10090068 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7632 ERIN WAY CONTRACTOR:PRINCIPLE ROOFING& PERMIT NO: 10090068
OWNER'S NAME: YUFENG ZHOU 10160 STERN AVE DATE ISSUED:09/10/2010
IER'S PHONE: 4085077568 CUPERTINO,CA 95014 PHONE NO:(408)898-7298
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT F PLUMB F
License Class r C 3 Lic.# &i 6 � MECH r- RESIDENTIAL F COMMERCIAL
Contractor T;1__1 Date O 4) w f!(1
JOB DESCRIPTION:RE-ROOF RMV SHAKE ROOF&INSTALL OSB SHEATHING
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions &
30YR COMP SHINGLE 25SQ CLASS A
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
Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$9000
permit is issued.
APPLICANT CERTIFICATION APN Number:35921017.00 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, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the
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.
Issued b Date:
Signature
r�� Date to/ v
c OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one 01 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
I,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) SigC, Qg�icant: ` Date:
I,as owner of the property,am exclusively contracting with licensed contractors to –
110
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&
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
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,Imus t Owner or authorized agent: -+
Date: /!►'��(�
fort•:iwith comply with such provisions or this permit shall be deemed revoked. —
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I 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 relatin; 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
ir'^mnify 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
g._.Aing 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
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: B1}:: Lot:
APN . . . . . . . . : 35921017 .00
DATE ISSUED. . . . . . . : 09,10/2010
RECEIPT #. . . . . . . . . BS000011426
REFERENCE ID # . . . : 10090068
SITE ADDRESS 7632 ERIN WAY
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : YUFENG ZHOU
ADDRESS 7632 ERIN WAY
CITY/STATE/ZIP CUPERTINO, CA 95014
RECEIVED FROM DERECK LOI
CONTRACTOR . . . . . . . : DERECK LOI LIC # 27564
COMPANY PRINCIPLE ROOFING &
ADDRESS 10160 STERN AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE (408) 898-7298
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------------
---------- ---------- ----------
1BCBSC VALUATION 9, 000. 00 1. 00 0. 00 1. 00 0 . 00
1BSEISMICR VALUATION 9, 000 . 00 0 .90 0 .00 0 . 90 0 .00
1REROOFRES SQ FEET 25. 00 325 .00 0 .00 325. 00 ------0_00
- --------- ---------- ----------
TOTAL PERMIT 326 . 90 0. 00 326 . 90 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ----------
CREDIT CARD 326 .90 VISA
---------------
TOTAL RECEIPT 326 .90
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
__ _ -------- ----------------------------
-- --------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR BUILDING DIVISION
ADDRESS: I DATE: REVIEWED BY:
APN: I BP#: *VALUATION: 1$9,000
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY PENTAMATION 1SFDWLROOF
USE: SFD or Duplex rl rk1f r st:�: PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AREA
iS.L
1REROOFFRES 2,500
*r!
0!ilvi'Pt 'o/}IY'.x'
NOTE: These fees are based on the relimina in ormatior, available and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resor+tion O9-OS1._g lf. 7%7/lOj FEE QTY/FEE MISC ITEMS
Irian Cllcck
Sippl, PCFec, F-1
F(t77rrl�.:3IecT7. 7�lec:flair (Jwck:
Permit Fee: $325.00
Srr111?l. Ills!) Fee
f'/trrnEa.i 1� 'Ficc C'77ir Fee:
I'llind?.%:1�lirc Ir.;I:�lc�c' l err7tit Fec:
(_oIlNI;-IWIi0l7 74n
,](:ouslic:al Rcvicw Fc c:
Work Without Permit? 0 Yes 0 No $0.00
171Lranil7g 1`r'('):
7ravc'l Ooc'trtrt r77talinrt Fcrc's`:
Strong Motion Fee: 1BSEISMICR $0.90 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $326.90 $0.00 TOTAL FEE: $326.90
Revised: 9/01/2010
M.Indoor Air Quality and Finishes
�- .. .:...._. . . - - 1 IAQ/Health pts yryes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y--yes 0
�. Sa > 31AQ/Health pts y--yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y--yes 0
6.Use Exterior Grade Plywood br Interior Uses 1 IAQ/Health pts y--yes; 0
v - 41AQ/Health.pts yryes 0
6.Use FSC Certified Materials for Iriterior Finish 4 Resource pts y--yes 0
9.Use Fnger-Jointed or Recycled-Content Trim 1 Resource pts y--yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y--yes; 0
. � � + 4 Resource pts y--yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y--yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y--yes 0
Total Points 1 1401. 1301 57
Total Points Project Received: 01
01 , 777
G:datalpmgs/grv.nbuildnggL iderinesframodelersigreenpointdna121204protectedAs
4
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
Cc�cupertino.org
TAP�N
PROJECT ADDRESS; G �
PHOT E-MAIL
OWNERNAME,
rt 'ti✓1 rl O -
CITY, STA E,ZIP FAX
STREET ADDRESS w/� G^r ��
LICENSE NUMBEF LICENSE TYPE BUS.LIC.#
CONTRACTOR bIAME � C
FAx
" E-MAIL
COMPANY NAME r /� ..
CITY,STA-E,ZIP PHONE
STREET ADDRESS
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a minimum of one day before the requested inspection date.
Please schedule inspections online or call (408)7'77-3228 between 7:30-3:30 (Mon-Fri).
3. Tear-off roof inspection is required. Please ca 1 for tear-off inspection after the roof is torn off and all
the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this
inspection. A building inspector will be availabl,-within one hour.
There are special hours for this service: 7:30 - 10:30am and 1:00-3:30pm (Mon-Thurs);
7:30 - 10:30am and 1:00-2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspection is required.
5. In Prouress roof inspection is required. Call 1br an in-progress roof inspection to verify building is
weather tight after installation of approximately 25% of the roofing material.
6. New roof coverings shall not be applied without first obtaining all inspections 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.
7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is
complete. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of per oot of slope and must 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.
8. 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.
Date:
Signature of Applicant/Agent:
ReroofPolicy_2010.doc revised 05/17/10
CITY OF C-I i I
CITY OF CUPERTINO
REROOF
CUPERTINO PERMIT APPLICATION
APN# _ Date:
Building Address: -7";?
Owner's Name: ... cr Phone #: C#clx) 5� 73.11
HOA: Yes ❑ No [ If yes, provide letter from HOA
Phone #:
Contractor: �4O �'�� - Z 2
Fax#:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ wilt-Up roof
❑ Asphalt Shingles ,( Asphalt Shingles
,✓Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S. Report#
❑ To be Removed ❑ Provide Mfg. Installation Specs.
Job Description: /z_-mfv-e - ,Hale._ &2-Cy_ . �i'is zc v��3 S �
�' �a ��S ���a.s�fi z,•-c, S'<wn-;�-L�.... �S` ,� G��YJ y9
Residential l/ Commercial ❑
Green Building: Please complete relevant portion of the Confirmed with-Planning Dept. if
Green Building Checklist & attach it to the a;iplication or if there are any restrictions:
applicable, include in plan set & the sheet index.
Valuation:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09