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11040163
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11636 CEDAR SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11040163 OWNER'S NAME: TAN SZE-JIN 1703 CATHAY DR DATE ISSUED:04/22/2011 OWNER'S PHONE: 4082557246 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 L LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r— ELECT F PLUMB r License Class C 3 f1 Lic.# � � e•� MECH RESIDENTIAL COMMERCIAL Contractor Date 01 GIA I hereby affirm th t I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF SHAKES,LEAVE SOLID SHEETING& (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL 30#COMP SHINGLES CLASS A 16SQ 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. I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$7900 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. /.�. APN Number:36654061.00 Occupancy Type: 6 , 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. 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. Issued by: — Date: Signature Date C' OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I h,.eby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature f pli t: Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to 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 HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or horized agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: i forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION gr *,of this permit.Additionally,the applicant understands and will comply wi non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654061. 00 DATE ISSUED. . . . . . . : 04/22/2011 RECEIPT #. . . . . . . . . : BS000013273 REFERENCE ID # . . . 11040163 SITE ADDRESS . . . . . : 11636 CEDAR SPRING CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . TAN SZE-JIN ADDRESS . . . . . . . . . . : 11636 CEDAR SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5139 RECEIVED FROM . . . . : CASTILLO'S ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO'S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- -ADMIN HOURS 0.50 39. 00 0. 00 39. 00 0.00 1BCBSC VALUATION 7, 900.00 1. 00 0. 00 1 . 00 0.00 1BSEISMICR VALUATION 7, 900.00 0. 79 0. 00 0 .79 0.00 1REROOFRES SQ FEET 16.00 208. 00 0. 00 208 . 00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 248. 79 0. 00 248 .79 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 248.79 #17040 --------------- TOTAL RECEIPT 248.79 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 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 • buildingQcupertino.org PROJECT ADDRESS I on lI APN# ME OWNER NA \ I P E-MAII. STREET ADDRESS CITY, STATE,ZIP IF,_ lXJ 1�VYF CONTRACTOR NAMEf� /DIS F LICENSE NUMBER LICENSE TYP BUS.LIC.# COMPANY NAME 1( ( E-MAIL. FAX STREET ADDRESS CITY,STATE Zg, aN _J e C 510pNE 5( ,3/ 6 ' 1 J 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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 I/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. 6. 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 14 and R315 of the 2010 California Residential C de. Signature of Appl' Date: ,e ReroofPolicy_ Ol1.doc r iced 02/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 11636 cedar spring ct. DATE: 04/22/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$7,900 PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK tear off shakes and install comp shingles at sfd. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 1,600 NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 info, FEE ITEMS (Fee Resolution 09-051 FEE QTY/FEE MISC ITEMS Permit Fee: $208.00 st, Work Without Permit? 0 Yes E) No $0.00 i Strom Motion Fee: IBSEISMICR $0.79 0.5 hrs Admin./Clerical Fee Bldg Stds Commission Fee: IBCBSC $1.00 $39.00 (ADMIN SUBTOTALS: $209.79 $39.00 TOTAL FEE: 1 $248.79 Revised: 04/01/2011 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: r ERMIT# OWNER'S NAME: VN PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: nlcs2> 0 '�>P— , CITY/ZIPCODE: q P? *Our municipal code requires all businesses orking 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 subcotors: Signature ate Please check applicable subcontractors and 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 Date Owner/Contractor Signature REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 GUPER,TINO (408)777-3228• FAX(408)777-3333 •building cDcupertino.org PROJECT ADDRESS ( ( i APN# OWNER NAME ; �r PHONE.,;? E-MAIL STREET ADDRESS , �f STATE,ZIP j APPLICANT NAME L J PHONE E-MAIL � r c STREET ADDRESS 'CITY,STATE, Z1 qs�r _- ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR 11 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME w6S I j n LICENSE NUMBER ) � C361 BUS.LIC.# COMPANY NAME C a �e� I E-MAIL `, LICENSE TYPE FAX J C. STREET ADDRESS ' a r t CITY,STATE,ZIP G n CAg 5 PHONE 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: STRUCTURE: [I Commercial �, ��• EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACEYES IF NO, PLYWOOD ❑ %" ❑ PLYWD ❑ OSBPITCH: ROOF 11 NO #LAYERS: SS: ❑ 5/8" TYPE: ❑ CDX '12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOFASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: -j___0 Z2 OMO 0-f-Inum ow,lo - U 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 b ildinWaffstruction. I authorize representatives of Cupertino tc enter the above-identifi pm Artr for ection purposes. Signature of Appl ( Date: Or' SUPPLEMENTAL ORMATION REQUIRED $ .,`"',s •+'FRICE`JSE _If building is associated with a Home Owner's Association,provide letter of approval from HOA. avER caurl�B systPatnt�REVIRw� M �� — ' Provide Planning approval to verify if there any restrictions. EXPREss ❑ PLANNWGPLAIVREYIEW r , v Provide copy of Manufacturer's Installation Specifications. [� ST 4NDAxIF Q wide signed copy of Cupertino's Tear-Off Policy. © oR ReroofApp_2011.doc revised 03/02/11