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15120130FI CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8082 PARK VILLA CIR CONTRACTOR: FOUR SEASONS PERMIT NO: 15120130 ROOFING OWNER'S NAME: TSENG DORIS W AND CHARLES C PO BOX 1668 DATE ISSUED: 12/15/2015 OWNER'S PHONE: SAN JOSE, CA 95109 PHONE NO: (408)278-0330 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑ Ll r UNITS #8082, #8084, #8086 - REMOVE (E) ROOF TILES License C s C— Lic. # LI t AND UNDERLAYMENT, INSTALL 2 LAYERS OF 40# FELT � (AND �Is Contrac Date(N) BORAL OS 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 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: $6465 performance of the work for which this permit is issued. ohave 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: 35610021.00 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 FROMLASTCALLED IN/SPPE T1N. indemnify and keep armless the City of Cupertino against liabilities, judgments, costs, and expens s hich ma accrue agai t said City in consequence of the j Lr�l ��� Issued by: Date: granting of this e it. Add' ovally, the p licant understands and will comply with all non t source r ulations per h Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature ate J All roofs shall be inspected r to any r g material being installed. If a roof is installed without fi ta' ng an in t' n, I ager o remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: 1�e: ` 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 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 uipmen devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the . Area i Quality nagement District I �pertin performance of the work for which this permit is issued. will maintain compliance with the unicipal de, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, S s 25505, , 533, and 2 4. Section 3700 of the Labor Code, for the performance of the work for which this / Owner or authorized agent: tc! C 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 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 a 9.18. Signature Date R @p@p.e�ww OypaF� PERMIT ERMI APPLICATION P8 ATN {/ 1 t• COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE - C;UPERTINO, CA 95014-3255 (408) 777-3223 9 FAX (403) 777-3333 9 building(bctApeiftino�OL AP\ it II IWE-MAIL C:il:Ax E•IA'L NAE PHONE s�\ do MLLT ADDRESS CrrY, S'r:1 L'E, ZIP I AX U OWNER I l OWNER -BUILDER © O%VNERAGr:NT CONTRACTOR ❑CONTRACTORAGLOT 0 ARCHITECT ❑ ENGINEER DEVELOPER l 1 TENANT CON 1'RACTOR�NAME %, LICENSE NUMBER I-ICENSE'1'TI' : BUS. 1. !t COMPANY NANIE j F -,',SAIL FA,i{ (-V `r- •7 ' - ✓3Y -S'1'ItLLI';\) 21i98 CrrY; TATE ZIP _ PRUNE %�rh�1 �ARCHITECTt1:NGIN15F,R NAME LICENSE NUMBER BUS. LIC. 7 COMPANY NAME L'-NIA11, FAX STREET ADDRESS A C1I,y, s1'A'ris, Zil' PHONE" ! USE OF ❑ SFD or Duplex Multi -Family STRUC•rURE: ❑ Commercial FXIS i WG ROOF TYPE: ❑ 1)(H : r -UP ROOF ❑ ASPIiA(: r SHINGLES ❑ 1VOOD SHAKris El wo o i) sHi q;i.E$ OTHER (SPECIFY) 7, RF,MOVURUPLACE P3.YJS IF NO. PLYWOOD ❑ w- ❑ PLYWD Cl OSB PITCH: ROOF ❑ NO 4 L \YERS: T1 ICIi.NESS: 51S" TYPE: CD% J� : 12 CLASS: A - PROPOSED ROOF TYPL•-: 0 BUILT-UP ROOF ❑ ASPHAL I' S111NGLES ❑ WOOD SHAKES ❑ WOOD S1I1N(3LliS O'1'IjM A _.._ __ _.------- — ----•= -- - (CC -ES REPORT N ,_.:.a,.�:_ DISCREPTIONOi'WORK: ,Gc%LCG%i re Y�,� �?%JU� ,L/�' S wyG�.l GL�'l'l%llLf//Lsi1', —51 _............ ....._...__—. Y y-/ By my signatm-e belo%N, I certify to each of the followin-.: I am the property owner or authorized agent to act on the property oer's behalf t hav read this application and the information I have 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 slate laws relating to buildin.; construction. I authorize representatives ot'Cupertino to enter the above-ic •ntifjed. roperl y •for. inspection purposes. '-� � [ Signature of Applicant/Agent::� = � �C — -- =D Its �• _ SUFI umr-i`I'rAL INFORM1 2 fON REQUIRED orrlrl: USE ONLYIf'building PLAN CHECKTYPEROUfING.''+UPofapproval is associated with a Home Owner -s Association, provide letter Jo OVER-t•IM-COVISITE Z ❑ BUILDING PLANREN-11:wProvide fromIIOA. Planning approval to verify ifthere any restrictions. e:xrnr5s ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FlldL DEPT Provide signed copy of Cupertino's Tear -Off Policy. ❑ o r1lrclt: ReroofApp_2011.doc )'evised 03/16/11 CITY OF CUPERTINO 15151-0,130 FVF, ESTIMATOR — BUILDING DIVISION ADDRESS: 8082 Park Villa Circle ik-S, DATE: 12115/2015 I REVIEWED BY: PAUL APN: 356 10 021 — BP#: *VALUATION: 1$6,465 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Multi -Family Dwelling M USE: 7>3 Buildina is Stories 0 Yes (j) No PENTAMATION 1R2R00F PERMIT TYPE: WORK UNITS #8082, #8084, #8086 - REMOVE (E) ROOF TILES AND UNDERLAYMENT, INSTALL 2 SCOPE LAYERS OF 40# FELT AND (N) BORAL OS CLAY "S" TILE - 16 SQUARE'S O�hci, PhtjnbAnv,� NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Lire, Sanitary Newer District, 3'cliool District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept,jor aflan't injo, FEE ITEMS (Fee Resolution 1.1-053,1:jX 7,11132 FEE QTY/FEE MISC ITEMS Permit Fee: $272.00 j,ei YVT Fee: Work Without Permit? 0 Yes (D No $0.00 ave! fi12eTW2 76M.11 CeS: Strong Motion Fee: IBSEISMICR $0.84 Select an Administrative Item Bldg Suds Commission Fee: IBCBSC $1.00 $273.84 $0.00 TOTAL FEE; ` $273.84 Revised: 10/01/2015 REROOF TEA, R-0FFP0L11(3Y 0 i0q0 130, CONIMUNII Y DLV1=LOIDMEI\11' [)EPARI'i�rrN-1- ° BUILDING DIVISION ALBE=RT SALVADOR, RE., C.G.O., BUILDING OFi=1CIAL 'i 0360 PORIA ' AVENL)C , C UPE :RTINO, CA 050'14-3265 (408) 777-3228 ° FAX (408) 777••3333 ^ bL1ilclinyfi>c;l_ipertinn org I ROJLC l ADDRESSA PN 11II '= foo *tCHW_,�J C " S`I' 7T, (IP'FAX'V) LLA A Ci'k S"fRl A%Z ON50A4( ()N'1'[tACTOR NAyM' IACENISIi NUR11Jlili G: LI ,h. i'l'YPli, BUS. l,[�. II G� ii cl J �vG. f4 F/ ti" �r ;j: r,.` /"y�! :4i' s �' 4 _� _.., i l COMPANY NAME H.MAIL i - C l STRFU ADDRESS /Al r %1P _ 1, r � PHONE_ i I UNDERSTAND AND AGREE TO THF. FOLLOWING: 1. There -roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled gulp tdp ®r-I%uu�uliu � .. 121_ _C�e�®rr� >iltae rre�a�e ��Q� a a� a �®�a ��ate. 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 }phnse of the work its c®rri pkted, The building inspector will be available within one hour. The hours for this service are: 7o3040:30aaan and 12.30••3.30 (1`/ o n-•'] hunlrs) and 7.30-10.30aaian and' JM30d2o30 (Friday). Final Inspections will be given a two hour window. 3.- Tear -Off 1!iistp�et�®i<a >{°e� Any and all dry -rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, 0 the shall be enther e®rrrnipletteRy knocked -down or rrlen-unovedU prior to this inspection. 4. If plywood is installed, a plywood r-!1 nr t tLapp 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. b. A I[?>l>1��all-ns 11➢�a I airagll Il�r�rrdpyaall ah -11 be Obtained [i•om the building inspector when the reroofing is completed. To receive a final sign ­ off, the following items will be verified: a. Flat roofs shall have a minimum of '/1" 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 siaa 111 rue id before raaun®$hex n>ins> !Lc_ n®on dean I By my signing below, I certify each of the Iollowing 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 smolt, detectors and carbon monoxide detectors are regilireci to be installed in accordance with Sections 8314 and 8315 of fthe 2.013 California Residential Code. Signature of !Applicant/Agent: Lam_ -- Rer00%1'olicy 2014.doe revised 01/15/14 A WESTIMONNT P.,,% -RIC VILLAS HOMEOWNERS ASSOCIAT1014 WESTMONT PAIRK VILLAS 110A do COMMUMITY MA-1�A.G'—P�Wj.FNTrl'SERVICES 193 5 DRY CREEK ROAD CAMPBELL, CA 95008 (408) 559 - 1977 N 8/1,112015 City Of Cupertino Building Dcparftuejit To the. City of Cupectino; please noir, fnL,. We,,3tjjj0nt PZjrk- NMIas 110A has contrwwd and approved Four Seasons Roofing to pQ.rform 57 re -roofs of oux b-o-u'les, roplaci-ma the Gurrent Tile Roof ng systern with liew LORAL U.S-, IME ON—)-- PIECE MISSION "S' CLAY TIT -*E-:, SYSTOM. We Dave selected the color CLA),."RED to rmach ow, roofs. Sin 6P Diana k, Jolui§on ViCe-president Community Scn7 i c: es RECEIVED 2015 --- ----- --