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13030156 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20587 RODRIGUES AVE CONTRACTOR:THD AT-HOME PERMIT NO:13030156 SERVICES,INC. OWNER'S NAME: SUSAN CHEUNG 2690 CUMBERLAND PKWY STE 300 DATE ISSUED:03/28/2013 OWNER'S PHONE: 4088889370 ATLANTA,GA 30339-3913 PHONE NO:(510)731-1004 Pf LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class c 3 9 Lic.# 93 6 02 ' TEAR OFF(E)WOOD SHINGLE,INSTALL NEW CLASS A Contr ''{{ Z� COMP ��10 O �? Q actorTNl�147 �lF Date 3�12• 3 ,�-37 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. I 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:$17057 1 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:35910049.00 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 akyS 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 (-ST3RPM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, - costs,and expenses which may accrue against said City in consequence of the Z Date: granting of this permit. Additionally,the applicant understands and will comply Issued by with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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 1 new materials for inspection. ❑ OWNER-BUILDER DECLARATIONzq�� Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVE O 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. I 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 Munici>255 . e,C ter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and Section 3700 of the Labor Code,for the performance of the work for which this 3M/� permit is issued. Owner or authorized agen Date: 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 CONST TION 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. 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 V REROOF PERMIT APPLICATION 10 COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE.AVENUE-CUPERTINO,CA 95014-3255 O CUPERTI NO (408)777-3228•FAX(408)777-3333•buildinona cupertino.org PROJECT ADDRESS IS O � 43 14_j e APN# I D Oy 9 OWNER NAME _� 70 E-MAIL / STREET ADDRESS V CITY,STATE,ZIP FAX zo �I vF GrJP �71�10 -A • `I S0i CONTACT NAME CORA @THD AT HOMESERVICES PHONE 510-877-4550 E-MAIL STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP RO, CA 94577 FAX 510-357-3750 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT JI CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 836021 LICENSE TYPE C39 BUS.LIC.# COMPANY NAME THD ATE HOME SERVICES F-MAI' FAX 510-357-3750 STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP SAN LEANDRO,CA 94577 PHONE 510-877-4550 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF A SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial -3 /0-0 EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES %WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE AYES IF NO, PLYWOOD 13 %- 13PLYWD j&QSB PITCH: ROOF ❑NO #LAYERS: 0A E' THICKNESS: 5/8" TYPE: ❑CDX L/ :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF- -nksPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: JOrV .561,t/ /F — ;It_ 5W, 7 � 0-5;—Is CCwp . _j By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pmvided,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 o1 representatives of he above-identified property for inspection purposes. Signature of Applicant/Agent: Date: �3 SUPPLEMENTAL'INFOQUIItED ' _If building is associated ome Ownef s Association,provide letter �'Lrtzicof approval from HOA. o R T Ccs[ANT 3R<" ❑ BUH DsiG.PLAN'BEVIEW _Provide Planning approval to verify if there any restrictions. "' '� `ExP.IlESS , ❑ PLANNINGPLANREVIEW _Provide copy of Manufacturers Installation Specifications. �E] sTarin tiiu° ZI FME DEPT Provide signed copy of Cupertino s Tear-Off Policy. ❑ OTHER: ReroofApp_2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS:20587 RODRIGUES AVE DATE: 03/28/2013 REVIEWED BY: MELISSA APN: 359 10 049 BP#: *VALUATION: 1$17,057 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 SFDWLROO WORK TEAR OFF E WOOD SHINGLE INSTALL NEW CLASS A COMP SCOPE r T 01 mm �1ech.Plan Check l'Irrrrrb.Plzen C"he k Elec.Plan Check L1ecb.Permit Fee.: Plumb. Permit Fee: Elec. Permit Fee: Other Akch.Insp, Other Plumb Insp, Li Other Elec.Insp. Alech. Insp..Fee: Plumb. h l:.Fee: Elec.Insp,Pee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prelinddna information available and are only an estimate. Contact the Dept for addn7 info, FEE ITEMS(Fee Resolution 11-053 Eff.' 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 37100 s.£ Re-roof Suppl. PC Fee: E) Reg. O OT 0.0 hrs $0.00 $465.00 1RER00FRES PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Feer Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: Administrative Feer: 0 Work Without Permit? ®Yes (F) No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Travel Documentation Fees: Building or Structure i Strong Motion Fee: IBSEISMICR $1.71 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $467.71 ,.a $ _ 2.71 $465.00 TA E I �r . w Revised: 01/01/2013 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•buildin-W&cupertino.org PROJECT ADDRESS Z.0 5qop Zo n 11&o� AOL J )r APN# OWNER NAME J d� ��`- PHON-C �49E-MAIL sTREET�DD ss o �1 G O E CITY, C tU STATE,rf Z7/n)® C� 501 D/'-� FAx CONTRACTOR NAME LICENSE NUMBER /ytZ 1 LIC TYPE BUS.LIC.# COMPANY NAME 'ell E-MAIL O I . 31o , , -50STREET ADDRESS z- 5- I M A `I CITY,STATE,ZIP d e 't �7 PH/NE q7?- 7,157, ?, �J 5 D n l(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 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 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: jZ / 3 ReroofPolicy_2011.doc revised 02/16/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: -W,'-q7 ZqPv&1&oC]i AL2e PERMIT# OWNER'S NAME: 1505AA C+tEL)/J& PHONE# q09 '9qq 3 70 GENERAL CONTRACTOR: T -r p e- 502JICZ-5 BUSINESS LICENSE# ADDRESS: ZLJ56 A CITY/ZIPCODE: fly 4,&-~'gyp 7 z7 7 *Our municipal code requires all businesses working in the city to have a City of Cupertino-business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBT ; A''CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: 113 ure Date Please check applicable subcontractors an complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date