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12080315 CITY OF CUPERTINO 13UILDING PERMIT BUILDING ADDRESS: 11221 MONTEREY CT CONTRACTOR:VISIONS ROOF DESIGNS PERMIT NO: 12080315 OWNER'S NAME: TSUI FRANKLIN R AND MOSS ELLEN R 3487 WARBURTON AVE DATE ISSUED:08/302012 O\VrNER'S PHONE: 4084824865 ' SAN FA CLARA,CA 95051 PHONE NO:(408)247-5054 LICENSED CONTRACTOR'S DECLARATION r F_ C! '2 zJ BUILDING PERMIT INFO: 13LDC "" ELECT PLUMB 'License Class JJ Lie.N &�/?7 COMMERCIAL r F2 r 3�_JZ MECII RESIDENTIAL Contmcimr n Date hereby affirm that 1 on,licensed under the provisions of Chapter 9 -JOB DESCRIPTION:RE-ROOF 27SQ TEAR OFF EXISTING SHAKE ROOF APPLY (commencing with Section 7000)of Division 3 of the Business&Professions OSB RADIANT BARRIERS NEW FLASKING,INSTALL Code and that my license is in full force and effect. LANDMARK SHINGLES CLASS A 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,as provided for by Section 3700 of Labor Code,for the performance of die work for which this Sq.1'1 Floor Area: Valuation:$148$0 permit is issued. A PI'LICANIf CERTIFICATION APN Number:35621017.00 Occupancy Type: I certify that 1 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 to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 10 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply Igo DAY F IOM LAST LED INSPECTION. with all non-po c regulations per the Cupertino Municipal Code,Section 9.18. 9 Q Signature Date "' J�_/z ISS b Date: ❑ OWNER-BUILDER DECLARATION RF-ROOFS: I hereby affirm that 1 am exempt from the Contractor's License Law for one or All roofs shall be inspected prior to any roofing material bebg installed.If a roof is the following two reasons: installed without first obtaining an. spec ion,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sale compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Appli©n: Date: y'�Cl'—�2 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ,ALL ROOF COVERINGSTO BE CLASS"A"OR BETTER hereby affirm under penally of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to sal Ginsure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)should 1 store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,l shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation Iasis of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must O authoriz d agent: �7 ? forthwith comply with such provisions or this permit shall be deemed revoked. Data CONSTRUCTION LENDING AGENCY APPLICANT CE,RT'I FICAT'ION I certify that I have read this application avid state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state Imus relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned properly for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may acerae against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCIIITECI"S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional. 1 REROOF TEAR-OFF POLICY T. ocvCLOWIT&IT oEPARTMF-NT•BUILDING DIVISION ALBERT SALVADOR, P.E.. C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO.CA D5014-3255 CUPERTINO ^(408)777-3228• FAX(408)777-3333•buildingancuoertino.ora PROJECT ADDRESS / / / I APN w LIC i OWNER NAME �� PHONE E-MAIL STREET ADDRESS CONT �. C .STATE IP l� /J FAX RACTOR NAM LICEfI�,1U� L OO O,NW�il. l/J /' (fULr(l.`�XS.,j�(-u�f'/`J:•�(�L/i BUS.LIC.a COMPANYNAME E-MAI. iJFAX STR nL � . 'J L�7/Y Cl/OD�/11/Z32 DT JJ 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�P—M (Friday) to schedule the nex a inspection. For Tem-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. l 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. Proeress 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 V44" 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, 1 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 Residen ' o Signature of Applicant/Agent: Date: RerooJPo1icv_101 Ltloc revised 0211611) CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 11221 MONTEREY CT DATE: 09/30/2012 REVIEWED BY: Sylvia 27APN: BPN: 'VALUATION: $14,850 *PERr*I1T TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof PRIMARY SFD Or Duplex PENTAMATION USE: pPERMITTYPE: 1SFDWLR00 WORKRE-ROOF 27S0- TEAR OFF EXISTING SHAKE ROOF APPLY OSB RADDIANT BARRIERS NEW SCOPE FLASHING, INSTALL LANDMARK SHINGLES CLASS A ,,] FEE ID ROOFAREA 5.r. 1REROOFFRES 2,700 AJech. Plan Check Plumb.Plun Cheek Flee. Plan Check Alech. Permit Fee: Plumb. Permil Fee: Flec.Permit Fina: Other Mech. lay. Other Plumb Insp. Other Flec.Insp. ,Ilach.hup.ree: Plumb. br.sp.ree: Elec.bup.rev: NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School District, etc.). These ees are based on Ute prelintinar3 information available and are only an estimate. Contact the De t or aeldn'I info. FEE ITEMS (Fee Resolution I1-053 F_fl 7/1/1 U FEE QTY/FEE MISC ITEMS Plan Check P-ee: Suppl. PC Fee Phnnh./14ech./Elec Permit Fee: $405.00 .Supp/. Insp Fee Phunh.A%1ech./P.le c Plunth./AA.wh./F,lec Permit Fee:. Consn7iction Tac: Administrative Fec: Work Without Permit? O Yes (F) No $0.00 Advancer!Planting Fees: Travel DoGlant-nlalian FaeS: Strong Motion Fee: IBSE/SMICR $1.49 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $407.49 $0.001 TOTAL FEE: $407.49 Revised: 07/01/2012 ILI 12-0 'R� c) REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(Mcuoertino.orcl - 1 PROJECT ADDRESS 2 21ffin r) q APN 0 N ' - / �O/ \ / OWNER NAME Ss PHONE(T (/ E-MAIL ly` STREETADDRESS S ^M _ACT L - CIN, STATE ZIP v/ // FAX E / � 1 PHONE —"]/ DCS E-MALL - Ihs STREET ADDRESS 987 r� Y.ST TE, P /T J/Yy,�I F Z��_�/� •C.F! ❑ ow HER ❑ owHER-DU-DER ❑ OWNERAGENT 0<11iI,CTOR ❑CONTRACP0RAGENT ❑ AaCCHITCLT ❑ENGRi R ❑ DEVELOPER ❑ TENANT CONTRACTORNANUE _�A^ LIC SE 1H LIC S BUS.LIC.• COMPANYNAAIE �/ 9 E-M B: ioW"Cns al FA��e-r(`/py�`(1�JO STREET ADDRESS "`( /Cl STA .Z r�"• PHO)-7X10 PL?Y) ARCHITECTIENGINEER NAME LICENSEMNIMER J(/J BUS.LIC.0 JJC.t/ COSPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Faintly ROOF.AR� VALUATIOG/��©O STRUCTURE: ❑ Commercial .,,,�� T EXISTmO ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES P"'OOD SHAKES ❑WOOD S}@r LES ❑OTHER(SPECIFY) RE•IOVE(REPLACE VYFS IF NO. PLYWOOD :5'• 11PLYNVD OSB PITCH: ROOF ❑ ULR . 1H1 .KNES 13 5's- 13 DX (' LASS ', PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 21111HALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER OOO l DESCRIPTION OF WORK: l( I{ ! I III rK / • G By my signature below,l certify to each of the following: I am tie property m\ner or authorized agent to act on die property owner's behalf. I(lave read this application and die information 1 have pr . ed is correct. I have read the Description of Work and verify it is accurate. I agree m comply with all applicable local ordinance and start laws relRtin" uil ' g c 61 n. I authorize representatives ofCupertino m enter the �raa-bgqove-idemified�Tproperty for inspection purposes. Signature ofAppl i=UAge oeDate: X 38��2 SUPPLEMENTALI>rKRMATION REQUIRED - orrlcE USE ONLY If building Is associated with a Home Owners Association77provide letter; ' PL.6ECK'TVPF _ OUTINdsui - ofapproval from HOA. ' f.3 / OVER.THE-COUpTEH BUILDip(:PLAN REVIEW _Provide Planning tglproval to\eril-y i(there any restrictio§s. •� p��^7 �c<r 6S ❑ NNINC PLAN REVIEW _Provide copy of Halm faaurer's Installation Speci(ic2tios\(1� 1,C?i ST RD ❑�nkE DEFT _Provide signed copy of Cupertino's Tear-Off Policy. `U\//1v�K J /yQ ❑ 'orxER: O� Rerooflpp_2011.doc revised 03/16/1/