12080112 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21090 RED FIR CT CONTRAC'MR:POUR SEASONS ROOFING PERMIT NO: 12080112
OW'NER'S NAME: HOU LI AND JIMIEFEI PO BOX 1668 DATE ISSUED:08113/2012
ONVNER'S I'1IONF,: 4087258110 SAN JOSE.CA 95109 PHONE NO:(408)278-0330
LICENSED CCLN'1'RACfOR'S DECLARA'T'ION BUILDING PFR1%H,r INFO: BLDG r ELECT r PLUMB r
License Class C"39 Lic.q C17MOP r r F_
S DIECII RESIDENTIALCOALAIERCL�I.
Contractor ES�1 I JJ C • Date 0 —)3—1 Z
1 hereby affirm that I am licensed under the provisions of Chapler 9 JO DESCRIPTION:TEAR OhP EXISTING WOOD SHAKE ROOF.INSTALL 12"
(commencing wi IllSection 7001)of Division 3 of the Business S Professions CUX
Code and that my license is in full force and effect. PLYWOOD THEN 30q PELT UNDERLAYMENT.INSTALL 13SQFT
CLASS CERTAINTEED PRESIDENTIAL COMP SHINGLES.
I hereby affirm under penally of perjury one of the following two declarations:
I have;und will maintain a certificate of consent to self-insure I'or Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the stork 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,I'or the performance of doe work for which this
permit is issued. Sq.FI Floor Aren: Valuation:$4500
• APr1.lcnNrcFRru�locrloN
I certify that 1 have read this application:rad state that the above information is APN Number:35905049.00 OccupancyType:
ype:
correct. kagree to comply with roll 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 harmless the City of Cupertino against liabilities,judgments. PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may acerae against said City in consequence of the
granting ofthis permit. Additionally,thcapplicanl understandsand will comply WITHIN ISI) DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature Date X-13'12 Issued by: /�i�/V �/�TG� Date:
❑ O\\'NI?I- .Drat DECLARATION
herchy affirm chat I:un exempt from the Contrrclor's License Lawfor one of ' RF.-ROOFS`
the following two reasons: All roofs shall be inspected prior loan),roofing material behg installed.If a roof is
1,as owner of the property,or my employees with stages 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 R Professions Code)
1,as owner of the property,am exclusively contracting With licensed contractors to Signature of Applicant: _ Dace: _ 2
construct the project(Sce.7044.Business& Professions Code).
I hereby affirm under penally of perjury one of the following three ALL ROOF COVr. a'GS 7'0 BE CLASS"A"OR 1117117ER
declarations:
I have and will maintain a Certificate of Consent to Sdf-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this pemnit is issued I have read the hazardous materials requirements under Chapter 6.95 of the
1 have and will maintain Worker's Compensation Insurance,as provided for by California Health\Safety Code,Sections 25505,'_5533.and 25534. 1 will maintain
Section 3700 oflhe Labor Code,for the perlbmunnec of the Work for which This compliance with the Cupertino Municipal Code,Chapter 9.1_and the Health S
Safety Code,Section 25532(a)should I score or handle hazardous material.
permit is issued Additionally,should I use equipment or devices which colic hazardous air
1 certile that in the performance of One work for Which this pernnit is issued,1 shall contaminants as defined by the Buy Area Air Quality Management District 1 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
Compensation Imus ofCalifomia. It,atter making this certificate of exemption,I Health S Safely Code Sections 25505.'_5533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
ar• ell aiu` Bart: ,
forthwith comply with such provisions or this permit shall be dcenned revoked Owner' _
Dace: ?JF
12
APPLICANT'CERTT FICATION CONS'I'RI IM ION LENDING AGENC V
I certify that I have read this application and slate that the above infommtion is
correct.I agree to comply with all city land county ordinances and state Imes relining I hereby affnn that there is a construction lending agency for the performance of work'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
indenniN and keep harmless the Cit'of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Leader's Address
granting of this permit.Additionally,the applicant understands and will comply
With all non-paint source regulations per the Cupertino Municipal Code,Section ARCHITEM"S DECLARATION
PA II.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
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(cDcupertino.org
PROJECT ADDRESS 01090 ,1 '0/�- cyl.
T 1. APN I
/
OWNER NAME '- O (/ PHONE 0Q' _ el/O E-MAIL
STREETADDRESS(" CITY,STA IP 4 FAX
//``��
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPBUS,LIC.0
iYA7WQ 5
COMPANY NAME /� E-MAIL FAX
awl' nS AA
STREET ADDRESS CITY,STAT P NE
sae /f„ S �.. Tos� GA 9S'//Z e8.278-6330
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 Y" 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 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.
Signature of Applicam/Agent-. Date:
�1
RerooJPolicY_201 Ldoc revised 02116/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 21090 Red Fir Ct. DATE: 08/08/2012 REVIEWED BY: Sean
APN: BPH: •VALUATION: $4,500
*PERMITTYPE: Minor Building Permit PLAN CII ECK TYPE: Re-roof
PRINIARI' y Building is PENTAMATION
Multi-Family Dwelling 1R2R00F
USE: 3 Stories 0 Yes (j) No PERNIITTI'PE: A
WORK
SCOPE
FEE ID ROOFAREA
s.f.)
1REROOFMRES 1,300
Meeh. Plan Check Plumb. Pion Check Elea.Plan Cherk
Mcch, Permit Fee; Plumb.Permit Fee., Flee.Permit Fee:
Other,llec•h. Insp. Other Plumb/nsp. Li I Other Elec.Insp. Li I
Mech.hep.Fee: Plumb. btsp.Fee.: Dec.Insp.Fee:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,SanitarySewer District,School
District.etc.). These fees ore bused on the preliminarl in oratation available(aid are null'an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-OSJ Q.* 7/1/111 FEE QTY/FEE MISC ITEMS
Plan Check Fee:
.SupjA PC Fee
Plnmh./Adech./Elec
Permit Fee: $195.00
Suppl. /nsp Fee
PlumhJ19ech./Elec
Plumh./MechAlec Permit Fee:
Cmts•ttvtction Tar:
Administrative 1'ee:
Work Without Pennit? 0 Yes (j) No $0.00
Adrancecl Planning Fees:
Travel Documentation Fees:
Strong Ntotion Fee: 1RSE/SMICR $0.50 Select an Administrative Item
Bide Stds Commission Fee: IRCBSC $1.00
SUBTOTALS: $196.50 $0.00 TOTAL FEE: $196.50
Revised: 07/01/2012
I -2, (A- 0
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA'95014-3255
C V PERTINO (408)777-3228' FAX(408)777-3333•buildin0Pcupertino.or0
PROIECT:WDRESS �/090 Q ,APNv i !,
OWNER NkNIE PHONE
u E-A1AIL
STREET ADDRESS �/ O CITY.STA P i' FAN
CONTACT NAAIE PHONE E-NIHIL
111-freJo 14 02- I
STREET"ADDRESS T'02-
S CIT\',$TA 1F., ].IP FAR
1
❑ON:\FR ❑ MINER-RUILDER ❑ ONNERAGE.\T .9[ONTRTCTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ 1y 117
C'ONTRACI'ORNAME� LICENSE NL'NIBER LICENSE II'PE I BUS.LIC.
Out seasaAs 2
COMPAS\'N'AyIC EMAIL I FAX
5
STREET ADDRESS CITY.ST'\TE.21P
X07CA,
I PHONE 8-2
'• o ose C
ARCHITECT,EN'GINEER NAME LICENSE NUMBER ff BUS:LIC.
COMPANY NAME
E-MAIL I FA3
STREET ADDRESS ./ CITY,STATE%IP PHONE
CSE OF ❑ SFD or Duple.N ` Multi-Family ROOF AREA: .rte VALUATION:
slxucTvaE: ❑ Commercial �3 $ SOO
EXISTING ROOF TYPE: ❑BUILT-UPROOF ❑ASPHALTSHINGLES ate,\OODSHAKF.S 0ti00D5HIFGLES ❑Ol'HF.R I$PEfiFA}
RCMO\'F.IREPLACE )FS IF.NO. PLY\GOOD ❑ PLYWD ❑OSB PITCII: ROOF
❑ N •LAYFRS THICKNESS ❑ ' 1'YPj(CpX :i SIL
PROPOSED ROOF TYPE: ❑BUILT-UPROOF /.ASPHALT SHINGLES 0U00 SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT-
DESCRIPTION Or M,ORI::
llaai S I/ztE
rbx
--f4�o-_ +l e : 30 ' 1� _,n -eAo r e-._E;aalL r—i
.. COLIC Cil!IUA4117y omkor &/y
H\ my signature below.I certify to each of the follmving: I am the property owner or authorized agent to act on the Property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Wort:and vcdfv it is accurate. I agree to comply with all applicable local
ordinances and state law's relating to building cons- lion. 1 a' orize represe , tiv R of Cupenino to enter the above-idenlilicd propem'for inspection purposes.
Signature of ApplicanUAgent: Dat<: O
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated\vith a Home O\Yner's ASsoci ation,provide Ialter PLAN CHECK TT'PE ROUTING SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLANREVIEW
Provide Planning approval to verify if there any restrictions.
❑ EXPRESS ❑ PLANNISC PLAY RE\'PEW
_ Provide copy of Manufacturer's Installation Specifications.
❑ STANDARD ❑ FIRE DEPT
Pmyide signed copy of Cupertino'$Tear-OfT Policy. ❑ OTNER:
Heroof4pp_201 l.doc revised 03/16/11