12080121 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19968 PORTAL PL% CONTRACTOR:FRANK FIALA ROOFING PEIRMIT NO: 12080121
INC
OWNEWSNAME: KWON 011 I10ONAND IIAE KYUNG 1228QUARRYLNSI-EC DA'Z'E ISSIIFD:08/132012
OWNI,R'S PDOIN :: 6266989772 PLEASAN TON.CA 94566 rDONE NO:(925)48u 0124
❑ LICENSED CONI'ItACI'OR''S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMR r
License Class_( - 35 Lie.H 6 Q .ZQ /7r r r
NIECTI RESIDENTIAL COMMERCIAL
Contractor�/Zr-/t �j�7L�(��• Dole J —��"/r�—
hereby affirm that I am licensed under the proNisiuns of Chapter 9 JOB DESCRIPTION: REMOVE BUILT-UP ROOFING AND INSTAL NEW I2"CDX
(coil]meneing with Section 71)(10)of Di%ision 3 of the Business S Professions PLYWOOD;INSTALL 1/4"DENS DECK;REPI.ACG FLASHING;
Code and thin in) license is in full force and effect. AND INSTALL 540SQPf NIiW CLASS A DUROI.AST R00FING
1 hereby affirm under penalty of perjure one of the following two declarations:
I have and will maintain a certificate ol'consenl to self insure Ivor\Porker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
perfomiance 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 die performance of die work for which this Sq.FI Floor Area: Valuation:$5920
permit is issued.
APPLICANTCF,RTI FICATION APN Number:36945008.00 Occupancy Type:
I certify that I have read this application and stale that the above information is
correct.I agree to comply with all city and count%.ordinances and stale laws relating
to building construction,and hereby authorize representatives of this city to enter
upon die above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnifiv and keep harmless the City of Cupertino against Iiabililics,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
wranting of this pertnit. Additionally,theapplicant understands laid will complyr
ith all non-po ntsource reg atoms per teCupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTIOn.
9.18.
Sienature Date O'-fJ—�Z— Issued b)Y / Date:��lJ—I'L
❑ OWNER-BUILDER DECLARATION
RE ROOFS:
hereby affirm that 1 an;cvempt from the Contractor's License Law fur one of All roofs shall be inspected prior to any roofing material being installed If a roof is
the following two reasons: installed without first obtaining an insp ion,I a c o remove all new materials for
I,as owner of the properly,or my employees with wages as their sole comlvilsatimn, inspection.
will do the work,and the structure is not intended or offered for sale(Sce.7044, �/
Business R Protissions Code) Signature of Applicant: Date: ?-1-7/y 2-
1,
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sce.7044,Business& professions Code).
ALL ROOF CO\'I?121NC5'I'O BE CLASS \"OR RITZ'TIiR
1 hereby of irm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's IIA%A RDOIIS AI,\'I'i?it1AIS I)ISC1.OS(IRIi
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.9.5 of the
perfomiance of the work for which this permit is issued California I Iealth S Safety Code,Sections 25505,25n33.and 2.5534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance swith the Cupertino Municipal Code.Chapter 9.12 and the I Iealth S
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code.Section 2.5532(x)should I 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 Managemem District I will
1 certify that in the perfomiance of the work for which this permit is issued I 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 IlraHh S Safrlyde,Srninns 25505.25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption.I
become subject to the Worker's Compensation provisions of the Labor Code,1 must Owner or; ze n1: rfl /�� J�
forthwith comply with such provisions or this pemnil shall be deemed revoked. L Date: d / / /
APPLICANT CERTI FICTION CONSTRUCTION LIiNDING AGENCY
I certify that I have read this application mid 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 tars relating for which this permit is issued(Sec.3097,Cir C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property liter 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 accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply .\RC:I I I'I'IiCI"S DECLARATION
9,18.
all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 19968 Partal Plaze (Bldg M) DATE: 08/10/2012 REVIEWED BY: Sean
AI,N: BP#: 'VALUATION: $5,920
"PERNllT I'1'PE: Minor Building Permit PLAN CIiECK TNTE: Re-roof
I'R1pL>.RY Buildina is PENTAMATION 1R2R00F
USI:: Multi-Family Dwelling >3 Stories Yes 1@ No PERMITTYPE: A
WORK Remove built-up-roofing and install new 1/2" CDX Plywood; install 1/4" Dens Deck replace flashing',
SCOPE and install new Class A Duro-Last roofing system (see ESR-1660).
FEE ID ROOFAREA
(s.f.
1REROOFMRES 540
Aleck. Plan Check Plumb.Plan Check Elec.Plan Check
Meeh. Permit Fee: Plumb, Permit Fee: F•Icc. Perntit Fed:
Otter Mach.lnsp. Other Plumb/nsp. Other Elee.lost).
,b/ech.btsp. Fec.• Plumb. lost).Fee: Elec.Insp.Fee:
NOTE: 7'hi.v estimate sloes not includejeev due to other Deparnnents(i.e. Planning, Public /forks. Fire,Sanitary Sewer District.School
District etc.). These feav are based on the prelintinan in onnatiou available and ore only an estitttate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Elf 7/I/11) FEE QTY/FEE D11SC ITENIS
Plan Check. Fee:
Supp/. PC Fee
T'
Phimb./Mech.Irlea
Permit Fee: $90.00
Supp/. /nsp Fee
PhtmbJAlech.lFlec
Plumb./Mecb./Elee Permit Fee:
Consn'uction Tax:
Adminisn•ative Fee:
Work Without Permit? O Yes Q No $0.00
Ativancecl Planning Fees:
Travel Documentation Fees:
Stront;Motion Fee: IBSEISMICR $0.59 .� Select an Administrative Item
Bldg Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $91.59 $0.00 TOTAL FEE: $91.59
Revised: 07/01/2012
01 Z-
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
C-.0 P..ERTINO (408)777-3228 • FAX(408)777-3333•buildinq(D)cupertino.orq
PRO Fq Dy �J Iy}I/r /� APNM�` L7 -'•�� i �
OW'NE NAA Oo 1 ,i ,r- K.(.A�'h�PI/�ON _ 0 �/ 7 ( 111 E MAIL_a*l eIAI Cie)24�
ST DFS n Z� Y, SLATE,Z �(�'//�/J Gam` ( FAX=A __Or
CONTACT IE ^ r UUr'vP O�� /Jv'T .STAC4 5V, 7 l� J G�
Q OWNER ❑ owN'EIl-BUILOM ❑ O\VNERAGENT CONTRACTOR x> NTRACTORAGENT O ARCHTTEC` ❑ENGR.'E[•R 11 DEVELOPER I]TENAtrr
CONTRACrORNAME Y-C..r�L. 1rI \Gl LICENSENUMI LICENSP.TYPP .35 BUS,/IIC.M (�l9f -5 C.-5
COMVF NAME p `-1-• E't I `-I F435 •4 O 1• d�U'X
l DR VY I Y,STATE,ZIPgn
ARCHITECTaNGINEER NAME LICENSE NUMBER BUS.Lic d
! COMPANY NAME CMAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex Multi-Family R00FFAREA: }/^ VALUATIOONN/: 7
STRUCTURE: El `� �
Commercial /U
1
EXISTING ROOF TYPE: BUILT-UP ROOF ''0 ASPHALT SHINGLES El WOOD SHAKES ❑WOODSHINGI:ES ❑OTHER(SPECIFY)
RENIOVE/REPLACE YES IF NO. PLYWOOD .'All ❑ PLYWD ❑ OSB PITCH: ROOF
1 gLAVERS: THI '9• S' 511 TYPE DX -'I CLASS: r,
TC)-
PROPOSED ROOF TYPE: 0-BUILT-UP ROOF ASPHALT SHINGLES 13 WOOD SHAKES I].WOOD SIBNGLF.SOTHER .ES,REPQ T4
i SCW PTION OF\PORK:old ^ c
errb,re 1 Z �, k14� k n1e L� 211 C. D l wood v u L¢LS —
� 4`,OCK:4. Lt/�Sywl� 1'`� tI �QY�S U2ek .�rec�kol� t S�cleeG (7,SV\4PG�Ci �0
ft PAD,)e lacA �2oof �Icts�lLvs �u�S6l ►.)ew lets
b L Kr o- ��s k -\�-0C, -0 m; . C.-+-herww P Ia-SRC•
By my signature below.I certify to each of the fol owing: I am the property owner or authorized agent to act On the property owner's behalf. I have read this
application and the information I ha• rovided is correct. I av rca 't a Description of Work and verify itis accurate. 1 agree to comply with all applicable local
ordinances and Slate IaWs relntin o bu ing nstruction. eutl ori' • ;r/qq/l/ab�v(��,a of Cupertino to enter the above-identif d�p[ro try for inspection purposes.
SignatureofApplicanVAgenl: �y �-'�lA" Date: L
�?u� �y RR r n15,df 'Y6•'-4 cE F u.v"
�� SUPPLEMENT INPOIL�fATION REQUIRED
1 f building is associated with a Home Owner's Association,provide letter PF}rP,ri if I HKjC P'YNr Ty ;I, 4• r t' RoiFr yc 51�Ivr•+,i
of approval from HOA. 4@ v s3.m m g gra
01. VPR RIE-C Tt R 1!^ BUTLDI\Gyy��Pr,,A\Rg�E��lt+l�E rNrsrr
rovide Plannin approval to verify if there an restrictions. I J x PL N 'i1G PL,1yRE\IEW vv.
B PP Y `� V741 c�N ar.
Provide copy of Manufacturer's Installation Specifications. yyyyffff'''' S• -f 7+w' 'y yr " i
C '�FcFej D'PTh K��'rjCVF Phi
Provide signed copy of Cupertino's Tear-Off Policy. �n 4slj},.pJa�� '•3y'-'°'t` HER
RerobjApp_2011.doc revised 03/16/1 f
2 REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
C U P S RT I N O 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
(1408)777-3228• FAX(408)777-3333 • buildina(CDcuoertino.ora
PR JE .AD RE f...
IPvvp
of w Na,l: AQqr rq
( 4,6e— V_uuAA
3_'
PHO Ln� 2
S I DRESS n Cull'. STATE,LIV /1FpX
CO R 0., iMF� W LICENSE NVUOER rW�CE_712-7i-2-9
r'SE T'PE BUS.LIC.
L -
Jr ANI'N IE ^^II �� E�k�, ./
�. 11l'-+T ltl� L. sem./ FAY
o � of 92s- , 2_752_
srREE-r AnoRr . •.sr:�'rE.nrONE
a.nlvn � SL(o � 8t/-D/LY
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 - 3:30pnn (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 reguire(I.
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 mininnum of 114" per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-nnanit fact tired 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: 1 am the property owner or authorized agent to act on the
property owner's behalf 1 understand and agree to con ly with the re-roof policy stated above. I also understand that
smoke detectors and carbon t n ide de tors arc r 1 ed to installed in accordance with Sections R314 and R315 of
the 2010 California Reside tal
Signature of ApplicnnUAgent: Date:
ReroofPolrcy_2011.do revised02/16111