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15100019 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8153 PARK VILLA CIR CONTRACTOR:FOUR SEASONS ROOFING PERMIT NO: 15100019 OWNER'S NAME: YANG YUE AND YAO JIE PO BOX 1668 DATE ISSUED: 10/02/2015 OWNER'S PHONE: 4085591970 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ / BLDG#8153,#8155-REMOVE(E)ROOF TILE AND / License Class - Lic.# T_7 -�-/0 UNDERLAYMENT AND INSTALL 2(N)LAYERS OF NEW ROOF FELT AND(N)BORAL OS CLAY"S"TILE(13 SQUARES) Contractorr-R/leSE793ox 1e 6If-'_ Date /U a do/S 1 hereby affirm that 1 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. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Area: N aluatiou:$i200 1 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. APN Number:35610042.00 1lccupancy Type: 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR 1 certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county ordinances and state laws relating 180 D S FROM LAST CALLED INSPE T N. to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save ©�('I i I t lO /(� indemnify and keep harmless the City of Cupertino against liabilities,judgments, Issued by: 7 1�•a �J l.L�-� Date: fJ' 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-poi n rc a ations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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 olQ Signature of Applicant: Date: .� 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF CO (NGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project(Sec.7044,Business&Professions Code). California health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& 1 hereby affirm under penalty of perjury one of the following three declarations: Safety Code,Section 25532(a)should I store or handle hazardous material. t 1 have and will maintain a Certificate of Consent to self-insure for Worker's Additionally,should 1 use equipment or devices which emit hazardous air Compensation,as provided for by Section 3700 of the Labor Code,for the 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 performance of the work for which this permit is issued. Health&Safety Code,Sections 25505,25533,and 25534. 2 1 have and will maintain Worker's Compensation Insurance,as provided for bN Section 3700 of the Labor Code,for the performance of the work for which this 0i;;!or t rized agent: permit is issued. �*%�— Date: 3 1 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code,1 for which this permit is issued(Sec.3097,Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct.I agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records. to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Licensed Professional 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 REROOF PERMIT APPLICATION �51CIq COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 C P F RT 1 N O (408)777-3228•FAX(408)777-3333•buildincyf_cbrti cuoeno.org PROJLC I.ADDRLSS / //(�`Gl APN v._ STPcrrl•,nrtot:cc[�� Fop V`1[ ilii ' CII`1- C'. cc>�rncr �,ML Pttc,):r. L-MAIL SIRGL•"1'dDUKL•SSCFtY.STATE.ZIP h:\X ❑OWNER ❑ oWNER-BUILDL•R ❑ OWNERAGCNT CONTRACTOR ❑CONTRACTORAUNI ❑ ARCHI"IECI ❑FNGINLER ❑ DEVELOPER O TENANT CONTRACTOR Lq/SME LICE N ENI BI LICENSEIYP E BUS.t a/ COMPANY NAME E-MAIL. FAX S'IRL'L•'I'. CI'l ,' ARCHITEC'VIENGINr•T•.R NAME LICENSL NUMBER BU'S.LIC k COMPANY NA\Ili E:MAIL FAX STREET ADDRESS CI IY,ST/vrE,7.1P PHONE USE 01: D SFD or Duplex Multi-[amity ROtn .vltr•A vAl.IAuIt. rRl;rruRc O Commercial �.� S /.S V Zai i -- – -- F.XISTIN6R(X)F TYPE ❑ILmix-tip ROOF ❑ASPIIAI:rSHINGI.ES 11 WOOD Sit S ❑WOODSHINGLFS P(OTIIER(SPECIFY)7C REMOVVIRLPLAC'E figdp_'S 1FN0. I PLYWOOD ❑ %i' ❑ PLYWO ❑ OSB pirCHROOF ❑ 0 A fi N / .. TYPE.— 11 C .12 CLASS: , PKOPOSED ROOF'"YPL: ❑BUILT-UP KOOF ❑ASPI IALT SHINGLI„S ❑WOOD S11AKL•.S ElWOODS[INGLES r�)0't IC('-ES REPORT#HER T!C DESCRIPTION OF WORK- / "/rGa✓C �-i s�//'r_y' /OO� -�l�/S .cs2s-,� GC r1. �L�l1Cf��Lt�l2'"f, -------- By my signature below,l certify to cael 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 1 have read the Description of Work and veritj it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purjposcs. Signature of ApplicanUAgenr.--�t--C Date: /`�> - SUPPLEMEWAL INFORMA'1-ION REQUIRED OFFICE LSE ONLY ItOI:I'INI:til,ll' _Il'building is associated with a Home Owner's Association,provide letter PLAN CRECK TYPE_ _v__ -----..-- of approval from I 10A. IWFR-r1IkCot11-rn.R a BI:1I.a1N(;PLANRrv1V%% a Provide Planning approval to verify il'there any restrictions. a t.XPRESS L7 Pl.,kWNO PLAN RFVIF.NV u Provide copy of Manufacturer's Installation Specifications. ❑ 14ANDARD D 1 IRL DLP1 Provide signed copy ofCupertino's Tear-011'Policy. O olue.lt: L ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO «)molq. FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 8153, 8155 Park Villa Cir DATE: 10/02/2015 REVIEWED BY: PAUL APN: 356 10 042 BP#: 'VALUATION: 1$5,200 °PERMIT TN'PE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2R00F USE: 3 Stories Q Yes Q No PERMIT TYPE: WORK BLDG #8153 #8155 - REMOVE E ROOF TILE AND UNDERLAYMENT AND INSTALL 2 N SCOPE LAYERS OF NEW ROOF FELT AND (N) BORAL OS CLAY "S"TILE (13 SQUARES) FEE ID ROOF AREA s.f. 1REROOFMRES 1,300 Li NOTE: This estinmte does not include fees due to other Departments(i.e. Planning, Public {firks, Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the preliminarnj information available and are onty an estimate. Contact the De t or addn'l info. FEE ITEMS (l-ee Resolution 11-053 Lj/: ? l 13) FEE QTY/FEE MISC ITEMS Permit Fee: $221.00 Work Without Permit? O Yes 0 No $0.00 Strong Motion Fee: IBSEISMICR $0.68 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $222.681 $0.00 TOTAL FEE: $222,68 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 j (408)777-3228•FAX(408)777-3333-huil in cupgrtino.orq PROJL'CI'AUDRL•SS G yj APN N PHOE-MAII, STRIJA'AIIDRES' CIT ,STAIR,'IP _ / PAX_` .!uH � 3- - /7 v CON'rRAC'I OR N 1 LICENSE NUMRRR LI ryS;'l' l'li DUS.t ISf.N 77 COMPANY NAME E-MAIL Fix STRGE J'A)Dltl-S f, (:1 ti'rnrE,r PHONEs�Yi 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. 0:30am and 12:30-7:30 (Friday). Final Inspections will be given a two hour window. 3. Tear-Off V aspection 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. NOTI : 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 1 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 2.013 California Residential Code. Signature ot'Applicant/Agent: Date: ReroofPolicy_2014.doc revised 0//15//4 WESTMONT PARK VILLAS HOMEOWNEl'S ASSOCIAMN %vE-s,rMONT PARK VILLAS f IOA do COMMUNffY 193 5 DRY CREEK RO.A D CAi%41).13L--,t,l,, CA 95003 (103) City of Cupei tiro Buile ling Deparinleni TO the City Of("Upec 61,4); PIC,=110tc, 0.lk, westillolit.ptirl(Vilh)s jlojl.has conti'actod and approved four Se aso)ls Roofing to jmlb11tl .57 1-,,-ro(ifis of om honks, vcplacing the mirmnt Tilc Roofing iysicni wfill U.S. ECT."M IS SION"S"CLAY TH.F.,SYSTENT. We I 'LAY*RED to 11mv-11 (jul.exisling 100f,"'. v-av-c ,;ek"(,tcd C Diana k. J01111§on Vice-president