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12080147CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22256 S DE ANZA CIR OWNER'S NAME: CHAN KINKWAN AND YANG %IAODONG OWNER'S PHONIi: 4082183089 ❑ LICE:, §El) CONTRACTOR'S DECLARATION License Class NC"T Lic. # O Contractor a I I Qvl'N 1^ ^n `i I I tr Dot I hereby oMrm that [:till licensed ander the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and than nnlicense is in full force and effect. hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certi licate 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 die work for which this permit Is Issued. Au'r1.ICAn r cl•:aru�ICYrum 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, and hereby authorize representatives of this city to enter upon the above mentioned properly for inspection purposes. (We) agree to save indemnity and keep harmless the City of Cupenino against liabilities,judgments. costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature �� Date ❑ OWNER -BUILDER DECLARATION I hereby affirm Ilot I I :un exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to constrict the project (Sec.7044, Business & Professions Code). I hereby afirnr 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 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 Insumnce, as provided for by Section 3700 of the Labor Code, for the performance ollhe work for which this permit is issued. I certil'y that in the performance of die work for which this permit is issued, I shall not employ anyperson in tiny manner so as to become subject to the Worker's Conipensationlaws of Calil'ornia. If, aver making this certificate ofexemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. A PPLICA\NTCERTIFICATION I certify that I have read this application and suite that the above information is correct. I agree to comply with till city and county ordinances mid state laws relating to building construction, and hereby authorize representatives of this city to enter upon [lie above mentioned property far inspection purposes, (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the grunting of this pemrit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CO\ FRACPOR: MILLERS ROOFING PERMIT NO: 12080147 2246 LOS GATOS ALdIADIiN RD DA'Z'E ISSUED: 08/142012 SAN JOSE. CA 95124 PIIONE NO: (408) 3.56:6211 r r r BUILDING PERDIFF INFO: BLDG ELECT PLUMB RIECII r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: REMOVE SHAKE ROOFING INSTALL NEW 7/16" OSB AND NEW COMPOSITION SHINGLES 1700SQFT CLASS A Sq. FI Floor Area: I Valuation: $8000 APN Number: 35602020.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYSSj FROM LAST CALLED INSPECTION. Issued by: ✓ /1/ f�47Z-,_,A1 Date: •%y% 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: Date: u/ r ALL ROOF COVERINGS TO Illi CLASS "A" OR BE FfER 11,kZ,\IIDOIIS 9IA'1'1']RIAI-S DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California health & Safety Code, Sections 25505.25533. and 25534. 1 will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the health & Safcty Code Section 25532(a) should I store or handle hazardous material. Additionally. should 1 use equipment or devices which emit hw.ardous air contaminants as defined by the Buy Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 mid the Health & Safety Code. Sections 25505. 25533, and 2.5534. Owner or mull!iz agent: C(hNS'IRIICI'ION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of work's I'or which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCIIITECl"S DECLARATION I understand my plans shall be used as public records, Date I Licensed CITY OF CUPERTINO lye/I FEE ESTIMATOR - BUILDING DIVISION FEE 11) ROOF AREA (S.f.) 1REROOFFRES 1,700 ADDRESS: 22256 so Deanze Circle DATE: 08/14/2012 REl'IEII'ED BY: Sean \ APN: Mf: 'VALUATION: $8,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TITE: Re -roof PRIMARY USE: SFD or Duplex Dec. lisp. Fee: PENTAMATION PERMITTI'PE: 1SFDWLR00 WORK I Remove shake roofing,install new 7116" OSB and new composition shingles 1700 sq ft). SCOPE FEE 11) ROOF AREA (S.f.) 1REROOFFRES 1,700 NOTE: This estimate does not include jeev due to other Departments (i.e. Planning Public Works, Fire, Sanitary Stover District. School District. ere.). These feev are based on the relitninarl information ation available and are onb, an estinzatc Contact the Dept for atltln'I into. FEE ITEMS (Fee Resolution 11-053 L•fC 7/1/11) dlech. Plan Check Plumb. Pl(.. Check Elee. Plan Check Mech. Permit Fee: Plumb. Permit Fee: Elec. Permit Fee: Other-Mech. Insp. Other Plumb lisp.Ll I Other Mee. Insp. Li I Alech. lnvp. Fee: Plumb, hcvp. Fee: Dec. lisp. Fee: NOTE: This estimate does not include jeev due to other Departments (i.e. Planning Public Works, Fire, Sanitary Stover District. School District. ere.). These feev are based on the relitninarl information ation available and are onb, an estinzatc Contact the Dept for atltln'I into. FEE ITEMS (Fee Resolution 11-053 L•fC 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fce Plum b.111ecl t./F.lec Permit Fee: $255.00 Suppl. lisp Fee Plumb.lMech./Elec Plumb./h-lech.Mec Permit Fee: Contraction TILL: Administrative Fee: Work Without Permit? O Yes (D No $0.00 Adveniced Planning Fees: A Travel Doemnantalion Fees: Strong Motion Fee: IBSE1SMICR $0.80 Select an Administrative Item 131h Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: $256.80 $0.001 TOTAL FEE: F $256.80 Revised: 07/01/2012 w�. r!_ 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(a),cugertino.org PROJECT ADDRFSSa)_)_56 S. p � C'I AP;Va OWNER NAME iC ^ `^ V-, PHONE g f G— 0 y 0 O E MAIL STREET ADORES. n I�N I\� CITY. STATEZIP IT V0 FAX CONTRACTOR NAMEN, t. M� I�,r LIC ENSENJU rO I LICENSETYPE ,� BUS. LIC.a j COMPANY NAME 1:Roo 1 ` J,(.\ EMAIL FAX STS REETAOD S M� ty\ KACITY. STATE. LP `_ \ (�v{ PHO �i�/ L 1 I UNDERSTAND AND AGREE TO THE FOLLOWING: 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. 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 property owner or authnrized agent to act on the property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I 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 ADolicant/Agent: � Date: D ZL7'1// reviser/ 02116111 V \I L 01 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(0)cuoertino.oro !A0 PROJECT ADDRESS / 19 �n r I� l^ ✓ , e I 1 l� APNa/� �v Z� v'Z� `fes OWNER NAME (C I ONE /� —3 / ) - o ,J�LV E-MAIL 1TRn7 ADDRFSS�J oL C,11( CITY, STAG ZIPT FAX CONTACT NAME ^7K� �Gy-\ \ I ` PHONE E-MAIL STT ERT ADDRESS CITY. STATE, ZIP FAX ❑ OWHER ❑ OWiJCfI.BlR-DER ❑ OWKERAGENT CONTRACTOR ❑CONTRACIoRAGENT ❑ ARCHTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME \tv(\ \- \ \ A -It U LICENSE HUMID ERQJOI ((SIJ LICENSETI'PE C3 BUS. LIC.9 COMPANY NAME N tri; .`J EMAIL FAS STREET ADDRESS )—q / �` V c�\ J M • 1- 1 CITY, STATE. ZIPSO 'J e. C � N O ARCHITEtTJENGINEFR NAME LICENSENUMIIER BUS, LIC.a OMPANY NAME�{1,� /,C �� �(/( J E-MAIL FAX STREET ADDRESS CITY, STATE. ZIP PHONE USE OF SFD or Duplex ❑ b1.1t.-Family srRucruae: Commercial ROOF AREA: /7 VALUATIO 1: n oOl' EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHq . ❑WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE JREPLACE 'RYES ❑ O IF NO. M G PL\WOOD ❑ :5' i / Jt THICI:NECS ❑ 516' PLYIVD OSB PPE' OX PITCH: �:1?CLASS' ROOF PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF .ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT Y DESCRIPTION OF WORK: �1r1 C aS 1 Ol �rn By my signature below, I certify to each of the follow•in¢: I am the propem• owner or authorized agent to act on de property owner's behalf. 1 have read Lha application and die information I have provided a correct. I have read the Description of Work and verify it is accurate.. I agree to comply With ali applicable local ordinances and state laws relating W buildi/ng constm •' I authorize re resentatives ofCupertino to enter the ]above-iden'fit W mpem• for inspection purposes. Signature of ApplicanUAgent:'I- G � Date: ` SUPPLEMENTAL INFORMATION REQUIRED _ If building is associated with a Home Owners Association, provide letter of approval from HOA. _ Provide Planning approval t0 verih' If thele July restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupenino's Tear -Off Policy. - OF'F'ICE Lice ONLY'. -- 6IEcic'rvrs, _ ROUI ING SLIP ,N1-sN YER-THC-COUNTER EXPRESS f ❑ STANDARD BUILDING PLAN REVIEW 'L PLAYYIFG PLAN REVIEtV'Gr ) FIRE DEPT J(1 OTHER. Reroofdpp_?Ol Ldoc revised 03/16111 I'd