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12070184
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21091 RED FIR CT CONTRACTOR:FOUR SEASONS ROOFING PERMITNO: 12070184 OWNISR'S NAME: Cl LING XIAOTING AND YANG GRACE IIONG 1'0 BOX 1668 DATE ISSUED:07242012 OWNER'S PRONE: 4089578909 SAN JOSE.CA 95109 PHONE NO:(408)278-0330 Ag— LICENSED C0N`fRACI'0R'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class C^sc Lic.k 1 2 (0 0{` r r r. y� +7 i11EC11 RESIDENTIAL COMMERCIALContractor f S 1`f I (J L' Date / -2-�^ �2 I hereby affirm that I am heensed under(lie provisions of Chapter 9 JOB DESCRIPTION: 13SQFT-REROOF TEAR OFF EXISTING WOOD SHAKE (commencing with Section 7000)of Di%kion 3 of the Business S Professions ROOFING.INSTALL 12"CDX PLYWOOD THEN 308 FELT Code and[flat lar license is in full force and effect. UNDERLAYM ENT.INSTALL CERTAINTE17D PRESIDENTIAL hereby affirm under penalty 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 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 of the Labor Code,for the performance of 0[e work for which this Sq.FI Fluor Area: Valuation:54500 permit is issued .\I'1'LIC.\N I'CIiK'1'I FIG\TION APN Number:35905032.00 Occupancy Ty I cenil'v that I have read this application laid state that the above info oration 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 10 enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep ham less the City of Cupertino against liabilitiesJudgnrents, 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 undersimnds land will comply with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Date ZZ`t� -J-2�I -I Issued bp: Uate: Signature � . ❑ OWNER-BUILDER DECLARATION RP:ROOFS: hereby affirm[hat I am exempt front the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed If a rool'is the following two reasons: installed without first obtaining an inspection,I agree to remove all tiny materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the stricture is not intended or offered for sale(Sec.7044, Business K Professions Code) Signature of Appli©nr. Date:-7—Z`1 ^ 'Z I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business l Professions Code). AL1.ROOF COVI RINGS TO BE CLASS"A"OR BE,ITER I hereby affirm under penally of perjury one of the following three declarations-, I have and will maintain a Certificate of Consent to self-insure for Worker's IIA7.ARDOUS TIATFAIUIS DISCLOSURE Connpcnsaion,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of[he performance of[he work Ibr 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 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 One 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 huzardous air pemnit is issued. contaminants as defined be the Bay Area Air Quality Management District I mill I certify that in the performance of the 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 maser so as to become subject to the Worker's I Iealth S Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,1 become subject to the Worker's Compensation provisions of the Labor Code,I must Own r n n dFn e�a eat: forthwith comply with such provisions or this Perrin shall be deemed revoked. Darr. -7 \I'I'LIG\NT CI•;K'1'I FIG\'ll(1N CONSTRIICI'ION LENDING AG F,NCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction fending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state lays relating for which this permit is issued(Sec.3097,Civ C.) to building construction,land hereby authorize representatives of this city to enter Leader's Name upon the above mentioned property for inspection purposes.(We)agree to save indenmify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may acerae against said City in consequence of the granting of this permit Additionally,the applicant understands and will comply .\KCIII'I'ECI"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 La 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(gDcuoertino.org PROJECT ADDRESS APN u GL /09 / e C OWNERNAME r I PHONE E- AIL ` OL 3 o s 4 o$-9S"1- 8 STREET ADDRESS CITY ATE.21P FAX Ov SD CONTRACTOR NAME LICENSE NUMBER LICENSE TYP BUS.LIC.M LvmtogC� COMPANY NAME n EMAIL FAX 1u S24f'G.As S'1� STREET ADDRESS 01.1PHONE Sat meq.ZIP Toss c SI l a 46ff-219-0330 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$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 properly 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 R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agcnt: Date:7 ZJ RerooJPoliw_201 LTloc reriser102116/1l CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 2 ADDRESS: 21091 Red FirCt DATE: 07/24/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $4,500 *PFRi%IIT,rl'PE: Minor Building Permit PLAN CfIFCKTYPE: Re-roof PRIMARY PENTAMATION USE: SFD or Duplex PERMIT"I'YPE: 1SFDWLR00 WORK Tear off existing woad shake roofing. Install 1/2" CDX plywood then 30# felt underla ment. Install SCOPE Certainteed Presidential composition shingles - Country Gray color. FETID ROOFAREA (S.f. 1REROOFFRES 1,300 Alech. Plan Check Phunh. Plan Chaxk Elec.flan Chick A/ech. Permit Fee: Plumb. Pctmit Fee: F.lec.Permit pee: Other A1ech./tap. 01he'.Plumb Insp. Other Elce.Lisp. ,t•/ech.Insp.Fee: Plumb. btcp,ree: Elee.Insp.Fec: NOTA.': This awintrue does not includefees due to otter Departments(i.e. Planning, Public Works, Fire,Sanitan,Setter District,Schon/ District, etc.). These feav are hosed nn tire prelindnan information available and ore only an estimate. Contact the Det or addnY in n. FEE ITEMS (Fee Resolution I1-053 E/T 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: S'rtppl. PC Fee Plumb./A1ech./Elec Permit Fee: $195.00 SuypL htap Fee Phimb./A4ecliAlec Plunth./14ech./Elec:Permit Fee: Consn-uction Tin:• Administrative Fee: Work Without Permit? O Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fees: Strong Motion Fee: IBSFISMICR $0.50 Select an Administrative Item Blda Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: $196.501 $0.001 TOTAL FEE: $196.50 Revised: 07/01/2012 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINOXA 95014-3255 C V P E RTI NO (408)777-3228• FAX(408)777-3333•building(g5)cupertino.org PROJECTADDRES$ OWNER NAME ^1 1 HOQ� O v\AIL l�Mw 1 STREEI'.ADDRESSO I CITaTE.ZIP G FAN u CONTACT NAME PHONE I E-NTAIL O - -O '$OI STREETADDRFSS 5,02 w,0rAjt%5 S I CITY.STATE.ZIP FAR ❑ON'NFR ❑ 011NER-BUILDER ❑ 0wNER AGENT N CO\TRACTOR ❑CO?TRACTOR ACENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT COMRACTOR\>NIE I LICE.>SE?G\iBER 2 O I LICE<SE T'PE.59 I BUS,LIC. COMPANY\AMC E-NIHIL FAX STREET ADDRESS CIT".STATE.ZIP PHONE $OZ w o50' C40q--Z-79-O ARCHrrECUENGINEERNAME LICENSE NI:SISER BUS.LIG COMPANY NAME I EMAIL FAX STREETADDRESS CITY.ST.ATEZIP I PHONE LSE OF ❑ "I'D or Duplex Jif INlulti-Family ROOF AREA;. .9, VALUATION: STRUCTURE: ❑ Commercial 3 S EXISTINGROOFTYPE: ❑BUILT-L'PROOF ❑ASPHALTSHISGLES PC\'ODDSHAxES ❑N'OODSHI\OLES ❑DINER(SPECIFY) RCNIOYF.:REPLACE VyFS IF NO. PLY9'OOD 42. ❑ PLl-D ❑ OSB PITCH: ROOF ❑ N . A\'F.R THICKNESS' ❑ - 11'P CDX ') LASS `a PROPOSED ROOF TYPE: ❑BCILTI'P ROOF 2CASPHALTSHINGLES 13\c000SIiawES ❑\MOOD SHINGLES ❑OTHER ICC-ES REPORTe • DFSCRIPtONOF WORK: yel S WOOA e O#e 0#Ceckw' eeC vlkle , (+ J a By my signature below.I certify touch of the follossing: I am the property owner or authorized agent to act on the propernowner'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 actuate. I agree to comply with all applicable local ordinance and state laws relating to building cons tion. I a•'Drize represe • ti\' of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicandAgenD Dam: 1241ad SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ If building is associated vaith a Home Ovvncr'S Association.provide letter PLAN'CHECE T'PE ROUTING SLIP of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW' _ Provide Planni'ag approval to verify if there any restrictions. ❑ EXPRESS ❑ P" NISC PLAN REVIEW _ Provide copy Of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: . ReroofApp_201/.dcc revised 03116111