15100109CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8154 PARK VILLA CIR I CONTRACTOR: FOUR SEASONS ROOFING I PERMIT NO: 15100109
OWNER'S NAME: KRAEMER RICHARD Wi li �:,l e� PO BOX 1668 DATE ISSUED: 10/14/2015
OWNER'S PHONE: 4085591970 SAN JOSE, CA 95109 1 PHONE NO: (408)278-0330
tdLICENSED
CONTRACTOR'S DECLARATION
�r R%
License Class �� Lic. # `[ Z 0 d
Contracto 44 Date /F
4-o- 4(w�;
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
)erformance of the work for which this permit is issued.
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 expense which may accrue against said City in consequence of the
granting of this p it. Additi ally, the appl' ant understands and will comply with
all non -point ce regula ' per the Cup no Municipal Code ,(Secti n 9.18.
Date
Signatur - J
❑ 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:
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.
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 (5154, 8156, & 8158) - 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: 35610006.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180
LED INSPECTION.
Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaini an insp n, I agree t remove all new materials for
inspection.
Signature of Applicant: Date:
r
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(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 compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health Safety Code, Segions 25505, 25533, and 25534.
r or authori tn: h / / �
Date•
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
COMMUNIP� DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - C'UPERTINO, CA 95014-3255 R
(408) 777-3228 - FAX (408) 777-3333 - buildi�uDertino.orq 00 l Q
PROJECT ADDRESS. g / 01 "* 3 0 0-6
5 q PAI& ff4S lr(4:�
it
O"t, :vj. L? '-MAIL
syj 9120
RHONE cam,E-,NWL
-rry, ST,%Tl�, ZIP
FAX
0 OWNER 0 OWNE-R-SUILDER II 0WN70kA.GLNT C04XTRACTOR 000N7RACTORAGENT 0 ARCHITELT OEINGNEER 0 DEVBOM CITENANT
C(ENIRACTOR
1_�
LICENE NUMBER I LICENSETYPE
�' 1
BUS,!
4
3
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(XWPAN11Y NAME
E-MAIL
FAX
L
III ION,
ARCH171 SCrM4GJNFER NAME
LICENSENNUMBER.
BUS, LIC �9
COMPANXNA.X'E-
Ii-INILAIL I
FAX
TMEFT ADDRESS
CIT--- ST,%TE, ZIP
PHONE
USE OF L] SFD or Duplex A Multi -Family R001-ARLA
VALIIA-110N
STRI 7CTURF i Commercial leo j
ExisTING ROOF TYPE: 0BUILT4UP ROOF 0 ASPHALT SHINGLES 0 XV00D SHAKES 0'tWN)n SHINGLES. X10THER (SPECIFY)
P,FMOVE iREPLACE 184TS It, NO. I PLY OOD 0 11
PLYWD 0 OSB PITCH: ROOF
0 m-)9 LS AYER5a
Typfcp.x 12 CLASS: A
PROPOSED ROOF TYPE: 0 BUILT-UP ROOF ❑0 ASPHALTS NGtXS 0 W -OW SHAKES ❑0 WOMSHINGLES JM OTHERICC-FS
REPORT'
DESCRI114ION OF WORK:
Ale'<
�3 :0
By My signature below, I certify to each of the following: larrithe
' owner or authorized agent to act on the property owneCs behalf thave readthis
application and the inforniation thave 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 la -,tis relating* to building construction. I authorize representatives of Cupertino to enter the abovt-idyruined erty for inspection purposes nti je prop
,nature of Appl icant/Agent:
Sig DaW
SUPPLEMENTAL INFOR.M.A717ION REQUIRED OFFICT. USE ON1. V
If building is associated with a Home 0-,vneCs Association, provide letter P CR T
of approval from HOA. t_j 8141,I)ING PLAIN RJEY1k%V
Provide Planning approval to verify- if there any, restrictiolls. P(ANNIMG PLAN REVIEVil
Provide copy of Manufacturer's Installation Specifications."Er t �[R
STkNI)ARD
Provide signed copy of Cupertino's Tear-OffPolicy. IM crrurm;
1?eroqf4pp_2011. doc nmsed 0311 &11
CITY OF CUPERTINO
�Ji l FEE ESTIMATOR -BUILDING DIVISION
FEE ID ROOF AREA
s.f.
1 REROOFMRES 11600
ADDRESS: 8154 PARK VILLA CIR DATE: 10/14/2015
APN: 356 10 006 BP#:
REVIEWED BY: MELISSA
*VALUATION: 1$6,405
PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE:
Building is
>3 Stories O Yes O No
PENTAMATION 1 R2ROOF
PERMIT TYPE:
WORK
1 BLDG 3 UNITS 5154 8156 & 8158 - 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 11600
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 onlv an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E,ff. 7/1/13,
FEE
QTY/FEE
17ec. Plan ('I7 -k
lecla. Permit 1,ee:
1'l um b, I'enmit Fee:
F,lec. Permit I,ee:
Other ..Wech..i ns'I).
Other PlZlmb In 'p.
)iher Elec. Insp.
Plumb..'.tfec h. /Flea
lec. Insi>. F(,e :
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 onlv an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E,ff. 7/1/13,
FEE
QTY/FEE
MISC ITEMS
'lan (..heel( Fee.
;guPpL N" Fee
Plumb..'.tfec h. /Flea
Permit Fee:
$272.00
411)1)1. ln,sp P'e c
Plumb. i'Ul xh. /Flec
Plumb.; hli�cli.i 'lec Permit Fee:
COnstruction Tax;
^ (bninivtrwn,,e pec:
Work Without Permit? O Yes 0 No
$0.00
.,.ldvanced .Planr ing f- ecus:
1'Wv°el l_.)tle nenlwion Pee.v:
Strong Motion Fee: IBSEISMICR
$0.83
Select an Administrative Item
7
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS: 1
$273.83
$0.00 TOTAL FEE:
$273.83
Revised: 10/01/2015
REROOF TEAM -OFF POLICY
i
COMMUNITY DEVELOPMEN ! DEPAC2TiViFN i BUILDING DIVISION
i ALBERT SALVADOR, P,E., B.O., BUILDING OFFICIAL
:IJF'FR"r I N 0 10300 TORRE AVENUE > CURERTINO, CA 950.14-32.55
(408) 777-3228 • FAX (408) 777-3333 . bL1 inc„ 0L(upertino.org
PROJECTADDRESSeP2��� AI'N t�
1 AI L
I'ItcaNt.� '
5 fRf )iT AI)DItF.,SS CITa', STATE,/,H)
FAX"�F'1
CONTRACTOR N til,V LICENSE NUMBr-,R BUS..0
COMPANY NAME, E-MAIL F4X'-
- :S it
tiTRF.ET A DRL'Sy r� CI A', STATE, ZJ '' PHONE r _ .._
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-
2:30prn (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the
day of the inspection oavly 1afte" laase of the 1work is completed. The building inspector will be
available within one hour. The hours for this service are: 7:30-M-30and 12030-•3030 (tion-'Thurs)
and 7e30_1930am and U-.30-2:30 (Friday). Final Inspections will be given a two hour window.
3. .�_.ea,r-off lInspec-flo h, is required. Any and all dry -rotted wood shall be replaced prior to this inspection.
tJ�Ilc�ss new plywood roof sheathing is proposed throughout, all the avails/fasteners shall be either
colinipletely h aocked-dow n or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspeetilon s 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.
V. A 'Ids ectioxa ond_approval sh afl be obtained fironi the building inspector when the re -roofing is
completed. To receive a final sign -oil, the lollowing�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/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
sclaceliaic�lo .
By my signing below, I certify each of the following is true: I am the properly 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 R314 and R315 of
the 2013 California Residential Code.
Signature nl'F1pplicant/Agent; �-�""`�'� �" ,.�° _t._______.--.- Date:
iDINI&
RerooRolicy_2014.doc revised 01115114
WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION
NwEs,rMONT PARK VILLAS t 10A
do COMMUNITY ivIAiNAGE-TvIE�'.N'I'SElIICES
193 5 DRY CREEK ROAD
CAMPBELL,
15-MPBELL, CA 95008
(408) 559 -1977
8/112015
City of Cupertino
Buildin0 a Depaitnient
J'o the City of Cuperfin.o;
e
plewse note, thb Westmout Park Villas HOA has contracted and approved FSeasons
a 8
Roofing to perform 57 n�-roofs of our honics, rcplacing the current Tile Roofing
- 6 AY TILF. SYSTEM. We
with 11cm, BOR.AL U.S.'riu; ONE'PIECR MISSION "S" CL
J) to match our existing roofs.
have seteckd ffie. color CLAYIN 'U
Sill ely,
6k
Diana k. Joluis'011
Mice-Presidemt
Community Managamont Services