12090220 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7977 WOODLARK WAY CONFRACPOR:MILLERS ROOFING PERMITNO: 12090220
OWNER'S NAME: CHENG PETER Y AND PEARL P 2246 LOS GATOS ALMADEN RD DATE ISSUED:09262012
OWNER'S PIIONF,: 6508233332 SAN JOSE,CA 95124 PIIONF,NO:(408)356-6211
1
❑ . LICENSED CONTRACTOR'S DECLARA'T'ION JOB DESCRIPTION: RF,SIDE\PIAL L1 COMMERCIAL
License ClassQ G3� Lie.N O-0/ b RE-ROOF 19 SQ REMOVE AND REPLACE COMP
Contractor I)nr M 1 f�-J�Dale
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 thework for which this permit is issued Sq.Ft Floor Area: Valuation:$5300
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
APN Number.36203025.00 Occupancy'1'ypr.
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and slate laws relating WITHIN AYS 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 DAY ",_LAST CALLED INSPE TION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may acerae against said City in consequence of the U
Issued by: Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS
Signature Date Y/ y/ All roofs shall be inspected prior to any roofing material being installed.If a roof is
���� installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ O\VNF.R-BUILDER DECLARATION
Signature of Applicant:
hereby affirm that 1 am exempt from the Contractor's License Lou for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"4 BE'1'I'ER
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Scc.7044,
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUSMATERIALS DISCLOSURE
construct the project(Sec.7044,Business&•Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California health&Safely Code,Sections 25505,25533,and 25534. I will
1 hereby affirm under penally of perjury one of the following Yhree maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Ileallh&Safely Code,Section 25532(a)should I 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 by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the llealth&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this /
permit is issued. Owner.or.authorized agent:�� Daly.
1 certify that in the performance of the 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 of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 hereby affirm that there is a construction lending agency for the performance of
forthm ith 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 Name
APPLICANTCERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.1 agree to comply with all city and county ordinances 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, ARCIIITECI"S DECLARATION
costs,and expenses which may acerae against said City in consequence of the I understood 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 Date
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 7977 Woodlark DATE: 09/26/2012 REVIEWED BY: Sean
P
\ AN:
: BP#: 'VALUATION: $5,300
*PERMITTI'PE: Minor Building Permit PLAN CIIECKTYPE: Re-roof
PRINIARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: PERMIT TYPE:
WORK Remove and replace composition roof 1900 sq ft).
SCOPE
FEEID ROOFAREA
s.f.
1REROOFFRES 1,900
A/ech. Plan Check Plumb. Plan Check Elec.Plan Check
A/ech. Permit Fee: Month.Permit Fee: Elec. Permit Fee:
Other Afech. Insp. Other Plumb lnrp. Li I Other Elce. hasp. Li
Hech.Imp. Fee: Plumb, btap. Fed: Elce./lisp.Fee:
NOTE: This esvintate does not include jeer due to otter Departments(i.e. Planning, Public IVorks, Fire,Sanitary Sewer District,School
District,etc. . These eev are baser/on the preliminan•in ornnation available and are onh,an estimate. Contact the De t or addn7 in a.
FEE ITEMS (Fee Resolution 11-053 E1T 7/1/111 FEE QTY/FEE MISC ITEMS
Phan Check Fee:
Suppl. PC I,ec
Phmib./11ech./Eec
Permit Fee: $285.00
Sapp/. lisp Fee
Plumb./Adech./Elec
Plumb./A•lech./Elec Permit Fee:
Consnvction Tree:
Administrative Fee:
Work Without Permit? O Yes 0 No $0.00
Advanced Planning Fees:
Trapeh Docmnematian Fees:
Strong Motion Fee: 111SEISMICR $0.53 Select an Administrative Item
Bldg Sids Commission Fee: IBCBSC $1.00
SUBTOTALS: $286.53 $0.001 TOTAL FEE: $286.53
Revised: 07/01/2012
REROOF PERMIT APPLICATION ,�D
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO((((���� (408)777-3228• FAX(408)777-3333•buildino(alcuoertino.orD
PROTECT ADORFS/r/S�rTp 717 �/n/O� I� ^ ! APNtl 'nZ 2 02-5
OWNER NAME 1 4 �/ Y •Qv���� \V�, \/ y�1 L PHOA. �f 2 EMAIL/
N�4Jr�. `CITY. Sr �l'�O Jl 4 (.b'
CONTACT NAME PHONE EAWL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENr CONTRACTOR ❑CONTRACTORAGENT ❑ ARcHIFICr ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME IL fl ft^I I f.1 ' LICENSE NW/OER ORLICENSETPE 7 BUS.LIC.9
COMPANY NAME AA TUI I,ot \ a///``` 'O`r\'Inv E-MAB. D1J ✓ FAA
STREETADDRESS� )!� 1 / I\( ,\ A14a CITY.STATE,ZIPS` / A !Lf 12-2
� 5M"
ARCHITECGENGINEER NAME LICENSE/j LICENSE NUMBER V 'I •/ / BUS.LIC.tl
COWANYNANM ,V E-MAIL FAX
STREET ADDRESS CIT-,STATE,ZIPPHONE
USE OF _ SFD or Duple, ❑ N1.16-Family, ROOF AREEjA:: VALUATION: O�
STRUCTURE: ❑ Cominercial
EXISTINGROOFTYPE: ❑BUILT-UPROOF ASPHALT SHINGLES 11 WOOD SHAKES ❑WOODSHINGLES Cl OTHER(SPECIFY)
REMOVE(REPLACE RYES IF NO. PLYWOOD ❑ !1- ❑ PLYWD ❑OSB PITCH: !/, ROOF
ll No I tl LAYER5 THICKNESS. ❑ 5A- -PE. ❑CDX r'T I? AS
Try/
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF W,ASPHALT SHINGLES ❑WOOD SHAM ❑WOOD SHINGLES ❑OTHER ICC'ES REPORT Y
DESCRIPTION OF WON:: Remo L
By my signature below.I certify to each of the following: I am die property owner or authorized agent to act on the property owner's behalf. 1 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 agr to comply with all applicable locat
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-ide tified property for inspection purposes.
Signature orApplicariUAgent: I--- � Date: '
SUPPLEMENTAL INFORMATION REQUIRED OPFICEUSEONLY
_If building is associated With a Home Owners Association,provide letter ,,,......{{{ -PL+N CHCCK TVPF. ROUTING SLIP
of approval from IiOA. F OYER-THE{OUNTER' BUILDING PLAN RE\'LGN'
_Provide Planning approval to verifv if there any restrictions. (�`
EXPRESS C1J `rwrvvnc PLAN iteYleW
_Provide copy of Manufacturer's Installation Specifications. ❑ _:_rArwDAdD ❑ tins ticrr
Provide signed copy of Cupertinds Tear-Off Policy. - _ O OTHER:
Reroojdpp_2011.docrevised 03/16/!1
I
11 _
REROOF TEAR-OFF POLICY
2 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-buildinD(ftuoertino.om
PROJECT ADDRESS I IImr, APN0 -/
OWNERNAME J r 00 ^ '•i1 G, P ONE G� Z_3�7� E-MAIL
STREET ADDRESS o'Nk tf CITY.STATE.ZIP FAX
/JJ'� ✓ FA%
CONTRACTORNAME �JJ ////� '�I/ ,/ LIC6VSENUMBERn/ y LICENSE TYPE BUS.LIC.M
COMPANY NAMEly� /010 n E-MAIL O FAX
STREETADDRESS. 1/ Cj' ' II •• CITY.STATE.ZIP / �j �/
(I 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 - 3:30pm (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 Y" 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 S 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: 1 am the property owner or authorized agent to act on the
property owners behalf. I understand and agree to comply with the re-roof policy stated above. 1 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 Residential Code.
Signature of Applicant/Agent: Date:
ReroofPolie.v_2011.tioc revised 02/16111