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12110065T( CUPERTINO cr- TUCnNTR ACTOR LIST___ CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10642 PARALLONE DR CONTRACTOR: PRINCIPLE ROOFING, INC PERMIT NO: 12110065 OW'NER'S NAME: YANG RUIGUO & CI IEN ZUI 10160 STERN AVE DATE ISSUED: 11 /132012 OWNER'S PHONE: 9542821238 CUPERTINO. CA 95014 PIIONF. NO: (408)895-7298 ' ❑ LICENSED CON'TRACTOR'S DECLARATION (- ❑ ID BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class CM. Lic. p e) 1 6 i3 -9 ;-- r (J r MECII RESIDENTIAL COMMERCIAL Contractor ��`" Date 114, 3� 11 L 1 hereby affirm that I am IicenseJ under the provisions of Chapter 9 JOB DESCRIPTION: REMOVE EXISTING WOOD SHAKE AND INSTALL NEW (commencing with Section 7000) of Division 3 of the Business & Professions OSD AND COMPOSI'T'ION ROOFING (2 900 SQPT) Code and that my license is in full force and effect. hereby affirm under penalty of perjury onepf 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. I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $11000 Section 3700 ofthe Labor Code, for the performance of die work for which this permit is issued. APN Number: 36933043.00 Occupancy Type: APPLICANT CERTIFICATION 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 state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property fai inspection purposes. (We) agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indenmifyand keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ^ Signature l _ "" Date 1 1 � I .L Issued by: 14, /V- f%TG/^'1 Date:��� /3 �a .� ❑ O \ \'NF:R- BUILDER DF :CI -. \RA'T'ION RE-ROOFS: I hereby affirm that l am exempt from the Contractor's License Law for 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 inspection, I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) - Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to fi/I (3-- construct the project (Sec.7044, Business & Professions Code). ALT, ROOF CO \'FRINGS'1'O ISE CLASS "A" OR BI:1 "1'FR hereby affirm under pelally*of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self- insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this pemnit is issued California I Ieallh & Safely Cude, Sections 255115, 25533, and 25534. I will maintain I have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Ilealth & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) 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 Management District I will I certify that in the performance 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 Death & Safety Code, Sections 25505, 25533, and 25534. Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Com enswion provisions of the Labor Code, I must 1 P P Owner or t utaonzed agent: Date: IIt/( 1't. fortMrith comply with such provisions or this permit shall be deemed revoked. • CONSTRUCT ION LENDING AGENCY APPLICANT celrrlFlc,\IIGN I certify that I have read this application and 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 taws relating for which this pennit is issued (Sec. 3097, Cie C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for 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 applicam understands and will comply ARCIIVfECT•S DECLARATION ' with 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 CUPERTINO REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • bullding(OicuOertlnO.OrO PROJECT ADDRESS 10,-42— A ✓ � "l ✓r WE-- APN M Y 53- ID L OWNER NAAE - _ - -/�•/ � PHj � E -nua STREET ADORES G ��� CITY, STATE, ZIP FAX CONTACT NAME LO /� PH NE _ z E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER . ❑ OWNER. BUILDER ❑ OWNERAGENI' ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME hn ".. /�, / _. C/I.GN LICENSENUhIDER_ LICENSETYPE BUS, LIC.a �r�7 COMPANY NAME B»?Y E -MAIL FAX S"rREET ADDRdSS CITY, STATE, 21P I/ PLZ "-?g ARCHITECT/ENOINEERNAME LICENSE NUM AR BUS. LIC.4 CONIPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE of FD or Duplex ❑ Multi - Family STRUCTURE: ❑ Commercial ROOF AREA: VALUATION: i �l�000 EXISTING ROOF TYPE: ❑ BUILT -UP ROOF ❑ ASPHALT SHINGLES 19WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) R IOVEIREPLACE - 1-ES ❑ O I IF NO. a LAYERS PLYWOOD K" '❑ THICKNESS ❑ n- PLYWD OSB 13 D% PITCH: � :12 ROOF CLASS' A ,.,� PROPOSED ROOF TYPE: 11 BUILT-UP ROOF DYASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT M DESCRIPTION OF WORK: By my signature below, I certify to each of the following: 1 am the 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 agree to comply with all applicable local ordinances and state laws relating to building construct]. n. 1 authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant/Agent: Date: L SUPPLEMENTAL RQFORMATION REQUIRED _ If building is associated with a Home Owners Association, provide letter of approval from HOA. _ Provide Planning approval to verify if there any restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear -Off Policy. OFFICE USE ONLY _ FLAn aD:cK Trre ROUTING SLIP _ OVKR =TI HI COUNTER EXPRESS ' ❑ RANDARD. BUILDING PLAN REVIEW ❑ PLANNING PLAn.REPIEwi ❑ FIRK DECr - ❑ orHER: ReroofApp_201 l.doc revised 03116111 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL AWTI0 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildina(ftuoentino.org PROJECT ADDRESS O ! ^ J�: Ui� I APN M rra.�� VV OWNER NAME PHONE �F Li72 12-3 8 E -MAIL STREET ADD UU' 9"�ZN _ / / _ CRY, STATE, 2� ,Zl �o a, FAX CODJIRACn)R NAME � _ _ _ L- LICELSE"UNER LICENSE TYRE I BUS. LIE.4 COMPAWNAME t� ? ! ✓`/ E-MAIL FAX STREET / OR71 0, �I,� _ _I ✓�. CRY. STATE, ZIP , PHONE �� � y d I UNDERSTAND AND AGREE TO THE FOLLOWING: I . The re -roof project shall comply with ali 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- 3:30pin (Mon - Thurs) or 7:30- 2:30pin (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 /d' 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 detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent, — Date: �L- RerooJPo1icy_2012.doc revised 1WI12 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION FEE ID ROOFAREA s.L) 1REROOFFRES 2,900 ADDRESS:•10642 Farallone Dr. DATE: 11/13/2012 REVIEWED BY: Sean \ APN: I BP #: 'VALUATION: $11,000 *PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex Elce. Insp. Fee: PENTAD/, \TION PERD117' Tl'PE: 1SFDWLR00 WORK Remove existing wood shake and install new OSB and composition roofing 2900 sq ft). SCOPE FEE ID ROOFAREA s.L) 1REROOFFRES 2,900 NOTE: This estimate sloes trot include fees slue to other Departments (i.e. Planning, Public B'ork,s, Fire, Sanitary Sewer District, School District. etc .). There fees are based an the nrelintinan• information available and are only rot estimate. Contact rise Dent for nddn7 info. FEE ITEMS (Fee Resolution 11 -053 EfT 711112) Mech. Plan Check . Plumb. Plan Check Dec. Plan Cheek • Aleeh. Permit Fee: Plural,. Permit Fee: Elec. Penni! Fee: Other Alcch. lasp. Other Plumb Insp. Other Elec. It Adech. Insp. : Fee: Plumb. leap. Fee: Elce. Insp. Fee: NOTE: This estimate sloes trot include fees slue to other Departments (i.e. Planning, Public B'ork,s, Fire, Sanitary Sewer District, School District. etc .). There fees are based an the nrelintinan• information available and are only rot estimate. Contact rise Dent for nddn7 info. FEE ITEMS (Fee Resolution 11 -053 EfT 711112) FEE QTY /FEE MISC ITEMS Plan Check Fee: Stipp/.. PC .F ee Flamb.414ech.7Clec. Permit Fee: $435.00 Suppl. Insp Fee PhtmbAA•lech.lClec Plumb.ld•Iech.lElec Permit Fee: Consrtvction Tar: Administrative Fee: Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fees: A Travel Documentation Fees: Strong Motion Fee: IBSEISAfICR $1.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $437.10 $0.001 TOTAL FEE: $437.10 Revised: 10101/2012