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16010034 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8070 PARK VILLA CIR CONTRACTOR:FOUR SEASONS PERMIT NO:16Q10034 ROOFING OWNER'S NAME: CHAN WEI HSUN AND SHEN YIH WEN PO BOX 1668 DATE ISSUED:01/06/2016 OWNER'S PHONE: 4085591972 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 A LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION;RESIDENTIAL Q' COMMERCIAL ❑ UNITS 8070,8072&8074-TEAR OFF(E)TILE& License Class kaLi # J-/ C INSTALL 40#FELT,(N)CLASS A"S" TILE ROOF SYSTEM Contracto ✓ Datel 1 hereby of that I am licensed un, r-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-kN _ formance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6405 '_.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:35610027.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT.EXPIRES IEM-qRK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN RMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above me tioned property for inspection purposes. (We)agree to save Ig INSPEC IO indemnify and ke harmle s the City of Cupertino against liabilities,judgments, B � . costs,and expen s which ay accru against said City in consequence of the granting of this ermit. ditionall the applicant understands and will co Is Date; with all non- nt sour egulatio per the Cupertino MunicipalCode,Section 9.18. '� d RE-ROOFS: Signatu�' Date� All roofs shall be inspected prio to any r fing material being installed.If a roof is installed without first obtainin inspe ion,I a e to remove all new materials for inspection. M 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 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 9quipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the ay Are Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with th uperti o nicipal Code,Chapter 912 a , I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,5e o s 2550 2 and 25534. l Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized nt Date: 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 9.18. Signature Date I REROOF PERMIT APPLICATION CC3NIMUNITY DEVELOPMENT DEPAr TkIIEN i BUILDING DIVISION jj 10300 TORRE AV1 NUE: -Cl'UPERTIND,CA 95014-3255 a 4 LJ I `f PROIEC I AWACS5 3I<i tD (40M 777-3228 FAX(408)777-3333 n�auild l7,_�(a7ci�t�rt no APS r If v10, 6 G .sv�C hw� t_M.,IL f SltyLGr ti�ntrrec �/J„�' .ass L4 I' FAX CO\"£+1t"r Ih1;L• / 2 PHONE � �„5 B-MAIL rirY,sr:aTt;,ZIP FAX OWNER lkl OWNER-BUILDER o1VI ERAGENT CUATRACTOR 0 CONTRACTORAGENT ARC[irm r ENG MER DEVELOPER 0 TENANT E LICENSENUMBER CON"1'RAC t OR•f M13tBI R � � �.� f COMPANY NAM -- E-MAIL -,/ I A?C rysTttEl ra tt ss _, C1 TATE Lt[„�•' �7 _' I ARCHITECTiENGMEM(NAM17 LICENSE NU1•IBER BUS.LIC. COMPANY NAME' _ E-MAIL FAX t �1 STREET ADDRESS CITY,STATE,ZIP PF[ONFd USE Or 0 SID or Duplex M111ti-Family ROOF AREA cru.r�rto y l STRUCTURE: 11 Commercial EYI)CiNC ROOF'1YP1-.: BI3It:P-ifPROO[ 0ASPHALTSHINGLrS ITWOODSHAI ES 11 WOODSH1N(-'1.rS OTH R(SPECrfY)71 RI-moVEtRCPLACE PLXIs t'NO, PLYWOOD ❑ l` 11 mylvi) 01 OS13 PITCH: ROOF } LAYERS- f TY -TK 12 CLASS: A f PROPOSED R� OOr YPE; 0 BUI^ IL:I--UP ROOF ©ASRIiALTSHANGLES 0 WOOD SHAKLS 0 WOOD SHINGLES OTHER f r��: ICC-ES REPORT DtiSCRIPTION OFWORK: / f P y f ` t � " r j 7 j By my signature belom.,I ccrtifi,to each of the follon ink- I am the property oxvner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. 1 have read the Description of word;and verity it is accurate. I agree to comply with all applicable local I ordinances and state laws relating to building construction. I authorize representatives at Cupertino to enter the aborve dent h�1011y for inspection purposes. 111 Signature of Applicant/Agent:- -------�cr- Tate / r 4 SUPPT,EMENITAL INFORMA'11ON REQUIRED _ �OEI`1CL.LSI ONLY If building is associated with a Home Owner's Association,provide letter t'I.� tltl cL'I rt-t Itov tN<:sx tt> of approval from 1I0A. Tett ---- CI BUILDING > Provide Planning approval to verify if there any restrictions. LD Lrr: ss , r;rL Provide copy of Manufacturer's Installation Specifications. S-1';1,DARD J Fm- Provide ut- Provide signed copy ofCupertino's Tear-Off Policy. rtiLlt: i Rer oofApp_Z011.dac revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION Y° ADDRESS: 8070 PARK VILLAS CIR DATE: 01106/2016 REVIEWED BY: MELISSA APN 356 10 027 BP#: *VALUATION: 1$6,405 _ !'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY Buildina is PENTAMATION Multi-Family Dwelling 1 R2ROOF USE: 3 Stories _ Q Yes Q No PERMIT TYPE: r WORK UNITS 8070 8072& 8074-TEAR OFF E TILE & INSTALL 40# FELT N CLASS A"S"TILE ROOF SCOPE SYSTEM FEE ID ROOK'AREA �S•f) 1 REROOFMRES 1,600 �.�E`£'r? Fj;??Z("�Fst i.N 3< •'its'?.s.:£,', ,.fic`C�` x���,t....i''ffl.�.rrs'L..>. zYee: ?fit{.Y.'::11,1,1. lat...wb.&so,Fee NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the relimina information available and are only an estimate. Contact the De t or addn't in o. FEE ITEMS (Fee Resolution 11-053 Ef' 711113 FEE QTY/FEE MISC ITEMS Pen-nit Feer $272.00 Permh,Fee: AdInihfistral;W,Fee: Work Without Permit? 0 Yes (j) No $0.00 ".tt 71-a Do, Strom Motion Fee: 1BSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 i7BTTALS:: $273.$3 $0.001"' ,TAL FE,E:; $273.83 Revised: 10/01/2015 i \i sr , ce l' , r G u c> t COINIMIUNI 1`t D /ELOPivlEXI-DIEP ARTrviEN i-BUILDING DIVISION i = 4 SALVADOR, - , C O., BUILDING OrIFICi AL cSES t ;0,500-fCJ(,RE AVENUE-C<c.,}'ER INO,CA 95014-3255 ! `408 777-3228 ^Ila{ 408 777--3333 bUlidi i @cri.ort{ii or, OTO�� PRUJI Ci AUDR1�� ypr(� a K V,Itta-SIt //�� ' Pi 0c 0 c 1S Fi MAIL j sTlt;l� vaolzi sem- /` c-u SIAtr 7,11) C Olvyt tZAC l OR iNA�a LICL.iSI NUMBER I..[C1��3I�-r[Li WSJ 4 � 11i I 4r till e! � 11: , 1 'r�' ^S IICOMPANY NAME &MAIi. fl, �R1Rri 1 A[)1)Rt S9`f �<J (,QA'SIATC,'ZI F _m f. PHONE 4—, e { G L � r. !• - L tF '�J� .. � `....c. J'C' 1..�-' / f":a J� �. y�. .- [:✓ S,f.J 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 'an be scheduled nnip to one b4Lshl M d ny before the rre Please schedule inspections online or call (408) 777-3228 from 7::30-•3:30pm (Mon•-Thurs)or 7:305 2:30pm (Friday) to schedule inspection, For Tear-Off and Nailing h-ispections,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. 0.30am and 12.30-3:30 (Mon-Thurs) and 7.30- 0:30a m and 112.30-2.30 ()Friday). Final Inspections will be given a two hour window. 3. .Tear-Off In nction is reoauiredo Any and all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, OR the inaihs/fastenners shall be either completely knocked-down or removed prior to this inspection. 4. If plywood is installed, a plywood Ivaan�in��_l(un�pgof 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 nein material down to the sheathing so a proper inspection can be performed. 6. A Final inspection anda�I9wroval sha l be obtaairinedl from the building inspector when the rearoofing is completed. To receive a final sign-off, the following items will be verified: a, Flat roofs shall have a minimum of%s" per foot of slope and demonstrate there is no ponding. b. Listings front approved testing agencies for all pro-manu-factured products used shall be available on-site to review at the titre 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 are-inspection fee. Ther' inspection fee shaalll be ipa�id before aanothnex i ns�cectio�a cajun lie schneQlulede 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 snrottie detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code SlgnatureofApplicant/llgent' >• f r - Date: Rer-ogf'olicy_2(I11.cloc revised 01115114 VE I 1 T AMe,VILLAST,�',OIrii�P%. . SOCIAT ,AV STS 1 AR VULLA Imo: 19351DRY CPE4F--K ROAD CAITAP-BEILL, CA 96008 1 }559 1977 City of Cwperdno Building yep=,—mew, To the-Ci�y of CuperthiD; . `Y , Vhre av e ge%ectki fhe colo CIA!Imo-to-imatch ow,existing roofs. Si I x; Jodi nkViec-Presidenw Co—munity aniaga ent Services