13060033 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18781 ARATA WAY CONTRACTOR:R A CONSTRUCTION PERMIT NO:13060033
3851 R CHARTER PARK DR DATE ISSUED:06/04/2013
OWNER'S NAME: EDWARD LIN AND WEN-YU HUANG
OWNER'S PHONE: 4088868982 SAN JOSE,CA 95136 PHONE NO:(408)559-1877
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALII
License Class Lic.# TEAR OFF(E)T&G,INSTALL PLYWOOD&CLASS A
r� COMP SHINGLE Ct 9 5Q's
Contractor �L —�� Date f5"
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 Valuation:$7500
performance of the work for which this permit is issued. Sq.Ft Floor Area:
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:37512027.00 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 WITB1N 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter CALLED INSPECTION.
upon the above mentioned property for inspection purposes. (We)agree to save 180 RO
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: G
granting of this permit. Additionally,the applicant understands and will comply
ue
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
✓ All roofs shall be inspected prior to any roofing material being installed:If a roof is
Signature Date_
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I,.,I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL RO ERINGi�',E CLAS"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) HAZARDOUS MATERIALS DISCLOSURE
I,as owner of the property,am exclusively contracting with licensed contractors to
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.T 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
Health&Safe
H
he eaSafety Code,Sections 25505, nd 25534.
I have and will maintain Worker's Compensation Insurance,as provided for by t !//
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date !�
permit is issued. r
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 CON A�CTIOPN 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
10300 TORRE AVENUE.CUPERTINO, CA 95014-3255 O
(408)777-3228•FAX(408)777-3333•buildinga-cupertino.orq M
CU
PEaTINQ:
-� ji�I1 APN#
PROJECT ADDRESS �/V f j
s JPHO E-MAIL
OWNER NAME
STREET ADDRESS
CITY, STATE,ZIP FAX
AIM
CONTACT NAME /� PHONE E-MAIL
MAIL
CITY,STATE, FAX
ZIP
FCO7NTRACrOR
OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHrrECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
E �� LICENSE NUMBER LICENSE TYPE BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS I� r CITY,STATE,ZIP PHONE
ARCH[TECT/ENGINEERNAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME L FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex . ❑ Multi-Family ROOF AREA: VALUATION: S �
STRUCTURE: ❑
Commercial 4151
cls/ v,
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE? OYES IF NO, PLYWOOD ❑ %" ❑
PL
❑OSB PITCH: .12 ROOF '_
❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX CLASS:
ICC-ES REPORT# .
PROPOSED ROOF TYPE:" ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER
DESCRIPTION OF WORK: fw /'w o
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 I have read this
application and the information I have provide c have read the Description of Work and verify it accurate. I agree to comply with all applicable local
ordinances and state laws relatin I n. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLE INF TION REQUIRED Fa ao,
If building is associated with a Home Owner's Association,provide letter
of approval from HOA.
Provide Planning approval to verify If there any restrictions. 1 a
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011VocrevildO3116111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
Ill ADDRESS: 18781 ARATA WAY DATE: 06/04/2013 REVIEWED BY: MELISSA
APN: 375 12 027 BP#: *VALUATION: $7,500
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
_____TPRIMARY PENTAMATION 1SFDWLR00F
USE: SFD or Duplex PERMIT TYPE:
WORK TEAR OFF E T& G INSTALL N PLYWOOD &CLASS A COMP SHINGLE
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,900
0
v :
-tile<ch. Plan Check Plumb, Plant Check Elec. Plan Cheek
X1ech.Permit Fee: Plumb.Permit Fee: glee.Permit Fee:
Other Alech.Ins,z. Cather Plumb Insp. Other Glee Insp.
:tle:ch. Insp.Fee: Plumb. Insp. Fee: Elec,Insp.Fee:
NOTE.This estimate does not include fees due to other Departments('tie.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These faes are based on the preliminary information available and are only an estimate. Contact the De t or addn'1 info.
FFEE ITEMS (Fee Resolution 11-053 E . 7ff 11112) FEE QTY/FEE MISC ITEMS
Checl�If'ec?:
l. PC Fee
Plumb.11fech./Elec
Permit Fee: $285.00
.S'uppl. .Insp Fee
Plumb./ilfech./Elec
Plumb.11fech-l'Elee Permit Fee:
Consiruction Tax:
Administrative Fee:
Work Without Permit? ®Yes Q No $0.00
Advanced Planning Fees:
Travel Documentation Fees: �
Strong Motion Fee: 1BSEISMICR $0.75 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
$286.75 $0.00 O t" ffi $286.75
_ � x �
Revised: 04/29/2013
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
CUPER`I'INO (408)777-3228•FAX(408)777-3333•building aecupertino.org
PROJECT ADDRESS �aC L /L APN# '3 .}� I Z O Z 7
OWNER NAME C PHONE E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
CONTRACTOR NAME LICENSE NUMBER ,. LICENSE TYPE BUS.LIC.#
COMPANY NAME E-MAIL FAX
C
STREET ADDRESS CITY,STATE,ZIP PHONE
,3-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.
5. 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-roofing is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of I/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 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 detecto a required to be installed in accordance with Sections R314 and 8315 of
the 2010 California Residential Co
Signature of Applicant/Agent: Date:
ReroofPo1icy_2012.doc revised 10/7/12