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14030125 (2)CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1087 KENTWOOD AVE CONTRACTOR: REROOFING & PERMIT NO: 14030125 CONSTRUCTION INC OWNER'S NAME: HENG -CHENG PAI 15230 CLYDELLE AVE DATE ISSUED: 03/20/2014 OWNER'S PHONE: 4082217804 SAN JOSE, CA 95124 PHONE NO: (408)626 -9320 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ q 2 1 Z (28 SQ'S) TEAR OFF (E) WOOD SHAKE, INSTALL (N) PLY License Class t Lic. # T�9 ON 2ND STORY ONLY & RE -ROOF WITH PRESIDENTIAL CLASS A ROOF SYSTEM Co tractor �thep te I here rm that sed under visions 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 Sq. Ft Floor Area: Valuation: $14000 performance of the work for which this permit is issued. ave 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: 35930015 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 D .% FR LED 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: ZV granting of this permit. Additionally, the applicant understands and will comply _ Y with II non -point source regulations per the Cupertino Municipal Code, Section 9 8. d RE- ROOFS: nature Date 7fs shall be inspected prior to any roofing material being installed. If a roof is ' out first obtaining an inspection, I agree to remove all new aterials for on. ❑ OWNER- BUILDER DECLARATION e of c Date: I hereby affirm that I am exempt from the Contractor's License Law for one 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 Area Air Quality Management District I performance of the work for which this permit is issued. will m ' am plian with th upertino Municipal Code, Chapter 9.12 I have and will maintain Worker's Compensation Insurance, as provided for by the alth & Sa Code, Sections 550 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Own or autho iz a Date: 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 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 9 18. Signature Date 2071!doe revised 03116111 IM-7, CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION imlADDRESS: 1087 KENTWOOD AVE DATE: 03/20/2014 REVIEWED BY: MELISSA APN: 359 30 015 BP #: *VALUATION: 1$14,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex M` P, /'C(?.' PENTAMATION PERMIT TYPE: 1SFDWLR00 WORK 28 SQ'S TEAR OFF E WOOD SHAKE INSTALL N PLY ON 2ND STORY ONLY & RE -ROOF SCOPE WITH PRESIDENTIAL CLASS A ROOF SYSTEM FEE ID ROOF AREA s.f. 1REROOFFRES 2,800 g FEE Ll��c f l'Iatz C r��cfl f'ftanh. flan Chc-A' 1,111M I), P£tmi(fec. Slim'L PC Chhc i` .l)t�c /r. 17 st> Ofiwr Plumb Ira n. ( the;' )aec insp. M` P, /'C(?.' 1','u1uh. lush, Fee: 11'1,e . Imp, NOTE: This estimate does not include fees due to other Departments (Le. 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 De t or addh7 info. FEE ITEMS (Fee Resolution 11 -053 E . 711113) FEE QTY/FEE MISC ITEMS Slim'L PC Permit Fee: $448.00 / j11- {7'tiP1. ('C' f- je`.7 "n71t1`c>e: L;l)7[so-Ilction, T-T r�C li7117f. `J ll?i s'c' 1''ee: Work Without Permit? ® Yes 0 No $0.00 4(fivi971C'E.d 1Tlarn1 /17L Fec"S: 11 -avel 00"'I"me7foiion I,ees: Stronp, Motion Fee: IBSEISMICR $1.40 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 .. 1, w, &� a $450.40 $0.00 TOTAL FEE: F $450.40 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(ftupertino.orp PROJECT ADDRESS �) 111 (iii) (• A A j ' lJ j VP`H/ONF� APN # r/� 7 0 O /� J OWNERNAME t%� 22 ^ E-MAIL STREET ADDRESS f� �J CITY, STATE,, ZVIP FAX CONTRACTOR NAME ,� {�, t . ( LICENSE NUMBER {7 2 �I�Q . LICENSFji 15 � J BUS. LIC. # CJ G (j COMPANY NAME �l �jC(1 i ,1� '� v // I vj E-MAIL FAX STREET ADDRESS � %(111 ,`�� Wl\ , 6 Atc CITY, STATE, ZIP J J "- PHONEf 0& � f `% h i� J 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 I/" 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 detectors re required to be i d in accordance with Sec ions R 14 and R315 of the 2013 California Residential ode. — � e� SiRnatare of Applicant/ A ent: l Date: v ` ReroofPolicy 2014.doc revised 01115114 CUPERTINO Address SMOKE I CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildina(ftupertino.org ow wum hw , , Permit No. j"L� PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN 51G AND RETURN_ D TO THE BUILDING DIVISION PURPOSE This affidavit is a self - certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION V,xisting single- family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide .!harms be installed in the following locations: AREA SMOKE ALARM CO ALARM .Outside of each separate sleeping area in the immediate vicinity of the X X bed room (s) ............... ....... nature ..... ........... ....... On ever level evel of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. [lower Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs -or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and C13C Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has /have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. m, Fh- ra.,,,� o>,A rnnri;iinnc of thi.S starPmenf . r Have rtidu Owner (or Owner Agent's) Name: dllu cr tau w wur r H �n 4 -c,N E�Jbr P6 ' ontra5gr Name. Si nature...... 7 ............ ................ ............ ...................�........... Date: ................... ..... ....... �j �O1T%l� h 1 I I Si ic.# ......,1.. ... J.... ....... Date: �..........L. . lJ ............... ....... nature ..... ........... ....... C/ Smoke and CO form. doc revised 03 118114