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11060166CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19333 SORENSON AVE OWNER'S NAME: WANG JYH-L AND MING -FANG C ER'S PHONE: 4083666030 ❑ LICENSED CONTRACTOR'S DECLARATION License Class �' Linc. # �.� V 71 Contractor Atir-n l o/ ifftry�Date I hereby affirm that I am licensed under t 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. CONTRACTOR: RICALDAY ROOFING PERMIT NO: 11060166 SERVICES 1424 PINE AVE DATE ISSUED: 06/20/2011 SAN PABLO, CA 94806 PHONE NO: (650) 922-4995 BUILDING PERMIT INFO: BLDG ELECT PLUMB f— MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: RE -ROOF TEAR OFF EXISTING & REPLACE WITH ASPHALT SHINGLES CLASS A 50SQFT 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 permit is issued. I Sq. Ft Floor Area: 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 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. Signature evto Date ®4`- ' l L OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save i0* unify and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the gc.._­ng of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date APN Number: 37502017.00 Valuation: $13500 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued b Dater ' 2,c,—L1 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspec ' n, I agree to remove all new materials for inspection. & 14 Signature of Applicant:Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Ow or a orized agent: Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional 3 ITEMS OF 7 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37502017.00 DATE ISSUED.......: 06/20/2011 RECEIPT #...••••••: BS000013822 REFERENCE ID # ...: 11060166 SITE ADDRESS .....: 19333 SORENSON AVE SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: WANG JYH-L AND MING -FANG ADDRESS 19333 SORENSON AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: HAISHENG HU CONTRACTOR .......: BALDOMERO RICALDAY LIC # 30813 COMPANY RICALDAY ROOFING SERVICES ADDRESS 1424 PINE AVE CITY/STATE/ZIP ...: SAN PABLO, CA 94806 TELEPHONE (650) 922-4995 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ---------- NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 13,500.00 ---------- 1.00 ---------- 0.00 1.00 0.00 1BSEISMICR VALUATION 13,500.00 1.35 0.00 1.35 0.00 1REROOFRES SQ FEET 50.00 650.00 0.00 650.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 652.35 ---------- 0.00 652.35 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CUPERTINO TTS' TQTTMATl112 - RITII.iIINf nl[VICION IAADDRESS: 19333 sorenson ave. DATE: 06/20/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$13,500 . PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Du lex P PENTAMATION 1SFDWLR00F PERMIT TYPE: USE: WORK tear off replace with asphalt shingles SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 5,000 NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the Dept for aaan'l tn�o. FEE ITEMS (P`ee Resolution 09-051 T;ff. 7 .-'10) FEE QTY/FEE MISC ITEMS Permit Fee: $650.00 Work Without Permit? 0 Yes No $0.00 Strom Motion Fee: 1BSEISMICR $1.35 Select an Administrative Item Bldg�Stds Commission Fee: IBCBSC $1.00 SUBTOTALS; $652.35 $0.00 TOTAL FEE -.T $652.35 Revised: 04/29/2011 CUPERTINO 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 (408) 777-3228 - FAX (408) 777-3333 - building(Llcupertino.org PROJECT ADDRESS APN # h Ave---- OWNER NAME.44PHONE ^ r o E-MAIL O itl STREET ADDRESS Q CYY, STATE, ZIP FAX CONTRACTOR NAME PC LICENSE NUMBERL LICENSE TYPE, BUS. LIC. # COMPANY N E-MAIL FAX 2 STREET ADD SS CIT, STATE, ZIP P ONE L 7' L _ I UNDERSTAND AND AGREE TO THE FOLLOWING: 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 R314 and R315 of the 2010 California Residential Code. of Applicant/Agent: ��C.�G-� Date: 6 —>p--- ?u) f ReroofPolicy_2011.doc revised 02/16/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST o - IL -M JOB ADDRESS: I PERMIT # 15 OWNER'S NAME: — PHONE # GENERAL CONTRA TORP BUSINESS LICENSE # ADDRESS: l , ;-e CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a city of Cupertino ausmess ncense. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCO TRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors:AA©��� 11 Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature 196-'V_�2 j/ Date 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 Rr? _ 6(qC) t j2 Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature 196-'V_�2 j/ Date CUPER.TINO i(O�DLN1�C,o REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin-gacupertino.org PROTECT ADDRESS APN# i 0 ca_ufr/4 OWNER NAME PHONE 1003664qb E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX APPLICANT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX 13OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT J'150_NTRACTOR 13CONTRACTOR AGENT El ARCHITECT ❑ ENGINEER 13DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICTYPE BUS. LIC. # COMPANY NAME E-MAIL F f STREET ADDRESS CITY, STATE, t (xi "� ! si — PHONEAeF U ARCHTMCT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ❑ SFD or Duplex [j Multi -Family �-y ROOF AREA: r �[ VALUATION: USE OF 3S STRUCTURE: ED Commercial ❑ BUILT-UP ROOF W'ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) EXISTING ROOF TYPE: REMOVE /REPLACE Z YES IF NO, I PLYWOOD 13 'h" ❑ PLYWD 11OSB PITCH: 12 ROOF A ❑ NO # LAYERS: THICKNESS: El 5/g TYPE: ElCDX CLASS: 13ASPHALT SHINGLES ElWOOD SHAKES ElWOOD SHINGLES ❑ OTHER ICC -ES REPORT # PROPOSED ROOF TYPE: BUILT-UPROOF DESCRIPTION OF WORK: rI&Lta.� tzf At% ,a] 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 ct. 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 c tion. I authorize. representatives of Cupertino tc enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date:_" ' h SUPPLEMENTAL INFORMATION REQUIRED � � ,s.. z ;. � �FFiCEEti If building is associated with a Home Owner's Association, provide letter " ^ �IJAN CHE(K I1PEROUTiNG SI1P it - 3 3 3 - of approval from HOA. crltartx G P,Ar1 REvi�uv4 Y Planningapproval to verify If there an restrictions. CI` EIxEss ❑ �aIANREVEwProvide _ Provide copy of Manufacturer's Installation Specifications. [j sxAlvDaxn ❑ 'uzz DEei provide signed copy of Cupertino's Tear -Off Policy. - ox ReroofApp_2011.doc revised 03/02/11