15090119I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 8129 PARK VILLA CIR I CONTRACTOR: FOUR SEASONS ROOFING I PERMIT NO: 15090119
OWNER'S NAME: PILLAI GOPAKUMAR H AND AMMA BINDHU I PO BOX 1668 1 DATE ISSUED: 09/17/2015 1
OyiiWR'S PHONE: 4085591970 SAN JOSE, CA 95109 PHONE NO: (408)278-0330
V LICENSED CONTRACTOR'S DECLARATION
License Class rif— 3 7 Lie. # 'r 721
Contractor /' `�!i��%rZ"'� Date l
I hereby affirm that I am licensed under the provisions of d.pter 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:
ve and will maintain a certificate of consent to self -insure for Worker's
mpensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
'2. 1 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. Additionall ant understands and will comply with
all non -point source reg er the Cupe o Municipal Code, S ction 9.18.
Signature Date S ;' �J
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
t. 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)
2. 1, 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.
3. I certify that in the performance of the work for which this permit is issued, I simf
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, 1
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 #8129, #8131, 8133 - REMOVE (E) ROOF,
INSTALL 2 LAYERS OF 40# FELT AND INSTALL (N) BOREL
OS CLAY "S" TILE (NO NEW PLYWOOD) — I b 5 Q
Sq. Ft Floor Area: I Valuation: $6405
APN Number: 35610054.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSP CT ON.
Issued by: h V ' U Date: o .
Z
All roofs shall be inspected prio erial being installed. If a roo is
installed without first obtai ' e to remove all new prateri s for
inspection.
Signature of Applicant: Date: �J
ALL ROOF COVER G BE CLASS "A" O BE ER
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(a) 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 com liance with the Cupertino Municipal Code, Chapter 9.12 and the
Heal afety Code, Sections 2,5505, 25533, and 25534.
CONSTRUCTION LENDING AGENCY
1 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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
CUPERTINO
REROOF PERMIT APPLICATION 150q01 Iq
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO. CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - building Owcg2pfejr�linip.org
PROJEMADDRESS 0
4f(_3_7 / e
"I.Wfr
I ANN.
cNCJ 0
ow,Nxv Milan
ria -)41 CqWR4U
504-10NO1;
STP—:, tnnor�� le C
Dq
VC
fit
ci T E PHONEE-MAIL
—
;Z,7f -j
j6 3
SMET ADURS S
CITY, s-r..%,n--- zip
FAX
13 OWNER 11 OWNER-aUILDFR 11 OWNER AGLNT COINTPLACTOR OCONTRACTORA6ENNT 0 A?CHITECT OFNGINE.ER 0 OFVh-LOPER CITENAINT
LICENSE TYPE
Bus,
�k/ 3
COMPANY NAME E-MAIL
FAX (y -1r)
,) —� ei 33; 3
STRL
PI [ON, E
ARCHITF`r,*UNG[NFFR NAME
LICENSE NUMBER
BILI& LIC.
0YAPANA'NAME
&NLAIL
FAX
STREET ADDRESS
CM, STATE, ZIP
PHONE
USE (IF ❑ SFD or Duplex multi-Famitv
R(k)F ARE -A
VALVATION:
STRUCIVIRF 71 Commercial
146 j10'.S
0*00-C
EXISTING RMF TYPE 0BUILT-11PROOF 0ASPHALT SHINGLES 11 WOOD SHAKE'S
0 WOOD SHINGLES P(OTHER (SPECIFY) 7—/e
REMOVE?.-RE.K.ACT-. ;&.)as 117140.
i
PLYWOOD 0 0
I I
PLYWD 0 OSB f PlTCtI- I Roof,
0 NO 9LAYERS
MIMNIF-95—RA
TYPE IN MIN, 12 CLASS A
PROPOSED ROOF TYPE: 1311VII-1-UPROOF 11ASPHALTSHINGLES 0WOOD SHAKES
0WOOD SHINGLES Ji (YII*F,
ICC -ES REPORT,*
DESCRIPTION OF WORK:
X,
c��e —11�-
-6111 s, ke'll
6--tlo
Bymysignature below, lcertify toeach ofthe following: I am the property owner or authorized agent to act on the property owner's behalf t 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 tocomply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the abovc-identific ijxoperty f nspectiat purposes
Signature oCApplicantAgent
Date:
SUPPLEMENTAL WFORTMATION REQUIRED
OFFICT. I, SE ONLY
PL%NCHECK 1YPL
R01`J-1NG,SLIP
If building is associated with a Home OwrieCs Association, provide letter
. ovk.R--ruF-c6vN-rrAt
.---
C1 MILDING PLAN REVIM
of approval from HOA.
Provide Planning approval to verify if there am, restrictions.
-7
L -j EXPRE&%
0 PIANNING PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications.
11 STANDAKI)
D F(REDEPI
X Provide signed copy ot'Cupertino 's Tear -Off Policy-
0 IT ER;
Reroof4pp_201 1. doc revised 03Y1 bill
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
lalADDRESS:
8129, 8131, 8133 Park Villa Cir
DATE: 09/17/2015
REVIEWED BY: PAUL
Afecl:. Permit F'ec:
APN: 35610 054
BP#:
*VALUATION: 1$6,405
°PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE:
Buildina is
3 Stories ® Yes ® No
PENTAMATION 1 R2ROOF
PERMIT TYPE:
WORK
Units #8129 #8131 8133 - Remove E roof, Install 2 layers of 40# felt and Install N borel OS Clay
SCOPE
"S" tile (No New Plywood)
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.). These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dept for addh7 info.
FEE ITEMS (Fee Resolulion 11-033 E( 7/1/13)
11ech. Plan Check
'limb. Plan Check
lilec. Platt Check
Afecl:. Permit F'ec:
Plumb. Perriait Fee:
Elec. Permit Fee:
outer Uech. Imp
ker- Plunth la. p'
Other f lee. Imp. LI L
Mech. Insp.
Plumb_ Insp. (t.
1'lec. Insp. 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 Dreliminary information available and are onlv an estimate. Contact the Dept for addh7 info.
FEE ITEMS (Fee Resolulion 11-033 E( 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plass Check .Fee:
Suppl. PC. Hee
Plumb./.11ech./F,lec
Permit Fee:
$272.00
Suppl. Insp Fee
PlumbJMech./E/ee
Phtnih.,Jlech./Elec Permit Fee:
Construclion Tax:
hiministrative Fee:
Work Without Permit? 0 Yes (j) No
$0.00
hlvaneecl Planning Fees:
I iwvel Docurnenlation .Fees:
Strong Motion Fee: IBSEISMICR
$0.83
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$273.831
$0.00 TOTAL FEE:
1 $273.83
Revised: 07/02/2015
REROOF TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ✓�/ to l� .
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
I( 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINC) ;
(408) 777-3228 •FAX {408} 777-3333 • truilrtingMcuperiina.org
PRO,Ir(:'k%sem
PU
STRE-T ADDRESS...,QZ J& PR VILLA (, LA C (P— CITY STATF
COMPANY NAME.
E-MAIL
APN #
s
t UNDERSTAND AND AGREE TO THE FOLLOWING:
cnv�
FFIdC J ''
PHONE
2W -
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 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/doumspouts 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 Cads. JO -,_15;;;
/
Signature of Awlicant/Agent: ..�'� �'`. - � cc.� ----- -- Date: / 7//
4.doc revised 01115114
WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION
WESTMONT PARK VILLAS HOA
c/o COMMUNITY MANAGEMENT SERVICES
1935 DRY CREEK ROAD
CAMPBELL, CA 95008
(408) 559 - 1477
81112015
City of Cupertino
Building Department
To the City of Cupertino;
Please note, the Westmont Park Villas MOA 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 snatch our existing roofs.
Sin ely,
b4Z0'0j
Diana k. Johnson
Mice -President
Community Management Services
RECEIVED
S -EP 17 206
BY