15110015't4
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CITY OF CUPERTINO BUILDING PERMIT
V79111
BUILDING ADDRESS: 8142 PARK VILLA CIR
CONTRACTOR: FOUR SEASONS
PERMIT NO: 15110015
ROOFING
OWNER'S NAME: TAN DAI-SHING AND CHU JUI-JUNG
PO BOX 1668
DATE ISSUED: 11/03/2015
OWNER'S PHONE: .,
SAN JOSE, CA 95109
PHONE NO: (408)278-0330
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRH'TION: RESIDENTIAL E] COMMERCIAL
icense Class ` ' G �' ic. # 7,7�-��
PL�UNDERLAYMENT,
UNITS #8142, #8144, #8146 - REMOVE (E) ROOF TILES AND
OS
INSTALL 2 LAYERS OF 401t FELT AND (1) BORAL
ontractor)Gv2 Sites ycG F/NG/AgiifDate c9-0 15
CLAY "S" TILE -16 SQUARE'S
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 isain 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
performance' of the:work for.which this permit is issued.
Sq. Ft Floor Area:
Valuation: $6405
I have and wili maintain Worker'. s Compensation Insurance, as provided for by
Section 3700'of the ,T,abo� Code, for the performance of the work for which this
APN Number: 35610012.00
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 niay'accrue against said City in consequence of the
t
Issued by: V Date: `I
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.;
RE -ROOFS:
Signature wdODate 17 3 301S
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
'
Signature of Applicant:
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
I, as owner of the; property,; or;my employees with wages as their sole compensation,
will do the work,and the siru'cture 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.70,44; Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
I hereby affirm,'uudei of one of the following three
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
Cupertino Municipal Code, Chapter 9.12 the
penalty perjury
declarations:
maintain compliance with the and
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will mainta1.in a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, provided for.by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
,
performance of the work'fofwhich this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I haye,and;will maintain Workers Compensation Insurance, as provided for by
Section .3700!`,of the !'alibi Code;; for the performance of the work for which this
the Health & Safety Code, "sections 255059 25533, and 25534.
3
Owner or authorized agent '�'^'' D ate: ���
perri ii is issued.'."`,i ' �'
I certify that in the performance of the work for which this permit is issued, I shall
not employ anyperson m any'manner so as to become subject to the Worker's
Cornpensatiop;laws �of,Califomia. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
become subject to the Worket.'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 w, ith 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 liave 'read this'application and state that the above information is
correct. I agree to cgmply 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
ARCHITECT'S DECLARATION
indemnify, and. keep.4armless the City of Cupertino against liabilities, judgments,
costs, ands 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.
i
ate
Signature Date-
CUPER-I INO
REROOF PERMIT APPLICATION g N z
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION g O al q
'10300 TORRE AVENUE • CUPERTINO, CA 950114-3255
(408) 777-3228 • FAX (408) 777-3333 • building cnr cupertino.orq
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COITACT NAME
PHONE � � � E-MAIL
STRcE-T ADDRESS
CITY, STATE ZIP
FAX
❑ OWNER ❑ Ow\ER-BUILDER ❑ O%iWE•RAGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CON-I?ACTORrT ME 117
LICENSENTNIBER
LICENSE TYPE
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BUS. Li g
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COMPANY NAME
E-MAIL
FAX 35
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STRL•LrA LESS r CIT I'AlL,L P
PHONE
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ARCHITFCTIENGINEERNAME L[CENSE NUMBER
BUS. LIC. 9
Af
CORIPANY NAME
r-NIAIL
FAX
STREET ADDRESS CITY, STALE, "LIP PHONE
USE OF ❑ SFD or Duplex Multi -Family t mr a I l4 , 'PAl!IE n`
STRUCTURE: ❑ Commercial ®S � r
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPIiALT SHINGLC-S ❑ WOOD SHAKES ❑WOOD SHINGLES %OTHE• R (SPECIFY) 71
REMOVE/REPLACE filYIS
IF NO.
1
PLYWOOD ❑ w2 ❑
PLYWD ❑ OSB
PITCH: ROOF
❑ NO
x LAYERS:
TTIICK_NTESS: 51V
TYPE: CD.l'
• 12 CLASS: A
[CC -ES REPORT r
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SII!\I:L•-S ❑ WOOD SHINGLES JO OTHER
DESCRIPTION OF WORK:
�LCGU�-sL�s'�"//Z• jfiJU � ��� S wf2li/ GL�2l��+'CCL /L1Gf/f �.
By my signature below, I certify to each 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- I have read the Description of Work- and verity 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 identified Property uotlinspecti.olt urposes.
-.
rk r
+
Signature of Applicant/A. . (rate ,
SUPPLEMM7 NNT.4L INFORMATION REQUIRED OFFICE. USL arLY
If buildup is associated with a Home Owner's Association, provide letter PLAN CIUiCKTYPL I ROtrFINGS'LIP`
of approval from HOA. ❑ ovrR-rlrricoum r•.r. ❑ BUILDING PLAN RLYI@'\V
Provide Planning approval to verify if there any restrictions. ❑ -EXPRMSS ❑ PI�ANNtNG PLAN,RGVfFt►'
_ Provide copy of Manufacturer's Installation Specifications. G STANDARD ❑ FIRC DUFF
X Provide signed copy of Cupertino's Tear -Off Policy. oTUER.
Reroof4pp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
FEE ID ROOF AREA
s.f.
1REROOFMRES 1,600
ADDRESS: 8142 Park Villas Circle
DATE: 11/03/2015
REVIEWED BY: Phuong
Fivech- Permit Fee:
APN: 356-10-012
BP#:
*VALUATION: 1$6,405
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE:
Buildina isPENTAMATION
�/
3 Stories 0 Yes � No
1 R2ROOF
PERMIT TYPE:
WORK
UNITS #8142 #8144 #8146 - REMOVE E ROOF TILES AND UNDERLAYMENT INSTALL 2
SCOPE
LAYERS OF 40# FELT AND (N) BORAL OS CLAY "S" TILE - 16 SQUARE'S
FEE ID ROOF AREA
s.f.
1REROOFMRES 1,600
NOTE: This estimate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). Thesefees are based on the prelimina information available and are only an estimate Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E .7/1/13
Mech. Plan Check
Plumb. Plan C'hec°k _7_1
Flee. Plan Check
Fivech- Permit Fee:
[Plumb. Permit Fee:
Elec. Permit Tee:
Hech. Insp.
L1m,111�
Other Plumb Imp.
Other Elee. Insp. LiInsp.
Fee:
Plurnb. Insp..Tee:
Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). Thesefees are based on the prelimina information available and are only an estimate Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E .7/1/13
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
S'uppl..PC Fee
Phanb.&Iech.lElec
Permit Fee:
$272.00
Suppl. Insp Fee
Plumb.&Lech./Flee
Plumb.&Ieeh./Flee Permit Fee:
Construe tion Tax:
Achninistrative Fee:
Work Without Permit? 0 Yes (j) No
$0.00
Aldi.,ancecl Planning Fees: -
A
Travel Documentation Fees:
Strong Motion .Fee: IBSEISMICR
$0.83
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
�SUBTOTALS:
$273.83
$0.00° TOTAL FEE:
$273.83
Revised: 10/01/2015
r
CUPERTINO
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P•E., G.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - building(a)cupertino.org
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 orae 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 (lion-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 rewired. 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 -dowry or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is rewired.
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 approyaal_shali 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.
erified:
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 -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
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 Code. SignatureofApplicant/Agent: /—� ;�i–t ---- al XM3L
ReroofPolicy 2014.doc revised 01/15114 t
WESTMONT PARK VILLAS HOMEOWNERS ASSOCIATION
WESTMONT PARK VILLAS HOA
C/o COIti/MUNj ITY MANAGEMENT SERVICES
193 5 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 Westn-iont 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' )Dk&)-0j / ll&2cc
Diana k. Johnson
Vice -President
Community Management Services