15100110CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8160 PARK VILLA CIR I CONTRACTOR: FOUR SEASONS ROOFING I PERMIT NO: 15100110
OWNER'S NAME: WADHWA NARESH K AND JAGRITI I PO BOX 1668 1 DATE ISSUED: 10/14/2015
OWNER'S PHONE: 4085591970 1 SAN JOSE, CA 95109 j PHONE NO: (408)278-0330
LICENSED CONTRAC�Tj OR'S DECLARATION
'ItpLicense Class C' '2Lic. ` C >—�
Contract r ate
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:
1. 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.
ave 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
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 ar�
indemnify and keep harmless the City of Cupertino against liabiliti n s,
costs, and expenses hich may accrue against said City in cons quence of the
granting of this p it. A itionally, a applicant understands and will comply with
all non -point s ce regu ions per Cupertino Municipal Code Sectilk�
n 9.18.
Si nature Date 0 �t"t �
g
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
1. 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)
2. 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:
i. 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. 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.
3. 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
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 ❑
1 BLDG, 3 UNITS (8160, 8162 & 8164) - TEAR OFF (E)
TILE ROOF & (NO NEW PLY) INSTALL (N) CLASS TILE
ROOF (16 SQ'S)
Sq. Ft Floor Area: I Valuation: $6405
APN Number: 35610003.00 1 Occupancy Type:
Iss
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
ALLED INSPECTION.
001.
_.
Date:
RE -ROOFS:
All roofs shall be inspect5o prior to Ay roofin aterial being installed. If a roof is
installed without first o fining an spection, gree to remove all new materials for
inspection.
ri, 0__�
Signature of Applicant: A Date: !fj ( �
ALL ROOF COVERINGS 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(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 co Pliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & �rety Code, Se tions 25505, 25533, and /25534.
Owner an
nt: (� 4��
Date: I
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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
REROOF PERMIT APPLICATION
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By in signature below, I ceil if), to eaa-1 of the followill": 13111 the propcity oNNner orauthorived agent to act oil the property ovner's behalf.t have read this
applic-atio-a and 11ne information I have provided is correct. I have read the Description of Work and verify itisaccurate I agree to comply tivith all applicable local
I jilithorize repreSentaiNes rPj*(,'j.-pi-_r1mo to enter the abov&;d ff d pr city for inspcclion purposes,
0)-djn;jjlcCN --�I�Jjj4lje lex%s relaliqkg to building. Construction. en I le
SUPPLENIENTAL INFORNIATIGN REQUIRED
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1fbu*l&i-'sa.ssoc'ated \v'thaHome0,,vne 'sAisoc-atioll.pro-vide letter
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P1. �'N' Cli. -, ;7. ___�9 T
of approval firom 110A.m
�R 14e, I T i . I N' I E W,
Pro-6de Planning approval to verl t�- 'V there any restrictions.
V . I - i restrictions. 1 11 f'ru:'Asoo
Provide copy of Manufacturer's Installation Specificatiolls. I
SFANDARD
Provide signed copy ot'CLipertino's Tear-tuftflollo;.
ReroqfAm-201 1. doc i-4n,ised 03116111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 8160 PARK VILLA CIR DATE: 10/14/2015 REVIEWED BY: MELISSA
APN: 356 10 006 BP#: *VALUATION: 1$6,405
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling Building is PENTAMATION 1 R2ROOF
USE: >3 Stories O Yes O No PERMIT TYPE:
WORK 1 BLDG 3 UNITS 8160 8162 & 8164 - TEAR OFF E TILE ROOF & NO NEW PLY INSTALL N
SCOPE CLASS TILE ROOF (16 SQ'S)
FEE ID ROOF AREA
s.f.
1 REROOFMRES 1,600
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
Di.ctrirt_ eta_ )_ The.ce fees are hated an the nreliminary infnrmatinn availahle and are only an estimate_ Cnntact the Dent fnr addn'l info.
FEE ITEMS (Fee Resolution 11-053 E .' 7f /1/13,
ilech. Plrttt [..'heck.
Phimb. flan (J ec'h
Man C.'Pteck
34ech. Permit VC
Plumb. 1':
Elec. Permit Fee:
Other .1fech. Irtsp.
Other Plumb .lasp.
)f her Ake. Imp.
ifech. Inch. Fee:
Plumb. Insp.
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
Di.ctrirt_ eta_ )_ The.ce fees are hated an the nreliminary infnrmatinn availahle and are only an estimate_ Cnntact the Dent fnr addn'l info.
FEE ITEMS (Fee Resolution 11-053 E .' 7f /1/13,
FEE
QTY/FEE
MISC ITEMS
tin Check Fee.
' �11p )l.
'lumb..,fech./Elec°
Permit Fee:
$272.00
'uppl. Insp 14'ee
r'llcmb. ���ecla.:%Elea
Numb- Mech./Elec Permit Fee:
(.'onstruction Tax:
4(1minisrratii-e 1,'ve:
Work Without Permit? O Yes No
$0.00
,h1wnc°ed 111antling Fees:
'-`ravel Documentulion .Fees°:
Strong Motion Fee: 1BSEISMICR
$0.83
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS: 1
$273.831
$0.00 TOTAL FEE:
$273.83
Revised: 10/01/2015
REROOF TEAR -CUFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.G., BUILDING OFFICIAL
y 11 ��yy �y ,- i �//''++�� 10300 TORRE AVENUE - CUPERTIN.O, CA. 950'14-3255
'k. l.�['"I�RTI!NV i
(408) 777-3228 - FAX (408) 777-3333 - buildingAcupertina.gg
PROJECT' ADDRESS
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CITY, STATE,' IP _
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STREE DREW/
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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 Mailing 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 re„cguired. 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 Mailing 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 l/a" 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/doNkmspouts 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 -root policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Code.
Signature of Applicant/Agent- 0ate,
ReroofPolicy_2014.doc revised 01115114
WESTMONT PARK VILLAS TIOMEOWNBRS ASSOCIATION
WESTMONT PARK VULAS HOA
c/o coN/imUN-.,1TY NIANAGEMENT SERVICES
193 5 DRY CREED ROAD
CAMPBELL, CA 95008
(408) 559 - 1977
8/112,015
City of Cupertino
Building Depailment
To the City of Cuperfino;
Please note, th, Westmont Park Villas HOA leas contracted and approved Four Seasons
Roofing to porform 57 re.-roofis of our honics, vc.placing the current Tile Roofingsystem
with mtw 60RAL U.S. TILE ONE-,'RIECE MISSION "S" CLAY ULESYSTEM. We
I `
have selectce, c
d the, CLAYRED to matcli our existing roof's.
Sitaely,
/wV0Xj,7---" 1
Diana k. Johns*011
Vic. -I -President
Community Managua mit Services
0