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15120052d CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10740 MINETTE DR CONTRACTOR: THD AT-HOME PERMIT NO: 15120052 SERVICES, INC. OWNER'S NAME: CHEN HUNG JUNG AND LI MEI YI 2690 CUMBERLAND PKWY STE 300 DATE ISSUED: 12/07/2015 OWNER'S PHONE: 4082076748. ATLANTA, GA 30339-3913 PHONE NO: (510) 731-1004 0010" LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] TEAR OFF (E) COMP & B.U.R. ON PITCHED & FLAT License Class &Ifc 3 Lic. # 602 PORTIONS, (NO PLY), INSTALL 23 SQ (N) CALSS A ROOF Contractor r' t-w) A, 4e,, r Date 12 � '7 � j S MATERIAL 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: $18690 of the work for which this permit is issued. ave and will maintain Worker's Compensation hisurance, as provided for by 4formance tion 3700 of the Labor Code, for the performance of the work for which this APN Number: 37531039.00 Occupancy Type: p rmit 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 WIT 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 T 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 Date: granting of this permit. Additionally, the applicant understands and-willl mply pal Y with all non-point source regulations per the Cupertino M i Code, Section 9.18. Signaty< Dalel 7 / RE-ROOFS: 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 remoye-a11 new materials for inspection. ❑ OWN BUILD6 DECLARATION Signature of Applica t!" Date:�p —T I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL OF COV ING E 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 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 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,!��rrr .12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections.25505, 25533, and 255 4--- !Section Section3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: D,'ate: Z / permit is issued.' 1 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 ;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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 R- (408) 777-3228 • FAX (408) 777-3333 • building (cD,cupertino.org ��—/ Z o.5 Z_ PROJECT ADDRESS 10 .7 1 f1, I jAPN # OWNERNAME M c' 1 % W-7 • 6 74S E-MAIL ST'EF,,, /-I0 �9jLDR SS� -f� �%2 Y, STATE, ZIP CIT`C/�(-�'TINv grA /s�i%� FAx CONTACT NAME Eileen Baughman PHONE 707-527-7727 E-MAIL STREET ADDRESS 2456 VERNA COURT CITY, STATE, ZIP SAN LEANDRO, CA 94577 FAx 510-357-3750 ❑ OWNER ❑ OWNL-R-BUILDER ❑ OWNERAGENT l CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 836021 LICENSE TYPE C39 BUS. LIC. # COMPANY NAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA COURT CITY, STATE, ZiP SAN LEANDRO,CA 94577 PHONE 510-877-4550 ARCHITECT/ENGINEER NAME LiCENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CiTY, STATE, ZiP PHONE USE OF J'SFD or Duplex ❑ Multi -Family STRUCTURE: F1 Commercial ROOF AREA: `3o� VALU TION: `�� / I�I �C/o EXISTING; ROOF TYPE, ❑ BUILT-UP ROOF �u ASPH.ALT SHINGLES El WOOD SHAKES I-]WOODSHINGLES E] OTHER (SPECIFY) REiMOVEiREPLACE RJ YES El NO IF NO. ' # LAYERS: PLYWOOD E] '//." E]PLYWD b THICKNESS: 5/S" El OSB TYPE: 1:1CDX PITCH: L� F 12 ROOF CLASS: `4 PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER 7 ICC -ES REPORT DESCRIPTION OF WORK: g , 7G,4 --T Z'i/ ©.j i I/i N� j�ti�TJF G '� LZ'�7" 1A)3 Wi 10I `—Tfi�)_ 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 the Description of i -and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin uction. i authori represent of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: S LEMENTAL INFORMAT RE _ If building is associated with a Ho O s Association, provide letter Of approval from HOA. Provide Planning approval to verify if there any restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear -Off Policy. OFFICE USE ONLY eLAN CHECK TYPE ROUTING SLIP OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ BUILDING PLAN REV]ENV ❑ PLANNING PLAN REVIEW ❑ FIRE DEPT. ❑ OTHER: ReroofApp_2011.doc revised 03/16/l l ►a CITY OF CUPERTINO wi.,WMA FEE ESTIMATOR - BUILDING DIVISION ialADDRESS. 10740 MINETTE DR DATE: 12/07/2015 REVIEWED BY: MELISSA APN: 375 31 039 BP#: *VALUATION: 1$18,690 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: PENTAMATION ISFDWLROOF PERMIT TYPE: WORK TEAR OFF (E) COMP & B.U.R. ON PITCHED & FLAT PORTIONS, (NO PLY), INSTALL 23 SQ (N) SCOPE CALSS A ROOF MATERIAL NOTE. This estimate does not include fees due to other Departments (L e. Planning, Public Works, Fire, Sanitary Sewer District, School Wvtrirt Ptr-)- Thpvp fpp.v arp ha.vpd on the nrelinzinary informadmi available and are only an estimate. Contact the Dent for addit 'I info. FEE ITEMS (Fee Resolution 11-053 Eff. 7IL13) FEE QTY/FEE MISC ITEMS pzarCheck Fee: supp'UPC P"ele Permit Fee: $391.00 Work Without Permit? 0 Yes No $0.00 7;wvel 1)oclwnenn-vion Strong Motion Fee: IBSEISMCR $2.43 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 �!SUBTOTALS: $394.43 .. $0.00 TOTAL FEEi =$394.L3j Revised: 10/01/2015 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingncupertino.org PROJECT ADDRESS 10 70 ',jC`� / AN/�� o�C O%VNER NAME Me Lp./ PHONE E-MAIL . ... tr STREET v (/1 P4 " CIT AT�E,^ZLIP ^ A ?� _LICENSE FAX CONTRACTOR NAME LICENSE NUMBER TYPE BUS. LIC. # 836021 C39 COMPANY NAME THD AT HOME SERVICES E-MAIL FAX 510-357-3750 STREET ADDRESS 2456 VERNA CT. CITY, STATE, ZIP SAN LEANDRO, CA 94577 PHONE 510-887-4565 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon -Fri). 'fear -off roof inspection is required. Please call for tear -off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry -rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00 — 3:30pm (Mon — Thurs); 7:30 — 10:30am and 1:00 — 2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. 'In -Progress roof inspection is required. Call for an in -progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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. 7. A final inspection and approval shall be obtained from the building inspector when the re -roofing is complete. 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 must 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. 8. NO'T'E: 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 of $126.00. 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 on the property owner's behalf. I understand ani o c, plyl Signature of Applicant/Agent: or authorized agent to act re -roof policy stated above. Date: IZ_/-7/ l % S ReroofPolicy_2010.doe revised 05/17/10