15080152CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8081 PARK VILLA CIR
CONTRACTOR: FOUR SEASONS
PERMIT NO: 15080152
ROOFING
OWNER'S NAME: SMITH MARK AND FOO QUEEN-LEE
PO BOX 1668
DATE ISSUED: 08/20/2015
OWNER'S PHONE: 4085591977
SAN JOSE, CA 95109
PHONE NO: (408)278-0330
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E]
3 UNITS, 1 BLDG (8081 FOR PERMIT PURPOSES ONLY) -
License Class Lic. # y�� �U
TEAR OFF (E) TILES (NO PLY) & INSTALL 2 LAYERS 40#
FELT & (N) CLASS A "S" TILE ROOF SYSTEM (16 SQ'S)
Contractor��jr - Date /
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
performance of the work for which this permit is issued.
Sq. Ft Floor Area:
Valuation: $6405
!tbave and will maintain Worker's Compensation Insurance, as provided for by
ection 3700 of the Labor Code, for the performance of the work for which this
1PN Number: 35610078.00
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 PE SUANCE 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 FRO LED 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-
— Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
�
RE-ROOFS:
N
Signature ���� Dat_50*
`"'//T�
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
A
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. 1 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 1
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.
Owner or authorized agent:
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
REROOF PERMIT APPLICATION
I COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • PAX (408) 777-3333 • buifdin Ccurertinq.grn
CUPERTINO i U
7APXF
r o r
I / ,/.�i�j PHONE %
E idAtL
��' o `� ZZ �� �� 9 Sd/y F
CONTACT N- ME PHONE E-MAIL
/ 3E Z46.0
STREL'r ADDRLSS
CITY. STATE, ZIP
FAX
❑ OWNER ❑ OWNER-0I}TLDER ❑ OIWERAGE`1T CONTRACTOR ❑CON RACTORAGENT ❑ ARCHIYECr ❑ ENGNEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR N'AME
LICENSE N[ ` RER LICENSE TYPE
BUS.
COMPANY NAME
i .IAIL
FAX �yu� �»
e� - -
STREL-T A SCIT
TATE.L
C%' S'.�/�z
PHONE
�
s,✓
� �'- .33�
ARCHrTECT'fENGiNF.FR NAME
LICENSE NUMBER
BUS. LIC. k
COMPANY NAME
E-MAIL i
F:LY
sTRELT ADDRESS
CI -11% STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex N4ulti-Family
ROOF AREAL
VALI 1.AMON
/06
44 r
STRUCTURE ❑ Commerciai
f es
EXISTING ROOF TYPE ❑ BUILT -IIP ROOF ❑ ASPHALT SHINC.Lr%'; ❑ tl OOD SHAKES ❑WOOD SHINGLES XOTHER (SPECIFY) -777,'
RFMOVEIRFPLACE JR.US IF NO.
PLYWCXED ❑ ", ❑
PLYWD ❑ OSB PITCH:ROOF
❑ VO OLAYERS
V
C Y—�-F---ry/-- :12
CLASS A
PROPOSED ROOF TYPE: ❑ BUILT -IIP ROOF ❑ ASPI !ALT SHINGLES ❑ WOOD SIIAKES ❑ WOOD SIRNGLES JO OTHER � + lC
ICC -ES REPORT z
DESCRIPTION OF WORK'
✓c i z/f7 /c UO y/ x, S .G,� up GGrZG�Grllc /�TGl2 �.
/ \,c-
By my signature below, I certifi• to each of the following: I am the property owner or authorized agent to act on the pro •ners bcha 1 haveSodibls
application and the information I have provided is correct 1 have read the Description of Rork and verity it is accurate. t agree to comply w plicablc local
ordinances and state la%%s lelatin� to building construction. I authorize representatives of Cupertino to enter the abovC-identified property for inspection purposes
Si_enature of ApphcanUAgent: --'C ^ — Date: 'S
SUPPLEMENTAL [NFOR.MAIION REQUIRED
c'•FFK F. USE ONL V
PL%N CHECK TYPE
ROTTING SLIP
If building is associated with a Home Owner's Association, provide letter
❑ OVBR-r1I&C011N ER
C BUILDING PLAN REVIEW
of approval tiom NOD.
Provide Planning approval to verify ifthere any restrictions.
D EXPRESS
❑ PLANNING PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications.
U sr.aNnattD
❑ FuIE DElrr
Provide signed copy of Cupertino's Tear -Off Pol icy.
❑ OTUER:
Reroof-4pp_201 Lduc revised 03/16111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
FEE ID ROOF AREA
s.f.
1REROOFMRES 1,600
DDRESS: 8081 - 8085 PARL VILLA CIR
DATE: 08/20/2015
REVIEWED BY: MELISSA
W
PN: 356 10 078BP#:
Floc. Permir Fee:
'VALUATION: $6,405
PE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE:
Buildina is
3 Stories 0 Yes 0 No
PENTAMATION 1 R2ROOF
PERMIT TYPE:
WORK 13
UNITS 1 BLDG 8081 FOR PERMIT PURPOSES ONLY - TEAR OFF E TILES NO PLY &
SCOPE I
INSTALL 2 LAYERS 40# FELT & (N) CLASS A "S" TILE ROOF SYSTEM (16 SQ'S)
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, Hire, sanitary Sewer Utstrtct, Scnoot
M: it:rf aIr Tl.... tone oro hacod an tho nrotiminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eft' 7%1'13)
Vech. Plan Check
Plumb. Plan CheckF-T
Elec. Plan Check
,Veeh. 1':
Plumb. Permit Fe,
Floc. Permir Fee:
Other Alech. Insp
Mier Plumb Insp. Lj
7ther Elec. Insp LJ
ilech. Insp. Fee:
'lumb. hist). Fee:
Iec. Insp. Fee.
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Hire, sanitary Sewer Utstrtct, Scnoot
M: it:rf aIr Tl.... tone oro hacod an tho nrotiminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eft' 7%1'13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Tee:
Suppl. PC Fee
Phtmh./A,1ec17JF,lec
Permit Fee:
$272.00
Suppl. Insp Fee
Plumb. 111ech./Elec
f'htnth.i:A,lech./Elec Permit Pee:
Construction Tax:
T_T_
lchnirti.�tr•xtiti•e f�':E
Work Without Permit? 0 Yes Q No
$0.00
,1ch'uricVC1 Plarming Teres:
i'r0n'el Docurnenlation 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:
F $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 950143255
Cl3PERTiNO
(408) 777-3228 - FAX (408) 777-3333 - buiidingftcupftno.orq
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.
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 8314 and R315 of
the 2013 California Residential Code. or_
Signature of Applicant/Agent: . f �--- Date: �5
ReroofPo1icy_2014,doc revised 01/15/14
�✓,,A-
F'_"'#
;S�6 -to -
00-79
OWP'�"....
o ^ f
PHO N J, ) E-MAIL
$I 'TAD FCc
lITV CT67I '/
FAJ(
CONTRACTOR N
�z-�
LICENSE NUMBER
tils �,, 712/G .Ss
LI PE
L�
BUS. 9
C0Jjaqy NAME
/1
E-MAIL
F11 ✓ /
—a;�3
SIR . DRES'
CI STATE
PHONE y"
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.
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 8314 and R315 of
the 2013 California Residential Code. or_
Signature of Applicant/Agent: . f �--- Date: �5
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, 1
/ a
lvrt
Diana k. Johnson
Vice -President
Community Management Services