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13050137CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1185 CANDLELIGHT WAY CONTRACTOR: STONERIDGE ROOFING PERMIT NO: 13050137 OWNER'S NAME: JIAN-MIN WANG 1672 RIDGETREE WAY DATE ISSUED: 05/20/2013 OWNER'S PHONE: 4087295101 SAN JOSE, CA 95132 PHONE NO: (408)729-5101 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIALS License Class Lic. # �SISI V (25 SQ'S) TEAR OFF (E) WOOD SHAKE, INSTALL 7/16" Contractor S+ahC #'I�f_&12,hhDate57,1jf OSB, 30LB FELT, PRESIDENTIAL COMP I hereby affirm 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: $14600 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36224052.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 DAY ST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Date: 0 granting of this permit. Additionally, the applicant understands and will comply J0e v: with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. Signature c���f% ��l��� Date 0 ' 2 RE-ROOFS: 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 Signature of Applicant:,� fl/1'k" Date: Q —I/ 1 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) 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, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this�jC�/�1IlJ Owner or authorized agent: ��yy, Date:_5 O79 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 C, . 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org • CUp.ERT.INO'. PROJECT ADDRESS : / • APN # C,/ OWNERNAME PHONE > E-MAIL l 0 -s G1. STREET ADDRESS t CkCITY, STATE, ZIP r FAX JIBS )Je, CONTACT. NAME ,/ * W PHONE V0 g r S 0 �. E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWIER-BUBUER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SIts p eL LICENSENUMBER LICENSE TYPE BUS. LIC. # COMPANY NAME G O / I E-MAIL FAX CCCiii Vi CITY STATE, Z PHONE STREET ADDRESS Oee w C ` )©� il ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE. ZIP PHONE USE OF SRD Or Dup1eX. ❑ Multi -Family . ROOF AREA: VALUATION: sTizucrvRE:. '.El Commercial EXISTING ROOF.TYPE: ❑ BUILT-UP ROOF: ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER (SPECIFY) REMOVE /REPLACE: YES IFNO, PLYWOOD ❑'h ❑ PLYWD NKOSB PITCH: ROOF ❑ NO # LAYERS: THICKNESS: [Ell 519, TYPE: ❑ CDX :12 CLASS: A ICC -ES REPORT # PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 11 WOOD SHAKES ❑WOOD SHINGLES ❑ OTHER DESCRIPTION OF WORK.-ar r Q / 1 n 5 \ h f J o bS 9, es)A4 CITY OF CUPERTINO FEE ESTIMATOR —BUILDING DIVISION tech..Man Check itilt>ch. Permit Fee: Other Afech. Insp. llech. Insp. Fee: Plumb. Plan Check Plumb. Permit Fee: Other Plumb Insp. Plumb. Insp. Fee: Elec.. Plan (.,heck Flea. Permit Fee: Other Elec. Insp. IEec, Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School riictrirt ,tr_ )_ Thoco fooc aro hacod an tho nroliminary informatian availahle and are nnly an estimate. Cantaet the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) 1185 CANDLELIGHT WAY QTY/FEE DATE: 05/20/2013 REVIEWED BY: MELISSA JimADDRESS: APN: 362 24 052 BP#: *VALUATION: 1$14,600 %PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: Permit Fee: PENTAMATION 1 SFDWLROOF PERMIT TYPE: WORK 25 SQ'S TEAR OFF E WOOD SHAKE INSTALL 7/16" OSB 30LB FELT PRESIDENTIAL COMP SCOPE Phvnb.iMech.lElee tech..Man Check itilt>ch. Permit Fee: Other Afech. Insp. llech. Insp. Fee: Plumb. Plan Check Plumb. Permit Fee: Other Plumb Insp. Plumb. Insp. Fee: Elec.. Plan (.,heck Flea. Permit Fee: Other Elec. Insp. IEec, Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School riictrirt ,tr_ )_ Thoco fooc aro hacod an tho nroliminary informatian availahle and are nnly an estimate. Cantaet the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: tSuppl. PC'.f ee Pluinb.iiillech./Flee Permit Fee: $375.00 :S'uppl. Insp Fee Phvnb.iMech.lElee Plumb. 44ecyh✓Flee Permit Fee: __T_T Construction T a . Administrative Fee: Work Without Permit? ® Yes (j) No $0.00 Advanced Planning Fees: � 7iavel Documentation Fees.- Strong; Motion Fee: IBSEISMICR $1.46 Select an Administrative Item Bldy, Stds Commission Fee. 1BCBSC $1.00 _ $377.46$0.00 r dT $377.46 w� Revised: 04/29/2013 /0 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 (408) :777-3228 - FAX (408) 777-3333 • building aacuDertino.org PROJECT ADDRESS t APN # W ` /7 OwNERNA2iE I� PHONE EMAIL STREET ADDRESS ' ID l.. ,, L CITY, STATE, ZIP FAX CONTRACfORNAME LICENSENUMBER ) S o LICENSE TYP BUS. LIC. # COMPANY NAME �dRoof-. /� EMAIL FAX STREET ADDRESS , /✓ CITY, STATE, ZIP �e PHONE Q s 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 roofmg 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 ori -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 callfor 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 California Residential Code. of Date: ReroofPo1icy_2012.doc revised 10/7/12