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15110057�J PA CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8130 PARK VILLA CIR CONTRACTOR: FOUR SEASONS PERMIT NO: 15110057 ROOFING OWNER'S NAME: UNDERWOOD BRENT A AND KATHRYN PO BOX 1668 DATE ISSUED: 11/10/2015 OWNER'S PHONE: SAN JOSE, CA 95109 PHONE NO: (408)278-0330 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ Unit #8130, #8132, #8134 - Remove (E) roof tile and underlayment. Install 2 layers of License Class ic. # ©� #40 felt and (N) boral os clay "s" tile (no new ply) (16 Square's) Contractor ' Date �� L 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: 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 Sq. Ft Floor Area: Valuation: $6405 rformance of the work for which this permit is issued. ave 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 APN Number: 35610018.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said Ci in consequence of the granting of this pe it. Add' Y nally, the appl' t understands and will comply Issued by:l�"' ` " Date: 1bo with all non -poi ource re -tions per the pertino Municipal Code, Section RE -ROOFS: 9.18. ( ` ignature Date \ All roofs shall be inspected for to any r mg material being installed. If a roof is installed without firi' ng an inspe t' nI agree t emove all new materials for inspection. OWNER -BUILDER DECLARATION Signature of Applic I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532 ) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I us a uipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by th ay Area r Quality anagement District I performance of the work for which this permit is issued. will maintain compliance with t Cupertino nicipal de, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Se i ns 25505,r2!3 , Section 3700 of the Labor Code, for the performance of the work for which this �d21'4. Owner or authorized agent: e: i permit is issued. 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date REROOF PERMIT APPLICATION f 9j ( . CONIMUN1-IY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE . CUPERTINO, CA 95014-3255 (408) 777-3228 a FAX (408) 777-3333 • builc iij c cupertino.org I' PROJECT ADDRESS .. � AP,' 4 ell, E-MAIL 1:5'4T�rcrnnnnt��q� VILLA C/or�i� tit: itn � AL q CONT,\CT NA\iE PHONE A � � � E -NAL - STRELT ADDRESS CITY, STATE, ZIP FAX ❑ OWNER FJ OWNER -BUILDER OWNERAGL-NT CUNIT1,ACTOR ❑CUNTRACTORAGENT ❑ ARCHrrECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR �t %IE L[CL-NSENUMBER LICENSE Ti'PE BITS. E. P COMPANY INANIE E-MAIL FAX SIREL1dist ST - f! Cr�fY,tGGTATE N5- 7�i�'4"j ,ARCHrrEC17ENGINEER NAME LICE ISE NUNIBER BUS. LIC. r COMPANY NAME &MA1E. FAX STREET ADDRESS CITY, sTACE, LIP PE[UNE USE Or ❑ SFD or Duplex Multi -Family RO_01,. ARRA: _` . vAL JA'110Y STRUCTURE ❑ Commercial S e$ G i?XIS:r(jNG ROOF TYPE: ❑ B(JlU['-UP ROOF ❑ ASN IAL: r s}I[NGLES ❑ WOOD S11AKES ❑ WOOD SHINGLEiS ,OTHER (SPECIFY) REMOVEMEPLACE PR -US IF NO, PLYWUOD ❑ Y", ❑_._ 1'LYWD 11OSB Pf('CH: 1200F ❑ NO it LAYERS rEE1CIL�ESS: 513" TYPE- CD.l' F :12 CLASS: A —�— PROPOSED ROOF TYPE: ❑ BUILT' -UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKE'S ❑ WOOD SHINGLES 91 0 -1 -HER � t �� ICC -ES RE -PORT# DESCRIPTION 017 :YORK 2C'/L�C(J✓c r ' l�U ��xr S T. C UNI 15 *813t 1 8131 By my signature bolo«', I certify to each of the following: I am the property owner or authorized agent to act on the property oxvner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work- and verily 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 above -i entified .r1operty for inspection purposes. Signature of Applicant/Agent: �. _%C�� --- _ Date: SUPPLE'v EWAL INFOEMIATION REQUIRED OFF16I: USE ONLY k If building is associated with a Home Owner's Association, provide letter ELAN CHECK TYPE ROUGING SLIP !� OVIi12-'L'fE C9I�1 I'Ii12 ❑ BUILDING PLAN REVIEW of approval from 110A. _ Provide Planning approval to verify if there any restrictions. iL i axr>ru 3s IJ PLANNING PLAN [iSY1Bw Provide copy Of Manufacturer's Installation Specifications. STANDARD ❑ .Ftxl: D>;irr ffX Provide signed copy of Cupertino's Tear-OfI'Policy. ❑ O"riiun: f Re)•oofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR —BUILDING DIVISION - ADDRESS: 8130, 8132, 8134 Park Villa Circle DATE: 11/10/2015 REVIEWED BY: PAUL l''LlCtin('1d�eC;liq 1 ee. APN: 356 10 018 BP#: *VALUATION: 1$6,405 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex PENTAMATION PERMIT TYPE: 1SFDWLROOF WORK UNITS #8130 #8132 #8134 - REMOVE E ROOF TILE AND UNDERLAYMENT. INSTALL 2 LAYERS SCOPE OF 40# FELT AND (N) BORAL OS CLAY "S" TILE (NO NEW PLY) (16 SQUARE'S) VOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). 7 hese_rees are based on the preliminary intormatton available and are only an estimate. contact the Dept for aaan'l info. FEE ITEMS (Fee Resohition 11-053 Eff. 7/1/132 FEE QTY/FEE MISC ITEMS l''LlCtin('1d�eC;liq 1 ee. Permit Fee: $272.00 SUppl, Ins") .Fee (.,CsntiZ Uclion 711x: FIfifninistralive Tee: Without Permit? � Yes No $0.00 ,W�,gork lif.tE'i�Y�cetd 131�mning 17ETi.':4s: Strong Motion Fee: IBSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 - SUBTOTALS::.'l $273.83 $0.00 TOTAL; FEE:' $273.83 Revised: 10/01/2015 El REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE e CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 77-T-3333 - )L ildin cD Lil ertino.org IIPROacc 1. npD[u ss 0/2-jjL/1 / r ANN tl STI ftfP "ADDRFS' C SIA11' 11 i _ ^d� [:nv CON'1 [tAC'I'OR NAjvil' LICIiNSP N[itv�iBlili LI �' "I;YPL'; BUS. COMPANY NAME 4 r-MA[l. Fy x � �J 2 STRrrTADORE=S CI l S']'ATr, Zh- , 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 buusshRess daiy P®e-e the rreguested ins ection 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 i5 completed. The building inspector will be available within one hour. The hours for this service are: 7:30-10:30aaunn and 12:30-3:30 (MloIIn-•'] huurs) and 7:30-10:30aam and 112:30-2:30 ()Friday). Final Inspections will be given atwo hour window. 3. Tear -Off 1uu��pc>fip rn is �eglu bred. Any and all dry -Potted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, aa99 the shall be either c®>< ]pRetely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Igo reguni>red. 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 Ins oectionn and armprrovnJI shall. be ob.ta fined 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/�" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manLrfactured 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 shaa➢ll be vaaid before another iE§ ection Can be schedaded. , 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 s[nolco detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Sianature of lApplicant/A.=nt: /"`—"� � �"-,-r!`%-�.___----------~�- Dace: Rer"oofl'oliey_2019.doe revised 01/15/14 WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION WESTMONT PARK VILLAS HOA 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 have selected the color CLAY RED to match our existing roofs. Sin rely, Diana k. Johnson Vice -President Community Management Services Rsc8ft "IV �':6 Jj