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11070092 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10450 GLENVIEW AVE CONTRACTOR:BAY 101 ROOFING PERMIT NO: 11070092 OWNER'S NAME: JIN XIE PO BOX 925 DATE ISSUED:07/15/2011 OWNER'S PHONE: 4083290926 ALVISO,CA 95002 PHONE NO:(408)957-0531 L LICENSED CONTRACTOR'S DECLARATION 2 t� '?,e) / BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class L^ 3 ! Lic.# ! d MECH RESIDENTIAL COMMERCIAL Contractor JD� NCS Date I hereby affirm t gat I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF WOOD SHAKES PUT ON OSB 7/16, (commencing with Section 7000)of Division 3 of the Business&Professions PUT Code and that my license is in full force and effect. COMP 40 YEAR CLASS A 31 SQ 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. 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 Sq.Ft Floor Area: Valuation:$12300 permit is issued. APPLICANT CERTIFICATION APN Number:36911017.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and 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 r gulations per a Cupertino Municipal Code,Section � Issued by: 1 0— 9.18. � r `' � ( Date: Signature Date S^ F OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material berg installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agr to remove all new materials for 1,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, 16 " Business&Professions Code) Si nature of Applicant: u Date: I,as owner of the property,am exclusively contracting with licensed contractors to Z �,-// /'7 construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain 1 have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& 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 Health&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 Compensation provisions of the Labor Code,I must Owner or authired,4ent: D " /s^l/ forthwith comply with such provisions or this permit shall be deemed revoked. ate: ;117 CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION f 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 laws relating for which this permit is issued(Sec.3097,Civ 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 co— and expenses which may accrue against said City in consequence of the € ig of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION w-. all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional 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 (a cupertino.org PROJECT ADDRESS APN# OWNER NAME1 / PHONED E-MAIL L c�_2 Z - C , STREET ADDRES CITY,STATE,ZIP FAX CONTRACTOR NA E LICENSE NUMBER LICENSE TYPE BUS.LIC.# Z/' Z COMPANY NAME r ,4 E-MAIL FAX STREET ADDRESS CITY,STATE,ZI PHONE 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 co ly with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detefto s are quired to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. ..b` Signature of Applicant/Agent: w.> �� L Date: Reroo1Po1icv_201 Ldoc revised 02/16/11 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36911017. 00 DATE ISSUED. . . . . . . : 07/15/2011 RECEIPT #. . . . . . . . . : BS000014054 REFERENCE ID # . . . : 11070092 SITE ADDRESS . . . . . : 10450 GLENVIEW AVE SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . JIN XIE ADDRESS . . . . . . . . . . : 10450 GLENVIEW AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : BAY 101 ROOFING INC CONTRACTOR . . . . . . . : JOSE RAMIREZ LIC # 30420 COMPANY . . . . . . . . . . : BAY 101 ROOFING ADDRESS . . . . . . . . . . : PO BOX 925 CITY/STATE/ZIP . . . : ALVISO, CA 95002 TELEPHONE . . . . . . . . : (408) 957-0531 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 12, 300 . 00 1. 00 0. 00 1 .00 0. 00 1BSEISMICR VALUATION 12, 300 . 00 1.23 0. 00 1 .23 0. 00 1REROOFRES SQ FEET 31 . 00 434 . 00 0. 00 434 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 436.23 0 . 00 436 .23 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 436.23 VISA --------------- TOTAL RECEIPT 436 .23 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION its ADDRESS: 10450 GLENVIEW DATE: REVIEWED BY: APN: BP#: "VALUATION: 1$12,300 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF USE: PERMIT TYPE: WORK RE-ROOF 31 SQ SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 3,100 NOTE. These ees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 in o. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/11) FEE QTY/FEE MISC ITEMS Permit Fee: $434.00 Work Without Permit? 0 Yes E) No $0.00 Strong Motion Fee: 1BSEISMICR $1.23 Select an Administrative Item Bldg_Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $436.23 $0.00 TOTAL FEE: $436.23 Revised: 07/04/2011 C T�. amu• qy Recon ag PAquested By: Ally Bank And Whin Recorded MA To: Ally Bank,Atte:Final Documents Mail Code.19OFlVM93 (NAM) [Attention] 11DoVhIoato Drive [Succi AddM31 Bort Washisittou5,IPA 19034 [City,State Zip Code] _ 4Space Above fMs LIM For Rteprding DptaJ Loan No.:603092314 MIN:100037506830923149 DEED OF TRUST � DEFINITIONS below and other words are _ Words used in multiple scdions of this��aref ewe used in this document are 4150�+d�in�'°�a"1¢. l3, 18,?A and 21. Certain Hiles regarding " which is dstcd July 1,2011,together wall Riders to this (A) "Security Instrument means this doctxnerst, ide document. (B) "Borrower" is AN X18 and DANTONG RE,wtfs and husbaad- eammm is the trustor under this i Security Instrument. (C) "Lender"Is ADY Book. Lender is a state ebortered book�Se'i sand existing ruder the laws 0f Utah- (C) address is 1100 vk*b Drive,Fa~Wim'IPA 19034. (p) "Trustee"is ET5 Services,LLC. -NEW• Electronic Rrgistration Systems,Inc. MFRS is a separate corporation that is acting (E) MERS is MortSa$e HERS is the beneficiary ander this Seeority solely as a nominee for Lender and Lender's successor and ass s8� lu5tnn cont. MERS is organized and ax�g WOW the laws of Delaware. and has an address and telephone norm of P.O.Box 2016,Fant,M1 48501-?�M,tel.(88s)679-MFRS. note signed by Borrower and dated July 1,2811. The Note "as that ti (g) "Note" meanse P= '0orY NLU 1laasasid Seven Hnadred Fifty mud 001100ths Dollars Borrower owes Lender Seven Hu adrd'minty to"y this debt in regular Periodic Payments and to Pay tsed ho debt in9�f»D not h"than Jul750-00)plus y t, 041.Boffower has�°"'. (G) "P0perty" tneens the property that is dcsc ribed below under dke heading "Transfer of Rights in the Property." ytY4ti 11rI0Lnied ram 30051A1 GNferMe need ai7�M-5 � Faaaie UIwIF+*i�lr l�rc thira+�n+� 's �1�7a1G►oapa Rev W� IU Conribume sea rm Inc. hue l sf 1 S Modteee b Com/ Z 11e G>aPKMft So'n%ias. ea• Y I 0INIIA IN NailIU 13 6 4 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 ELI] Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# i OWNER'S NAME: ,° j r PHONE# Z t" - 3 2 '� o GENERAL CONTRA TOR: dBUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: L,/jv 9 *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 OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: = Signature Date Please check applicable subcontractors and complete the following information: 6/ 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 f ( � 7 (D �� REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• building aecupertino.org PROJECT ADDRESS 7APN. ( / OWNER NAME PHONE E-MAIL r r e - 3_ `! D ?2 STREET ADDPESSCITY, STATE,ZIP FAX APPLICANT NAMEi/Lia PHONE E-MAIL Z . cj• 3 STREET ADDRESSCITY,STATE, ZIP C FAX too go_ ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 1�14ON7RACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR SME _ l T/ LICENSE NUMBG LICENSE T Ef� BUS.LIC.# Zi COMPANY NAME E-MAIL FAX STREET ADDRESS ? i CITY,STATE,ZIP SG`CI PHONE L+ ✓SC> '< ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi-Family ROOF AREA: / VALUATION: El / STRUCTURE: Commercial J .�; C-, / -:21 •?' EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES *OOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE ff NO, PLYWOOD ,,❑ 'VV/:" ❑ TPLYWD OSB PITCH: ROOF ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX •12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: 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 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 constructiSA.A9.6tho ' e,representatives of Cupertino tc enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATI REQUIRED iICEOF - F: *-��4wra k T , _If building is associated with a Home Owner's Association,provide letter ' TSE tt°uTntc srP ' of approval from HOA. [7-0, C()x cgzartx ❑:svuG P3 AtI xEv> uv� .i £ _Provide Planning approval to verify if there any restrictions. r] EX7'RESs ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. Cl STANDr1RD - ❑ D Provide signed copy of Cupertino's Tear-Off Policy. ❑ oTHExR; i r � ReroofApp_2011.doc revised 03/02/11