12080222 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21052 RED FIR CT CON'I'RACI'OR: FOUR SEASONS ROOFING PERM IT NO: 12080222
OWNEWS NAME: KWAN.TIIONI AS PO BOX 1668 DATE ISSUED:08222012
OWNER'S PIIONli: 4089963791 SANdOSE.CA 95109 PHONE NO:(408)278-0330
LICENSED CO7 fRACfOR'S DECLARAIJON BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
License Claus C-3NS1 Lick 4-)210
NECH r RESIDENTIAL r COMMERCIAL r
Contractor f-U 1�I I W c• Date
hereby affirm that turn licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE ROOF.INSTALL 12"
(commencing with Section 7000)of Division 3 of the Business&Professions CDX
Code and that my license is in full force and effect. CERT OOT ED'PII[zN ES PELT UNDERLPOSITION SHINGLES S SQ
CER'fA1NTEliD PRESIUENTIAI.COMPOSITION SPIINGLES
hereby affirm under penally of perjury one of the following two declarations:
I have and will maintain a certificate ofconsenl 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 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 Flom-Area: Valuation:54500
AIT LICANT CERTIFICATION
I certify that I have read this application and slate that the above infomation is APN Number:35905065.00 Occupancy 1)'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
indcnmify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence oflhe WITHIN 180 DAYS OF PERMIT ISSUANCE OR
grating of this permit. Additionally,the applican understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature Date a 22- Z.. Issued by: Date:
❑ OWNER-RIIILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of RE:ROOFS:
the following two reasons: All roofs shall be inspected prior to tiny roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without fist 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) O_ .Z_
I,us owner oldie property,am exclusively contracting with licensed contractors to 'Signature of Applic nt: Date: CC
construct the project(Seo-7044,Business&Professions Code).
1 hereby affirm under penally of perjury one of the following three ALI,ROOF COVERIN , ORE CLASS"A"OR BE ITER
declarations:
I have and will maintain a Certificate ofConsent to self-insure for Worker's 1L\7.ARDOUS MATERIA IS DISCLOSURE?
Compensation,as provided for by Section 3700 of the Labor Code,for the
perfan once 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 Iladth&Safety Code.Sections 25505.25533,and 2553.1. 1 will maintain
Section 3700 of Ehe Labor Code,for the performance of the work for which this enumpliance with the Cupertino Municipal Code.Chapter 9.12 and the Ileulth&
Safely Code.Section_553_(a)should I store or handle hazardous material.
permit is issued Additionally,should I use equipment or devices which emit hazardous air
I certify that in the perfnnnance of the work for which this permit is issued,I shall contaminants as defined M•the Bay Area Air Quality\hmagement District I will
not employ any person in any manner so as to become subject to the Worker's maintain com pllance w'Ith the Cu pertlno dl unicipal Code.Chapter 9.12 and the
Compensation laws of California. If,after making this certificate of exemption,I Ilealth&Safety Code.Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions 01`111C Labor Code,I muss
forthwith comply with such provisions or this permit shall be deemed revoked O"tier mhnr'�agent:
Date: G
APPLICAN`I'CERTIFICATION CONSfRUC11ON LENDING AGENCY
I cenify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordhrnrces mrd state Imus relating I hereby affirm t at there is a construction lending agency for the performance of cork'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 harmless lite 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 applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section AI2CI I I'I'I:CI"S DECLARATION
9.18.
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)7777-3228• FAX(408))777-3333•buildino(a�cuoertino.org
PROJECT ADDRESS Z/OSZ Red Fl/ cl APNN
OWNER NAME PRONE E-MAIL
a �/o - 6- 37
STREET ADDRESS Z!o SZ CITY.STATE.zI 10 FAX
CONTRACTOR NAME r LICENSENUMBER LICENSE TYPE BUS.LIC.0
COMPANY NAME E-MAIL FAX
OO
STREET ADDRESS CITY.STATFlPHONE
T-0 7— oM IN 36 S `✓Or• �o SC QS( 2 'O
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%" 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:
RemajPolicv_2011.doc revised O2/16/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS:I-jU� ' Red FirCt DATE: 08/21/2012 REVIE�VEDBY: Sean
\ APN: BP#: *VALUATION: $4,500
*PER,111T TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildino is PENTAMATION 1R2R00F
USE: 3 Stories O Yes (F) No PERMITTYPE:
NVORK Tear off existing wood shake roof. Install 112" CDX plywood then 30#felt underla ment. Install
SCOPE Certainteed Presidential Composition shingles (Color: Country Gray).
FEE ID ROOF AREA
(s.f.)
1REROOFMRES 1,300
Atech.Plan Check Math.Phys Check Elec.Plan Chock
df itch. Permit Fee: Plnmh. Permit Fee: Ele.c.Permit Fee:
0her,t ech. Insp. Other Plumb 111sp. other Elec.lnsj>.
Afech, Insp. Fee: Plumb. Insp.Foe: Der..hup. Fee:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning. Public Works, Fire,Sanitary Server District,School
District,etc.). Thesefees are based on the prelinjinarl information available and are onll,an estimate. Contact the De t or addn7 info.
FEE ITEiMS (Fee Resolution 11-053_F7111111 7/1/11) FEE QTY/FEE IMISC ITEN'1S
Plun Cheek Fee:
Stipp/. PC'Fee
Pl unt h.:'M lech./El ec
Pennit Fee: $195.00
Suppl. 11151 Fee
PlunrhJ,ilech.:Elec
Phnnh.:atechrF_lec Persil Fee:
Construction Tax:
Administrative Fee:
Work Without Pennit? 0 Yes (j) No $0.00
Aelvanred Planning Fees:
Trane/Documentation Fees:
Strong Motion Fee: IBSEISAfICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $196.501 $0.001 TOTAL Fr E: $196.50
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORR£AVENUE •CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildingecuper ino.ora
PROTECT AUD0.E5$ Z1Q S2 Q ApN. r n _ r0
OWNE.RM1'AAIE PHONE E-MAIL J V
Vdp
-916-3-7911
STREE('ADDRESS Z�o�J21o5'2_ CIT'. STAT P ) FAX
CONT,\fi NAME PHONE EJ111L
(40;_238_.0A 01
STREET ADDRESS5,07- S CIT\'.STATE.ZIP FA.\'
❑OWNER ❑ OWFER-RUILDER ❑ OWNERAGENT 'M CONTRACTOR ❑Coll' ACTORAGEM1T ❑ ARCHITECT ❑ENGWF.F.R ❑ DF.\'ELOPER ❑ TERANT
CONTRACTOR FAME LICENSE NUMBER LICENSE PE BUs.TIC.-
213
COMPASY SAMEEMAIL
5 FAX
STREET ADDRESS CI ,STATE.ZIP
SoZ TYa ose C PHONE I 8-0
ARCHTrECT•ENGINCER NAME LICENSE NUMBER
BUS LIC.
COMPANY NAME E-MAIL FAX
STREET ADDRESS CIT'.STATE ZIP PHONE
USE OF ❑ SFDorDuplex ( Multi-Family ROOFAREA: VALUATION:je _99_
STRUCTURE: ❑ Commercial 13 5Q. 1 5_00
EXISTING ROOF TYPE, ❑BULT-CP ROOF ❑ASPIIALT SHINGLES �N'OOD SHARES ❑W'OpO SHINGLES ❑OTHER ISPECIFI)
RE\IOYF.:REPLACE YES IF NO. PLYWOOD .- ❑ PLYW'D El OSB PITCH; ROOF
❑ NO n A\'ER THICKNE 13 .'" TN PF- .\ :12 ASS
A
PROPOSED ROOF TYPE: ❑BCILT-UPROOF XASPHALT SHINGLES ❑WOODSIIARES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORTv
DESCRIPTIONOF WORK: 1/Z 1
cby
�O# At+ UnAer(ojIkAA F,AAU 7 jnC+w�(
w U o
By my signature below.I certify to each of the following: I am the propem'Avner or authorized agent to act on the property owner's behalf. I have read this
application and theinfonnation 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 laws relalinR to building co 2iontion. I a oriu represew1wQ of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: O
SUPPLEMENTAL'INFORMATION REQUIRED oFFICEUSEONLY
_ If building is associated with a Home OWner's Association,provide letter PLANCHECR TYPE. ROUTING SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW'
_ Provide Planning approval to verify if there any restrictions. ❑ ECpRFSS ❑ pUARNING PLAN 0.EYIEN'
Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
_ Provide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER,
• Heroo App_2011.doc revised O3/16111