13050073 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7707 SEEBER CT CONTRACTOR:BLACK DIAMOND PERMIT NO:13050073
DESIGNS
OWNER'S NAME: PETER WANG 3481 DEL NORTE DR DATE ISSUED:05/09/2013
OWNER'S PHONE: 4086462320 SAN JOSE,CA 95132 PHONE NO:(408)272-5959
❑ LICENSED CONTRACTOR'S DECLARA�TI/ON
JOB DESCRH'TION: RESIDENTIAL COMMERCIALS
License Class—` Lic.# 7 T (26 SQ'S)TEAR OFF(E)WOOD SHAKE,INSTALL OSB,40
YR CLASS A COMP
Contractor Date �6c _�
I hereby affirm that I am licensed under the provisions o 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:$12000
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:36626031.00 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 FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, r q.
costs,and expenses which may accrue against said City in consequence of the Iss Date: J
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source lations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature a e All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an in tion,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applic a e:
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
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
California Health&Safety Code,Sections 25505,25533,and 25534. I 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
will maintain compliance with the Cupertino Mumd al Code,Chapter 9.12 and
performance of the work for which this permit is issued.
the Health&Safety Code,Sections 25505, and 25534.
have and will maintain Worker's.Compensation Insurance,as provided for by ,
I
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent ate:
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 thatthe 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 CupertinoMunicipal Code,Section Licensed Professional
9.18.
Signature Date
0
' REROOF PERMIT APPLICATION
•BUILDING DIVISION
COMMUNITY DEVELOPMENT DEPARTMENTQ
10.300 TORRE AVENUE-CUPERTINO,CA 95014-3255 All
(408)777-3228 FAX(408)777-3333•building(ftupertino.org \
C'UilktWTlht0
PROJECT ADDRESS 770 '.s r -C�- APN#
OWNERNAM" GM !/�/'' % L PHO 4� &MAII�
STREET ADDRESS ."� /•� a� I (� CITYtPHOTNE
STATE,ZIP
CONTACT NAME E-MAIL L (Gl,-� 1
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUMDER - ❑ OWNERAGENT ONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ) LICENSENUMBER BUS.LIC.#
COMPANYN E-MAIL ( FAX ,rG 7'�
_ 7
STREET ADDRESS i n / CITY,STATE,ZIP �'�6 f�-/) �Q _ PHONE G%7-- 7 2--S-- r fr
ARCHITECT/ENGINEER NAME y L LICENSE NUMEER n l- / BUS.LIC..#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF I� SFD OrDllpleX' ❑ Multi-Family ROOFAREA^ VALUATION:
STRUCTURE: . 0 Commercial
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES AWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE; YES IF NO, PLYWOOD 11 %, ❑ PLYWD AiKEOSB PITCH: ROOF
ElNO #LAYERS: THICKNESS: 115/8" TYPE. ❑CDX 12 CLASS: A
ICC-ES REPORT#
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF PHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER
DESCRIPTION OF WORK
-a.
By MY signature below,I certify to each.of/ e f wing: 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 pro.1 a corre I ver d Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to but 9 n truc'o I i epresentatives of Cupertino to enter the above-identified property for inspection purposes.-.
Signature of Applicant/Agent: Date: 01
S
SUPPLENIENTAkfNFORMATION REQUIRED •S�a
_If building is associated with a Home Owner's Association,provide letter.
of approval from HOA.
Provide Planning approval to verifyif there any restrictions. °
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp 2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 7707 SEEBER CT DATE: 05/09/2013 REVIEWED BY: MELISSA
APN: 366 26 031 BP#: "VALUATION: $12,000 --�
%PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: PERMIT TYPE: i
WORK TEAR OFF E WOOD SHAKE INSTALL OSB 40 YR CLASS A COMP
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,600
5 �.
x
Nle,(i.Plan Check Plumb.Plan Check Elec.Plan Check
I'lech.Permit Fee: Plumb.Permit Fee: I lec_Permit Fee:
FAM"&
meth.Insp. Other Plumb Insp. Other Elec.Insp.
Insp. knee: P/urnb. lash.fee: Flee.Insp, Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). These ees 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 E . 7ff 11/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppl. PC;.Fee
Plutnb.11ilech.,'Elec
Permit Fee: $390.00
Suppl.Insp Fee
PlumbJtklech./Elec
Plumh.lMech.iElee Perwiffee.
Consmuction Tlzr:
Adrnini.strative Fee:
Work Without Permit? 0 Yes No $0.00
Advanced Planning Fees:
Travel Documentation Fees. i
Strong Motion Fee: IBSEISMICR $1.20 Select an Administrative Item.
Bldp,Stds Commission Fee: 1BCBSC $1.00
$392.20 $0.00 $392.20
Revised: 04/29/2013
' REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION -
0.0 �3
ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO;CA 95014-3255
CUPEkT1N0.
(408):777-3228•FAX(408)777-3333•building c-cupertino.org
PROJECT ADDRESS APN# 3 /
OWNERNAtffi PH _ EMAII
STREET ADDRESS CITY, STATE,ZIP FAX
CONTRACTOR N I� LICENSE NUMBER L LICENSE TYPE BUS.LIC.#
COMPANYNAT, ! E-MAIL FAX
G
STREET ADDRESSp`� I 1 CITY,STATE,ZIP<-_ y� j� t��/3 PHONE3Z v
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 schedule
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.
51: 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-roofmg is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of'/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/1611 g is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand arjd a to comply with re-roof policy stated above. I also understand that
smoke detectors and carbon monoxid 'dete s ar re ired o,, installed in accordance with Sections R314 and R315 of
the 2010 California Residential Co _
Signature of Applicant/Agent: Date: S�
ReroofPo1icy_2012.doc revised 10/7/12