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13050149 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11772 TRINITY SPRING CT CONTRACTOR:THD AT-HOME PERMIT NO: 13050149 SERVICES,INC. OWNER'S NAME: WONG KWOK Y AND SHIRLEY M TRUS 2690 CUMBERLAND PKWY STE 300 DATE ISSUED:05/21/2013 OWNER'S PHONE: 4089961129 ATLANTA,GA 30339-3913 PHONE NO:(510)731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class C 3 Li,.# 75 d2 (18 SQ'S)TEAR OFF(E)WOOD SHINGLE,INSTALL NEW � COMP SHINGLE(NO RE-SHEET) Contractor TH L7 Ai dmf�L1k_b5ate 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:$12780 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:36653041.00 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 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 Z 3 granting of this permit. Additionally,the applicant understands and will comply Iss Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date ZI �3 All roofs shall be inspected prior to any roofing material bein led.If a roof is " installed without first obtain=Date: e all new materials for inspection. ❑ O - DER DECLARATION �� Signature of Applicant: J I hereby affirm d6t I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF C 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 Dc I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,C er 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 2 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: Date: 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 CONST �NLENDING AGENCY 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 1� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �0 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 O CUPERTI NA (408)777-3228•FAX(408)777-3333•building0cupertino.org PROJECT ADDRESS I I �/�� / 2-— � w J I TY C�J �-T• APN# ��/ _ Q q l OWNER NAME �I ,♦L� 1 ' l/vfr IJ j//` 1, jo /- 1 (/, E-MAIL STREET ADDRESS N/CJ/�+ CITY, S ATE,ZIP (7 / FAX 2 7jZP�1 I T S tn/ G G�Pr Z?i.J O C/4• s0/`� CONTACT NAME Eileen Cook PHONE 707-527-7727 E-MAIL STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP FAX 510-357-3750 ❑OWNER ❑ OWNER-BUILDEP ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER 836021 LICENSE TYPE C39 BUS.LIC.# COMPANYNAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP SAN LEANDRO,CA 94577 PHONE 510-877-4550 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF XSFD or Duplex ❑ Multi-Family ROOF AREA: r�, � / VALUATION: �7 STRUCTURE: ❑ Commercial I q—gJ,v . ,2/ "6>O EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE JKYES IF NO. PLYWOOD ❑ '/s" ❑ PLYWD ❑ OSB PITCH: ROOF ❑ NO #LAYERS: THICKNESS: El 5/8- TYPE: 11COX A—:12 CLASS: A PROPOSED ROOF TYPE: 11 �,J BUILT-UP ROOF Sl ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: I AJ -TA-1 ,J E_ J I c 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. 1 have read this application and the information I have provided is correct. I have read the Description of d verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons a oriz repre es of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: Z SUPPLEMEN�Ownees 7omme UIRED o XXXISl 9NLY If building is associatediation,provide letter PLAIv,cs1 cic TYPE ROUTTNG SL>p of approval from HoYER zi .couNIMR ❑ BUILDING PLAN REvIEw Provide Planning approval to verify if there any restrictions. Ell, EXPREss El PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ;E1sTaND uiti ❑ Put EPT' Provide signed copy of Cupertino's Tear-Off Policy. ❑ o.rnEx; ReroofApp_201 1.doc revised 03/16/11 t CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 11772 TRINITY SPRING CT DATE: 05/21/2013 REVIEWED BY: MELISSA APN• 35611040 BP#• 'VALUATION: 1$12,780 -� .*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F. USE: P PERMIT TYPE: WORK 18 SQ'S TEAR OFF E WOOD SHINGLE INSTALL NEW COMP SHINGLE NO RE-SHEET SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,800 Lfech. Plan Check Plutrrb.Plan Check Elec.Plan Check ;v1ech.Perna it Fee: Plumb.Permit Fee: Elec.Permit Fee: Other Hech.Insp. Other Plumb Insp. Ot{ter Elec.Insp. i�ech.Insp.Fee: Plumb. hasp.Fee: Elec.Insp.Fee: NOTE:This estimate does not include fees due to other Departments ft 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 addn7 info. FEE ITEMS 6Fee Resolution 11-053 E 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC.Fee Plumh./Nlech./Elec Permit Fee: $270.00 Suppl. Insp Fee .Plum h./Mech./Elec Plumla./11ech./Elee Permit Fee: Construction Teax: Administrative.Fee: Work Without Permit? ®Yes (E) No $0.00 Advanced Planning Fees: 1 t"avel Documentation Fees: Strong Motion Fee: IBSEISMICR $1.28 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $272.28 $0.00 a $272.28 Revised: 04/29/2013 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E.,C.B.O.,BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•building a-cupertino.org PROJECT ADDRESS/ ' / 7 72 y9,tJ'7Y L;�1 j I I/ C� APN# OWNER NAME 5 ft�K I cy /f-�J 7J fy PFJQN �I E-MAIL STREET /-77- 'TP-IN ItTY ��j G?. CG��C.IT(AJT�� C./T 95VJ4 FAX CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# 836021 C39 COMPANY NAME E-MAIL FAX THD AT HOME SERVICES 510-357-3750 STREET ADDRESS CITY,STATE,ZIP PHONE 2456 VERNA CT. SAN LEANDRO, CA 94577 510-887-4565 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)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call 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 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 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 1/4"per foot 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 a Darree to comply with th - policy stated above. Signature of Applicant/Agent: Date: / 3 ReroofPolicy_201 0.doc revised 05117110 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C O P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 1/'77Z TZi I A)17 Y S l dl C-T. PERMIT# OWNER'S NAME: S f-F l lZt E-y IJOA)G PHONE# q-04? • 1 I Z GENERAL CONTRACTOR:—FH DI A-'I O!M lc E BUSINESS LICENSE,# ADDRESS:2-,f51. m"JA G? CITY/ZIPCODE: _ , ', 74 s7 *Our municipal code requires all businesses 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 SUBCONTRACTORS ,HAVE.OBTAINED-,A CITY OF CUPERTINO BUSINESS LICENSE. I� I am not using any subcontractors: ignatt Date Please check applicable subcontractors a p ete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing rK Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date