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13040046 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7506 WATERFORD DR CONTRACTOR:CD ROOFING PERMIT NO: 13040046 OWNER'S NAME: YUN FENG SYAU 2909 WILBUR AVE DATE ISSUED:04/04/2013 OWNER'S PHONE: 4084800058 SAN JOSE,CA 95127 PHONE NO:(408)898-6605 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL1 License Class Lic:# TEAR OFF(E)WOOD SHAKE,INSTALL SOYR COMP(2500 SQ FT Contractor Datef I hereby affirm that I am licen a 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: I hereby affirm under penalty of perjury.one of the following two declarations: I have and will maintain a certificate of consent to selMnsure for Worker's Compensation,as provided for by Section 3700 of th&Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$7500 I have and will maintain Worker's Compensation Instu anee,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36616017.00 Occupancy Type: 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 state laws relating WITHIN 180 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 DAYS F CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said Ci in consequence of the / granting of this permit. Additionall appl`ar d will comply ssued b Date: with all non-point source re up ono M ' ' al Code,Section 9.18. RE-ROOFS: Signature Date Ar, 7 All roofs shall be inspected prior to any roofing ateri!Date: ng installed.If a roof is installed without first obtaining an inspecti ove all new materials for inspection. ❑ OWNER-BUILDER:DECLARATION Signature of Applicant: L{ r— � I hereby affirm that I am exempt from the Contracto'r's License Law for one of the following two reasons: ALLCOVEIZ S 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,and the 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business'&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety 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 Health&Safety Code,Sections 255 ,25533, 4. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Date permit is issued. I 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall he deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue 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 Date OOF PERMIT APPLICATION RSR p COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 M (408)777-3228•FAX(408)7.77-3333•building(a)-cugertino.org I _, CUOER7INQ' PROJECT ADDRESS - APN# U e t, OWNERN ` O� ►c r© STREET ADDRESS CITY,STATE,ZIP FAX CONTACT.NM E� M� P U O � STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BURDER ❑ OWNER AGENT �NTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT- CONTRACTOR NAME LICENU�vI BER LICENSE TYPE BUS.LIC.# COMPANY NAME MAII `� FAX STREETADDRESS CITY,STATE,ZIP _ Pro'ONE v '!- S p I.ARCHITECT/SNGINEERNAME CENSENUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑'SFD Or I)llp1eX ' multi am ROOF AREA: VALUATION: STRUCTURE: . ❑ Commercial EXISTING ROOF.TYPH: ❑BUILT-UP ROOF: '13 ASPHALT SHINGLES OOD SHAKES ❑WOOD SHINGLES OTHER(SPECIFY) ER60POSED E, YES IF NO, PLYWOOD /:" ❑ PLYWD ❑,O/SB PITCH: /// ROOF ❑NO #LAYERS: THICKNESS: ❑5/8 TYPE: AVCDX '12 CLASS: A ICC-ES REPORT# TYPE: BUILT-UP.ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER DESCRIPTION OF W 2 az -D By my signature below,I certify to each of the following: I am the a owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is co I e read the Des ' tion of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co c' n uthorize represen tives of Cupertino to enter the above-identified roperty for inspection purposes.. Signature of Applicant/Agent: - Date: SUPPLEMEN AL INFORMATION 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. I 1 Provide signed copy of Cupertino's Tear-Off Policy. ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 7506 WATERFORD DR DATE: 04/04/2013 REVIEWED BY: MELISSA APN: 366 116.017 BP#: *VALUATION: 1$7,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION SFD or Duplex- 1 SFDWLROOF USE: PERMIT TYPE: � WORK TEAR OFF `E WOOD SHAKE INSTALL 50YR COMP 2500 SQ FT SCOPE IVlech.Ilan Check Plumb.Flan('heck Eh c..Plan Check t1:ch..Perrnit Fee: Plumb.Permit Fce: Elec.Permit.Fee: F7 Other,Ylech.Insp. Other Plumb Insp. Other Elec.Inns. 111ech.Insp.Fee: Plu),z7U. lads.Fee: Elcc.Insp,Fee: NOTE:This estimate does not include fees due to other Departments(L a Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the relimina information available and are onlyan estimate. Contact the De t or addn'1 in o. FEE ITEMS (Fee Resolution 11-053 fff. 7111121 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 27500 s.f. Re-roof Suppl.PC Fee: Reg. 0 OT 0.0 hrs $0.00 $375.00 IREROOFRES PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. 0 OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C;onso-ticlion Tax: Work Without Permit? 0 Yes: E) No $0.00 E Advanced Planning Fee: $0.00 Select a Non-Residential 7ra��ell�or.uanen8atior�fees: Building.or Structure 0 A Strong Motion:Fee: 1BSEISMICR $0.75 Select an Administrative Item Bldy,Stds Commission Fee: 1BCBSC $1.00 $1.751 $375.00 $376.75 Revised: 04/01/2013 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•building(acupertino.org PROJECT ADDRESS APN# �. ^ OWN P ONE FERN EMAIL STREET ADDUSS gyp^ CITY,STATE,ZIP_ FAX CONTRACTOR NAME _ LICENSNUMBER LICENSE TYPE BUS.LIC.# S" -*- `3 COMPANY NAME E- FAX STREET ADDRESS - CITY,S AT ZIP PHONE 6 � Z o � 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 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 Inspectionandapproval 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%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. I understand and agree to comply h the re-roof olicy stated above. I also understand that smoke detectors and carbon monoxide detectors are u' installed in ac rdance with Sections 8314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: ReroofPolicy_2012.doc revised 10/7/12