15080026C
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8057 PARK VILLA CIR
CONTRACTOR: FOUR SEASONS
PERMIT NO: 15080026
ROOFING
OWNER'S NAME: JIANG HAIBO H AND SHEN SHUIYING
PO BOX 1668
DATE ISSUED: 08/04/2015
OWNER'S PHONE:
SAN JOSE, CA 95109
PHONE NO: (408)278-0330
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E]
BLDG #8057,#8059,#8061 - REMOVE (E) ROOF TILE AND
License Class Lic. # / v
UNDERLAYMENT AND INSTALL 2 (N) LAYERS OF NEW
�
ROOF
Contracto �� ate S
FELT AND (N) BORAL OS CLAY "S"TILE (16 SQUARES)
1 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.
1 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: $7000
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
S ction 3700 of the Labor Code, for the performance of the work for which this
APN Number: 35610090.00
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
WIT�IIN 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 FROM LAST CALLED INSPE T N.
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
Issued by: 1 Date:
with all non-point source regulations per the Cupertino Municipal Code, Section
RE-ROOFS:
9.18.
Qr
Signature ' �`-----marc
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 Applicants
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
1, 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)
1, 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
1 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
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Sections 25505, 25533, and 25534.
permit is issued.
Owner or authorized agetft.wJ Date:
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
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
CUPERTINO
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building0cuDertino.org
PROJECT ADDRESS 7APN
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CITY. STATE, "ZIP
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❑ OWNER ❑ OWNERBUILDER ❑ OWNERAGENTCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNA,ME
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ARCHrrECT/E NGINEER NAME
LICENSE NUMBER
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COMPANY NAME
E-MAIL
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STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF O SFD or Duplex Multi -Family
ROOF AREA:
VALUATION:
STRUCTURE: ❑ Commercial
16
EXISTING ROOF TYPE: ❑ B(RLT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES %0THER (SPECIFY) -7,7C
REMOVE CE PIXI:S
IF No,
PLYWOOD ❑ h" ❑
PLYWD ❑OSB
PITCH:
ROOF
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CLASS.A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES JM OTHER � I �C
ICC -ES REPORT #
DESCRIPTION OF WORK:
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By my signature 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
application and the information I have provided is correct. I have read the Description of Work and verity it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent:Date:
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
PLAN CHECK TYPE
ROLTING SLIP
k If building is associated with a Home Owner's Association, provide letter
of approval from HOA.
ovkR-THE-CO1fN FR
BUILDING PLAN REVIEW
Provide Planning approval to verify if there any restrictions.0
ExPIESS
0 PIANNING PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications.
0 WANDARD
❑ FIRE DEPT
Provide signed copy of Cupertino's Tear -Off Policy.
❑ OTHER:
Reroof.App 201I.doc revised 03116111
Fm_ft
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
LMADDRESS:
8057 PARK VILLA CIRCLE
DATE: 08/04/2015
REVIEWED BY: PAUL
imN
APN: 356 10 090
BP#:
'VALUATION: 1$7,000
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE:
Buildino is
1 >3 Stories Q Yes Q No
PENTAMATION 1 R2ROOF
PERMIT TYPE:
WORK
BLDG #8057,#8059,#8061 - Remove E roof the and underla ment and install 2 N layers of new roof
SCOPE
felt and (N) Boral OS Clay "S" tile (16 Squares)
FEE ID ROOF AREA
s.L
1REROOFMRES 1,600
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc). These ees are based on the prelimina information available and are only an estimate. Contact the Dept for addn 7 info.
FEE ITEMS (Fee Resolution 11-053 Eff 7!1/13)
Mech. flan Check
Plumb. Plan Checrs
1-Jec. Plan Check
Llech_ Permit Fee-
Plumh. Permit T'c�
T;lec. Pe>rmit 1,
Other Alec h. Insp
I Vier Plumb Insp.
Other Elec. Insp. EI
lh•ch Iasl3. /,"',r
'H -h r.,,,,, 1.,",
%<x- Insp. /,t!c.
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc). These ees are based on the prelimina information available and are only an estimate. Contact the Dept for addn 7 info.
FEE ITEMS (Fee Resolution 11-053 Eff 7!1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
Suppl..PC Fee
Phtmb.111ech./Elec
Permit Fee:
$272.00
SuppL Insp Fee
Plumb.111ec h./Elec
Plunth./1iech./Elec Permit F'ee:
Construction Tar:
T -F
.4dministrotive Fee:
Work Without Permit? O Yes (F) No
$0.00
!Advanced Phinning Fees:
�
Travel Documentation Fees:
Strong Motion Fee: 1BSEISMICR
$0.91
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$273.91
$0.00 TOTAL FEE:
$273.91
Revised: 07/02/2015
REROOF TEAR -OFF POLICY
Is COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
CUPERTINO
(408) 777-3228 •FAX (408) 777-3333 • building .cupertino.org
PR JECT ADDRESS
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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 1/4" 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 monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code.
Signature of Applicant/Agent: •-r._ --- Date:
Reroo.fPolicy_2014.doc revised 01/15/14
WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION
WESTMONT PARK VILLAS HOA
c/o COMMUNITY MANAGEMENT SERVICES
1935 DRY CREEK ROAD
CAMPBELL, CA 95008
(408) 559 - 1977
8/1/2015
City of Cupertino
Building Department
To the City of Cupertino;
RECEIVED
AUG 0 4 2015
Please note, the Westmont Park Villas HOA has contracted and approved Four Seasons
Roofing to perform 57 re -roofs of our homes, replacing the current Tile Roofing system
with new BORAL U.S. TILE ONE PIECE MISSION "S" CLAY TILE SYSTEM. We
have selected the color CLAY RED to match our existing roofs.
Sin rely, kt"j
Diana k. Johnson
Vice -President
Community Management Services