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B-2018-0041
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-0041 10226 BEARDON DR CUPERTINO, CA 95014-1934 (326 32 023) YONG CHAN CHON SAN FRANCISCO, CA 94124 OWNER'S NAME: OH THOMAS J AND GIGI C TRUSTEE & ET AL DATE ISSUED: 01/05/2018 OWNER'S PHONE: 408-655-3477 PHONE NO: (415) 407-2242 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic. #762924 Contractor YONG CHAN CHON Date 05/31/2019 X BLDG _ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: REROOF; TEAR OFF; INSTALL 2 PLY BITUMEN (31.50 SQ) 1 hereby affirm under penalty of perjury one of the following two declarations: 1. 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 `A --Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $34500.00 permit is issued. APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 326 32 023 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said 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 per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 1/5/2018 Issued by: Abby Avende OWNER DECLARATION Date: 01/05/2018 -BUILDER I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. r sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 1/5/2018 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 1 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will 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 1 store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation 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 255 533;g 25534. Labor Code, I must forthwith comply with such provisions or this permit shall e be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 1/5(201$ 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply 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 construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 1/5/201$ Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 PEMIT #B - d-C)l (408) 777-3228 • building@cupertino.orQ CUPERTINO I REV# DEF# ❑ NEW CONSTRUCTION [:]ADDITION ❑ ALTERATION ❑ T.I. ❑ MEP �RE-ROOF ❑ SWIMMING POOL/SPA PROJECT ADDRESS/0-226 `1" 2 2 / Re ar8 c m ^ f LV_ �PHHOYNE APN # OWNERNAME E-MAIL , 'o Wo,.n 8-6�,4--34 We STREET ADDRESS� Beat r CTI�Y� STATE, 5 0 1 -Q-5-014- � � v � CA 16CONTRACTOR NAME ❑ OWNER -BUILDER COMPANY NAME LICENSE ER L LICENSE TYPE C"fya.C` Jab ',n Char 'R06e1r SIL Ty►J a - STREET ADDRESS CITY, STATE, ZIP T if nA E-MAIL -, ��H(INE 2 e 1 3 p0 -rooft�r► gfo , �A-W- BUS. LIC "'i © / 3a 1 ❑ ARCHITECT ❑ OWNER OWNER AGENT ZI CONTRACTOR AGENT [I ENGINEER ❑ DEVELOPER ❑ TENANT CONTACT NAME JAM E-MAIL C wlr�� co m C'hc-A Ctc-e0of,m s STREET ADDRESS CITY, STATE, ZIP PHONE 1300 Z o -n4 ,� n 1r ► — 2— DESCRIPTON Y /1 O (d 1h C i 1 ❑SINGLE-FAMILY/DUPLEX ❑ MULTI -FAMILY ❑ INDUSTRIAL ❑ COMMERCIAL USE TYPE OCC SQ.FT. VALUATION ($) EXISTING USE EXISTING SF NEW FLOOR SF I PORCH SF I DECK SF I DEMO SF I STORIES # TOTAL NET SF REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ ATTACHED BATHROOM SF SF SF SF ❑ DETACHED EXLSING ❑ YES FIRE SPRINKLERS ❑ NO EICHLER ❑ YES ❑ NO SECOND STORY ADDITION []YES ❑ NO DWELLING SECOND DWELLING ❑ YES ❑ ATTACHED ❑ DETACHED OTHER UNrTS # UNIT ADDITON: ❑ NO S F POOL$❑ ❑ ❑ FIBERGLASS VINYL -LINED GUNITE ❑PREFABRICATED POOL - SF SPA - SF SPA ATTACHED [IYES [INO TOTAL - SF RECEIVED JQTAL VALUATION: Commercial or Multi-Familu Buildings with Public Swimming Pools requires Department of Environmental Heath atmrovalaltA `TTLLEE� RE -ROOF EXISTING ROOF TYPE: UILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑WOODS GLE E OTHER (SPECIFY) r REMOVE /REPLACE ❑ NO IF NO PLYWOOD ❑ 3/8" PLYWOOD TYPE: PITCH: ' 12 ROOF CLASS 'OYES # OF LAYERS THICKNESS ❑ 5/8" OTHER ❑OSB ❑ CDX OTHER —FL- A PROPOSED ROOF TYPE: W ILT-UP ROOF F] ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER *Provide a signed copy of the Cupertino's Tear -Off Policy SF #of SQUARES 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. 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 building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purupses. I acknowledge and authorize all information contained on this application form to be made available for public record. Signature of Applicant/Agent: / Date: v SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA -Provide a letter of approval from the Home Owner's Association B1dgApp_2017.doc revised 08101/17 oe" CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • 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 a-�cupertino.orq PROJECT .ADDRESS /a-22-6 -7 APN # 52k 2 -U Z 3 �y7 r y OWNERNAME f� f� Vtl t i PHONE 4 E- S - E -SIL t 4/rio nCi f n"C6 "602)" STREET ADDRESS C: cxr C" 1� i" CITY, STATE, ZIP C est` me cA FAX CONTRACTOR NAME C NUMBER LICENSE TYPE BUS. LIC. # hoLICENSE - (� 71 COMPANY NAME ACe '� r _ E-MAIL FAX STREET ADDRESS / Y/� L 420 1 emIt'� q AYo_n�N CITY, STATE, ZIP \ j- PHONE 4x—,317-2 c0/ ..L 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 requested inspection date. To schedule inspections 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 phase of the work is completed. The building inspector will be out to the job site 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/fasteners 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 R314 and R315 of the 2016 California Residential Code. Signature of Applicant/Agent: ,'��',�' , �Date: 4 Vo 2- 4J ReroofPolicv 2014.doc remised 0610117