12080130 0
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRI.SS: 19982 PORTAL PLZ CONTRACTOR:FRANK FIALA ROOFING PERMIT NO: 12080130
INC
OWNER'S NAME: LIU PEIYA ET AL 1228 QUARRY LN S1'E C DATE, ISSUED:08/132012
OWN ER'S PI I ON E: 4089781263 PLEASANTO,N,CA 94566 MIONENO:(925)1&1-0124
❑ LICENSED CO,NTRAC'MIR'S DECLARATION BUILDING PERNIIT INFO: BLDG r ELECT r PLUMB r'
License Class C —1/c/ Lic.N i ,, 1p ]
r ��� n T_/7^/z N1ECH r RESIDENTIAL r COMMERCIAL r
Contractor /wp.r/ . Gr nn i-' Date
hereby affirm that 1:un licensed under tliprovisiuns of Chapter 9 JOB DESCRIPTION: REMOVE BUILT-UP ROOFING AND INSTALL NEW 12"
(coil]mencing with Section 7000)of Division 3 of the Business S Professions CDX
Cudc and that rap license is in fall force and effect. PLYWOOD;INSTALL 1/4"DENS DECK:REPLACE
FLASIiING;AND INS'T'ALL 533SQFT NE CLASS A DURO-LAST
1 herebv affirm muter penalty of perjury one of the following two declarations:
I have and will maintain a cenilicate of consent to self-insure I'or Worker's
Compensation,as provided forty Section 3700 of the Labor Code,for the
performance of the work for which this pennnit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 ofthe Labor Cole,for the perfomuuncc of the work for which this
permit is issued. Sq. Ft Floor Area: Valuation:$5920
nrrl.lc,\Nr cEaru=1cxr10N
I certify that I have read this application and slate that the above information is ANN Number:36945001.00 Occupancy Type:
correct. I agree to comply with all city and county ordinances and state Imes 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
indemnify and keep hamdessthe City ofCupertino against iabilities,judgments. PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may necme against said City in consequence of the
granting ofthis permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-point source re laions pe I ecupenino Municipal Code,Sectio, 180 DAYS FROM LAST CALLED INSPECTION.
9.18. �J
Signature Date • y��'/Z Issued by: Date:d�7-3—/N_
❑ O\N'NER.Bill I'DER DECLARA'T'ION
hereby affirm that Iran exempt from the Contractor's License Law formic of RP;ROOFS:
the following 1.o reasons: All run Is shall be inspected prior to any roofing material being 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 the structure is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code) )
I,as owner oflhe property,am exclusively contracting with licensed contractors to Signature of Applicant: "/3-1Z Date:
construct the project(Sec.7044,Business C Professions Code).
hereby affirm under penally of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BE 17ER
declarations:
I have and will maintain a cenilicate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this peronit 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 I'or by California Ilealth S Safety Codc,Sections 25505,25533,and 25534. I will maimain
Section 3700 of the Labor Code,for theeribu nance ol'the work for which this compliance with the Cu petition pl unicipad Code.Chapter 9.12 and the I Ie1111Ia&
p Safeiv Code.Section 25532(a)should I store or handle hazardous material.
pemnit is issued. Additionally,should I use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this pemnit is issued,I shall contaminants its defined by the Bay'Area Air Quality'Management District I will
not employ any person in arty 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,after making this certificate of exemption,I llcallh S Safety 'ode,S tions 25505,25533.and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
Owner or a rizeJ —
(orlhwilh comply with such provisions or this permit shall be deemed revoked. Date: �f 3
\I'I'LIC.\N"I'CI?IfI'IFICA'I'10N CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above infommlion is
correct.I agree to comply with all city and county.ordinances:rad state laws relating I hereby aB-mn that there is a construction lending agency for the performance of nark'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 accrue against said City in consequence of the Lender's Address
granting of this pemlit.Additionally,the applicant understands and will connply
with all non-point source regulations per the Cupertino Municipal Code,Section ARCIIITrC`I"S DECLARATION
9.18.
1 understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 19982 Partal Plaza (Bldg L) DATE: 08/10/2012 REVIEQPED BY: Sean
APN: BP#: 'VALUATION: $5,920
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Buildina is PENTADIATION
USE: Multi-Family Dwelling >3 Stories O Yes (j) No I PERMITTYPE: 1R2R00
FAt
NVORK 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 ROOF AREA
(s.f.)
1REROOFMRES 540
Much. Plan Check Plumb,Plan Check Elea.Plan Check
A1ech.Permit Fee: PLunh.Permit Fee: rice.Permit Ere:
OtherMuch. Insp. Other Plumb lase. Other Elce.Insp. Li I
,11ach.lacy.ree: Phoob, Insp.Fee: Elec.Insp.Fee:
NOTE: This evdinate does not includejeev tlae to other Departments(i.e. Planning, Public Works, Fire.Sanitary Server District,School
District, etc.). These fees are based on the preliminarl information available and are only an estimate. Contact rite De 1 or adtht7 info.
FEE ITEMS /Fee Resohuion I1-083 E0: 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee"
Supp/. PC Fee
Plum h.6blech./F.lec:
Permit Fee: $90.00
Supp/. Gap Fee
Phtmh./Mech./Elec
P/troth./A•lec/+./Flee Permit Fee:
Consovction Tris:
Administrative Fee:
Work Without Pennit? O Yes (D No $0.00
Advanced Planning Fees:
Travel Documentation tees: A
Strom Motion Fee: IBSEISMICR $0.59 Select an Administrative Item
Bide Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: $91.59 $0.00 TOTAL FEE: $91.59
Revised: 07/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUP.ERTIN0 (408)777-3228• FAX(408)777-3333• buildino(Dcuoertino.oro
PR�+1LCr ADDRESS Q1 c- U PtA?A, F31dA
`tf��JAPv /VQ / +
s— `
0\VIRr u IMAIL (JM W�
97T-/2.&3
I
w�
STK f DRESS OST — v{ 7� AR CITY. SfC,'/.IY Cw. ISO' F
Ti' IfMnty) FAX
CO'nl'.\R NNAMEE T• f YHM'F. _ ' L?
qkq
STREET ADDRESS /�Jw y�SJC �C1�" A�•✓Af`L,f/L1�1P1� ^�7�`�
❑UN:YER ❑ OWAn3R BUILD M' ❑ OWNERAGENIT CONTRACTOR XCON7RACTORAGucT ❑ ARCHIHu-r ❑ IINGINELR ❑ DEVP1uYER ❑TENANT
COrrrltnROR NAME LICENSG NUMUFJt LICCid$F:'1'1'YI' - 7 IrU30
5.l IC b
CO> NY NAME K• lJ ESUII
rG nw ��a1�: �ool1 �rw c fi'al4 vo (1's �511`p48uy aZ
DR I Y.STATE,ZIP t `' �{ �() 5.4 0 l •��t��l
nR2HITECr/ECOMEER NAME LICENSLNU?IBL'R UUSS.LIC.0
COMPANY NAME E-MAIL I FAX
STREET ADDRESS CITY,STATE,ZIP I PHONE
USII OF ❑ SFD or Duplex Ivlultl-Fmttily ROOFAREA: VALUATION:
s"Ruc-rum: ❑ Commercial 533 Sa Fr. sw(
EXISTING ROOF TYPE: 'qOUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOODSHAKYS ❑WOODSHINGLES ❑OTHER(SPECIFY)
RVIIOVE/RE PLACE YES IF NO. ?0 00D IP v,-- ❑ PLITVU ❑ OSO I'I'rCll: HWF
NO tl JAYERS THI KN SS ❑ s/9" T1'PF. DT
.)_ CLASS !,
PROPOSED ROOF TYPE: ❑DUILT.UPROOF ❑ASPIIALTSIRNOLES ❑WOOD SHAKES C3 WOOD SHINGLES �0riwitL) v _•" J ES I 'r4
1
SCHIPTION OP WORK:
ernoti`� CICO
�.{,yooc4. LinstaU 14 bens bu-L Rlreta-c,�i Stu.0-o
,)(Z- IFA.t Q f ZAS611 i.)eL,-) ku
ro- kS -\toe, IIVA S� �Q tl� — SO m; C. 1 he ✓v�� �0.s�'C .
Dy Illy signature below,I certify to each of the fol owing. I um the property owner or authorized agent to act On the property owner's behalf. 1 have rcaJ This
application and the information I have provided is correct I e read the Description of Work and verify it is accurate I agree to comply with all applicable local
otumanees and stale lows mlating i I in 'o ll.cti.n, hor . r rescntatives of Cupenino to enter the ubov idemifle. +ropcny for in>pcnimi purposes
Signature of ApplicanUAg<nr. Date:=&
SUPPLEMENT ,INPORNIATION REQUIRED P aLt "�'*"'.t"�w'='�'`-- ra"':u r
rAluak. :Lxr+ttaLOYI ICI USI UYt.1y,t >h_ '� 5a r
1r building is associated with a Home Owner's Association, rovide letter -N
pCfIP CA TIftU"�, j7 t' *Rovltu'.sI IPJ ,�•-j
Of approval from HOA. 17 OZ
, rt\}.T� 1 t (L❑f+IIUII DI\(,11 \\�ItY\IF\\.(9AFyW.59
Provide Planning approval to verify if there am restrictions,
+ -.J Y 1 � 11-NSI\CII L\�IlES1ESN�,y y-
V Provide copy of Manufacturer's Installation Specifications. `tiq
DU:D
x'kLesi+`"
sr\� ryarq VC`4 is r)TOv�Hi)oLrr` WfoEt+V",'�h,�
Provide signed copy of Cupertino'S"I'car-Off Policy.
4V.u�ffll.x-+a�{$f"/�-!K"y,i F} el❑iF'I�A.t�L r� Ff" �ir�''F��
Heruofdp/1_20/l.dnc+evised 03'!G/l l
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
C U P E RT I N O 10300 TORRE AVENUE•CUPERTI NO, CA 95014-3255
(408)777-3228•FAX(408)777-3333 • buildinp(dcupertino.ora
RPN4
Iti E L Ltx
s' 1:jf\ REss cl S?.\�Tb ZI //Vd f//r /-JVI FAX
1=0171
ONFRACT R017 LICE NSE IJU\IUE(JR LICENSE 7l"PE BUS.LIC.��
0011 TNT N fEXZIIN�^1,, ��
T l fJ L. 1.\ ��✓ FAY
f,�� o ��/�•/-of 92.5- � �i/�.. 27s� [2
SiREL'1':\DUKE / _ CSI Sr:\TCCA/Urt ✓ /(a OINE
p7'�D1ZT
LGV� 1 UNDERSTAND AND AGREE TO THE FOLLOWING:
L 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-Tlmrs) 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 rewired. 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 apnroval 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'A" per foot of slope and demonstrate there is no pond rg.
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 detectorsarc re fired t be installed in accordance with Sections R314 and R315 of
the 2010 California Residenti C Q /
Signature of Applicant/Aeent: Date: (/
ReroofPoliq_?0ll.doc revised 02/16/11