13030048 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11710 TIMBER SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 13030048
OWNER'S NAME: WEIWEN ZHU&JEFF CHEN 1703 CATHAY DR DATE ISSUED:03/11/2013
OWNER'S PHONE: 4087250629 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL
License Class Li..# / �st� RE-ROOF 18 SQ-TEAR OFF WOOD SHAKE,INSTALL 30LB
FELT INSTALL GAF GRAND CANYON CLASS A
Contractor Date
1 hereby a in that I am licensed under the 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.
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:$8900
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 APN Number:36654088.00 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 0 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 DA M LAST CALLED 7ECTION*
indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which may accrue against said City in consequence of the Issued by: Dat
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.
/ RE-ROOFS:
Signatu ` 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.
❑ OWNER-BUILDER DECLARATION 3
Signature of App t: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 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,Chaptgr 9.12 and
the Health&Safety Code,Sec25533d 25534
I have and will maintain Worker's Compensation Insurance,as provided for by tio s , , n .
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:
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 CONSTRUCTION LENDING AGENCY
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 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
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 ARCHITECT'S DECLARATION
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 understand my plans shall be used as public records.
granting 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 PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
C U P E RT 1 N O (408)777-3228• FAX(408)777-3333•building(Wcupertino.org
PROJECT ADDRESS — APN#
r-1-1 CiC
OWNER NAME v I \v\fir, �f PHONE t4O� 2:5.()(0 f�� ' 2� E-MAIL
STREET ADDRESS ` h CITY, TATE,ZIP FAX
-
CONTACT NAMECu PHONE40-
9 5 i--Vc:i& E MAII
STREET ADDRESS 1�h� ;\ CITY,STATE,ZIP/'- n 'J U-e ,4 FAX
EIOWNER. 11OWNER-BUILDER 11 OWNERAGENTU ONTRACTOR ElCONTRACTOR AGENT 11ARCHITECT ❑ENGINEER 13 DEVELOPER 11 TENANT
CONTRACTOR NAME O LICENSENUMBER � LICENSETYPEC_31 BUS.LIC.#
COMPANY NAME S 1, E-MAILl F
STREET ADDRESS W5 CITY,STATE,ZIP �^ g�-iJ� PHONE)- 3S—(J` J
tom"
ARCHITECT/ENGINEERNAME LICENSENUMBER v/ Y, BUS.LIC.# /
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE of SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
s
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE:
//❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE 1 YES IF NO, PLYWOOD ❑ %4 ❑ PLYWD ❑OSB PITCH: ROOF
❑NO #LAYERS: 5 THICKNESS: ❑ 5/8" TYPE: ❑CDX ? CLASS: A
ICC-ES REPORT#
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES / ❑OTHER
DESCRIPTION OF WORK; 4 S -9 �fwI/ L
-�S Gr/'l7 , � !'rG�/")0/ 1.y1•'lam � �s�`� ••-°�
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 lawsei�lat_ing to buildingco ction. I authorize representatives of Cupertino to enter the above-iden'red pro for inspection purposes.
Signature of Applicant7Agent: `� Date:
SUPPLEMENTAL INF OAIATION REQUIRED OFFICE USE ONLY
_If building is associated with a Home Owner's Association,provide letter. PLAN CHECK TYPE ROUTING SLIP
of approval from HOA. ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
_Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
_Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
Provide signed copy of Cupertino's Tear-Off Policy. ❑ OTHER:
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO oO'
FEE ESTIMATOR- BUILDING DIVISION
MaADDRESS: 11710 timber spring ct DATE: 03/11/2013 REVIEWED BY: Mendez
PN: BP#: `VALUATION: 1$8,900
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY
[PENTAMATION 1SFDWLROOF
USE: SFD or Duplex RMIT TYPE:
WORK re-roof 18 s s
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,800
Ltech:flan hunb. Plan Cheek filec...Plan Ch..
1'"-wit Poo: Plumb.Permit Fee: Elec. Permit Fee.
Other.11ech.Insp. C]_L__ Other Plumb Insp. Other Elec.Insp,
0-1_
Rlech.Insp.Fee: I'lumb, hush. r"" EIr( l:.s,' 1.c<
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc . These fees are based on the prelimina information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Ef: 7;f /%"12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppl. PC Fee
P1umb./Meeh.1E1ec
Permit Fee: $270.00
Suppt. Insp Fee
Plumb.111ech./Elec
PlumbJMech./Elec Permit Fee:
Construction Tax:
Adtn i nis trati ve.Fee:
Work Without Permit? ® Yes (j) No $0.00
Advanced Planning Dees:
Travel Documentation Fees:
Strom Motion Fee: 1BSEISMICR $0.89 Select an Administrative Item-
Blda Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $271.891 $0.001 TOTAL FEE: $271.89
Revised: 01/01/2013
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 i '.�I /\ - APN#
OWNER NAME �� V" PHONE g� ] E-MAIL
STREET ADDRESS CITY,STATE,ZIP ��f\ / C"/ FAX
CONTRACTOR NAME ` `�J��L LICENSE NUMBER .#2/10 LICENSE TYPE/i2 47 BUS.LIC.#
COMPANY NAME K L/�J E-MAIL `J(�111 �. [ JFAX
STREET ADDRESS {-7 D .� �� • CITY,STATE,ZIP / 1 •(.,/� 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 one business day before the requested inspection date.
Please call.(408) 777-3228 from 7:30-3:30pm(Mon-Thurs) or 7:30-2:30pm(Friday)to schedule1.
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.
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. 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 1/4"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,vents painted, gutter/downspouts installed, debris removed.
7. 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. 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 Califorr a Re ' ntia-C
Signature of Applican gent: Date: J / A-3.
Reroo olic 2012.doc revised 10/7/12