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12080224 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21054 RED FIR CT CONTRACI'OR:FOUR SEASONS ROOFING PERMITNO: 12080224 O\\'NER'S NAME: CI IEN 11AN AND QIAO LU PO BOX 1668 DATE ISSUED:08222012 OWNER'S PHONE: 4087211623 SANdOSE,CA 95109 PHONE NO:(408)278-0330 act LIC LASED COYI*RACI'ORR'S DECLARATION BUILDING PERMIT INFO: BLDG r r-- ELECT PLUMB License Class C-39 Lie.4 I�(-II Ias p q MECIi r RESIDENTIAL COMMERCIALr Contractor FSILt INC • Dale 6 LZ I'L herein affirm that 1 am licenced raider the provisions of Chapter 9 •JOB DESCRIPTION:TEAR OFF EXISTING WOOD SHAKE ROOF.INSTALL I2" (cununencing"illiSection 7000)of Division 3 of the Business& Professions CDS Code and that my license is in full force and effect. PLYWOOD THEN ES FELT'IALUN COMAOSITIO INSTALL S SQ CERTAINTEED PRESIDENTIAL COMPOSITION SHINGLES I hereby al irni trader penalOof perjury one of the Following two 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 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 Ole work for which this permit is issued. Sq.Ft Floor Area: Valuation:54500 .\PCI-IC,W'I'CEIi'I'I IrICA'1'll h\ I certify that I have read this application and stale did the above information is APN Number:35905066.00 Occupancy Type: correct.I agree to comply with all city and county ordinances and slate laws relating to building construction,and hereby authorize representatives of(his city to enter upon the above mentioned property for inspection purposes. (We)agree to save indenrn iv 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 01`111C granting of[his permit. Additionally,the applicant understands raid will comply WITHIN IRO DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per(Ile Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. C 1 Signature�� Date Issuedby: .���(✓ TDate: ❑ ON'Nh R-BUILDIiR DECLARA'T'ION hereby affirm that I am exempt from the Contractor's License Lar for one of RE-ROOFS: the following mo reasons: All roofs shall be inspected prior many roofing material bene installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without firs(obtaining rat 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&Professions Code) I,as owner of the property,am exclusivcl% contracting with licensed contractors to Signature of Appli©nC Date: 8 construct the project(Sce.7044,Business&Professions Code). I hereby affirm under penalty of perjuryone of the folloe'ing three AL1,ROOF COVERINCS'1'O 13ECLASS".\"OR 13E'1-TER declarations: I have and will maintain a Certificate of Consent loself-insure for Worker's HA'/,ARDOUS MATERIALS DISCLOSURE Compensation,as provided for.by Section 3700 of the Labor Code,for the performance of the work for which[his 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 I leallb&Safety Code,Sections 25505.25533,and 25534. 1 n'ill maintain Section 3700 of the Labor Code,for the performance of the work for which ill: compliance with the Cupertino Municipal Code,Chapter 9.12 and the Ilealth& Safety 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 cerlily that in lite performance of die work for which this permit is issued.I shall contaminants as defined by the Buy 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 of California. If,alter making this cerlilicate of exemption,I Ilealth&Safety Code.Sections 25505.25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked Owner I n enl: Q- Date: APPLICAN"I'CERTIFICATION CONST'RUCT'ION LENDINC AGENCY I certify that I have read this application mid state that the above information is correct.1 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 permil 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 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 applicant understands and will comply wish all non-point source regulations per the Cupertino Municipal Code,Section ARCHITEM S DECLARATION 9.18. I understand my plans shrill be used as public records. Signnmre Date Licensed Professional REROOF TEAR-OFF POLICY 0 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(6cupertino.org PROJECTADDRESS ./ F Z/OS a ,r, C4. APN# OWNER NAMET"an CI ¢n t L-u ^U10.O PHONE AI -�a E-ML STREET ADDRESS VI , ^CX CITY. TE.ZIP ^ �� FAX CONTRACTOR NAME ` LICENSE NUMBER V LICEN�r BUS.LIC.# COMPANY NAME E-MAIL 6`� FAX STREET ADDRESS CITY.STATE. P NE oSE T X03$ 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. 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:---J? ReroofPo1ic.v_2n1 l.doc revised 02116111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 16.S Red Fir Ct DATE: 08/21/2012 REVIEWED BY: Sean ` APN: BP#: 'VALUATION: $4,500 *PEWMIT n'PE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIDLARI Multi-Family Dwelling Building is PENTAIMATION 1R2ROOF USE: >3Stories O Yes (D No PERAIITTYPE: WORK 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.) 1REROOFMRES 1,300 Mech.Plan Check Plunrh.Phm Check Five.Phut Check :Mech. Permit Fee. Plan h. Penuit ree: Elec.Permit Fre: Other Atech.Insp. OtherPlumb/asp. Ll I Other-Elec.Insp. Mcch. Insp. Fee: Plumb.hrsp.Fee. Dec.lisp. Fee: NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public 11'orks, Fire,Sanitary Sewer District,School District.etc.). These ecs are based nn the prelitninari information available and are onir an estimate. Contact the Det for addn'l info. FEE ITEDIS (Fee Resolution 11-053Eff. 7/1/11) FEE QTl'/FEE i\11SC ITEMS Plan Check Fee: Supp1. PC Fee P1umh.::41'ach.1E1ec Permit Fee: $195.00 Suppl. hrsp Fee Plumb.hl7ech.lF.lee Plumb.Afet h.!Flec Permit lee: Cunstruction T=.- Administrative ax:Idministrative Fee: Work Without Permit? O Yes (D No $0.00 ldranced PleinnigQ Fees: Treivel Documentation Fees: Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $196.50 $0.00 TOTAL FEE: $196.50 Revised: 07/01/2012 REROOF PERMIT APPLICATION LU COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION .� 10300 TORRE AVENUE •CUPERTINO,CA'95014-3255 GUPERTINO (408)777-3228• FAX(408)777-3333•buildinD(dcuoertino.oro PROJECT ADDRESS Q APN. OWNER NANfE e PHONE E-NAIL Lu iw -7 -l62 STREE I'ADDRESS7—/Or- CITY. STAT P I FAX CONTACT NAME PHONE E->IM1. pik-7-18-03301 STREETADORESS Sc2 S CITY.STATE. ZIP��Aft CAFAX ❑OWNER ❑ OW NER-RUILDER ❑ OWNER AGENT Ji CON RAPTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ WNELOPER ❑ TENANT CONTRACTOR n;a ME LICENSE NUMBER LICENSE 'PE BUS,CIC. 44-I'Ll 08 COMPANY NAME E-MAIL FAX STREET ADDRESSCm'.ST.\TE.21P PHONE Sot. a o5e C 8 -0 ARCHIrEMENGINCE0.?ANE LICENSE NUMBER BUS,LIC COMPANY NAME I E-MAIL FAX STREET ADDRESS CITY,STATE.%IP PHONE USE OF ❑ SFD or Duplex J. Multi-Family ROOFAREA: � VALUATION: }'Y� STRUCTURE; ❑ Commercial /3 S S'0O EXISTING ROOF TYPE: ❑BUILT-CP ROOF ❑ASPHALTSHINOLES r,VOODSHAKES ❑W'OOD SHINGLES ❑OTNERISPECIFYI RE.VOVEAEPLACE AVYES I F SO. PLY KDOD ❑ PLYWD ❑ OSB PITCH: ROOF ❑ N LAYERS ..// TH ACE R ❑ 5!" q :I2 A A PROPOSED ROOF TYPE: ❑BUILT-UPROOF 4SPKALT SHINGLES ❑\V ODD SI IAKES ❑WOOD SHINGLES 13 OTHER ICC-ES REPORT. DESCRIPTION OF WORK: `/Z S f cox as ,s *. By my signature below.I certify to each of the following: I am the property oW'ner 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 verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons tion. a or ZercpresSgWtivg of Cupertino to enter the above-identilied property for inspection purposes, Signature of Applicant/Agent Date: O SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY _ Ifbuilding is associated With a Home OWner'S Association,provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT Provide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER: ReroojApp_201 I.doc revised 03/16/11