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140501241" CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10611 TUGGLE PL CONTRACTOR: PRINCIPLE ROOFING, PERMIT NO: 14050124 INC OWNER'S NAME: JACK AND LINDA LIU 10160 STERN AVE DATE ISSUED: 05/21/2014 .OWNER'S PHONE: 4088987298 CUPERTINO, CA 95014 PHONE NO: (408) 898 -7298 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL REMOVE (E) ROOF, INSTALL (N) CLASS A COMP ROOF License Class G 30 Lic. # i i% SYSTEM (19 SQ'S) Contractor Date O', 2t 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 Sq. Ft Floor Area: Valuation: $12000 rformance 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: 37534064 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_DD IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter tr upon the above mentioned property for inspection purposes. (We) agree to save fir'_ 18 +RO 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 �! granting of this permit. Additionally, the applicant understands and will comply I ued b ate: with all non -point source regulations per the Cupertino Municipal Code, Section RE- ROOFS: 9 18. Signature ` Date G� 2i All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I 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. 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 District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this ` Owner or authorized agent: 1 "` `= Date: a�(� 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 (See. 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 ReroofApp_2011.doe revised 03116111 CITY OF CUPERTINO �VU UcrrTna A rr"D — 121T11 .i 1T+%TV IIIVICI0N LaADDRESS: 10611 TUGGLE PL FEE DATE: 05/21/2014 REVIEWED BY: MELISSA APN: 375 34 064 BP #: *VALUATION: 1$12,000 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Du 12X P $304.00 PENTAMATION PERMIT TYPE: 1SFDWLROOF USE: WORK REMOVE E ROOF INSTALL N CLASS A COMP ROOF SYSTEM 19 SQ'S .ons r cwllio on SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 1,900 NOTE: This estimate does not include fees due to other Departments (i.e. rlanning, ruouc rr urns, lire, our -tuiy —mci Heusi ea y va •wvc _ _ .v _ ✓ ....:........:..c .. s:....... ..a..l. /., os,d n. n.r /v nsa octisanto C'nntart the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan F(w. Permit Fee: $304.00 Per tnii Fee: .ons r cwllio on Work Without Permit? 0 Yes (F) No $0.00 Plriin lifts; Fees: 17 "i i'E'l Dol—Lit7lc`nloiiori Fees. Strong Motion Fee: IBSEISMICR $1.20 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 >� - ,p TL $306.20 $0.00 TOTAL FEE: $306.20 Revised: 04/01/2014 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 - buildinQCa)cupertino.ong PROJECT ADDRESS APN # � l 2 I � v 6 / W ONERNAME �N�Q �� ONE C E -MAIL, STREET ADDRESS CITY, STATE, ZIP FAX CONTRACTOR NAME LICENSE NUMBER a- LICENSE TYPE G BUS. LIC. # COMPANYNAMEnA^N E -MAIL FAX STREET ADD $SMMU,, ! v �^ �✓ , J CITY, STATE, ZIP PHONE t 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 are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: Date: ReroofPo1icy_2014.doc revised 01115114 1. Hi. Address SMOKE / 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 • building(Wcupertino.org Permit No. 1. 4 6 ii 0 i 2 !f 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 Existing 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 CSC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do got contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms mb�med with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office the State Fig! Marshal. Power Supply: In dwelling units with no commercial powedatte Xly, al may be solely battery operated. I In existing dwelling units, alarms are permitted to solely ated where repairs or alterations do not result in the removal of wall and ceiling finishes or there ' ccess by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.1 d 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. I have read and agree to comply wi ffi the terms and con Al ions of this statement Owner (or Owner gent's) Name: Li k Signature ................ ................ ............................... Date: _ 3-p ... Contractor Name: t Signature ......... t ..... .............. •.................... Lic.4..:V5b V.,� ......... Date: . Smoke and CO form. doc revised 03118114