B-2016-2556 CITY OF CUPERTINO BUILDING PERMIT
BUH.DINGADDRE S:. CONTRACTOR: PERMIT NO:B-2016-2556
11507 SILVER SPRING CT CUPERTINO,CA 95014-5132(366 51 025) CASTILLO'S ROOFING
SAN JOSE,CA 95122
OWNER'S NAME; 11TIU CHIN-HAUAND XIN XIAO PING DATE ISSUED:08/19/2016
OWNER'S PHONE:408-257-7052 PHONE NO:(408)251-3565
LICENSED CONT ACTOR'SDECLARATION BUILDING PERMIT INFO.
License Class R N Lic.##430456
Contractor CASTILLO'S ROOFING Date 11/30/2016 X BLDG _ELECT _PLUMB
I hereby affirm thatI am licensedMECH X RESIDENTIAL.under the provisions of Chapter 9(commencing — — _COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
RE-ROOF;TEAR.-OFF;INSTALL 30LB FELT;COMP SHINGLES (16
I hereby affirm unde penalty of perjury one of the following two declarations: SQ)
1. I have and ill maintain,a certificate of consent to self-insure for Worker's
Compensa-on,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
I have and 'll maintain Worker's Compensation Insurance,as provided for by
f Section 3700of the Labor Code,for the performance of the work for which this
permit is is ued. Sq.Ft Floor Area: Valuation:$8000.00
APPLICANT CERTIFICATION
certify that I have ad this application and state that the above
information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 366 51 025
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 ag inst liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against aid City in.consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations p r t e Cupertino Municipal Code,Section 9.18, 180 DAYS FROM LAST CALLED INSPECTION.
Sign*tUre Date 8/19/2016Issued by:Abby Ayende
Date:08/19/2016
OWNER-BUILDER E LARAT
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reason All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. I,as owner of the properly,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensati n,will do the work,and the structure is not intended or offered for inspection.
sale(Sec,7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature ofAp �
contractors to construct the project(See.7044,Business&Professions Code): Date: /198 /2016
I hereby affirm unde penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"AOR BETTER
1.. I have and w "ill maintain a Certificate of Consent to self-insure for Worker's
Compensa on,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2, I have and ill maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&;Safety Code,Section 25532(a)should I store or handle hazardous
material.Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I
Worker's C ompensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION `'„ Date:8/19/2016
certify that I have r ad this application and state that the above information is CONSTRUC`ION4'x��Tl-AGENCY
correct.I agree to c mply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building c nstruction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the ab we mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify ar d keep harmless the City of Cupertino against liabilities,
judgments,costs,ar d expenses which may accrue against said City in Lender's Address
consequence of the Igranting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARRATION
Code,Section g.18., I understand my plans shall be used as public records.
Licensed
Signature i Date 8119/2016 Professional
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REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILD;NG'DIVISION
'
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
. I (408)777-3228 FAX(408)777-3333•building
CcDcupertino.org
CUPER
PROJECT ADDRESS i i° V tel' S APN#
t
OWNER NAMEi 1f�� PHONE � 63 E-MAIL
STREET ADDRESS I i CITY, STATE,ZIP V/. y� 2 FAX
PHONE)Py>(� E-MAILCONTACT NAME ' ! i y / �/
STREET ADDRESS �I CITY,STATE,ZIP ,.p� p� i? FAX
OWNER ❑ O BUILDER ❑ OWNER AGENT . CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER El TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSF,T,P BUS.LIC. J
COMPANY NAME E MAII (•- L•
FAX
STREET ADDRESS f ® CITY,STATE,ZIP-' T PHO A02r
ARCHITECT/ENGINEI R NAME LICENSE NUMBER CJ7 BU .LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD Or Duplex' ❑ Multi-Family ROOF AREA: VALUATION:§
STRUCTURE•: ❑ Commercial S 77
EXISTING ROOF TYPI ❑BUILT-UP ROOF ASPHALT SHINGLES lvWOOD SHAKES' ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE YES IFNO, f PLYWOOD ❑ w, ❑ PLYWD ❑ OSB PITCH: ROOF
❑NO #LAYERS: / THICKNESS: ❑ 5/8" TYPE: ❑ CDX :12 CLASS: A
PROPOSED ROOF T : ❑BUILT-UP ROOF ASPHALT SHINGLES ElWOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-E$REPORT
DESCRIPTION OF WO,tIC: GJ �^ + '" % ✓sTn S '4{ ` _*3610jAe
A
By my signature below,I certi t each of the following: I am the property owneror orized agent,to act on the property owner's behalf. I have read this
'
application and the formation I have provided is correct. I have read the Description of Work and verify itis accurate. I agre to comply with all applicable local
ordinances and state laws relating to building onstruction. I authorize representatives of Cupertino to enter the above-ide d pro for inspection purposes.
Signature of App`_ o r ffj
SU IPTEMEAL)NFORMATIONREQUIRED '_ s
If building is associated With a Home Owner's Association,provide letter Prnn'cHEcxTy�> k xourmc sL>P
of approval om HOA. ov�Ii T$> COIIN�R ❑ sIIJLDmGrL4NREviEVS
Provide Plan ing approval to verify if there any restrictions, arizEss `£ �i 1 Pi ANIIING:YLA�;7tES JE«,
v �y
Provide copybf Manufacturer's Installation Specifications. y;sT4NDnxD q ❑ FII2EDEPT:
Provide signed copy of Cupertino's Tear-Off Policy.
N ❑ flTtIER
r x tee, Z N
Reroo A 2011.doc revised 03116111
f RP_
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REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL
CUPiERT[N 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
i
(408)777-3228•FAX(408)777-3333• building
(a.cupertino.ora
PROJECT ADDRESS - `
APN# �
OWNER NAME PHO C6> EMAIL
STREET ADDRESS CITY, STATE,ZIP FAX
CONTRACTOR NAME - LICENSE NUMBER t LICENSE TY?,,I BUS.LIC.#
4�
COMPANY NAME • E-MAIL FAX
I
STREET ADDRESS , CITY,STATE,` HONE
2 n® /
I UNDERSTAND AND AGREE T HE FOLLOWING:
1. The re-rof project shall comply with all applicable provisions of the 2013 California Codes.
2. An inspe tion request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or call (408)777-3228 from 7:30-3:30pin(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 th 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 (Mon-Thurs)
and 7:3 -10:30am and 12:30-2:30 (Friday). Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless n�w plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
complet ly knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing hall not be applied without first obtaining all prior inspection and written approvals from the
building Inspector. Any roofing which is applied without first obtaini ag an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be perforined.
6. A Final Inspection
ns ection and approval shall be obtained from the building inspector when the re-roofing is
completd. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of I/"per foot of slope and demonstrate there is no ponding.
b. �istings from approved testing agencies for all pre-manufactured products used shall be
�vailable 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
chargeda re-inspection fee. The re-inspection fee shall be raid before another inspection can be
scheduled.
By my signing below,I certify each of the following is true: I airs 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 detectos and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2013 California Residential Co. e.
Signature of Applicant/Ag t: Date:
i
ReroofPolicy_2014.doc revised 01115114