14030077C.
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21617 VILLA MARIA CT
CONTRACTOR: 7
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PERMIT NO: 14030077
OWNER'S NAME: XIAOLING SUN
DATE ISSUED: 03/13/2014
OWN 'S PHONE: 4083133146
PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
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TEAR OFF WOOD SHAKE, INSTALL 30 LB FELT, BATTENS
License Class ��_ Lic. # 7 G+q
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Contracto �-O Date — ��
LIGHT WEIGHT EAGLE TILE ROOF SYSTEM, CLASS A (3
PERMITS, ALL FEES ATTACHED TO THIS PERMIT 58SQ
I hereby affirm that I am licensed under the rovisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
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Code and that my license is in full force and effect.
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I hereby affirm under penalty of perjury one of the following two declarations:
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I have and will maintain a certificate of consent to self - insure for Worker's
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Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $57425
performance of the work for which this permit is issued.
• 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: 35623065 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 RMIT 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
18 LLED 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
3
granting of this permit. Add' 'o� Ily, applicant understands and will comply
Date: (
with all non -point source gulatjDns r the Cupertino Municipal Code, Section
9 18.
- '3 4 4�
RE -ROOF
Signature Date
All roofs shall be inspected prior to any roof aterial being installed. If a roof is
installed without first obtaining sp do agree to remove all new materials for
inspection.
❑ OWNER- BUILDER DECLARATION
Signature of Applicant: Date:
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. 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 Ar it Q lity Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cu in u ipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25 5, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner Date:
permit is issued.
or authorized agent:
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
CONSTRUCTION LENDING 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
918.
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 • building(cDcupertino.org �A
PROJECT ADDRESS APN # 3 / �J
OWNERNAME M) H NE E -MAIL
STREET ADDRESS CITY, STATE, ZIP FAX
CONTACT NAME ! +' PHONE E -MAIL
STREET ADDRESS CITY, STATE, ZIP I FAX
Ir❑ OWNER ❑ OWNER- BUII.DER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHTTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
COMTRAf'70 YNAMF, f — 4!:!:7 1 LICENSBhIUMBERa I LICENSB.TY% I BUS. LIC. #
= G
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. #
COMPANY NAME E -MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
USE OF ❑ SFD or Duplex X Multi- Family
AREA: j�./y��t[_/
VALUATIIOONN:
-_
❑ Commercial
,ROOF
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STRUCTURE:
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EXISTING ROOF TYPE: ❑ BUILT -UP ROOF ❑ ASPHALT SHINGLES
WOOD SHAKES ❑ WOOD SHINGLES
❑ OTHER (SPECIFY)
REMOVE /REPLACE ES
IF NO,
1
PLYWOOD
❑ Y." ❑
PLYWD
❑ OSB
PITCH:
:1 2
ROOF
L1
❑ NO
# LAYERS:
THICKNESS:
El 5/8"
TYPE:
❑ CDX
LASS:
PROPOSED ROOF TYPE: ❑ BUILT -UP ROOF ❑ ASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES
To CC -ES REPORT #
DESCRIPTION OF WORK:�'
ReroofApp_2011.doc revised 03116111
wo CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
imADDRESS: 21617 VILLA MARIA CT
DATE: 03/13/2014
REVIEWED BY: MELISSA
APN: 356 23 065
BP #:
''VALUATION:
1$57,425
'PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY
USE: SFD or Duplex
PENTAMATION
PERMIT TYPE: 1SFDWLR00 A
WORK
TEAR OFF WOOD SHAKE INSTALL 30 LB FELT BATTENS & LIGHT WEIGHT EAGLE TILE ROOF
SCOPE
SYSTEM, CLASS A (3 PERMITS, ALL FEES ATTACHED TO THIS PERMIT 58SQ TOTAL, 46SQ'S
li,,,Ji f-°lcott C. riu k phw;b Plan C%!cck tt if't'. Picin (h2 ,c {
1 i >ch Fee Phimb. Permit Tee:
oj'h Y 'Wool . Other Plumb 7&vu. Other In "'p,
Plumb Insp. Fee: L rt-c. Ir sp f vre-
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Aictrirt otr. ) Thoco fooe aro haeod nn tho nroliminary infarmatian availahlo and are nnly an octimaly_ Cnntart the vent for addn'1 info_
J
FEE ITEMS (&e Resolution 11 -053 Eff. 711113)
FEE
QTY/FEE
MISC ITEMS
�t
1 an 1' C.C:
Slippl, PC
Permit Fee:
$928.00
/:>e,.niiF Fee:
T-1
' Uhrinisf.rafi1'(? Fev'
Work Without Permit? ® Yes E) No
$0.00
(A'M,,, Ldf
i i "t;?':'<t Ti0t7t7 i'.Urt( l7t }77 Fees:
Strong Motion Fee: IBSEISMICR
$5.74
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$3.00
$936.74
$0.00. TOTAL FEE:
$936.74
Revised: 01/15/2014
CUPERTINO
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
(cDcupertino.or4
PROJECT ADDRESS � O � � ( �� /�r�(�'r iJ� G`-�' •
APN # O
OWNERNAME
`-3 l(O
E -MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
C O
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LIC�JS&.Fj�E�
BUS. LIC. #
CDIyOP Y NAr �� E
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I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2013 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or 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. The hours for this service are: 7:30- 10:30am and 12:30 -3:30 (Mon - Thurs)
and 7:30- 10:30am and 12:30 -2:30 (Friday). 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 /" 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 followin 's true: I am the property owner or authorized agent to act on the
ee
property owner's behalf. I understand and mply with the re -roof policy stated above. I also understand that
smoke detectors and carbon monoxide to ors required to be installed in accordance with Sections R314 a d R315 of
the 2013 California Residential Code
Sienature of AnDlicant/Aeent: i Date:
ReroofPolicy_2014.doc revised 01115114
PAT, OCTOBER 1, 2014
WE SPOKE EARLIER TODAY ABOUT A "TILE PROJECT I HAVE IN PROGRESS THAT NEEDS THE PERMITS
EXTENTED. REASON IS THAT THE TILE WAS DAMAGED ON DELIVERY AND DID NOT REALIZE UNTIL
FINISHING UP THE WORK AND THE PRODUCT IS BACK ORDERED. WE PULLED THREE PERMITS FOR THE
HOUSE #140300177 DETACHED.:GARAGE #14030078 POOL ROOM #14030079 PLEASE LET ME KNOW WHAT
THE TOTAL WILL BE AND I WILL CALL IN A CARD.
PROJECT ADDRESS: XIAOLING SUN RESIDENCE 21617 VILLA MARIA CT
THANK YOU, /1 '
CHUCK LINDA
CAL COAST ROOFING
408 -591 -0585