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11050177 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11690 TIMBER SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11050177 OWNER'S NAME: LEUNG HO-MING AND GRACE T 1703 CATHAY DR DATE ISSUED:05/20/2011 0—NER'S PHONE: 4087715943 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 G LICENSED CONTRACTOR'S DECLARATION �� BUILDING PERMIT INFO: BLDG ELECT PLUMB T-_�License Class Lic.# MECH RESIDENTIAL COMMERCIAL CoDate15 I hereby affirm hat I am licensed under the provisions Chapter 9 JOB DESCRIPTION:RE-ROOF REPLACE EXISTING WOOD SHAKES,ORIGINAL (commencing with Section 7000)of Division 3 of the Business&Professions SHEATHING STAYS,ADD NEW COMP SHINGLES CLASS A Code and that my license is in full force and effect. 14SQ I hereby affirm under penalty of perjury one of the following two declaratiot)/ 1 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:$7600 permit is issued. APPLICANT CERTIFICATION APN Number:36654090.00 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 regulations per the Cupertino Municipal Code,Section 9.18. 2 Issued by: --moi-- �� Signature Date O NER-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 being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree 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, Business&Professions Code) Signature f Applirau Date: 1,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 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 I 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 uth ed forthwith comply with such provisions or this permit shall be deemed revoked. A?;L Date: i APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 1 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 and expenses which may accrue against said City in consequence of the ng of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with 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 h REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333 •building -cuper ino.ora PROTECT ADDRESS t AFN# ([, im ber OWNER NAME \ Le co i a PHONE [ q E-MAIL ' �J STREET ADDRESS /� / CITY, STA42.D 5�ZIP 1 FAX /1 n APPLICANT NAMEC.�I %(l L nIS PHONE ' E-MAIL ( (4257-3501' STREET ADDRESS/ l , CITY,STATE, ZIP ( 4 I AX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME f' LICENSE NUMBER LICENSE TYPFO 3 BUS.LIC.# COMPANY NAME C � E-MAIL FAX STREET ADDRESS i CITY,STATE,ZIP, C I-y� - PH095 ,fes (� o ARCHITECT/ENGINEER NAME LICENSE NUMBER J �I BUSLIIC.# � COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: �( STRUCTURE: ❑ Commercial / m � �f 4) EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) l' v 09 REMOVE/REPLACE 20YES IF NO, PLYWOOD ❑ w, ❑ PLYWD ❑ OSB PITCH ROOF ❑ NO #LAYERS: P THICKNESS: ❑ 5/8" TYPE: ❑ CDX 12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 90�PHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: J� Uj J �� f j�k_o --LAP 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 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 buil g construction. I au orize represe of Cupertino tc enter the above-ijentifiedppe.� r inspection purposes. Signature oflisaxfh4Sen. Date: 1 SUPPLEMENTAL TION REQUIRED � _ w Aft _If building is associated with a Home Owner's Association,provide letter of approval from HOA. BUIIDIIVG PI rAN REW�tEZu3i, _Provide Planning approval to verify if there any restrictions. - - s ❑ PLAN ING PLAN REVIEW c�//�rcoI Tin- vide copy of Manufacturer's Installation Specifications. / II s�.axnlcD ❑ �zR `Dxx Provide signed co of Cu ertino's Tear-Off Policy. � PY P Y• ReroofApp_2011.doc revised 03/02/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 11690 timber springs ct. DATE: 05/20/2011 REVIEWED BY: bobs. APN: I BP#: -VALUATION: 1$7,600 y PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Du lex PENTAMATION 1SFDWLR00F USE: P PERMIT TYPE: WORK replace existing wood shakes original sheathing stays, add new comp shingles. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,400 NOTE. Theseees are based on the preliminary information available and are only an estimate. Contact the De t or addn'1 in o. FEE ITEMS (Cee Resolution 09-051 I ff. T l N FEE QTY/FEE MISC ITEMS Permit Fee: $182.00 Work Without Permit? 0 Yes No $0.00 Strom Motion Fee: IBSEISNIICR $0.76 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $183.761 $0.00 TOTAL FEE $183.76 Revised: 04/29/2011 U REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 x(408)777-3228• FAX(408)777-3333-buildinwQcupertino.ora PROJECT ADDRESS ( I �! _I -, ,^^ # OWNER NAME I I PHONE �- E-MAIL STREET ADDRESS CITY, STATE,72M ' FAX CONTRACTOR NAME11 �� ' SE NUMBER LICENSE TYPE BUS.LIC.# —1��qW COMPANY NAME r EMAIL FAX STREET ADDRESS CITY,STATE,ZIP HONE 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 R314 and 8315 of the 2010 California Residential C de. Signature of Ap Date: 5 /, ReroofPolic) 2011.doc revised 02/16/11 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36654090. 00 DATE ISSUED. . . . . . . : 05/20/2011 RECEIPT #. . . . . . . . . : BS000013523 REFERENCE ID # . . . : 11050177 SITE ADDRESS . . . . . : 11690 TIMBER SPRING CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER LEUNG HO-MING AND GRACE T ADDRESS 11690 TIMBER SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5145 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 ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 7, 600 .00 1. 00 0. 00 1 .00 0. 00 1BSEISMICR VALUATION 7, 600 . 00 0 .76 0. 00 0 .76 0. 00 1REROOFRES SQ FEET 14 . 00 182 . 00 0 .00 182 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 183 .76 0. 00 183 .76 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 183 .76 #17091 --------------- TOTAL RECEIPT 183 . 76 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 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: PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: i'\ - BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: AA&AQ QAj *Our municipal code requires all businesses wo ing in the city to have a City of Cupertino blisiness 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. �)n I ' I am not using any subco ac Signature Date 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 Owner/Con acto Signature Date