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15080079CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10207 WILL CT CONTRACTOR: RUFF'S ENTERPRISES PERMIT NO: 15080079 OWNER'S NAME: CHAI THOMAS Y AND PING C 3643 EASTRIDGE DR DATE ISSUED: 08/10/2015 OWNER'S PHONE: 4088882727 SAN JOSE, CA 95148 PHONE NO: (408)528-6227 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMOVE AND REPLACE COMPOSITION ROOFING (3800 �-77 q ��( C'— 3 License Class T Lie. # SQ �O --Y Contractor Date_fp FT) I hereby a irm 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: $16000 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: 31625025.00 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 DAYS FROM LAST 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 ,) G Issued by9iv/ Gr! Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 'r Signature 29 `'Z Date RE -ROOFS: 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 �v //l✓G J� ! Signature of Applicant- Date: lJ I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL R OF 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 c Owner permit is issued. or authorized agent: , 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 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION (03 TORRE AVENUE • j /�. UPERTINO, CA 95014-3255 D�C �� 408 777-3228 • FAX 408 777-3333 • buildinct aacupertino.org _U PROJECT ADDRESS OwNERNAME ::5j� PHOI�y IFE-MAIL �[CrrY, STREET ADDRESS STATE, ZIP FAX co �o W � � � C � Ck-& f- r- >n o CONTACT NAME L PH NE E-MAIL STREET ADDRESS o }o`2 — w i (l cf- CIK, STATE, ZIP 4 O'ceC ►"-'- -o FAX ❑ OWNER ❑ OWNTER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO OR N 4E G . m L� ' ICENSE NUMBER C� LICFfE TYPE C_ BUS. LIC # COM NAM �lil �SP AIL �)�� I SCO F ^�1� AX C L / d:Tt Ii SWIG �V\Q 3b S ET ADD SS CITY, STATE, ZIP^ (i5/�f P ONE -SZsr-�ZZ� to >_ JaSP cfi` ARCHITECT/ENGINEER NA,4E LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP T;;O;; USE OF SFD or Duplex ❑ Multi -Family ROOF AREA: VALUATION - ❑ Commercial 3 S ST W 1 `y , O C) V STRUCTURE: EXISTING ROOF TYPE: ❑ BUILT-UP ROOF 4PHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE JE YES IF NO, I PLYWOOD ❑ W, ❑ PLYWD ❑ OSB PITCH:ROOF ❑ NO # LAYERS- THICKNESS: 135/8" TYPE: ❑ CDX :12 CLASS: A PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF --,in ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION F WORK: � eUL- e �� — s1��,�1P f 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 pr ed is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to ng nstruction. I a thorize r resent ives of Cupertino to enter the above -identified property for inspection purposes. C --t0 -"'-,( Signature of Applicant/Agent: _ Date: SUPPLEME/ALr] FORMAT ON REQUIRED OFFICE USE o'�I,Y PLAN CTIECK Tl -PE '01"I I N G SLIP If building is associate with a Home Owner's Association, provide letter OV ER -Tae -COUNTER. �f "'�1 BUILDING PLANRr)1ENi _ of approval from HOA. Provide Planning approval to verify if there any restrictions. EXPRESS ❑ ITE-kNSING PLAN RE�IEN, Provide copy of Manufacturer's Installation Specifications. ❑ S rA DARU ❑ FIRE DEPT Provide signed copy of Cupertino's Tear -Off Policy. ❑ OTAER: Reroof,4pp_201I.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 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 Preliminary information available and are onlv an estimate. Contact the Debt for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) ADDRESS: 10207 Will Ct DATE: 08/10/2015 REVIEWED BY: Sean Meek Permit h'ee: APN: BP#: "VALUATION: 1$16,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: iilmh. Insp. t', PENTAMATION 1SFDWLROOF PERMIT TYPE. WORK Remove and replace composition roofing 3800 sq ft SCOPE 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 Preliminary information available and are onlv an estimate. Contact the Debt for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) ilech. Plan Check I r00,. Plan Check lilec. Plan Check Meek Permit h'ee: I'llimb. Permit Fee: Elec. Permit Pee Otho- 1fech. h7sp. Numb hl"Np glee. hist). . - i I', iilmh. Insp. t', I:IP%. Insp. Fee - 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 Preliminary information available and are onlv an estimate. Contact the Debt for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 3,800 s.f. -$64t-Oei Re -roof /REROOFRES Suppl. PC Fee: Q Reg. 0 OT0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 "onstruc:lion Tcrx: .4c11i7i17i,S 'UIiVe 1"ee: G Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure E) O T%-etvel Documentation Fees: Strong Motion Fee: IBSEISMICR $2.08 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $3.08 $646.00 TOTAL FEE: $649.08 Revised: 07/02/2015 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL MUM 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 •FAX (408) 777-3333 • building a().cupertino.ora PROJECT ADDRESS -7 ) W ( Ci . -7 7N# OWNER NAME P ONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CrR Ne1vIrE \\ �+ (� LICE NUMBER f tet' LICE T1T BUS. LIC. k — COMPA NA �� (r hs �S A 1/lil Q • � ' � w � e r >n FAX r --16 S3(o 3 Sia oil 1J r_ � STATE, � e 9 S c Pate- S 2 V 22 A 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 un 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 ain 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 Co / SianatureofADDliCBnt/Aeent: /W Date: RerooJPolicy_2014.doc revised 0111.i/14