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11040107 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11660 TIMBER SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11040107 OWNER'S NAME: WEI KWUNG M AND CHING F 1703 CATHAY DR DATE ISSUED:04/15/2011 VNER' HONE: 4082555872 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATION JOB JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class e Lie.# �� So RE-ROOF 16 SQUARES,RE-ROOF TEAR OFF SHAKE, j INSTALL 30 LB INSTALL GAF GRAND CANYON COMP Confractvr Date `7 SOLID I hereby affirm t t I am licensed under the provisions of Chapter 9 SHEATING TO REMAIN (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:$8500 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 APN Number:36654093.00 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 FROM 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 i— ��✓� Issued by: Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point source gulations per the Cupertino Municipal Code Section 9.18. RE-ROOFS: Si 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 all new materials for inspection. r OWNER-BUILDER DECLARATION Signature of A Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF C VERINGS TO BE CLASS"A"OR ETTER 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) 1,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 9.1 nd I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sect' ns 2 O5,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authoDate• 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 be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 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, s,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. .sting 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 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•buildingl�cupertino.org PROJECT ADDRESSI ��O i # 1 OWNER NAME ' PHO C2 ` G STREET ADDRESS CrfY, STATE, CONTRACTOR NAME �J �< �1110ENSE BER i 1 LICENSE TYPE BUS.LIC.# JPAl� COMPANY NAME �� 1 _ E-MAIL FAX STREET ADDRESS �r9 ' , CITY,STATE,ZIP � n 5 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 SeMb 4 d R315 of the 2010 California Residential Code.Signature of Appfi n .eDate: 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: (jkO m Oer IT# OWNER'S NAME: n..4z .e--�' PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: !::;C . 512Z *Our municipal code requires all businesses woilking in the city to have a City of Cupertino 61siness license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCO TRACTORS HAVE OBTAINED A CITY 7/,,57-// CUPERTINO BUSINESS LICENSE. ,[� C I am not using any subcontractors: NN / Signature Date Please check applicable subcontractors and complete the following information: 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 caner/Contractor Sign a CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654093 . 00 DATE ISSUED. . . . . . . : 04/15/2011 RECEIPT #. . . . . . . . . : BS000013204 REFERENCE ID # . . . : 11040107 SITE ADDRESS . . . . . : 11660 TIMBER SPRING CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER WEI KWUNG M AND CHING F ADDRESS 11660 TIMBER SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5145 RECEIVED FROM . . . . : CASTILLO 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 ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 500 . 00 1 . 00 0 . 00 1 . 00 0. 00 1BSEISMICR VALUATION 8, 500 .00 0 .85 0 . 00 0 . 85 0 . 00 1REROOFRES SQ FEET 16 .00 208 . 00 0 . 00 208 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 209. 85 0 . 00 209 .85 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 209. 85 x --------------- TOTAL RECEIPT 209. 85 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 ADDRESS: 11660 timber spring ct. DATE: 04/15/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: $8,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Du lex PENTAMATION 1SFDWLR00F USE: P PERMIT TYPE: WORK tear off existing shake replace with comp shingles, existing sheathing to remain. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,600 Lj L-i NOTE. Theseees are based on the preliminary in ormation available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 09-051 E ff,' T'1,,,'101 FEE QTYIFEE MISC ITEMS F A Permit Fee: $208.00 71 Work Without Permit? 0 Yes No $0.00 A Strom Motion Fee: IBSEISMICR $0.85 Select an Administrative Item Bldg;Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $209.85 $0.00 TOTAL FEE:- $209.85 Revised: 01/15/2011 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333 • building a(�cupertino.org / CUPERTINO LJ11/0� PROTECT ADDRESS ' _T, 0,� N#ca 17 OWNER NAME PH ct• E-MAIL STREET ADDRESS CITY.STATE,ZIP + QA FAX Yjr) AJqWA. APPLICANT NAME PHOUI E-MAIL Q < STREET ADDRESS C$ CITY,ST , ZIP J . �� FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME I o LICENSE NUMB LICENSE E BUS.LIC.# l t COMPANY NAME E-MAIL FAX STREET ADDRESS `� CITY,STATE,ZIP V �.A-.Q4M ' 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: ❑ Commercial L/`T EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE YES IF NO, PLYWOOD ❑ %d' PLYWD ❑ OSB,h PITCH: ROOF ❑ NO #LAYERS: THICKNESS ❑ 5/8" TYPE: ❑ CD� 12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOODS S ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: /` 12!-4 7J7n c -7�+ I r_-:7 jA F (�2 raykl 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 c rrF,� e 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 ilding cons cthorize representatives of Cupertino tc enter the above-i a Pied pro ert for inspection purposes. Signature of Abp can gen: Date: SUPPLEMENTAL INFO TION REQUIRED If building is associated with a Home Owner's Association,provide letter 'rraNcICTPE , =t fxouTuvc sLrP u _ of approval from HOA. WON [�avExEotrtt �UI1I7IlVG PLAN REutEw'� _Provide Planning approval to verify if there any restrictions. [ M REss Q PI-ANMNGPLANREVIEW Provide copy of Manufacturer's Installation Specifications. Q »EPx ❑ oTei Provide signed copy of Cupertino's Tear-Off Policy. E 4 a 7 ReroofApp_2011.doc revised 03/02/11