BON 1668 DA'Z'E ISSUED: 07242012
OWNER'S 1'110,NE: 4086158706 SAN',IOSF-. CA 95109 PBONENO: 14081278-0330
LICENSED CO\ IRACf0R'S DECLARA'T'ION
License Class C__131
1 _13 Lie. 9 —1 Z Z( O p
Contractor FS�-,I fxfC . Date
I hereby affirm that I am licensed under the pro,isions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business S Professions
Code and that any 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 ofconsent to self insure for Worker's
Compensmion, 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 die work for which this
pemrit is issued.
\I'I'I-IC.\N'I' CI?R'1'IPIC.\'PION
I certify that I have read this application mrd 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 property for inspection purposes. (We) agree to save
indemnify and keep hamrless the City ofCupertino against liabilities, Judgments,
costs, and expenses which may accrue against said City in consequence oflhe
granting of this permit. Additionally, the applicant understands mrd will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
❑ ONVMSR-BUILDER DECLARATION
I herch'v afirm that I am exempt from the Contractor's License La,% for one of
the following mo reasons:
I, as owner of the propeny, or my employees with wages as their sole compensation,
Will do the work, mrd the structure is not intended or offered for sale (See.7044,
Business k Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business d Professions Code).
I hereby affirm under penalty of perjury tine of the following three
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
perfommnce of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 critic Labor Code, for the perf nniance of the work for which this
pemrit is issued.
I certify that in the performance of die 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 California. If, after making this cenilicate of exemption, I
become subject to the Worker's Compensmion provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
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 state laws relating
to building construction, mad hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep hmmlcss the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence Or the
granting of this permit, Additionally, the applicant understands and will comply
with all non -point source regulation; per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG I- ELECT r PLUN113 I -
NISCH F, RESIDENTIAL r CONIIN ERCIA1, r
.JOB DESCRIPTION: TEAR OFF MISTING WOOD SHAKE ROOF. INSTALL I2"
COX PLYWOOD THEN 304 FELT UNDERLAYMENT. FINALLY,
INSTALL CERTAINTEED PRESIDENTIAL COMP SHINGLES.
Sq, Ft Floor Area: I Valuation: 54500
ANN Number: 35905027.00 1 Occupancy'Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issue by: ,''i-iCJY Date:
Tr 12
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant*i Date:7-27 ��L
ALL ROOF COVF.1 NGS'I'O 1 ' OR BETTER
HAZARDOUS MATERIALS DISCLOSURE,
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Ilealth S Safety Code, Sections 25505, 2.5.533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code. Chapter 9.12 and the Health S
Safety Code. Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emir hazardous air
contaminants as defined by the Bay Arca Air Quality Management District I will
maintain compliance with the Cuperlino Municipal Code, Chapter 9.12 and the
Ilealth S Safety Code. Sections 25505, 25533. and 25534.
Owner or m Mgent: 7.2-Y_I2—
Uatr:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCIIITECI" S DECLARATION
I understand my plans shall be used as public records.
Signature Date I Licensed
CITY OF CUPERTINO
I�VW.0 FEE ESTIMATOR—BUILDING DIVISION
J&F%I)DRFSS:
21087 Red Fir Ct
DATE: 07/24/2012
REVIEWF D BY: Sean
dlech. Permit Fee:
ANN:
BP#:
'VALUATION:
$4,500
*PERMIT TYPE: Minor Building Permit
PLAN CIiECK TYPE: Re -roof
PRIMARY SFD or Duplex
USE: p
Elec. lnsp. Fee:
PENTANIATION
PERi111TTYPE: 1SFDWLR00
WORK
Tear off existing wood shake roofing. Install 1/2" CDX plywood then 30# felt underla ment. Install
SCOPE
Certainteed Presidential composition shingles - Country Gray color.
FEE ID ROOFAREA
(S.f.)
1REROOFFRES 1,300
NOTE: Thiv "nitrate does trot includefeev due to other Deparonents (i.e. Planning, Public (Forks, Fire, Sanitary Sewer Diatrict, School
Di.vtrict, etc.). These feav ore based nn the prelintinan• information available and are otrh• an evtimate. Contact the De t or addn7 in n.
FEE ITEMS (Fce Resolution 11-053 E/) LLLI11
blech. Plan Check
Monk Plan Check
C/ec. Plan Check
dlech. Permit Fee:
Phanh. Permit Fee:
Elect Permit Fee:
Other S1ech. !asp.
Other Plumb Invp.
Other Elea lncp.
Xlech. Insp. Fee:
Plumb, bop. Fee;
Elec. lnsp. Fee:
NOTE: Thiv "nitrate does trot includefeev due to other Deparonents (i.e. Planning, Public (Forks, Fire, Sanitary Sewer Diatrict, School
Di.vtrict, etc.). These feav ore based nn the prelintinan• information available and are otrh• an evtimate. Contact the De t or addn7 in n.
FEE ITEMS (Fce Resolution 11-053 E/) LLLI11
FEE
QTY/FEE
MISC ITEMS
Plan Check Feet
Supp/. PC Fee
Plumb./1/ech./131ec
Permit Fee:
• $195.00
Suppl. /nsp Fee
Phunb./A4ech./Elec
Plunth./klech./Elec. Permit l-ew
Construction Tar:
Administrative Fee:
Work Without Pennit? 0 Yes Q No
$0.00
Advanced Planning Fees:
Travel Docaanenlaiion Fees:
Strong, Motion Fee. IRSrISMICR
$0.50
Select an Administrative Item
13lda Stds Commission Fee: IRCBSC
$1.00
SURTOTALS:
$196.50
$0.001
TOTAL FEE:
$196.50
Revised: 07/01/2012
CUPERTINO
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
(408) 777-3228 • FAX (408) 777-3333 • buildine0cuoenino.org
PROTECT ADDRESS O
APN4
OWNERNAME PHONE
E-MAIL
STREETADDRFSS
CITY. ST IP
FAX
0
CONTRACTOR NAME
LICENSE NUMBER
10
LICLNSE TYEE
BUS. LICA
COMPANY NAME.
E-MAIL
FAX
STREET ADDRESS
CITY. ST ZIP
HON
Sb2
C
,-a-O 50
o
J
I UNDERSTAND AND AGREE TO THE FOLLOWING:
The re -roof project shall comply with all applicable provisions of the 2010 California Codes.
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.
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.
If plywood is installed, a plywood Nailing Inspection is required.
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.
Progress Inspection is required when approximately 50% of roof covering is installed.
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.
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. 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.
of
Date:
ReroofPolicv_2011.doc revised 02116111
IN
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildinD(dcupertino.org
—0
PROJECT ADDRESS Al Ed- I
APS- 3 S� d5 Q a1
_1
VO T C •
OWNER NAME e P I PHONE G
T. i
E-\IAIL
STREE r ADDRESS CIT\'. ST�n CIP
FAN
CiY
SO
CONTACT NANIF. PHONE
I E-MAIL
c D-
-0 301
STREer ADDRESSSot S
I CITY. ST.AI'E. ZIPqSj
FAN
❑ OWNER ❑ OWNER-ROLLDER ❑ O\NER AOENT 0 CO1TRACTOR ❑ CO?TRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
C'OI.'TRACI"OR NAME - LICENSE NL'pIBER
I LICENSE 'PE I
BUS. LIE..
�.
0
COMPANY NAME
E-MAIL
I
FAX "
STREET ADDRESS
CITY. SLATE. ZIP
C40,9-7-19-0
PHONE
SOZ
A o5e
ARCHtrECT•ENGINEER NAME LICENSE NUMBER
BUS. LIG
COMPANY NAME EAIAIL
FAX
STREET ADDRESS CITY. STATE. /.I P
PHONE
LSE OF ❑ SFD or Duplex JC Multi -Family ROOF AREA: VALUATION.
STRUCTURE: ❑ Commercial 3
S { M0
EXISTING ROOF TYPE r ❑BVILT-CP ROOF ❑ASPHALTSHINGLES PCOODSHAKF.'S
If
❑WOODSHINGLES ❑ OTIER tSPECIFY)
REN10%E:REPLACE YES I IF NO.
PLYU'OOD �ti ❑
PLl'\A'D ❑ OSB
PITCH:
ROOF
❑ NO I . A\'F.R �
HICKNES ' ❑ ": "
T\'P � 1IDN
') 2CLASSA
PR OPOSEDROOFTYPE: ❑BUILLUPROOF iSPHALT SHINGLES ❑\'ODD SI IAKES
11 N% SHINGLES 13 OTHER ICC -ES REPORT
DFSCRIPrION OF \'ORF:
1/Z"
S
oOA +4eA 30# fie' I+ "Ae_r(&iM
.-A F,AadL+_ '
Oler w' s*e e ,w Mn
d
By my signature below. I cenifi• to each of the following: I am the property miner ar 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 %erify it is accurate. I agree to comply with all applicable local
ordinances and scam laws relating m building cons+ tion. I a'' orize reprae liv of Cupenino
to enter the above -identified property' for inspection purposes.
Signature of ApplicandAgent-.
Date: 3 bl0
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE
USE ONLY
PLAN CHECK TYPE
ROUTING SLIP
—If building is associated \ ith a Home Oss'ner'S Association. provide letter
❑ OYER -THE -COUNTER
❑ BUILDING PLAN REVIEW
of approval from HOA.
_ Provide Planning approval to verifj' if there any restrictions.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
Provide copy of�.Manufacturer's Installation Specifications.
❑ STANDARD
❑ FIRE DEPT
Provide signed copy of Cupertino's Tear -OR Policy.
❑ OTHER:
Reroojdpp 2011.doc revised 03/16/11