15090056I CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8105 PARK VILLA CIR I CONTRACTOR: FOUR SEASONS ROOFING I PERMIT NO: 15090056
OWNER'S NAME: DIAZ GLORIA H TRUSTEE & ET AL I PO BOX 1668 1 DATE ISSUED: 09/09/2015 1
OWNER'S PHONE: 4085591977 1 SAN JOSE, CA 95109 1 PHONE NO: (408)278-0330 1
LICENSED CONTRACTOR'S DECLARATION
License Class Lic. # OP—
Contractor f'!�fa'f /�+ Date
I hereby affirm that I am licensed under the provisions o 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:
t. 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.
2. 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
permit is issued.
APPLICANT CERTIFICATION
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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply with
all non -point source /a ' s pe the Cupertino Municipal Code, ection 9.18.
Signat rim Date g ��
❑ OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
t. 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.
2. 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
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shal
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
become subject to the Worker's Compensation provisions of the Labor Code, I
must forthwith comply with such provisions or this permit shall be deemed
revoked.
APPLICANT CERTIFICATION
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,
costs, and expenses which may accrue against said City in consequence of the
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.
Signature Date
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
UNITS #8105, #8107, #8109 - REMOVE (E) ROOF TILE
AND UNDERLAYMENT. INSTALL 2 LAYERS OF 40# FELT AND
(N) BORAL OS CLAY "S" TILE (NO NEW PLYWOOD) (16
Sq. Ft Floor Area: I Valuation: $6450
APN Number: 35610066.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DYS�F/R}OM LAST CALLED INQSP(E� N.
Issued by: P'1l.`r j! Date: -1 5
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.
Signature of Applic Date: 1�J
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(x) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
��-
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
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REROOF PERMIT APPLICATION 150g00,%
is 1 COMMUNIT`f DEVELOPMENT DEPARTMENT • BUILDING= DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildinpCrDcupertino o5
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❑ OWNER ❑ OWNER -BUILDER ❑ OWNFRAGENT CONTRACTOR ❑CON-MACTORAGENI13 ARCHITECr ❑ ENGINUR ❑ DEVELOPER ❑ TEKANI
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LICENSE NUMBER
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USE OF D SFU or Duplex A multi -Family
ROOF ARE
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EXISTING ROOF TYPE: ❑ BUit.T-UP itooF ❑ ASPHALT SHINGLES ❑ WOoD SHAKE --S ❑WOOD SHINGLES XOTHER (SPECIFY) /1' e
REMOVE.R1,PLACE- JgZa-S
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CLASS: A
PROPOSED ROOF TYPE.: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLE-- ❑ WOOD SHAKES ❑ WOOD SHINGLES JO (YniER �[C
ICC -FS RE -PORT;;
DESCRIPTION OF WORST,
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By my signature below, I certify to eaof the following: I am the property owner or authorized agent to act on the property owner's behalf l have read this
application and the information I have provided 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 building construction. I authorize representatives of Cupertino to enter the ably/7ndentifor inspection purposes
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Signature of ApplicanUAgent: �" �" - - Date:
SUPPLEMENTAL INFORMATION REQUIRED
OFWT.. USE ONLY
PLV, CHECICTYPE
ROITINGSLiP_
If building is associated with a Home Owner's Association; provide letter
of approval from HOA.
_
XOv6R-THF Cj)1NTER
0 BUILA)FIG PLAN REY'IENX
_ Provide Planning approval to verify if there any restrictions.
U EXPRESS
u PI ANNINc PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications.
f- STANDARD
❑ FIRE DEPI
7t Provide signed copy ot'Cupertino s Tear -Off Policy.
❑ OTnER:
Reroof.4pp_2011.doc revised 03116/11
CITY OF CUPERTINO tSNXS(�
FM_7 FEE ESTIMATOR - BUILDING DIVISION
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,600
ADDRESS: 8105, 8107, 8109 Park Villas Cir
DATE: 09/09/2015
REVIEWED BY: PAUL
Mech. Permit lze:
APN: 356 10 066
BP#:
'VALUATION: 1$6,405
xPERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY
USE: SFD or Duplex
Phooh. tazsp. Tee:
PENTAMATION
PERMIT TYPE: 1 SFDWLROO
WORK
Units #8105 #8107 #8109 - Remove E roof tile and underla ment. Install 2 layers of 40# felt and N
SCOPE I
Boral OS clay "S" tile (No New Plywood) (16 Square's)
FEE ID ROOF AREA
s.f.
1REROOFFRES 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 fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Efl. 7t 7!13)
Xlech. Plan Check
Plumb. Plan Check
Elec. Plan Check
Mech. Permit lze:
Plumb Permit Fee:
Elec. Permit Tee•
Other A1ech. Insp.
Other Plumb Ins/
other Elec. Insp. LJ
11"ch hasp. 1'ecr:
Phooh. tazsp. Tee:
k, h7-" f -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 fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Efl. 7t 7!13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
Sulrpl. PC Fee
Plumb.lMech./Elec
Permit Fee:
$272.00
Suppl. Insp Fee
Plumb./Ibfech./Elec
Plumb.il lech./Elec Permit Fee:
Construction Tax:
Administrative Fee:
Work Without Permit? O Yes (F) No
$0.00
Advanced Planning Fees:
A
Trm,el Documentation 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
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COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.S.O., BUILDING OFFICIAL
i 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO
(408) 777-3228 •FAX (408) 777-3333 • buil din cupertino.orq
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I. UNDERSTAND AND AGREE TO THE FOLLOWING:
I . 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 bailing .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.
b. 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 shallbepaid 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 R3 4 and 8315 of
the 2013 Califbi-ma Residential Code.
Signature of Applicant/Agent i''"—> �R-t.____---- Date.
ReroofPolicy_2014.doc revised 01/15114
WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION
WESTMONT PARK VILLAS IIOA
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
I
ave selected the color CLAY RED to match our existing roofs.
Since rely,
'k kuzj
Diana k. Johnson
Vice -President
Community Management Services