14080125CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10026 SPANISH OAK CT
CONTRACTOR: IQV CONSTRUCTION
PERMIT NO: 14080125
INC
OWNER'S NAME: CHANG GABRIEL KAI LANG TRUSTEE
820 CHARCOT AVE
DATE ISSUED: 08/15/2014
OWNER'S PHONE: 4085591977
SAN JOSE, CA 95131
PHONE NO: (408) 582-9200
JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL
❑ LICENSED CONTRACTOR'S DECLARATION
CARPORT - TEAR OFF (E) SHAKE, INSTALL (N) CLASS A
— Q
COMP ROOF SYSTEM (7 SQ'S)
License Class Lic. # t�!
Contractor Date
I hereby affirm t at I am licensed under the pi .sio s 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
performance of the work for which this permit is issued.
Sq. Ft Floor Area:
Valuation: $1858
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 34232076 00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT E S IF W IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITIIIN 1 0 DAYS OFYERMIT 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
N.
180 DAYS F M T CALLED INUZI
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Issued by: Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulah,ons per the Cupertino Municipal Code, Section
9 18.
RE -ROOFS:
Signature Date
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspecti0 I agree to remove all new materials for
inspection.
Signature of Applicant: Date:
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVER GS 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
the Health & Safety Code, Sections 25505, 255 P9 t4d 25534.
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
Owner or authorized agent: 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
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
■\r�\Vvl- i i..�\lilll 1-11 1 1+IVA{{V/{\ ,^
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION.
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
CUPERTlNO. (408) 777-3228 • FAX (408) 777-3333 • building ftupertino.org \ �J
PROJECT ADDRESS /OD��,, -2 32 0 17459
OV'NERNAMP �% „/ `/f / A� PHQ)�64" IT -� E-MAIL
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STREET ADDRESS CITY, STATE, ZIP . FAX
CONTACT NAME PF101tIj E-MAIL
STREET ADDRESS
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CITY, STATE, ZIP
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❑ 01VNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER Cl TENANT
•CONTRACTORNAME
LICENSENUMBER
LICENSE TYPE
BUS. LIC,
COMPANY NAME
E-MAIL
FAx
STREET ADDRESS
CITY, STATE, ZI
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ARC1711TECT/ENGINEERNAME
LICENSE NUMBER
BUS. LIC. 9
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE or ' ❑ SFD or Duplex ❑ Multi -Family Rr-- VALUATION: Q
Commercial
STRUCTURE:❑ (J/�
EXISTING ROOF TYPE: -BUILT-UP ROOF ❑ ASPHALT SHINGLES (� WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY)
REMOVE/REPLACE ®YES
Jr NO,
PLYWOOD ❑ I�" ❑
PLYWD ❑OSB
PITCH:
ROOF
❑ NO
U i,AYER
TIrICIaIF.SS ❑ 5/6"
- TMC
TYt'E: ❑ CDX
2
CI,.ASS A
-- .....-_...--- -----._...--- -- _... - ----- ---.... - - --
PROPOSED ROOF TYPE: BUILT-UP ROOF ❑ASPHALT SHINGLES .11 WOOD SHADES El WOOD SHINGLES �I OTHER----..._- RTTj� ----
- PO
ICGCSRE
DESCRIPTION OF WORK -�
rlf ,r✓L t` t C�
tiJ fil. fit rr 00 /A -I �C'� �' �� •' S
By my signature below, I certify to each of the following: I am the property ovener or authorized agent to act on the property oHmer's behalf. I have read this
application and the information I have provide 's correct. I have read the Description of Work and verify it is accurate. I agree to comply veith all applicable local
ordinances and state laws rclatingytp unstruction. I authorize representatives of Cupertino to enter the above- ideentified/property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL IITTFORMATION REQUIRED .��t, wcJriicLiJs>.or,L�7 ?��-.� .
_If building rri atltrNx��,$t 4`kl�lr�s�� �s�y„;
is associated with a Home Owner's Association, provide letter
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
_ Provide copy of Manufacturer's Installation Specifications,
L,�tl
I•:II2I'DI;1-�
. - nra _ -�' , i4,r4
— Provide si nedcoPY ofCu ertino's Tear-OfPolic , 93
Re roofilpp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
imADDRESS:
10026 SPANISH OAK CT
DATE: 08/13/2014
REVIEWED BY: MELISSA
MISC ITEMS
APN: 342 32 076
BP#:
*VALUATION: 1$1,858
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY SFD or Duplex
USE:
PENTAMATION 1 SFDWLROOF
PERMIT TYPE:
WORK
CARPORT - TEAR OFF E SHAKE INSTALL N CLASS A COMP ROOF SYSTEM 7 SQ'S
SCOPE
$119.00
cl.tech. J'I£ti7
T3Et-f:Pli). _�jIG'77 C<J1E'CI£'
Ofher Ph ari b 1rsp, FT
lheprb , Insr,, Fee,-
Check
Eec, l'<t<rt s"<...
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
,uzstrzct, etc.. 1 nese,fees are aasea on the preumina information avauame ana are onty an estimate. contact the ve t or aaan'[ info.
FEE ITEMS (Fee Resolution 11-053 Eff. 711113)
FEE
QTY/FEE
MISC ITEMS
:-uj,Jpt..r".bC.e "I'l:
I Ifii n I
Permit Fee:
$119.00
Plum b.':'lbech.: flee
(.:afZrt7i >. .tlE;s;iZ<iF t'f'L; '<7^1B T L'e
'1cinlirlislr alive Fee:
Wiffio)ut Permit? 0 Yes 0 No
$0.00
#Work
F)�l.(I,Yf.$Pff'i�C?.#}F£7'L'i�,� d a'd%:s,<
Tr'`l,�ve �.ICJC.'Z�P?d(:lllation [7`ees:
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldiz Stds Connnission Fee: 1BCBSC
$1.00
.. r . ,, . n
$120.50
$0.00 _._.._.. TOTAL "FEE ''
$120.50
Revised: 07/10/2014
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(abcupertino.org
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PROJECT ADDRESS/�� % a
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APN #
OWNERNAME
PHONE
E-MAIL
STREET ADDRESS
r0Q Cnr row V70
CITY, STATE, ZIP
FAX
CONTRACTOR NAME
LICENSE NUMBER�6� � / �
LIC N E TYPE
BUS. LIG #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
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 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/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 monoxid tectors are required to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential e. -, /
Signature of Applicant/Agent: �-' Date: c} `�/'�� I
ReroofPo1icy_2013.doc revised 10/20/13
August 11, 2014
City of Cupertino
Building Department
10300 Torre Avenue
Cupertino, CA 95014
Re: Westridge Country Club Homes Association
Gentlemen:
This office is the management company for the above homeowners association and the
Board of Directors requests your assistance in obtaining a Permit for the installation of
new roofs at this complex in Cupertino, CA 95014.
Please be advised that IQV Construction, Inc. or Jim Lyons of Construction Services, Inc.
will be obtaining the permits on behalf of the Board of Directors.
Thank you for your anticipated cooperation.
Sincerely,
COMMUNITY MANAGEMENT SERVICES
Pauline M. A. Moore, Senior Association Manager
Westridge Country Club Homes Association
cc: IQV
CSI
Board of Directors