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12080262
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10475 BYRNE AVE CONTRACTOR:NEIGHBORS ROOFINGPERMIT NO: 12080262 AND GUTTERS O\VNFR'S NAME: RUAN JIE 200 FORD RD STE 236 DATE. ISSUED:0807/2012 OWNER'S PHONE: 4089048968 SAN JOSE;CA 95138 PI[ONE NO:(408)472-3669 ❑ LICENSED CONFRACFOR'SDECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.N Stt'O45, ��0..5?'- ` b1ECII r RESIDENTIAL r COMMERCIAL r Contmctor///L. �•�7/ZfT6'm�— tt!�t Dau` 1a_ �'7 hereby affirm that I am licensed tinder the provisions of Chapter 9 JOB DESCRIPTION:.REMOVE EXISTING COMPOSITION ROOFING AND (commencing with Section 7000)of Division 3 of the Business&Professions REPLACE Code and that my license is in full force and effect. wi ri1 1900 SOFT CLASS A CERTAINTEED COMPOSITION SHINGLES OVER 30H FELT hereby affirm under penalty of 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,a;provided for by Section 3700 of the Labor Code,for the.performance of die work for which this permit is issued. Sq.R Floor Area: Valuation:$8000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:35712039.00 Occupancy'rype: 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[tate 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 accrue against said City in consequence of the - grantingofthispermit. 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 9.18. 180 DAYS FROM LAST CALLED INSPECTION. r�- L, ' / Signature/ � d;z )� /e 9 Date Sf^2�- Z Issued by: ,-./�/4-/� �fr�jli� Date: ❑ OWNER-BUILI).ER DECLARATION hereby affirm that I am exempt from the Contractor's License Lawfor one of RF-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material berg installed.If a roof is I,as owner of the 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 die structure is not intended or offered for sale(See,7044, inspection. Business 8-,Professions Code) �/ ,' ;L o 1,as owner of the property;aro exclusively contracting with licensed contractors to Signature of Appli©nC Date: construct the project(Sec.7044,Business fi Professions Code). — hereby affirm under penalty of perjury one of the following three - ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to selfinsure for Worker's IIA-LARDOUS MATERIALS DISCLOSURE 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 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 health&Safety Code.Sections 25505,25533,and 25534. I will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code.Chapter 9.12 and the health& Safety Code,Section 25532(a)should I store or handle hazardous material. - permit is issued. Additionally,should I use equipment or devices which emit hazardous air 1 certify that in the performance of the work for which this pennit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ anyperson irony 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 certificate of exemption,I Ilenlih&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. O,,`��'PPer off.mn on�z�a e/nt�:, (ILO�h !G % Date: 2— A I'I'I ICAN'r CFRTI FICAT ION CONSrRII(7110N LENDING AG ENC\' I certify that I have read this application and state that the above information 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 Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may acerae against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicarn understands and will comply with all non-point source regulations per the Cuperino Municipal Code,Section 9.18. ,ARCIIITECT'S DECLARATION I understand my plans shallbe used as public records. Signature Date Licensed Professional REROOF TEAR-OFF POLICY 2 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• buildingCab-cupertino.orn PROJECT ADDRESS APN N toy ,5 C- 1 OWNER NAMEPHONE E-MAIL SIe o STREET ADDRESSCIN.STATE.21P FAX S YtY O:_V C V P. C4 20 e,141 h 1 CONTRACTOR NAME T� LIC 'SE NUMBER LICENSE TYPE BOS.LIC.a NGi h pyS -r- rl v1 x'06 `o C_ o s COMPANY NAM E-MAIL F tial booms °ool n o 6z4_x v71L STREE7rADDRESS CITY.STATE.ZIP ` PHONE 2-co See Seco- �3 ! $� e 38-C 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$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential ode. Signature of Applicant/Agent: Date• RerooJPolicv_201 l.doc revised 02116111 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildingacuoertino.om PROI[Cr ADDRESS APN4 S Q r e- el • / v OWNER NAA(E P NE F-j, E-AIAIL STREET.ADDRESS CrTY', STATE,ZIP O T FAX Gu e- 0.v l G CONTA N ✓� ` PHO0 LiONE �c�, / L-t•fA1L ( CITY,STATE,ZIP L O FAX T Gj S* V\- QCo-- S ! 5,i/ I y, �ZQ . ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENr p CONiRS T R ❑coNrRACTOR AG ❑ ARaRTECT ❑ENGINEER ❑ DE(ELOPER ❑ TENANT CONTRA OR NAA( LICENSENUAIBER LICENSE PPE BIS.LI4.H o G ob o S(/J COMPANYN E-ALAR. FA%��/ �j2! - LL ! avif srREErO D sYG� cZc'vt- o$P C'Cs>` 5�l 3 �' PxoNE D 7t.3$'Z? STATEARCHITECTIENGINEER NAME LICENSE NUN(BER BUS.LIC.M COMPANY NAME E-M1IALL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF qR SFD or Duplex ❑ hI.Io-Family. ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial 2 Lfl OS�- CD^, OD D EXISTING ROOF TYPE: ❑BUILT-UP ROOF M\1SPHALT SHINGLES ❑WOOD SHARES ❑WOOD SHINGLES ❑OMER(SPECIFY, REMOVE REPLACE f97 IF NO. PLYWOOD ❑ 15" ❑ PLYWD 1:1 OSB PITCH: ROOF ❑ O w ERS' Z THICKNESS. ❑ 5/S" 'PE- ❑ CO '(? CLASSA PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ®YSPH.ILT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES Cl OTHER ICC-ES REPORT 8 7A, OF\YORK: - S I By my signature below.I certify,to each of the following: I am die property owner or authorized agent to act on die property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description ofWork,and verify it is accurate. I agree to comply with all applicable local ordinance and state laws relating ilding construaio . I authorize representatives of Cupertino to enter the(a�bboo-ve-identified property for inspection purposes. SignetureofApplicant/Agenc P Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY .: _If building is associated with a Home Owners Association,provide letter - PLA'N CHECK TYPE ROUTING SUP'of approval fmm HOA. 114l OVER-THE-COUNTER BuiI.Dii;G PLAN REY'IEW _Provide Planning appmval to veriPo if there any restrictions. ❑ FXPRF_cS ❑ PLANNING PLAN REVIEW _Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ RRE DEPT Provide signed copy of Cupenvno's Tear-Off Policy. ❑ .OTHER:' - Reroojdpp_2011.doc revised 03/16111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10475 Byrne Ave DATE: 08/27/2012 REVIEWED BY: Sean \ APN: BP#: *VALUATION: 1$8,000 *PERMIT TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: WORK Remove existingcomposition roofingand replace with Class A Certainteed com ostion shingles over SCOPE 30# felt (1900 sq ft). FEEID ROOFAREA s.f. 1REROOFFRES 1,900 Meeh. Ilan Check Plumb. flan Check Flee.Plan Check Mech. Period Fee: Phunh.Perndt Fee: Elec. Permit Fee: Other,1/ech. Insp. Other Plumb Insp. Other Elea Insp. ,liech.Insp.Fee: Plumb. In.y. Fee: Eke.Lisp. Fee: A'OTE: This estimate does not include fees due nt other Departments(i.e. Planning, Puhlic Works, Fire,Sanitary Server District,School District, etc.). These eet'are based on the prefintinan information available and are only an estiotate. Contact the Dept for addn'I info. FEE ITEMS (Fee Resolution I1-053 F_R' 7/l/1l) FF.F. QTY/FEE MISC ITEMS Plum Check Fee: Supp/. PC Fee P'IumbJtblech./Flee Permit Fee: $285.00 Supp/. Insp Fee Plumb./Mech./Elec Plunib.hblech./F.lec Permit Fee: Conswuction Tux: Administrative Fee: Work Without Permit? O Yes (F) No $0.00 Advanced Planning Fees: Travel Docmnentation Fees: Strong Motion Fee: IBSEISHICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $286.80 $0.00 TOTAL FEE: 7$286.80 Revised: 07/01/2012