12080084 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21080 RED FIR CI' CON'TRACI'OR:FOUR SEASONS ROOFING PERMIT NO: 12080084
OWNS S NAME: -LIIANG HUI AND'LI-IOU IiEQING PO RON 1668 DATE ISSUED:08/132012
OWNER'S PHONE: 4 082 109 74 1 SANJOSE.CA 95109 PRONE NO:(408)2780330
• LICENSED CO\INACI'OR'S DECLARATION r , r r_.Ruu.DINc PERMIT INFO: BLDG ELECT PLUMB
License.Class (__yl Lia 4 Lf 1 10 8 r r- r
p DIECII RESIDENTIAL COMMERCIAL
Contractor TJX IrJ C. Date fl' 13"'2
hereby alTtnn IhaI I amt licensed under the prueiAaas of Chapter 9 d0B DESCRIPTION:TEAR OFF EXISTING WOOD SI IAKC ROOF.INSTALL
(commencing with Section 7000)of 1)iy6ian 3 of the 11usiaess S Professions I2"CDS
Code and.hal me license is in full force and effect. PLYWOODTHEN 30017ELT UNDERLAYMENT.INST'ALL 13SQFf
CERTA1N'TEED PRESIDENTIAL COMP
I hereby alfrin under penalty of perjury one of the fullooing boo declarations:
I have and will maintain a certificate of consent to self insure for Worker's
Compensation,its provided for by Section 3700 of the Labor Code,far the
performance oflhc 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 the work for which this
permit is issued. Sq.Ft Fluor Area: Valuation:54500
\I'I'LIC.\N'f CIiR'I'IPICAT'ION
I cenify that I have read this application and state that the above information is MIN Number:3590505400 Occupancy Type:
correct. I agree to comply with all city and county ordinances and state Imes 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
indemnify and keel)hamdessthe City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-paint source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature Date 8'_ i 3"�� Issued by: �'%/91� rGi6Y Date:
❑ O\\•. iR-BUILDER DECLARATION
I.herebp:dfirm that I am exempt from the Contractor's License Lino for one of RE-ROOFS: -
the following not reasons: All roofs shallbe inspected prior to any roofing material being installed,If a roof is
I,as owner oflhc 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 R Profbssions Code)
I,as owner of the properly,am exclusively contracting with licensed contractors to Signature of Applicant: Date: -1`3- 11L
construct the project(Sec.7044,Business x Professions Code).
1 hereby affirm under penalty of perjury one of the following three ALL ROOF COVFRI CS". BE CLASS"A"OR RETFER
declarations:
I have'and will maintain a Certificate of Consent to self'insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor-Code,fertile
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.75 of the
I have and will maintain Worker's Compensation Insurance,as provided for by Cnlifor;ia l leallh S Safety Codc,Scclions 2550.5,:.5533,and 25534. I will maintain
Section 3700 of lhel.abor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.12 and the Ilealth S
Safety Code,Section_553_(x)should I store or handle hazardous material.
permit is issued. Additionally.should 1 use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this pemnit is issued.I shall contaminants as defined by the Bay 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
Compensation laws ofcalifornia. If,after making this certificate of exemption,I Ilealth S Safety Code,Sections 25505.25533,and 2.5534.
become subject to One Worker's Compensation provisions of the Labor Code,I must
forthwith comply with such provisions or this permit shall be deemed revoked f)`011'r-or ho '� .gene
%_ )ale: = 1r1
this aCF:IcState G\Thea CONST Run IoN Llan NC AC ENCY
I tenet)•that I have read this application and state that the shove information is
correct. I agree to comply with all city and county ordinances:and state laws relating I hereby affum that there is a construction lending agency for the performance of%ark's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Cir C.)
upon the above mentioned properly for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the appliemnl understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. ,\RCII I'I'1'CI"S DI'CL,\R,\'PION
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 21080 Red Fir Ct. DATE: 08/08/2012 REVIEWED Bl': Sean
\ AtPN: BP#: VALUATION: $4,500
•PERMITTYPE: Minor Building Permit PLAN CIIECR TYPE: Re-roof
PRIMARY Multi-Family Dwelling Building is PENTAMATION 1R2R00F
USE: >3 Stories 0 Yes (j) No PERMIT TYPE: Al
WORK
SCOPE
FEE ID ROOFAREA
(s.f.)
1REROOFMRES 1,300
F
Hech.Plan Check Phrmb.Plan Check Flee. Plan Check
meth. Penuil Fee: Phanh. Permit Fec: F-lec.Permit Fee:
Other hfech.Insp. Other Phanh Insp. other Elce.Insp.
'Ileeh. /asp. Few: Pluunb. Insp. Fee: Elco.Insp.Fee:
NOTE: This estinrate does not include fees due to other Departments(i.e. Planning, Public 11'arks, Fire,Sanitary Sewer District,School
District,etc.). These ees are based air the preliminan information available and are onlr an estlituae. Contact the Dept for adtln'I info.
FEE ITEMS (Fee Rcsohnion I1-053 E1' 7/1/1/) FEE QTY/FEE N11SC ITEMS
Plan Check Fee.
Suppl. PC Fee
Plumb./A/ech./Elec
Permit Fee: $195.00
Supp/ Insp Fee
Plumb./A4ech./Ele e
Plumh.hblech./F.lee Permit Fee:
Consnvction Tar:
Administrative Fee:
Work Without Permit? 0 Yes Q No $0.00
Advaiwed Planning Fees:
Travel Doctanenlation Fees: A
Strong.Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
13lde Sids Commission Fee: 1BCBSC $1.00
suirrOTALS: $196.501 $0.001 TOTAL FEE: $196.50
Revised: 07/01/2012
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•buildinci(akupertino.ora
PROJECT ADDRESS 7,1090 ¢O// �" L. APN4
OWNER NAME V ZAAA •J PHONE qOt 2/O 9
2Y E-MAIL
STREETADDRESS SAM / CITY,STATE.ZI ^ FAX
C u
CONTRACTOR NAME LIC E,NSENUMB R LICENSE FE BUS.LIC.#
COMPANY NAME E-MAIL ((�I FAX
ur S¢a o l I�
STREET ADDRESS S-OZ Horni S+ an•.sTArE�.uc��Q se- CA 4S7/f PxoNE ,I 2,�t—0
1 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/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, 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. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 11314 and R315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date:__?
RerooJPolicv_?011.doe revised 02/16/11
• l 2�g ov ��
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA-95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildina(Mcuoertino.orrg
PROJECT ADDRESS .APN• O — 0
Z/080 Q c
OWNER NAME PHONE EMAIL
Ate,STREEI'AUORESS /OOO CIT\'.STA P I FAX
CONTACT NAME. A PHO\E
Io � E.)IAIL
STREET ADDRESS 5'07- CIT\'.STATE.r.IP FAX
S
❑ON'uFR ❑ OW:NER-RUILDER ❑ Ou"ERAGENT Je CO1TRAMR ❑CO\TRACTORAGE]T ❑ ARCHITECT ❑ENGISFF.R ❑ DFAELOPER ❑ TE611T
COSTRACFOR NAVE LICENSEN NUMBER LICE.\SEPE I BUS.LI(',•
'
COMPANY XAME C-SIAIL FAN
SAM
STREET ADDRESS CIT)',ST,\TE.ZIP
S"07- Q e. {i PHONE
OS1?-�
ARCHIrECT•ENGINCER CAME LICENSE Nt MBER BUS.LIC.•
COMPANY,SAME I E-NiA1L
FAx
STREET ADDRFSS d CIT\',STATE/.IP PHONE
USE OF ❑ SFD or Duplex JC Multi-Family ROOF AREA: VALCATION; pe
STRUCTURE, ❑ Commercial' �3 S St7�J—
ESISTI\G ROOT TN PE: ❑BUILT{'PROOF ❑ASPIIALTSHINGLES PCOODSHAKE.'S ❑WOODSHINGLES 001HERISPECIFYI
RENIO\'F.:REPLACE YES IF,\O. PLYWOOD .i ❑ 11 1 : ❑OSB PITCH; ROOF
❑ N • AYFR ICKNEC ❑ : TN C :12CLASS A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 4SPHALT SHINGLES ❑\\OOD SIIAKES ❑WOOD SHISOLES ❑OTHER I(•('-ES REPORT.
DESCRIPTIO\OF W ORI:: -
wll Ye" GD
—Pls��ood +�.en
. 3 0# -pe I+ �� �ttn _ F1na�1 ►—j
se 'v �•
a
By my signature below'.I cenik ro each of the follaving: I am the property o\vner 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 Work and%erif}'it is accurate. I agree to comply\cith all applicable local
ordinances and state laws relating to building conn a•lion: I orim represe • tic <01 Cupertino to enter the above-identified property for inspection purposes,
Signature of Applicanl/Agent: Date: O
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated With a Home Owner's Association.provide letter PLAN CHECK TYPE ROVrINO SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDINGPWN REVIEW
Provide Planning approval to verify if there any restrictions.
❑ EXPRESS ❑ PLA9\'INC PLAN REVIEW
_ Provide copy OfManufacturer's Installation Specifications. ❑ STANDARD ❑
FlRE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER:
ReroofApp_2011.doc revised O3/ld/ll