12100070 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10586 WHITE FIR CT CONTRACTOR:POUR SEASONS ROOFING PERMITNO: 12100070
OWNER'S NADIE: LI XUETAO AND GUAN LIYA PO BOX 1668 DATE ISSUED: 10/112012
OWNER'S PHONE: 4084721312 SAN,JOSE,CA 95109 PHONENO:(408)278-0330
❑ 1LICP;NSS�ED CONTRACTOR'S DECLARATION BUILDING PF,RRIIT INFO: BLDG (- ELECT IJ PLUMB
License Class G / Lie.#
� r
r
1IECI1 RESIDENTIAL r, COMMERCIAL
Contractor � _ Date �0 /
hereby affirm that 1 am licensed under/th✓c provisions of Chapter 9 JOB DESCRIPTION:TEAR 017F EXISTNG WOOD SHAKE ROORINSTALL NEW
(commencing is ith Section 7000)of Division 3 of the Business& Professions IR"
Code and That my license is in full force and effect. CDX PLYWOOD AND 30#FELT UNDERLAYMEN'EINSTALL 13
SQ NE\Y CrItTAINTEED PRESIDENTAIL COMPOSITION
hereby affirm under penally of perjury one of the following to o 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 the Labor Code,for die performance of she work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$4500
APPLICAN•I'CI:R'1'IFIC,\l'ION
I certify that I have read this application and state that the above information is AI;N Number:35905125.00 Occupancy Type:
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expense which may accrue against said City in consequence of the
granting of(hi a it. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non- i source regulations per the Cupertino Municipal Code,Section 180 DAY F OM LAST CALLED INSPECTION.
9.18.
Signatu Date Issu by: Date:
e a.
❑ OWNER-BUH.DrR DFCI.ARATION —
1 hereby affirm that I am exempt from the Coalraclnr's License Law for one of RP:ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material beiig installed If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed isithmt first obtainian inspection,I agree to remove all new materials for
will do the work,and the stmcturc is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code)
I,as owner of the property,a a exclusively contracting with licensed contractors to Signature of Applies Doe:
construct the project(Sec.7044,Business&Professions Code). l
hereby affirm under penalty of perjury one of the fullaving three ALI•ROOF COVERINGS TO BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's IL\%ARDOIIS MATERLO.S DISCLOSURE
Compensation,as provided for by Section 3700 of 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 InStlmaee,as provided for..by California health S Safety Code,Sections 25505,25533,and 25534. 1 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 2553_(a)should I store or handle hazardous material.
permit is issued, Additionally,should I use equipment or devices which emit hazardous air
I certify that in the performance of die work for which this permit is issued,I shall contaminants as defined by the Buy Area Air Quality Management District I will
not employ any person in any manner so as to become subject o the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the
Compensation laws ofCalifomia. If,alter making this certificate ofexeniption,I lle h&Safcly Code,Sections 25505,25533,and 25534.
became 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. vncr a Thor.e
Ihiie: ➢"L�
.U'I'LICA\1'CI?R"1'IPICA•TION CONSTRIICI'ION LENDING AGENCY
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 smie Imes relating I hereby affirm that there is a constriction lending agency for the perfarnance of ssurk's
to building construction,and hereby authorize representatives of(his 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 permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ,\RCII ITP:CI"S DECLARATION9.18.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 10594 White Fir Ct. DATE: 10/10/2012 REVIEWED BY: Sean
27APN: e6:1 I BP#: 'VALUATION: $4;500
*PERDIIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY y Buildina is PENTAMATION
Multi-Family Dwelling 1R2ROOF
USE: 3 Stories 0 Yes Q No PERMIT TYPE: �
woRK Tear off existing wood shake roof. Install new 1/2" CDX plywood and 30#felt underla ment. Install
SCOPE new Certainteed Presidential composition shingles. Color: Country Gray.
FEE ID ROOFAREA
s.f.
1REROOFMRES 1,300
�---..-c^rYr rr �'T.r••. ,k. 77 r n^a+-17-nom- tr- --. 111aHsTr--:177 i'p, --";r
t _moi z =..+ . -L�... ..�..3i� ,1 ��s_w!s> '�i;• ��__._.ir_. _._...L_ i :Z ..A".ii•_'
Meth. Plan Check Plumb.Plan Cheek Flea.,Plan Check
bkmh. Permit Fee: Plumb. Permit Fee: F.lec•. Permit Fee:
Odrer Meeh. Insp. Other Plumb Insp. Other Elec.Insp.
Mech.Insp.Fee:. Plumb. hisp.Fee: Elec.Insp.Fee:
NOTE: This estimate does not include fees due to other Departments(Le. Planting,Public 11'orks, Fire,Sanitary Seuvr District,School
District, etc.). These fees are based on lite preliminary information available and are onh,an evtinuue. Contact the De t or addn'l info.
FEE ITEMS(Fee Resolution 11-053 Eff 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppl. PC Fee 1-77
Phanh.lHe ch.IPJec.
Permit Fee: $195.00
Suppl. Insp Fee
Plamh.fAlech.lElec
Plunih.lMech./Elec Permit Fee:
Consnvciion Tux:
Adininiru'otire Fee:
Work Without Permit? O Yes (2) No $0.00
Advanced Planning Fees:
Travel Documentation Fees: A
Strong_Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
Bide Stds Commission Fee: 1BCBSC $1.00
.__._"_'•"�.`,.2:_'' �frf— =s -:. r=—�- -ter
cSUBTOTALS_ $196.50 $0.00 ,. TOTAL F.EEa $196.50
Revised: 10/01/2012
REROOF TEAR-OFF POLICY
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-buildino(cDcuoertino.orci
PROJECTA §TjS�Ja((/]/ `�J UL P d /`
APNa
E (J (J �C
- 7 C�z )-3 E-MAIL
STREETADDRESS CI TATE.
A V
CONTRACTOR EGsFfjLICEIJ. 4.;� LICE E TY� BUS.LIC.0
-
COM . NAME E-MAIL FAX
STREET ADD49S TA i0
I U RSTAND 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 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/<" 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 ide detect ar equired to be installed in accordance with Sections R314 and R315 of
the 2010 Califomia Resid ial de.
Signature of Applicant/Agent._ Date:
ReroofPoliev_2011.doc revised 02116111
EMREROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO.CA 95014-3255
GUPERTINO (408)777-3228• FAX(408)777-3333• buildingCcDcupertino.orq
PROIER/L'U / APN�
OW F AM CY PHOSE 6 1-3/ E-NIAIL
STREErA D S TIT' STATE.LIP FAX
S-0 114
CONTACT NAME PHONE - E-MAIL
0 30
STREETADDRESS Sot , I CITY.STATE ZIP FAX
❑OW'NFR ❑ OWNER-BUILDER ❑ OWNF.RAGENr Jf(CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEELOPER ❑ TENANT
CONTRACTOR NAMEc Y �� .�A/��r LICENSE NUMBER LICENSE PE BUS.LIC.n
Facar .QelalLr\6t�.1 Z•
COMPANY SAME SAME
I E-MAIL FAX
STREET ADDRESS S'07—
I CITY.STATE Z"SOLn
C I PHONE gag—nft_O
ARCHIDEC' FNGINEERNANIE LICENSE NUMBER V BUS,HCA
CONIPANYNAME I E-MAII. FAX
STREET ADDRESS I CIT'.STATEZIP PHONE
USE OF ❑ SFD or Duplex ^I Multi-Family ROOF AREA: je VALUATION': AD
STRUCTURE: ❑ Commercial S' SD j
EXISTING ROOF TYPE: ❑BUILT-UPROOF ❑ASPII.ALTSHINGLFS ��PeWOODSHAKF.S ❑WOODSHWGLES ❑OTHER ISPECIFY)
RCMOVF.:REPLACE YF.S IF N'O. PLYW'OOD R.Li' ❑ PLYW'D ❑USB PITCH. ROOF
❑ NO +LAYER • dd ICK�E. ❑ ',9" 1'VPF CDX '12 CLAS A
PROPOSED ROOF TYPE: ❑BLILT-UPROOF ;CkSPHALTSHINGLES ❑WOODSHAKES ❑WOODSHINGLES 13 OTHER IMES REPORT
DESCRIPTION OF WORE; `/Z't
}i n a wood shake
L�_w00A +ben 30# �'e1 E and.erla,�.�t-a-n�-.__E'Fna�1 _1
11.6sea Presldan+iwl Came (� d
By my signature below,I certify to each of the following: I am the property owner or authorlud agent to act on the property,ovTer's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building cons tion. I a orize represe tiv- of Cupertino to enter the above-identified property for inspection purposes.
Signature of ApplicunUAgem: Dote: O
SUPPLEMENTAL INFORMATION REQUIRED OFFICEUSF.ONLY
If building is associated with a Home Owner's Association.provide lettcr PLAN CHECK TYPE ROUTINE SLIP
ofapproval from HOA. �! OVER-THE-COUNTERBUILDING PLAN REVIEW
Provide Planning approval to verify if there any restrictions. /❑ EXPRESS PLANNISC PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications ❑ STANDARD ❑ FIREDE"
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER: -
HeroojApp 291 Ldoc revised 03/16/11