15110016AO
I
.' CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 8148 PARK VILLA CIR
CONTRACTOR: FOUR SEASONS
PERMIT NO: 15110016
ROOFING
OWNER'S NAME:: YIN QILIN AND DONG LULU
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 DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
License Class # 7�^ �d
UNITS #8148, #8150, #8152 - REMOVE (E) ROOF TILES AND
,1Lic.
UNDERLAYMENT, INSTALL 2 LAYERS OF 40# FELT AND (N) BORAL OS
[Contractor /v/L.&7f%W/S Al2F1'A G/NC,upate /5
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 is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and'will maintain acertiffcate.of consent to self -insure for Worker's
Compensation,' as'piovided 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
1I 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
APN Number 35610009.00
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
WITIIIN 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 City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
Issued by: ��� Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE-ROOFS:
If
SignatSr'4 `Date /� 3 30/_5
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
±f
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,; oi,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(a) 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 use equipment or devices which emit hazardous
Compensation;; as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
perfd�mance,of the work fof.;which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker; s Compensation Insurance, as provided for by
the Health & Safety Code, Section 505, 25533, and 25534.
Section 3700 of the L' abor,Code,�for the performance of the work for which this
��
Owner or authorized'agg ent: D�f� 3 gni
pemiit'is'issued.`I`; '•; ' ,'. "
I certify, that inthe performance pf the work for which this permit is issued, I shall
not employ: 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
Lender's Address
T APPLICANT CERTIFICATION
I certifythat 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 soiirce regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature ' Date
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION 1�
10300 T ORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777 -32? -8 < FAX (403) 777-3333 - buildin c�cu ertina.org
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-PROJECT ADf)RISs
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❑ OWNER ❑ OWNER -BUILDER ❑ OWNN*ERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHI'IECr ❑ ENGINEER ❑ DEVELOPER ❑ TEA'.AA'T
CONTRACTOR NS}UIE
L(CENSENUMBER
LICENSE'I YP :
BUS.
COMPANY NANIE
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LICENSE- N(1MI3LR
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COMPANY NA\SE
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STREET ADDRESS
CITY, STATii, ZIP
PHONE
USE OF ❑ SFD or Duplex Multi -Tamil �
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Ro6I=;Aiipn
STRUCTURE: ❑ Commercial
/ o..$
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FX1ST(NGROOF"TYPE: ❑MHUFOPROOF ❑ASP[IAI;rSHINGEES El WOOD SHAKES ❑WOOD SHINGLES XOTHE•R(SPECIFY) 77e
RIiMOVE/REPLACE PLV ---S IF NO, PLYNOOD ❑ w- ❑ _._ PLYWD ❑ OSB PITCH: s ROOF
❑ NO 9 LAYERS� TYPE: CDX 12 CLASS: A
r
PRUI'OSED ROOP'IY!'L•'-: ❑BUILT' -UP ROOF ❑ ASPNAL"f S1tINGLliS ❑WOOD SHAKES IVU011SR1NGLIiS xi U'rH[:K 7te-
ICC -ES REPORT a
DESCRIPTION I OF WORK: ._7
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By my signature belo�v, I certify to each of the following: I am the property owner or authorized agent to act on the property ovmer's behalf. [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 -1 entified property for inspection -purposes.
Signature of ApplicantlAgent: �_� C'✓ — — •--..- 1�2f: -I l3
SUPPLEMENTAL INFOWMATION REQUIRED O FIIr1: LSI: ONLY
_ _
4 If building is associated with a Home Owner's Association, provide letter PLAN CIILCKIYPE ROUTING SLIP
of approval from HOA. ❑ 0VER-TlIE-C9uvrrR ❑ 13U11,D1NG PLAN 12E\'IL'w
Provide Planning approval to verify if there any restrictions. ❑ 1
EXPRIs$s PLANNING PLAN REVIEW
Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ ME DEFT
1 Provide PY P signed co of Cu ertino's Tear -Off Polic ❑
Signed y• OTHER-
RewofApp_201 1. doc revised 03/16/11
CITY OF CUPERTINO
FF.F ESTIMATOR — WILDING DIVISION
im,ADDRESS:
8148 Park Villas Circle
DATE: 11/03/2015
REVIEWED BY: Phuong
Plan Check Fees:
APN: 356-10-009
BP#:
*VALUATION: 1$6,405
*PERMIT TYPE: Minor Building Permit
PLAN CHECK TYPE: Re -roof
PRIMARY Multi -Family Dwelling
USE: y g
Building is
>3 Stories 0 Yes (D No
PENTAMATION 1 R2R00
PERMIT TYPE:
WORK
UNITS #8148 #8150 #8152 - REMOVE E ROOF TILES AND UNDERLAYMENT INSTALL 2
SCOPE
LAYERS OF 40# FELT AND (N) BORAL OS CLAY "S" TILE - 16 SQUARE'S
11ech. Flan Check
Uech..Perm it Fee:
Other-,Ifech.'1nrp.
1 tech. Insp. Fee:
FEE ID ROOF AREA
s.f.
1 REROOFMRES 1,600
Plumb. Plan Check
[Plumb. Permit Fee:
Other Plumb Insp.
Plumb. Insp. Fee:
T
Elec. flan Check
Ii1ec. Permit Fee:
Other Elec. Insp. Li
Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (La Planning, Public Works, Fire, Sanitary Sewer District, School
District.' etc ). These fees are hased on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info.
FEE, ITEMS (Fee Resolution 11-053 E . 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fees:
Sulrpl..PC Fee
Phtlnb./Hl ch.!Elec
Permit Fee:
$272.00
Suppl. Insp Fee
Plumb.1111cAJElee
Phimb. 11' eeh./Elee Permit Tee:
Constriction Tax",
Adininistralive Tee:
Work Without Permit? 0 Yes 0 No
$0.00
ciclvaneed Planning Fees:
i
Tra ,e'l'bo' &uineniation Fees:
Strong 1Vl6iibn F'ee: 1BSEISAffCR
$0.83
Select an Administrative Item
Bldg'Sids"Commission Fee: IBCBSC
$1.00
j Ga �4 SUBTOTALS'°
$273.83
$0.00 TOTAL FEE: n
$273.83
Revised: 10/01/2015
2!rt IJ't
COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPE_RTINO, CA 95014-3255
(408) 777-3228 ^ FAX (408) 777-3333 ° kLf1Idi11q@CL1PertinacJrg
PRUJCC l; �llllRESS -
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CONTRRACrOR N//�j'-��_'
LICENSE NUMBER C_
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COMPANY NAME:
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PHONE
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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 gjgto one business dgv before the rre—Quested 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 afterr that phase of the work is completed. The building inspector will be
available within one hour. The hours for this service are: 7:30-10:30aam and 12:30.3:30 (Mon-Thu>rs)
and 7:30-10:30aam and 112:30-2:30 (Friday). Final Inspections will be given atwo hour window.
3. Tear-Off
is_IreQ}InllrrQ° o Any and all dry -rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the mails/fasteners shall be either
complete➢y knocked --down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Ins cellon its R-equired.
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 lus ection and p rova][_shall foe obtained -rom 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/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/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 reinspection fee shaDH.be gaaid before another ins ection can be
schedWedo
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
smolct- 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:�ppliclnt/Agent: / :,�' �._-------' Date:
ReroofPo1icy_2014.doc revised 01/15/14
WEST1vIONT PARD VILLAS HOMEOWNERS ASSOCIATION
WESTMONT PARK VILLAS HOA
c/o COMMUNITY MANAGEMENT SERVICES
1935 DRY CREED 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 neve BORAL U.S. TILE ONE PIECE MISSION "S" CLAY TILE SYSTEM. We
have selected the color CLAY RED to match our existing roofs.
Sin Prely,
N.
kir X)17J
l�Urt cc
Diana k. Johnson
Vice -President
Community Management Services