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B-2017-0121CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0121 10501 DAVISON AVE CUPERTINO, CA 95014-4503 (369 13 054) KENT ROOFING COMPANY INC CAMPBELL, CA 95008 OWNER'S NAME: LI QING AND CHENG HUAYING OWNER'S PHONE: 408-421-1465 LICENSED CONTRACTOR'S DECLARATION License Class C-39 Lic. #957398 Contractor KENT ROOFING COMPANY INCDate 05/31/2017 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: t. 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by ,4 _ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT NT RTIFI ATION 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 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 with all non=point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 01/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: m. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: m. 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 performance of the work for which this permit is issued. 2. I 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 01/24/2017 DATE ISSUED: 01/24/2017 PHONE NO: (408) 97111042 BUILDING PERMIT INFO: BLDG —ELECT _ PLUMB MECH X RESIDENTIAL _ COMMERCIAL 3 DESCRIPTION: ROOF; TEAR -OFF; INSTALL OSB; COMP SHINGLES - (26 SQ) Sq. Ft Floor Area: I Valuation: $15860.00 APN Number: Occupancy Type: 369 13 054 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Kirin Dunbar RF -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 remove all new materials for inspection. Signature ofApplicant:� Date: 01/24/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit, hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent/ / c� (C6_W_T_ Date: 01/24/2017 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional 'a s REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(akupertino.org Ref oofApp_201 Ldoc revised 03116111 01 PROJECT ADDRESS ��i APN # / ® f g �Ll OWNER NAME - e� PHONE E-MAIL _ STREET ADDRESS rf5 CITY, ST E, Z LA - F CONTACT NAME p 0 E- if STREET DRESS i�/P <s i1A CITY TATE, //� ��qy FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LI ENSE NUMBER C2 LICE ySE f BUS. LIC �^ COMPANY NAME E- t FAX STREE ADDRESS A CITY TATE, Z i f P�� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or Duplex inti -Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial IS -9 ,,,,_..,, //'' EXISTING ROOF TYPE:: BUILT-UP ROOF El ASPHALT SHINGLES N-KOOD SHAKES ❑ WOOD SHINGLES El OTHER (SPECIFY) REMOVE /REPLACE YES Ly IF NO, WOOD ® ❑ ®� 7THICKNESS: PLYWD L�YOSB PITCH: ROOF ❑ NO # LAYERS: El518" TYPE: ElCOX ,12'CLASS: A PROPOSED ROOF TYPE: 11Q�BUILT-UP ROOF ASPHALT SHINGLES ElWOOD SHAKES ElWOOD SHINGLES ❑ OTHER ICC -ES REPORT # DESCRIPTION OF WORK: 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 infonnation 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 state laws relating to b ding construction. _ authorize repres ntatives of Cupertino to enter the above-identifiedCpr�o erty for inspection purposes. Signature Applicant/Agent: r L of Date: `' i SUPPLEMENTAL INFORMATION REQUIRED OFMCE USE ONLY Ifbuilding is associated with a Home Owner's Association, provide letter PLAN CHECK TYPE ROUTING SLIP 0 'OVER-THE-COUNTER fl BLULDING PLAN REVIEW Of approval from HOA. _ Provide Planning approval to verify if there any restrictions. p EXPRESS PLANNING PLAN REVIEW _ Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD D FIRE DEPT Provide signed copy of Cupertino's Tear -Off Policy. OTHER_ Ref oofApp_201 Ldoc revised 03116111 01 REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT s BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • -CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX {408) 777-3333 • building(@cupertino.ong PROJECT ADDRESS V APN # OWNER NAME Q L V PHO 17 E -MAI dLt2 i ii STREET ADDRESS s CITY, AT ZIP _ AX CON OR NAME. LICEN ER LIC TYPl C ^— BUS. LIC. # CO PANYNAME {—? �^ E MAI�0�� FAX S TAD RES jj� CI ,STATE, ZIP HO `I I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request can be scheduled up to one business day -before the requestedinspection 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, ou must also call on the day of the inspection only after that phase of the work is completed. The bui ding 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 7:30-10:30am 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 new plywood roof sheathing is proposed throughout, all the nails/fasteiners shall be either completely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 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 Inspection and approval shall be obtained from 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 I/" 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 shall be paid before another inspection can be scheduled. 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 smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and 8315 of the 2016 California Residential Code.\ "� le (J Signature of Applicant/Agent: ��a A \4 . Q 1 n Date: � — f , I I ReroofPolicy 2014. doe revised 12IJ5116