12080157 CITY OF CUPER'I-INO BUILDING PERfiMI'I'
RUD.DINCADURhaS: 21072 RHD 17IR CT COS'1'RAC'low FOUR SEASONS VER.\1fl'NU: 12080157
ROOFING
O\\•NE:Z-S S'Awt: KYLE SYLVIA A PO 130\ 1668 DATE ISSUED:08/20/2013
OWNEIVS PDoNe: 4082556370 SAN JOS13. CA 95109 PHONE.NO:(408)278-0330
UL— IA CENSE.1)CON ARA CTOIVS 1)ECLA RAT]0>'
131111.Ui\(: I'ICIt.\Ire IKFO: ❑LUG r t:LF.CI'r I'Lll\III r
License Class C—3 I-i,.9 Ll?z e o 8' r r r
3D:r:n I<esmesrl,\I. a>atao-:Rctnr.
Contractor n P—, /N C. Date
I hereby.affirm Chat I ant licensed under the provisions of Chapter 9 3013 DESCRIP I'IOS: 'I'17AR OPT EXISTING WOODSHAKR R00F.IN-S'fALL 13
(conlntcilcina"'ilh Section 7000)ul'Division 3 of Om Business X Professions SQRS
Codc: n'out that nlicense is in full force and ell- 12"CDS PLYWOOD T1IIiN I'309 FEL UNDERLA1'mrwr.
INSTALL CERTAI\'I EED i'RI?S1D17N'I'IAI.COAII'OSI'I'ION
1 hereby al'lirnl under penally U1perjury one of Ihr fullu%ving nvu drehu'aliuns:
I'h;we:aid will Maintain a CCniiCae Of COnSCni tl SCII'-Itsalre lbr Workcr s
Compensation,as provided for by Section 3700 of Clic Labor Code.Ior the
Performance of the work for which this permit is issued. Sy.FI Floor,4ea: \'alunfiun:54500
I have olid will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,fn the perlim lanCe ullhe work lir which this
permit is issued.
\I'S\um he r:35905058.00 Occupancr'Type:
APPLICANT CER'1'IhICATII).\
I ccrtil'v that I have read this application and slate that the above inlimntio'n is PERMIT EXPIRES IF WORK IS INOT STARTED
correcL (agrec to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OI' 1'IiRI�'1l"I" ISSDr\NCE OR
Or building constr cdon.:ad hereby aUIhorizc representaliveS of this city to enter
upon the above mentioned property tier inspection purposes. (We)agree to save IISO DA ' WIN] LAST CALLED INSPECTION.
indenmile and keep harmless the Cit•ofCupcnino against liahilities,judgments,
costs,and expenses%%hich may accrue against said City in consequence of the T
granting of Otis permit. Addition CIN the applicant understands anti will comply. Issued b z Daft: 2
will all non-point Source rcgUhnions per the Cupertino Municipal Colic,Section
9.18,
1417-ROOFS:
Signature'; Dale S(?.O / All roofs shall be inspected prior to:any roofing material being installed. []'it roof is
installed without first obtaining an inspection,I agree to remove all new materials lir
i inspection.
❑ O\Y�'FIi-IilI11.DElt IIItCLAIt,\'Il(IK
c: �Z
I hereallirm that I am c%engd from the Con n'aclnr's license L:nr fur nor uSignamreof Applicant:l'
the follu%iine nvl n'Isllrts' ,\1.1.Ia(I0F COVERIS BE CLASS"A"kill lir I-I'ER
w
1,as oner of the progeny,or my CuployceS with wages as their side compensation.
%rill do the work,and the slnlclum is not intended nr sllcred lir sale(Sec.7044,
I)usincss R Professions Code)
I,its owner of the property.am exclusively contracting with licensed contractors to I IAZARDOUS?IXITHIA1S DISCLOSIIIIF
construct the project(Sec.7044,lousiness R Professions Code). I h;nr read Ihr hazardous materials rcquiremenls under Chapter 6.95 it the
California Ile lth&Safety Code.Sections 255115,35533•and 35534. 1 will
1 berebp ni irnl under penalty penalof perjury one of the Iilluwing there mainlain compl i:owe with Ihr Cupertino Municipal Curie.Chalice 9.12 and Ihr
declarathins: Health&Safely Code,Section 2553'_(x)should I stare or handle hazardous
I have and will maintain aCenilicae of Consent to self-insure for Worker's material. Additional R',should 1 use equipnu•nl or devices%which emil ha/arduus
Compensation,as provided for by Section 3700 oI'the Labor Cudc for the air contaminants as Orford by Clic l3ny Arra,\ir(lualit'.,\hrmaenu•nl Uiw icCl
pertbrunince of the work for which this pennil is issued, will maintain compliance with file Cupertino Municipal(:ode.Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided far by the IIl•a06&Safety Code,Sections 25505.25533,and 25534.
Section 3700 ollhe Labor Code,lir lire perlimnance of Clic work lir which this P—�
IlCrolll Is ISSalcd.
flirter ur:uulhurizrd aa � Dan.:
I ecrlil\•thin in Clic perlonnance ollhe work I'm which this pcnnil is issued,I shall
not anploy any person in any manner so as In become subject to the Worker's
.Compensation laws ot'California. II;alio slaking this certificate of exemption.I CUN'S'1'It11C'IION LISSDII'(:ACI-:\C1'
become subject to the Worker's Compensation provisions of the Labor Code.I muss I hereby alllnn that there is a construction lending agency Ior the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for%which this pcnnil is issued(Sec.3097.Civ C.)
Lender's\;tune
AITLIC,\S'I'CRII'I'I FICATIOS Lender's,\(Iuress
I eenify that I have read this application and state that the above inlonnalioln is
correct.I agree to comply with all city and coauty ordinances:md star la%%:s relating
In hu ilding construction,and hereby authorize rcprticntaikes of this city to enter
upon the r&,vc mentioned property lir inspection pu I)OSCS.(1Pe)agtte In save
indennifj•and keep harmless the City of Cupertino against liabilitice.judgnncnts. ARIA 11'I'ECI"S DF-CLARA 1'10:1;
costs,and expenses which may accrue against Said City in Conaquenee of IIIc I understand ntv plans shall be Used;is public records.
granting of This Penn it,Additionally,the app is:ml till(let studs aOil will comply
with all 11011-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Dae
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(gdcupertino.org
PROJECT ADDRESS Z 10-7Z
07Z CC/ ^ APN n
ON'NERNAME C.- PHONE E-MAIL
-c S- 6 A O
STREET ADDRESS CIN. STATE,ZIP FAX
CONTRACTOR NAME LICENSE NUMBER LICENSE
(FTYPE BUS.LIC.a
3
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY.STAT P PHONE
Sot .Ca o8�2 7�'o3So
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'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$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. 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:
RerogtPoliCY_201 Lrloc revised 02/16111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 21072 Red Fir Ct DATE: 08/15/2012 REt'IE\1'ED BY: Sean
APN: BP#: D 'VALUATION: $4,500
*PERMIT TITE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2R00F
USE: 3 Stories O Yes (j) No PERNIITTYPE:
LVORK Tear off existing wood shake roof. Install 1/2" CDX plywood then 30# felt underla ment. Install
SCOPE Certainteed Presidential composition shingles. Color: Country Gray
FEE ID ROOFAREA
(S.f.)
1RER00FMRES 1,300
Alech.Plon Check Pho+rh.Plan Check Elee.Plan Chmk
Afech. Permit Fee., Phonh.Permit Fee• Elec.Permit Fre:
Of/ter Much./asp. Other.Plumb 1nsp. Odter Elec.Insp. El
Afton.Insp. Fee: Phnnb.btsp.Fee: Eler.. hasp.Foe:
NOTE: This estimate does trot include fees due to other Departments(i.e. Planning, Public Works, Fire.Sanitary Server District,School
District,etc.). These fees are based on the preliminari information available and bre on/v an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 ER 7/1/11) FEE QTY/FEE NIISC ITENIS
Plan Check Fee:
Suppl. PC Fee
P1umb.!A9ech_'E1ec
Permit Fee: $195.00
Suppl. Insp Fee
Plumh.414ech.:Elee
Phimh.litlech./Elec•Permil Fee:
Cunstruction Tax:
Adminic/radve Fee.:
Work Without Permit? O Yes 0 No $0.00
Advanced Planning Fees:
Trcivel Documentation Fees:
Strong Motion Fee: IBSE1SMICR S0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $196.50 $0.00 TOTAL FEE: 1 $196.50
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA'95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•building0cuoertino.org
/7
PROJECT P0.01ECi ADDRESS Z 107 Q C- App.
OWNER NAMEIV i Q V I B PHONE
t5l
STREETADDRESS ��072 I` CIT•. STAT P i FAR
CONTACT NAME PHONE EJIAIL
402-7-18-03101
STRELTADDRESS SC2 S CITY.ST.ATE.ZIPe. FAX
❑ON'NFR ❑ OWNER-BUILDER ❑ OHVER AGENT Jf CO'1TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINF.F.R ❑ DEVELOPER ❑TENANT
WNTRACTOR NAME LICENSE NUMBER LICENSE 'PE BUS.CIC.
COMPANY\AMC E-MAIL FAX
SAME
STREET ADDRESS CIT'.STATE.ZIP PHONE
ARCHITEMENGINBER NANIE LICENSE NUMBER aUS.LIC.
COMPANY NAME E-MAIL
FAX
STREET ADDRESS CITY.STATE ZIP PHONE
USE OF ❑ SFD or Duplex jr Multi-Family ROOFAREA: Ae VALUATION:
STRUCTURE: ❑ Commercial PPS�PP
EXISTING ft00F TYPE; 13 BUILT-UP ROOF ❑ASPHALTSHISGLES rWOODSHAKES ❑N'OODSHINGLES ❑OIHER(SPECIFY)
RE.%IOA'F.:REPLACE YESIF XO. PLY\GOOD ❑ PLYAA'D ❑OSB PITCH: ROOF
❑ N •LAYFR ICKN SS' ❑ . " TY C .(2 A A
PR OPOSEDROOFTYPE: ❑BUILT-UPROOF XASPHALT SHINGLES ❑WOODSIIAKES ❑WOOD SHINGLES Cl OTHER IMES REPORT!
DFSCRIMON'OF WORK; `/Z(1
By my signature below.I«nify touch of the following: I am the proper owner or authorized agent io act on[he proper owner's behalf. I have read this
application and the information I have 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 state mews relating to building cons lion. I a on represe tiv of Cupenino to enter the above-identified property'for inspection purposes.
Signature of ApplicanUAgene Date: -30
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY '
_If building is associated With a Home Otyner'S Association.provide letter PLAN CHECK TYPE ROUTING SLIP
ofapproval from HOA. ❑ OVER-THELOUNTER ❑ BUILDINGPLANREVIEW
Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
_ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD
Provide
❑ FIRE DEPT
Provide signed copy of Cupenino's Tear-01T Policy. ❑ OTHER,
i
ReroojAoq 1011.doc revised 03/16/11