08060156 CITY OF CUPERTINO 'x' €'r:: -= t�
BUILDING DIVISION PERMIT CO hRAC QR�INFURMATIO,i
9t. ,aK�u".$ `.. . --
PERMIT NO.
""1%'3"ATGUST LN LOS GATOS ROOFING 08060156
OWNER'S NAME: U PERM"ISSUE DATE
Ink WENDY ZHENG P 0 BOX 1726 06/23/2008
NE:
(408) 298' -9399 SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECTPLUMB MECN
0 0 0 0
Deco LICENSED CONTRACTOR'S DECLARATION Job Description
m 1 beaffirm that afthat 1 w lic nal under provivmu of Cwpkr 9(mmmi
mung P
withSection](10B)ofDivision3ofdu:BusinessandPrafessiomCode,andmy'ice—is RE—RF RNV EXTNGLYRS SHKSHNNGL RFNG; INSTL 7/160SB
n'�to infuBrmceand ercea 23¢R f.
? uananaauyg I.ic.+ SLCT FLT&PRE SHGNSL SQ 29 CLS A
k- Dak !!/ALTS DECLARATION�� e r
1 understand my place shall W used as public reco is
gG Licensed Professional
OWNER-BUILDER DECLARATION
.� i 1 hereby olErm that I am ucmpt from the Conuactors License law far she
C po O following mason.(Section 7031.5,Business and Pmlusium Code:Any city or county
3_f which requires a Permit to conenro0.alter.improve.demolish,or reps,any stmmmc
–Z< prior W its issuance.also requites de applicant for such Permit to Bk a signal stamment
that he is Hae dpurnunt10teProvisionsOftheContractor'slicemeLaw(ChaPtm9 Sq.FL Floor Area $9219 Valuation
st$ (commencin with Section 7000)of Division 3 of she Business and Professions Cade or
— that he is eaempt therefrom and the basis for the alleged eaamption.Any violation of
Section 7031.5 by any applicant for a permit subjects Use applicant to a civil peaslty or Number Occupancy Type
mast more than five hundred dollars ISSoO) 3 6 212 011 . P Y yP
01.u.wnmof Nepmpmty.ormyemploymwithcagesum ksolec=Np don,
will do the woh,end them name u round nded m.(reared forsale(Sc.7014,Business
and Paofassou Code:The Comeekrs License Law dm Out apply to an Owner of Required Inspections
Property who buildsorim noway thereon,and whodassuch workhimselfor through his
own emploYm,provided that such improvements are not inkndal Or offered formic.If.
however.Ne building or improvement amid within one year of completion.Ne owner.
builder will have the Waren of proving that he did rot Witt or improve for purpose of
sale.).
Cl I,u Owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec 7044.Busirku and RO(euiOns Code:)Tie Commutes U. .
cense law does not apply k an owm of property who Wilds or improves thcrean.and.
who contracts formals pmjec s wish aconmcmr(s)licensed pursuant to the Cmuname,
Licais Law. ...
0 iammemptumeas See ,Bh PC fm this mason
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under parody of perjury one or the following declarations:
1 ham and will maintain a ConiBam O(Consent to self-imure for WOrkehCompen-
asdon.as provided for by Section 3700 of the labor Code,for Ne performance of the
work for which this permit is issmd.
0 1 have and will maintain Workers Compensation Insmanc,an required by section
3700 cfshe Labra Code.for the perform.ofthe work for which thin Permit u isscd. '
My WO C(ympemuatiw Inca. uni9sed Policy numMbu are:
Cartier. N .aMPoliq No.: //�—ZOOS
CERTIFIM OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This maim need Out W completed if the Permit Is foram hundred doRaaa(SIO(y)
or leu.)
I artily Chet in the performance Of the work for which this Permit is ismer,1 small not
employ any person in any manner an as to become subject o the Workers''Compensation
Laws of California.Data
Applicant
NOTICE TO APPLICANT.it.after making this CcniOak of Emo ption,you should
beacon subject to the WorteYa Compensation pmvkiom of the labor Calc,you must
.J O forNwiN comply with much pro,idons m this d
permi,"I be manelesmkc4
?r✓y CONSTRUCTION LENDING AGENCY
F I hereby anise that there uaocusi irm lendingagaey for the domuna.r
a > the work fur whim thin Permit is issmd(Seca.3097,Civ.C.) _
�W Landars Name
z Lenders Address
U Q 1 citify that I have mad this application and sok then tha above information is
t2. correct.1 agree k comply with all city and county oNlnenuces and sale laws relating to
.� building construction,and hereby mmome representatives of this city to color upon the
r✓ G about-mentioned pmpeny for inspection pugmxa
(We)carte m save,indemnify and keep harmless the City of Cupcnino against
wfn liabilidmjudgmens.costa and expemcs which may in my waymcrue against said City
(„)z
inconsequence of de,granting of this permit '
APPLICAKV�UNDERSTANDJ 6ND WILL COMPLY WITH ALL NON-POINT Issued by:%2� Date
SOURCE IJ)rOULATIONS.
3ldJHa 6/7 33 8 Re-roofs
Si reof Appli HAZARDOUS MATERIALS DISCLOSURE uttContractor ale Type of Roof
WIII she applicant or( uni Wilding eanumm m handle wnmoes material
u dented by she Cupertino Municipal
Municipal Codc.Chapter 9.12.and the Hasth and safety
Codc,section 25532(.)?
Pres ERN. All roofs shall be inspected prior to any roofing material being installed.
Wil]f applicant or future Wilding occupant on equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it buaNnua all aonkmiwhu u dcOmd by the Bay Art.a Ai!QuaManagement all new materials for inspection.
Dismct7 P
O Yes $Nu
I have read the bauNmsm -ISrequbemmu.nc rChapkr6.95eftheCsifm-
niaHulthkSafclyCade,Savw25505,25577 m1255M.IuNcrstand sharifthe
Wilding /( /
dem rot cuncmarey wa len 4 am B it my reapomibirty k mdfl leccupmt of the Z 3 /O
require: which must prior to issuance of.caukak of Ocmpancy.
Sig ureofApplicant Date
z o All roof coverings to be Class'A"
er cur num nrd agent Mile g or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36212011 . 00
DATE ISSUED. . . . . . . : 06/23/2008
RECEIPT # . . . . . . . . . : BS000005191
REFERENCE ID # . . . : 08060156
SITE ADDRESS . . . . . : 7903 AUGUST LN
SUBDIVISION . . . . . . . -
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . .. WENDY ZHENG
ADDRESS . . . . . . . . . . : 7903 AUGUST LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4113
RECEIVED FROM . . . . : LOS GATOS ROOFING
CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481
COMPANY . . . . . . . . . . : LOS GATOS ROOFING
ADDRESS . . . . . . . . . . : P 0 BOX 1726
CITY/STATE/ZIP . . . : LOS GATOS, CA 95031
TELEPHONE . . . . . . . . : (408) 298-9399
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 219 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1REROOFRES SQ FEET 29 . 00 377 . 00 0 . 00 377 . 00 0 . 00
---------- ---------- ---------- ---------- -
TOTAL PERMIT 378 . 00 0 . 00 378 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 378 . 00 #2645
---------------
TOTAL RECEIPT 378 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF . 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO UI Z5I
REROOF V
CEI�TINO PERMIT APPLICATION
APN# Date:
3&2- ► 2 -0 ► ► . v0 s/30/ 0 �
Building Address:
�96
Owner's Name: Phone#:
Contractor: 1 J �` U I Phone#: L/0 2`) 9--_ 939 9
L �—c�. o S 0 � �? Cl
L`
`J Fax#: YOF 3 -71-
Cupertino Business License #: 3 ) / Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles �Asphalt Shingles
Wood Shakes ❑ Wood Shakes
,LWood Shingles ❑ Wood Shingles
Other (Specify) ';t/ Other (Specify) 7 0
Number of existing coverings 4 ❑ Provide I.C.B.O. eport #
XTo be Removed )d- Provide Mfgr. Installation Specs.
Job Description: 2, �o "
Residential Commercial
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
Valuation: there are any restrictions: El
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
•
n.__L� f -
.7iguxtt[ire /
CITY OF CUPERTINO
CRY OF
REROOF
�cuPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Connnercial B
jo 1REROOF RES Re-roof Residential B 1SFDWLROOF
1BSEISMICRE Seismic Residential B
1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
IBUSLIC Business License B
•
Community Development Department
Building Division
City of Cupertino
• 10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
• 5. If plywood is installed, a plywood nail inspection is required.
6• Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection,fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply
with the above stated policy on re-roofing.
Homeowner's Name:
Job Site Address:
Roofing Company Name: S /7 Lt 7�i1 c P7-a J19CV
U ,
Applicant's Signature: j�� i2r i /; 'L Date: 3o 6
• Greg Casteel
Building Official
Revised 11/2/04
Community Development
E 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
UPEI�T�
CITYINO Fax(408) 777-3333
Building Department
JOB ADDRESS: n�D3 •� PERMIT #
od0o
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR: S S_, FAX # I
q
I am not using any subcontractors:
Signature Da e
Please check ap2licable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Nile //
Owner/Contractor Signature
Date