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10060141 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11677 PALM SPRING CT CO VTRACTOR:CASTILLO'S ROOFING PERMIT NO: 10060141 OWNER'S NAME: JOSEPH CHEN 1701 CATHAY DR DATE ISSUED:06/22/2010 VNER'S PHONE: 4084720049 SAT JOSE,CA 95122 PHONE NO:(408)251-3565 er LICENSED CONTRACTOR'S DECLARATION JOR DESCRIPTION: RESIDENTIAL❑ COMMERCIALD License Class C 31 Lie.# '1304115& RT.-ROOF TEAR OFF WOOD SHAKE,INSTALL 30 ILB C9 aZ —�U FELT Contrac Date " IN iTALL GAF GRAND CANYON COMP 18 SQUARES • I hereby affirm at 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:$9000 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 AP N Number:36654108.00 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 FR LAST CALLED INSPEC ON. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ,L�' L� Issued by: Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point sourc regulations per the Cupertino Municipal Code,Section _ 9.18. RE-ROOFS: Signature Date C2"�v All roofs shall be inspected prior to any roofing material being installed.If a roof is ins ailed without first obtaining an inspection,I agree to remove all new materials for ins)ectio LJ OWNER-BUILDER DECLARATION �a o Signature of Applica 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 BETTER 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) I,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 Ca lifornia Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three mf intain 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 mf terial. 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. wi I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by thi Health&Safe e,Sections 3A505,25533,and 25534. 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 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 h,reby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. we rk's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Le rider'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 �mnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION s,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 Li tensed Professional 9.18. Signature Date CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APP=LICATION APN# 3 541 cz ,Y Date: Building Address: . Owner's Name: \ DS C� Phone #: HOA: Yes ❑ No If es, provide letter from HOA Contractor: �S 1 Ji Phone #: ast'`,�S`11 1105 ),uh Fax#: Cupertino Business License #: Contractor L}cense #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ ilt-Up roof ❑ ,Asphalt Shingles V Asphalt Shingles a/ 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 Mfgr. Installation Specs. Job Description: j eG,a- v.{,f Wpo6 S{- n S t I 50 FP4 ff I 64F � rctnd Ca►),/60 GDm p l8 � Residential Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with-Planning Dept. if Green Building Checklist & attach it to the application 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 CITY OF CU PERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 11677 palm spring ct. BATE: 06/22/2010 REVIEWED BY: building APN: BP#: *VALUATION: $9,000 PERMIT TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof PRIMARY TOTALPLICATION 1 USE: SFD or Duplex ROOF AREA: ,800IS--FAP .f. TYPE: �4W tp;;r off exmqt*nq wood shake, #301h felt, t-pince. with G rand Canyon romu --,h*nqles w 00 3 � FEE ID 1 REROOFF RES I _ . NOTE: These fees are based on the preliminary in ormation avail ible and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Pee Resolution 09-051 F.tf -4-"1,'1)9) FEE QTY/FEE MISC ITEMS Permit Fee: $234.00 F7 _7 Work Without Permit? Q Yes (F) No $0.0C Strong Motion Fee: IBSEISMICR $0.9( Select an Administrative Item Bld« Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $235.90 $0.00 TOTAL FEE: $235.90 Revised: 5/27/2010 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lcot : APN 36654108 . 00 DATE ISSUED. . . . . . . : 06/22/;010. RECEIPT # . . . . . . . . . BS0000:.0683 REFERENCE ID # . . . : 100601,e:1 SITE ADDRESS 11677 ]BALM SPRING CT SUBDIVISION CITY CUPERT:=NO IMPACT AREA . . . . . . OWNER JOSEPH CHEN ADDRESS 11677 :?ALM SPRING CT CITY/STATE/ZIP . . . : CUPERTCNO, CA 95014-5142 RECEIVED FROM . . . . : CASTIL"JO ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY CASTIL'�O' 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 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 18 . 00 234 . 00 0 . 00 234 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 235 . 90 0 . 00 235 . 90 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 235 . 90 16436 --------------- TOTAL RECEIPT 235 . 90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ------- 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: J �� a f'l n ,PERMIT# Oq OWNER'S NAME: �"OS� h L�6�� PHONE # 2 � (.VS' GENERAL CONTRACTOR: BUSINESS LICENSE # S ADDRESS: /1 , CITY/ZIPCODE: •9 15 rc. *Our municipal code requires all business working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACT ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcon rac ors: llJ Date Signature Please check applicable subcontractors and complete t ie following information: SUBCONTRACTOR BUSINESS 1`AME 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/Contractor 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 X5014-3255 CUPERTINO (408)777-3228' FAX(408)777-3333-buildir aaC�cupertino.orq PROJECT ADDRESS /� ! APN# OWNER NAME v( '(� PHQ)E ✓ice (� E-MAIL STREET ADDRESS al CIT ATE,ZII� O A FAX CONTRACTOR NAME �� 6� `V/r(� LI SEN ER LICENCE TYP BUS.LIC.# r/V� � e' C/�7 COMPANY NAME ` � • E-MAIL FAX STREET ADDRESS/7. 3a CITY,STATE,ZII D w PHONJr- E C/f I UNDERSTAND AND AGRF E 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)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call fo-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 available 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-Progress roof inspection is required. Call for a,i in-progress roof inspection to verify building is weather tight after installation of approximately 250/c 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 fro m the building inspector when the re-roofing is complete. To receive a final sign-off, the following tems will be verified: a. Flat roofs shall have a minimum of 1/4"per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all Ire-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 truf I am the property owner or authorized agent to act on the property owner's behalf. I and Wst nd and agree to ,;omply with the re-roof policy stated above. Signature of Applicant/Agent. Date: 'd�� ReroofPolicy_2010.doc revised 05/17/10 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project PlansSefe bwgelow E. "21 R NOW B. Site 9. Install H.E. Irrigation, (details/spec)* L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 points E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points 4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal. Tank, (Note/Spec L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, (Note/Spec A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POlN7S1 40 points Plan Review Process Work Book Page-12-Revised 3/25/08