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12070232 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21119 RED FIR CT CON RACI'OR:FOUR SEASONS ROOFING PERMIT NO: 12070232 O\\'NER'S NAME: YING R FANGSIIU YU 1'0 BOX 1668 DATE ISSUED:08/082012 O\\'NER'S NIONIi: 4084463878 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 .J-g. — �+LI CIiN//SED CONI'ItAC`F0R'S DECLARATION BUILDING PERMIT INFO: BLDG r r'ELECT PLUMBr License Class C—S ) Lie.# Ll'?e\.I 00 ��� _ f R $� AIECH r RESIDENTIAL r COMMERCIAL r Contractor Isi `�t I Imo+L• Date `� 1 r I hereby affirm that Iran licensed trader the provisions of Chapter 9 J013 DESCRI PTION:TEAR OFF EXISTING WOOD SHAKE ROOF.13 SOS (commencing frith Section 7000)of Invision 3 of the Business.f Professions INSTALL Code.and that nry license is in full furec and effect. I2"CDX PLYWOOD,308 PELT UNDIi SHINGLES, INSTAL/. CERT'AINTrED PRESIDENTIAL COM/'SHINGLES,COLOR hereby affirm under penalty of perjury one of the Following lyo 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 perfommnec 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 Sq. Ft Floor Area: Valuation:$4500 CISR'I'IPIC.\TION I certify that I have read this application unit state that the above information is APN Number:35905046.00 Occupancy Type: correct.I agree to comply With all city and county ordinances mid 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,the applicant understands and will comply WITHIN 180 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 Issued by: _/Ff�/✓ /%.ATGl7 Dole: .6 '�i •/� ❑ O\ ER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License L:wr for one of RF.-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property,or my employees with"'ages as their sole compensation, installed without first obtaining an inspection,I agree to remove all ntm materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) p p 1,as owner of the property,am exclusively contracting With licensed contractors to Signature of Appli©nC Date: construct the project(Sec.7044,Business S Professions Code). 1 hereby affmmn under pen thy of perjury one of the following three ALL ROOF COVE tINGS T'O BE CLASS"A"OR BETTER 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,lot the performance of7he work for which this permit is issued I hove 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 S Safety Code,Sections 25505,25533.mid'5534. [will maintain Section 3700 0l the Labor Code,for the crlommnce ellhe work for which this com plia ner with the Cuperli no Municipal Code,Chapter 9.1_and the Ilealth S p Safety Code.Section 25532(u)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazavdous air I certify that in the performance of die Work for which this permit is issued,l shall conn minants as defined by the Bay 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 Nlunici pal Code.Chapter 9.12 and the Compensation laws ofCalifomia. If,atter making this certificate ofcsemption,I Ilealth S Safety Code.Sections 25505,25533.and 25530. become subject to the Worker's Compensation provisions of the Labor Code,1 must forthwith comply with such provisions or this permit shall be deemed revoked. O`vnrr o nl r z tgfnt: Aisap CAN I' mid state that the ANS'I'it I1C1'1ON LENDING AC EN CV F certify that I have read this application mid state that the about infomnmion is correct.I agree to comply with all city and county ordinances and state laws relating I hereby affirm 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 Namc indemnify and keep harmless the City ol'Cupertino against liabilitiesJudgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulatinhs per the Cupertino Municipal Code,Section .\Incl I I"1'FCI"S DECLARATION9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: �� :,Q �r L DATE: 07/30/2012 REVIEWED BY: bob s. \ APN: MIN: D 'VALUATION: IS4,500 �['EI1N11TTYPE: Building Permit PLA NCIIECKTYPE; Alteration Repair 1'li hllAlt l' SFD or Duplex PENP,UIIATION USE: p I'EILIIITTYIIE: 1SFDWLR00 11'OIiK sfd tear off wood shake install new com shin les. SCOPE ('h,,, NOTE: This estimate,does not inclmr/e fees due to other Departments(i.e. Planning. Public Works, Fire,Sunilan•Sewer District,School District,etc.). These eec ore based on the treliminun•information available anti areonh•an carinate. Concoct the Det for tuldn'I in(,. FEE ITEMS (Fee Re.cu/ntinn //-053 Ell 71111/1 FEE QTY/FEE INISC ITEMS Plan Check Fee: S0.00 1,300 s.f. Re-roof Suppl. PC Fee: Q Reg. Q Ol' 0.0 llrs S0.00 5195.00 IREROOFRES i PME Plan Check: 50.00 Permit Fee: $0.00 Suppl. Insp. FeeQ Reg. Q O'f 0.0 ills 50.00 PME Unit Fee: $0.00 PME- Permit Fee: S0.00 non /.t.%. t r•, _tr r r Q Work Without Permil? O Yes G) No $0.00 A dvallcod Plannin, I cc: $0.00 Select a Non-Residential Building or Structure Q , , / tt,,; r�..r. ,rhrlH y; ht ,a � Suonc i`4otion Fee: IPlSEIS',MCR $0.50 Select an Administrative hent 13IdeStdsCommissiollFcc: IRCBSC $1.00 SUBTOTALS: 1 $1.501 $195.001 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 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildingAcuoertino.org PROJECT ADDRESS r C APN1 57S l OWNER NAME ^ V V 'iJiliqLJ PHONE 4 bE-MAIL yo P- - 38 STREET ADDRESS ^ CITY.STAjEu1P ^. FAX all/ 2 Red Fi-r CONTRACTOR NAM (r LICENSE MBERR FAX BUS.LIC.e 7/ PCOMPANYNAMI ((�� E-MAIL FAXSe ra OSV 012 �rw;^ CITY.STAT 2 d` PHONE - iQ 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/<" 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 S 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. 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: ReIronJPolicv_?0l l.rloc revised OJl6/l l REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228- FAX(408)777-3333•buildingrn.cupertino.oro PRO)ECT:WDRESS C - I APN OWNER NAME I PHONE I E-MAIL S } Y'1AQ0 STREE'1'ADDRESS w Id I CITY. VV ZIP - FAX CONTACT N'ANIE FrePHONE E-NIAIL c1 o G'azare S I -4-6 8-2-1$- 330 STREEI'ADDRES55,02 ^ Q .5+ I CITY.STATE.7.IP/�hn �OSQ Fat ❑ OUHF.R ❑ OWNER-RLILDER ❑ OWNER AGENT ' CO1TKACrOR ❑CON-TRACTOR AGENT ❑VARCHITECT []ENGINEER ❑ DF.%'ELOPER ❑ TENnN'T L'ONTRACI'ORNAME LICENSENCNIBER LICENSE TYPE BUS,LIG• aur se(xsa..s IZ4,2Ioa C-39 a13a3 COMPANYNAME S I C-HAIL I FAX STREET ADDRESSrvZ CITY.SLATE.Zn`sori 7Cse It ^ PHONE(40S-2279-0 ARCHI'rECPENGINEER SAME LICENSENUNIBER t/ 11S.LIC.- COMPANY NAME I E-NIHIL I FAX STREET ADDRESS I CT'.STATE.ZIP I PHONE USE OF ❑ SFD or Duplex r Multi-Family ROOFAREA: /a VALUATION pp STRUCTURE: ❑ Commercial 3 S SVC ENISTING ROOF TYPE: ❑BUILT-CP ROOF ❑ASPIIALT SHINGL"S �X11OODSHAXF.S ❑WOODSHINGLES ❑OTHER I SPECIFY) RENIOVEAEPLACE YES IF NO. PLYst'OOD {�,ti ❑ PLN'Nt'D ❑OSB PITCH. ROOF ❑ N . aYFRS ICri\ESS 1114 ❑ ' " TYPE CDx •12 LASSA PROPOSED ROOF TYPE: ❑BCILT OP ROOF XISPHALTSHINGLES 11 WOOD SI(ARES ❑WOOD SHINGLES ❑OTHER IMES REPORT: DESCRIPTION OF V,ORI:: 1/Z 11 :rear a E�exis n a 1yooA s4,w�¢ roodCOX e of d-er(al F�nw11!1 IA o.' sad PreSIAP- •w1_ Come 561A es Color CouA4 0, By my signature belo,-I certify to each of the following: I am the property'wcner or authorized agent to act on the property owner's behalf. I have read this application and the information I nave provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and statelaws relating to buildins cons' tion. a orize represe , civ c of Cupertino to enter the above-idemilied property'for inspection purposes. Signature of ApplicenVARent: - Date: 1201a0 SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _If building is associated with a Home OAAner's Association.provide letter Pugs CHECK TYPE ROUTING SLIP ofapproval from HOA. oAL— EN.THE-COUNTERUILDINC PLAN REVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLAN N'ISC PIAN REVIEW Pr�py'ol'Manufacatrer's Installation Specifications. ❑ STANDARD ❑ FIREDEPT vide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: ReroojApp_201 I.doc revised 03/16/11