12100160 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10791 FARALLONE DR CONTRACI'OR:SONRISE ROOFING PF-RMITNO: 12100160
OWNER'SNAME: STEP(IANIEZHU 37911 VON BOW CMN DA'Z'E ISSUED: 10222012
OWNER'S PlIONF,: 4084253786 FREMONT,CA 94536 POONE NO:(510)791-6457
kI LICENSED CON1'RACPOR'S DECLARATION JOB DESCRIPTION: RESIDEN"FIAL 11 COMMERCIAL❑
License Class C 35 Lic.N 1N?`Z L 3 RE-ROOF 27 SQ-TEAR OFF EXISTING COMP INSTALL
CLASS A
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect
1 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. Sq.Ft Floor Area: Valuation:$11700
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
,U'N Number:36935024.00 Occupanry"1}per
permit is issued.
AI'PLICAN'I'CER'1'IFICA'1'ION
I certify that I have read this application and state that the above information is PERMIT XPIRES IF WORK IS NOT STARTED
correct I agree to comply with all city and county ordinances mid state laws relating WITHI 1'80 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DA F OM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgnwnts,
costs,and expenses which may acerae against said City in consequence of the
granting of this perm, Adi ii ally,the applicant understands and will comply Issued by: Date: �U
with all non- pint so r e reg la 'o s pert a Cupertino Municipal Code,Section
9.18. 1
`O ZZ f�i RE-ROOF'S:
Signature Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,J agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION j )0
Signature o(Applicnnt:—Ak Date: 1l.
1 hereby affirm that Iom exempt from the Cmdractor's License Lain for one of
the following two reasons: ALL ROOF C 'ERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,mid die structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to IIAZARDOIIS MATERIALS DISCLOSURE
construct the project(Sce.7044,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the
California Ilealth&Safety Code,Sections 25505.25533,and 25534. [will
hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Cute,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(x)should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as Defined h the Bay Area Air Quality ManagementIyistrict
performance of the work for which this permit is issued. will maintain compliance it he p in '\in 'cipal Cute.Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Ilealth&Safety'Code.Se iym . 505, 533 nJ 25534.
Section 3700 of the Labor Code,for the performance of the stork for which this 14 p 2
Ownrr or authorized agent Dote:
permit is issued.
1 certify that in the performance of die work for which this permit is issued.I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after.making this certificate ofexemption,I CONSTB FION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked, w'ork's for which this permit is issued(Sec.3097,Civ C.)
Lender's Some
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state Ihm the above information is
correct. I agree to comply with all city and countyordinances and state Imus 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 harmless the City of Cupertino against liabilities,judgments. ARCHITECT'S DECLARATION
costs,and expenses which may acerae against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Dai
REROOF PERMIT APPLICATION \l9U
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION `co
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CU PERTH N O (408)777-3228• FAX(408)777-3333 r buildino(d),cupertino.oro
PROJECT ADDRESS r � i _-6 bu APN�&5 � C `�
OWNER NAME `C��l, � - AC .� 11�(/�[Jr�' PHONE cko LJ,rL —llJ ;666 C-MAIL
STREET ADDRESSti: rg61�N1 i-([P� CITE', STA ,u�,.y�'-�T n� FAX
CONTACT NA.\IE l PHONE c�VIY E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT XCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME 1/ uj inn e�.?I LICENSE N'UMBER����ti LICENSEC' BUS.LIC.M 41 -34 e,
COSIPANYNAME rG`-`– E-MAIL J O FA\'SjO I4 J/ `r 91
STREET ADDRESS 3� {`C �O ( ��' / CITY,STATE.ZIP Ck qt �� PHONE ^O -141 (`(r/
ARCHITECDENGINEER NAME /V C.NN /VLICENSE NUMBER `^``CJ J BUS.LIC.tlL "f.
COMPANY NAME E-MAIL FAx
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Alultl-Family ROOF
^AREA:
/.. VALUATION:�f
STRUCTURE' ❑ Commercial `, r1'r 9 I I 100 0'J
EXISTING ROOF TYPE: ❑BUILT-UP ROOF XASPHALT SHINGLES ❑WOOD SHARES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE PLACE 1 PLYWOOD XS11 PLYWD ❑OSBPI ROOF
❑ $B" T" DA CLASSNtlL YER .AF r
13 (2
A
PROPOSED ROOF TYPE: ❑BUILT-UPROOF XASPHALTSHINGLES ❑WOODSHAAES ❑WOOD SUHNGLES ❑OTHER ICC-ES REPORT'9
DESCRIPTION OF WORK'
Wbt" Sl1JJG1 CC>14oS IIC-4 5JPoSVW-lb"
N 5 L CLrA-s s IN CC"fCz'-nn.✓ -!w D Flue-S
By my signature below,I certify to each of the following; I am the propeny owner or authorized agent to act on the property owner's behalf. 1 have read this
application and the information III p TidedRicnett. Ihave e. the De ription ofWork and verily it is accuale. 1 agree to comply with all applicable local
ordinancesandstatelawsrelating m buiL'ng ccoon. I a Jo a repro fives of Cupertino to enter the above-id nlif¢d ropeny for inspection purposes.
Signature of Applicanl/AgenL Date: �O �'LL' lY
SUPPLEMENTAL h'' RAIATION REQ RED OFFICE USEONL\'
_If building is associated With a Home Owners Association,provide letter 7.\N CHECK•i'rrE ROM IMG SLIP
of approval from I10A. OVERaTIE-COUNFTER ❑. BUILDING PLAN REVIEW
_Provide Planning approval to verify if there any restrictions. ❑ ExruF55 ❑ r1aNN'INr.JEAN RF.wF,w•
_Provide copy of Manufacturer's Installation Specifications. O STANDARD, ❑' F'uie DEVI
Provide signed copy of Cupenino'S Tear-Off Policy. ❑ UI'l1ER:
Reroof4pp_201 Ldoc reviser(03/16/11
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
(408)777-3228 • FAX(408)777-3333• buildine(a)cupertino.oro
PROJECT ADDRESS :Pvt 07� f) I APN 0
OUTER NAME
El Z�.fy-(,nPHONE EMAIL
STREET ADpRE55IGp r5l71 I✓, �F(•�?\�T , CRY, STATE,ZIP I FAX
CONTRACTOR NAAIM /_ ,t^l L�- -�� ' I LICENSE WU ER I L�t� LICENSE TYPE BUs.LIC.M 2-3f q3
COMPANY NAME S.9AJj"G3IF A4� s,F-7 W� E-MAIL '{ FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
1 UNDERSTAND AND AGREE TO THE FOLLOWING:
i. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-2:30pm (Friday) to schedule
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.
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. 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 1/4" 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.
7. 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. 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. 1 understand and agree to comply with the re-roof policy stated above. i also understand that
smoke detectors and carbon monoxide detect rs are ui d to be installed in accordance with Sections R314 and 8315 of
the 2010 California Residential Code.
Simature of Applicant/Agent: Date: L
ReroofPolicy_2012.doc revised 10/7/12
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10791 FARRALONE DR DATE: 1 012 2/2 01 2 REVIEWED BY: SM
APN: BP#: 'VALUATION: 1$11,700
•PERMITTYPE: Minor Building Permit PLANCIIECKTYPE: Re-roof
PRIMARY SFD Or Duplex PENTAMATION 1SFDWLROOF
USE: PERMIT TYPE:
WORK
SCOPE
FEEID ROOFAREA
5.1.
1REROOFFRES 2,700
Alech. Plan Check Phunb. Plan Check Flee. Plan Check
Neck Permit Fee: Plnmh. Permit Fee: Flec.Permit Fee:
Other Afech./nap. Other Plumb Insp. Other Elce.Lisp.
Piech,Insp. Fee: Plumb. losp, Feer Elcc. insp.Fec:
A'OTE: This estimate doer not include jeev due to other Departments(Le. Planting, Public 11'ork.s, Fire,Sanitary Sewer District,School
District, etc.). These eev are baser/nn the prelintinan information mailable and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 F_lT 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Sappl. PC Fee
Phunb.A%4ech./Elec
Permit Fee: $405.00
Supp/. Insp Fee
Plumb./1lech./Elec
P/unth./A-loch./E/ec Permit Fee:
Consnvction Tax.-
Administrative
ax.Administrative Fee:
Work Without Permit? O Yes iD No $0.00
Advanced Planting Fcas:
Travel Docunrentalion Fees:
Strong Motion Fee: 1BSEISAfICR $1.17 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $407.17 $0.001 TOTAL FEE: 1 $407.17
Revised: 10/01/2012