12080095 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21082 RED FIR Cf CO\I'RACI'OR:POUR SEASONS ROOFING PERMI"I"NO: 12080095
OWNER'S NAME: •ZI IANG ZIIONG 1 AND 11 HUI F PO BOX 1668 DA'Z'E ISSUED:08/132012
ONl'NER'S P lIONE: 4083359233 SANJOSE.CA 95109 N ZONE NO:(408)278-0330
J- LICENSED CONTRACTOR'S DIiCLARA TION BUILDING PERMIT INFO: BLDG r ELECT(- PLUMB r
License Class C-3y Lie.a 4?-LI o8
1,,—,
,�7 I p 111 F,CII r RESIDENTIAL r COMMERCIAL r
Contractor f ,N—I 1 Al I • Date
I hereby affirm that I :un license.,]under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SIIAKE ROOF.INSTALL 13
(Coil)nenci ng with Section 701111)of Division 3 of the Business S Professions SQF T
Code:rad that my license is in fall force and effect. 12"CDX PLYWOOD TI 117N 30N PELT /
UNDERLAYMENT.FINALLY,INSTALL CERTAINTEED
I hereby affirm under penally of perjury ane of the following two declarations:
I have and will maintain it 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 Workers Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued Sq.Ft Floor Area: Valuation:54500
,U'I'LICA\I'CER'I'IFIGCI'IfIN
I certify that I have read this application and state that the above information is APN Number:35905053.00 Occupancy T)pe:
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
indcmnilvandkeepharnlesstheCityofCupertinoagainstliabilitics,judgments, PERMIT EXPIRES IF WORK ISNOT STARTED
costs,:rad expenses which only accrue against said City in consequence of the
graining ofthispermit. Additionally,(lie applicant understands;aid will comply WITHIN 180 DAYS OF PERMIT ISSUANCE Oil
Willi all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18. /
Signature Dale 8 13-12 Issued by: �Ef2�/✓ �R%�/C Date: GG/,J•fC9
O Op' '/IRIILDF R DECLARATION
hereby affirm that I am e%cnlpl from Ibe Contractor's License Law for one of RP:1200P5:
the following Iv%o reasons: All roofs shall be inspected prior to may roofing material being installed.Ifo roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business 3 Professions Code) �y
I,as owner of date property,am exclusively contracting with licensed contractors to Signature of ApplicmL Date: d 'I g•(2
construct the project(Sec.7044,Business k Professions Code).
I hereby affirm under penally of perjury one of the following three ALL ROOF COVE' .S'I'O 13E CLASS"A"Oil BEIT ER
declarations
I have and will maintain a Certificate of Consent to self-insure for Worker's IIA%ARDOIIS NIATERIA1 S DISCLOSURE
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 read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Health S Safety Code,Sections 25505,25533,and'5534. 1 will maintain
Senior 3700 ofthe Labor Code,for due performance of the work for which this compliance v%ilh the Cupertino Municipal Code.Chapter 9.1_and the Health S
Safety Code,Section_.553_(x)should I store or handle hazardous material.
permit is issued. Additionally(should I use equipment or devices which emit hazardous air
I verify that in the performance of the Work for Which this permit is issued,I shall contaminants as defined by the Italy Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Conmpensation Taws ol'California. If,afiennaking this certificate of exemption,I Ilcalth S Safety Code,Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I most
.ul t�' •
I'or(Meilh comply With such provisions or this permit shall be,]venue,]revoked Owner zg 1111:
A I'll LICAN I'CERT]FI CATI ON CONS'rRI1C1'I011;LF:NIIING AGENCY
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 mid state laws relating I hereby affirm that there is a construction lending agency for the performance of%wok's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep hamdess theCity of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
gaming of this perunit.Additionally,the applicant understands and will comply
with all non-paint source regulations per the Cupertino Municipal Code,Section ARCIIITECI"S DECLARATION
9.18.
I understand my plan shall be used a public records.
.Signature Date
Licensed Professional
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR. P.E..C.B.O.. BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333• building(Mcupertino.ora
PROJECT ADDRESS Z.(0?2_
�C De llP u/ ,;r-r C )L• APN
OWNER NAME � C } PHONE E-MAIL
Sao, III STREET ADDRESS ,AMC CITY.STyT42IP 'NO ! p01if FA%
CONTRACTOR NAME LIC ENSENUM ER LICENNSSE�YPE) V BUS.LIC.P
COMPANYNAME c E-MAIL �� FAX
�JCN OIIS M.
STREET ADDRESS `�-� CITY.STATE.ZIP^ O e �1 PHONE -� 8-07
J J VSo
I 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 5126.00. 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: 1 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. 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 Applicant/Agent: Date:
RerocJPolicv_201 Ldoc revised 02116111
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
2-- s ADDRESS: 21082 Red Fir Ct. DATE: 08108/2012 REN'IE\VED BV: Sean
APN: BP#: 'VALUATION: $4,500
*PERN11'1 TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildino is PENTANIATION 1R2R00F
USE: 3 Stories 0Yes (E) No PERN1ITTl'PF.: A
WORK
SCOPE
FEE 11) ROOF AREA
(s.f.)
1REROOFMRES 1,300
,/Much. Plan Check Plumb.Plan Check Elee.Plan Check
Mech. Permit Fee: Plumb.Permit Fee: F.lec. Permit Fee'
Other,ifech. lnsl,. Other Plumb Insp. Other Elec.Insp.
.11ech.In.,p. Fee.: Plumb. h"p. Fee: Elea Insp.Fee:
NOTE: This estimate doev not include fees due to other Departments(i.e. Planning, Public I Porks, Fire,Sanitary Setaer District,School
District.etc.). These ees are baser/on the prelindnari information available and are onh,an estintale. Contact the Dept for addit7 info.
FEE ITEMS (Fee Resolution 11-0531-ff. 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Supp/. PC Fee
Plumb./hlech./Elee:
Permit Fee: $195.00
.Supp/. /nsp Fee
Plumb.11 fech.lElec.
Plumh./A•lech./Elec Permit Fee:
Cmtswiteiion Tax:
Administrative Fee:
Work Without Permit? O Yes Q No $0.00
AtIvenwed Planning Fees:
Travel Docmnewation Fees:
Strong Motion Fee: IBSEISd11CB $0.50 Select an Administrative Item
131c1e Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $196.50 $0.00 TOTAL, FEE: $196.50
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTIN0 (408)777-3228•FAX(408)777-3333 • buildinD(Dlcuoertino.orD
PROIECTADORESS .R Q C AP\• / �✓ O��
Dw;NERNAME rj('/ A �1 + r ONE E-�fAll
"Q4c'�
STREE't'ADDRESS7- Z_ Y.STAT PFAX
CONTACT NAME PHONE E.IAIL
-0 301
STREET AODRESY
5,62 1 S ❑TY.STATE.ZIP lr2F
❑O.NER ❑ Ou'AER BUILDER ❑ OWNERAGENT Jr CONTRACTOR ❑COVTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ OFNELOPER ❑ TENANT
CONTRACTOR NASIE LI[F.NSENC.SIBER OR LICENSE 'PE BUS.tic.•
_17.1
;213 Q
COMPANY NAME
SAME
E-NTAIL FAX
STREET ADDRESS CITY.STATE.ZIP HONE
'S"01-'S"01- a case C PO.R 8-0
ARCmTECT•ENGINEER N:A\IE LICENSE NUMBER BUS,LIC.
COMPANY,NAME
E..VAIL FAY
ST BEET ADDRESS CITY.STATF_ZIP PNONE
USE OF ❑ SFD or Duplex JC Multi-Family ROOF AREA; VALUATION, m
STRUCTURE: ❑ Commercial /.3
rOOj
ESISTING ROOF TYPE: 13 BUILT-UP ROOF ❑ASP][ALT SHINGLES PCOODSHAKF.S ❑WOODSHISGLES ❑OiHERISPECIFYJ
RENIOYF.:REPL.ACE YES -I IFN0. PLYWOOD .- ❑ PLYWD ID OSB PITCH: ROOF
Cl NQ .LAYERS THICKNESS ❑ TY'P CDS :) ICLASS A
PROPOSED ROOF TYPE: ❑BLILT-UPROOF 1/`ASPHALT SHINGLES ❑WOOD SHAKES 11"ODD SHINGLES ❑OTHER IMES REPORT,
DESCRIPTION OF WORK:
l l�Zlf
# 2e'1au CX+ . E;ACLI11�„ckpll
*o "a, CgMeIl
By my signature below.I cenify to each of the follmolnE: 1 am the property owner or authorized agent to act on the Property owner's behalf. I have read this
application and the infommtion I have provided is correct. I have read the Description of Work and verify it is accurate. I agree w comply with all applicable local
ordinances and state laws relating a buildin¢tans tion. I a orize rest tiv of Cupertino to en[er the above-identified property for inspection purposes.
Signature of ApplicandAgent: Date:
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated With a Home Owner's Association.provide letter PLANCHECKTYPE ROUTING SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
_ Provide Planning approval to verify if there any restrictions. ❑ FYP0.E55
❑ PLANNING PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications.
.❑ STANDARD ❑ ETRE DEPT
_ Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER:
ReroofApp_2011.doc revised 03116/11