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15080096CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8063 PARK VILLA CIR CONTRACTOR: FOUR SEASONS PERMIT NO: 15080096 ROOFING OWNER'S NAME: LIN SU L ET AL PO BOX 1668 DATE ISSUED: 08/12/2015 OWNER'S PHONE: 4085591977 SAN JOSE, CA 95109 PHONE NO: (408)278-0330 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 1 BLDG - UNIT #'S 8063, 8065 & 8067 - REMOVE (E) License Class Lic. # l% .2 �U� ROOF TILE AND UNDERLAYMENT AND INSTALL 2 (N) Contractor' Z Date !L LAYERS OF NEW ROOF FELT AND (N) BORAL OS CLAY d�r. "S" 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: $6405 rformance of the work for which this permit is issued. 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: 35610087.00 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 O UANCE 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 INSPECTI N. indemnify and keep harmless the City of Cupertino against liabilities, judgments costs, and expenses which may accrue against said City in consequence o Z granting of this permit. Additionally, the applicant understands and will comply Issue e: with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signature Date ( 2 /) 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 r Signature of Applayi_- G :— Date: 5 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 theerformance of the work for which this p - Owner or authorized agent:g� 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 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 950143255 (408) 777-3228 •FAX (408) 777-3333 • building _cuDerfino.org/ �O � Q � ^� PROJECT ADDRESS � LW4 It! APN # / / fJ / /+�� Jp ( V Sba 3 -, F06 - �� i,. � arc - O NAME I/�"t5 GJZf /<rK ,t`�6cI !%"'� PHONE (�7�d�) E-MAIL STREET DDRESSCrrY TATE ZIP FAX ryG� CONTACT NAME _ PHO EN(� E -:NAIL l t a! c3 STRLE-I ADDRESS CITY, STATE, 'LIP FAX ❑ OWNER ❑ oWNERBU[LDER ❑ OW-NMAGENT CONTRACTOR ❑Co2NTRACToRAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT COiNTI(ACTOR E -rt LICEN ENIJMBER LICENSE TY a3 BUS.L d#/ 3;z COMPANY NAME &MAIL FAXC� � 3 y 3 STREET S Cr TATE, PHONE.��%�i�� /r �S Td ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex Multi -Family ROOF AREA: VALU TION: WWSTRUCTURE: ❑ Commercial /!j 5 S 0 EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES OTHER (SPECIFY) -777e REMOVE MEPLACE �(j:S IF NO, PLYWOOD ❑ '!:" ❑ PLYWD ❑ OSS PITCH: ROOF❑ O # S 5 i! " TLY C C S:`�PROPOSED L-41 ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES AAI or ER[CC-ES REPORT # DESCRIPTION OF WORK: . l-,5 All".4Ale-< /�,rs U.--1� 4c--/ yam#i� 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 th=/; property for inspection purposes. Signature of Applicant/Agent: C' ' - Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY If building is associated with a Home Owner's Association, provide letter PLAN CHECK TYPE ROI rIING SLIP >(r, 1R-THEd'OISN1-F.R ❑ BUILDING PLAN REVIEW of approval from HOA. — Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Provide copy of Manufacturer's Installation Specifications. ❑ s4ANDARD ❑ FIRE DEPT Provide signed copy of Cupertino's Tear -Off Policy. ❑ OTHER: ReroofApp 2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION FEE ID ROOF AREA s.f. 1REROOFMRES 1,600 8063 PARK VILLA CIR DATE: 08/12/2015 REVIEWED BY: MELISSA PAIADDRESS: APN: 356 10 087 BP#: `VALUATION: 1$6,405 rPERMIT TYPE: Minor Building PermitPLAN CHECK TYPE: Re -roof PRIMARY Multi -Family Dwelling USE: Building is 3 Stories 0 Yes Q No PENTAMATION 1 R2ROOF PERMIT TYPE: WORK 1 BLDG - UNIT #'S 8063 8065 & 8067 - REMOVE E ROOF TILE AND UNDERLAYMENT AND SCOPE INSTALL 2 (N) LAYERS OF NEW ROOF FELT AND (N) BORAL OS CLAY "S" TILE (16 SQUARES) FEE ID ROOF AREA s.f. 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.. Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'Z info, FEE ITEMS (Fee Resolution 11-053 E . 7/1113) ;ilech. flan CheckF_ Plumb. Plan Check Islec..Plan Check :Tech. Permit F Plumb. Permit Fee: Elec. Permit Fee - Other Mech. Irtsp. 01her Plumb Insp.Ll I )cher Elec. Insp. F" NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'Z info, FEE ITEMS (Fee Resolution 11-053 E . 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee Plumb./17ech./Elee Permit Fee: $272.00 Suppl. Insp Fee Plumb.%11ech.; Elec; Plunib,/Mech.iE,lee Permit Feer: t ortstruction Tax.- ax:Administrative AdministrativeFee: Work Without Permit? ® Yes Q No $0.00 Advanced Plannini - Fees: Travel Documentaliori Fees: Strong, Motion Fee: IBSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $273.83 $0.00 TOTAL FEE: $273.83 Revised: 07/02/2015 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 CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - building(&cupertino.org PROJECT AD RESS • APN H T OWNER7NNAME (�f`3 i ` PHO Nf� �,� EMAIL BitiAcLlsis� b! ✓I ylG c! i 7 7 S17T ADDR / CI ,STATE IP - _ FAX CONTRACTOR N 7'ri-,- G - � LICENSE NUMBER /ms ' TYPE s BUS. H ' COMPANY NAME E-MAIL FgdC` f STREETj DRES CI ,STATE, PHONE 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/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 8315 of the 2013 California Residential Code. Signature of Applicant/Agent: J �._ _ ------ Date: ReroofPo1icy_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; 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, Diana k. Johnson Vice -President Community Management Services