13060082 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10875 NORTHVIEW SQ CONTRACTOR:FOUR SEASONS PERMIT NO:13060082
ROOFING
OWNER'S NAME: CHRISTOPHER C CHENG PO BOX 1668 DATE ISSUED:06/10/2013
OWNER'S PHONE: 4089960386 SAN JOSE,CA 95109 PHONE NO:(408)278-0330
[3L ENSED CONTRALTO 'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License Class Lic.# RE-ROOF 12 SQ-REMOVE EXISTING COMWOOD ROOF
SYSTEM
Contractor DaYe �3 AND INSTALL NEW GAF GRAND SEQUOIA
I hereby affirm that I am licensed un the provisions of Chapter 9 SHINGLEROOF,
(commencing with Section 7000)of Division 3 of the Business&Professions CLASS A
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:$5200
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:31636007.00 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 WITHINO 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 ., Rpt LAST CALLED INSPECTION.
indemnify and keep harmless the City:of Cupertino against liabilities,,judgments, • �,y
costs,and expenses which may accrue against said City in consequence of the Issued by: Date: V•
granting of this ermit. Additionally,the applicant understands and will comply
with all no of source regulations per a ertino Municipal Code,Section
9.18.
RE-ROOFS:
Signatu Date G�� All roofs shall be i ected prior to any roofing material being installed.If a roof is
installed 'thout first btaining an inspection,I agree to remove all new materials for
inspecti
❑ OWNER-BUILDER DECLARATION
Signature of Date:
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 isnot 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 perjuiy 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 ►nt in compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the ea &Safety Code, ctio 50 , 533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this O uze a Date
permit is issued.
1 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
10300 TORRE AVENUE•,CUPERTINO,CA 950143255 U
(408)771-3228 FAX(408)777-3333 buildaipdcu g0loo.ora ,50
CUPERTINO
Ato
3 E-MAIL
A
U
FAX STREPTADDDRES STATEZIP4
CONTACT NAME PHONE E-MAIL
r- f—
sD��j 3
❑oWNER ❑ oWNER-9UB.DER ❑OwNER AGEKr - CONTRACTOR E3CON'rRAGTOR AGENT 0 ARcffn r 13 FNGmEER ❑ (D�EVUDPER ❑TENANT
CONTRACT R NAME LICFiN31: ; LI3 �I 7�i
COMPANYNAME �(jj// P,N 0E-MAR. F�r�I 33
3ej�D c�1" sTATE,,W j34 .219—CJ 3 y0
ARCHrIECTIENGINEER NAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex Farnily XROOF AREA: , 'WATION:
STRUCTURE: ❑ Commercial ;rr'10�200.
EXISTING ROOF TYPE: ❑BUQ.T-UP ROOF ❑ASPHALT sHwam ❑WOOD SHAKES ❑WOOD SHINGLES XoTf1ER(SPECIFY)aW
REMOVE/REPLACE YES WN0. PLYWOOD ❑ _� PLYWD ❑OSB PrrCH: :12 ROOF
NO 1 #10 S/a^
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF XASMALT SHINGLES ❑WOOD SHAKES ❑WooD SHINGLES ❑OTHER JCC-ES REPORT#
DESCRP TION OF WORK: p
i,�.,-, ccmi i- �' /t �s,�s Ove c,�•d'�'r
r
ture 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
nd the information I have provided is coned. I have read the Description of Work and verify it is accurate. I agree to complywith ail applicable local
nd state laws relating to budding construction. I authorize representatives of Cupertino to enter the abov identified property for inspection purposes.
Signature of Applicant/Agent: onto-
SUPPLEMENTAL INFORMATION REQUIRED
if building is associated with a Home Owner's Association,provide letter .00
Of approval from HOA. tll0_07111 OR
Provide Planning approval>to verify if there any restrictions. ] ❑ ptwA'iVl�l[G4<511
Provide copy of Mara facturees Installation Specifications.
_Provide sighed copy of Cupertino's Tear-OffPolicy. °fir
7 S
ReroofApp 2011.doc revised 03116111
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
90300 TORRE AVENUE•CUPERTINO;CA 95014-3255
CUpr T-040,
(408),777-3228 FAX(408)777-3333•buiidincna cupertinQ.or4
PROJE s ) APN fI
E-MAIL
STREET ADORESS CITY,STATS,ZIP FAX
CQ CfOR M LICENSE NUM fiR LI BUs.
ANY FAX
STR£ECADDRES CITY,STA , C I/ —2 PHONE
-I UNDERS'T'AND 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 instineetion 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 Ins»ec#ion is reauired. 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 reauired.
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
-req uire'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%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 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 ahother 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 anon. Re detectors are requir to be installed in accordance with Sections 8314 R315 of
the 2010 CaliforniaResia MdeZ
.
Signature of Applicant/Age Date:
ReroofPolicy 2012.doc revised 1017/12
NORTHPOINT HOMEOWNERS ASSOCIATION
Northpoint Homeowners
Association
110880 Northpoint Way April 23, 2013
Cupertino, CA 95014
PI- : 408-996-3734
FX: 408--996-0226
UNG Community City of Cupertino
"Vianagement
6840 Via Del Oro
Suite'465
San Jose, CA 95119 Re: Roofs
PH: 408-229-6000
FX: 408-229-6001
To whom it may concern;
Northpoint Homeowners Association has contracted Four Season's
Roofing to install new GAF Grand Sequoia Roof Shingles on homes
here at Northpoint.
Sincerely,
Linda Starnes
On Site Manager