08030132CITY OF CUPERTINO
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BUILDING DIVISION' PERNUT
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BUILtlV S'MAYW00D DR
LOS GATOS ROOFING
PERMITNO.
08030132
EWS NAME:
PERMIT ISSL EDATE
BAEK SUM KIM
P 0 BOX 1726
03/24/2008
PHONE:
SANITARY NO. CONTROL N0,
ARCHITECDENGINEER:
BUILDING PERMIT INFO
RE -ROOF RMV EXSTNG SHK
BO PLUMBO
O O
LICENSED CONTRACTORS DECLARATION
Job Description
P
I hereby ram that 1 am Ike.ed umkr ProvbWns of CluPmr 9 (c.mmrxing"^^'
' ^ " ^ ^^
with Schon7IX )ofDividon7ofthe BuonmmdPm(cuWns Cod,nalmyIkenau
in full fame and affen. 9 v O —7 0 %
.
Do.a��'1Z'1�G`�CaARCHITECTsmate'DECLOYn
I understood my plans shall W used u Public recoN,
Licensed Pmrotmonal
OWNER -BUILDER DECLARATION
I hcuhy slims that I am a Bram fmm the Conuacmrl License law for the
following wan. (section 70313, Bualnea and Prefaces.. Cade: Any city or ..my
which report. • porn, W com uct. also. impure, demalush, or repair any s maturn
"
prior W its iuuance. Wu requires the appil.1 f.wch permit W Tile a eipmd,weamet
Ft. Floor Area
-
Valuation
thuhei. thermal pu..I la to pmvi,sns of the Comrachar. Ucenso Law (chapter 9
Sq.
(mrro mint with Sutton700M of Oiei,im 3 of to Businestand Pmrusia. Cone) or
that W b aumpt therefor rod the basis for hoe alleged exemption, Any NWWan of
APN Number
- Occupancy Type
Section 7031.5 by airy applicant far. parer, subjects the applicant W a chis patently of
ret more Ihw A. hundred dollars ISM
O I, u owner of t0 pmpaty. m my =ployeu wiN mra u fttr wte campewdon•
e
Required Inspections
will da the work,md the southern Is ret insndedor offered forame(Sec. 7W, Behimeat
and Pmrealass Code: The Contmmarsse s LiceLaw does wt apply W an owner or
q P
property who bui Ids err improves Orientated veno does such wart himself ar through his
own employees, provided that such Impmvem.tn are not Intended or offered fur sale IL
hawaysr, the Wilding or improvement is sold within oto year of completion. the owner.
.
Wilder will haw W burden of proving tut M did oat build or impmw for purpose of
ale].
❑ 1, u owner of the progeny, ma reclualwly conuavn[ with licensed contractors W
co.hmct the project (Sec ]Otho, Bushman and Pmftmoss code:) TO Can o cloes U•
calla law doant not apply W an owner of property who Wilds or impuws themon, and,
who connote for such prejecu with a eonuaam(s) Bccnacd purswm W rte Contractor's
License law.
❑ Iamuemptunder Sec .BkPCrutLs,--.
ser Date
W ORKEAS COMPENSATION DECLARATION
1 hereby film under partially of Perjury, orc of rte following dcclaatiatee
an1have We main W.Ires C.
•Certifies of CoventrCode.for
Iter
of tho
wort. pro smton 3700 of the labor Code. (er to perf.mana of the
provided for by
wart for which thb permit is retia
r mi
O 1 haw and will maintain Workeh Compenutan Insurance, as inquired by Section
3700 ofd. labor Code. re, the peRarmwce of Ne wart for which this permit is Issued.
'
My Worluer'sLCompensation Insurance caa an Policy number am:
Cartkr.57wTG 'Parity No.:/98—zoog
CERTIFICATE�PTION FROM WORKERS'
COMPENSATION INSURANCE
(Thus ,emlt=it rot he comPlcxd irthe permit is farom hundred doilsn ($101))
M kµ)
1 unify tut In the perfomhaman of the wart for which this permit Is laved, l ,hall net
employ soy person in soy mwnerse as W become subject W the Wo lam' Compessatt
Lam of Caliromla. Date
'
Applicator
NOTICE TO APPUCANP. If. after making this CmiB.s of ascription. you should
necame subject W the Workers Compassed. prorisio. or the lent C.O. you must
forthwith comply with such pm mmeal or this Permit Nall W Omen rnowit
CONSTRUCTION LENDING AGENCY
I hereby th that Neu u lending agency for the Performance of
s ed! (Soctinn
rte won for which Ids patella 4 iuucA (Ste 3097, Civ. C)
ices
"
Lattices Name
'
Lenders Address
I miry the 1 law mad we aimlicum and sus "'k above Informed. Is
' toren. I agree W comply with all city and county ordinanea and mute bene testing he
building construction. and hereby authodu mprewa.dwe of this city Wetter upon the
I abore-mentioned property for Inspection purposes.
(Wc) agree to saw, indemnify red keep harmless the City of Cuperino against
i liabilities, judgmumu, Com and amensts which may in soy soy amu against uld City
in c moequeram of the grating of this permit.
I APPLICAfNA UNDERSTAN S AND WILL COMPLY WITH ALL NON -POINT
,y ^
Issued by:9 Date O7
SOUR CE @PGULA'nONS.
Re -roofs
Type of Roof
^
(l-�'.•' 3/7, 16 $
Sign re of AppllamtConuanor Das
HAZARDOUS MATERIALS DISCLOSURE
Will to mptlant or fume bdlding occupant start or hwdle haatdous material
tiNned by the Cupertino Municipal Code. Chapter 9.1 1• and the Health red Safety
ami. x5531(')+
All roofs shall be inspected prior to any roofing material being installed.
OYss 0 N
If a roof is installed without first obtaining an inspection,agree to remove
Will the sppi cwt or (utum Wilding occupant use equipment. dcA. which
.I
earth hauodnns air conuminwu a darted by the Bay Amo Air Quality Management
all new materials for inspection.
District?
Otte ON.
Thaw re., the Qupsrd.95afhhe Califong
i /
.1,S d.mauriabrequi m1255unhicr
smI15534.Iundcrund thal(thc Wilding
nb Ncolte
_3j7_ o
`�
myyCod,Sato.2SS05.235ll
note ntly how •unset, that Il'u my malwnalhility W natty to occupant n( the
O�does
rcgmoorm whwhmostuIprior to ism .mnfaCenifuaWoOcap ay.
Sign re of Applicant Date
3 Z9 Dour
All roof coverings to be Class 'W' or better
o rormotorized.gc.1
11
L
C J
2 ITEMS OF 6
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ......1.: 31630007.00
DATE ISSUED.......: 03/24/2008
RECEIPT #.........: BS000004242
REFERENCE ID # ...: 08030132
SITE ADDRESS .....: 19936 BAYWOOD DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............:
BAEK SUM KIM
ADDRESS ..........:
19936 BAYWOOD DR
CITY/STATE/ZIP ...:
CUPERTINO CA,
,95014-2317
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 6,663.00
----------- ----------
0.70
----------
0.00 0.70
---------
0.00
1REROOFRES SQ FEET 30.50
396.50
0.00 396.50
0.00
TOTAL PERMIT
---------- ----------
397.20
----------
0.00 397.20
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
1,172.40
---------------
1,172.40
VOICE ID DESCRIPTION
------ ----------------------------
601 ROOF TEAR OFF
REFERENCE NUMBER
--------------------
#2602
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN -PROGRESS
605 FINAL REROOF
�p amm
• CUPERJTIN0
F_
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CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
APN #
30 - �a -7. o v
Date:
3 7 ad'
Building Address: / ® n
(�
Owner's Name:
Phone #:
S
5�F3y2-3/�C�
Contractor: Los 6-a-1-0 S %t 00 / 1 r? c{
`J
Phone #: yo 8' 2 9 g'_ 919 9
Fax #: AloS _' ff�- �?3 -71
Cupertino Business License #:/ / n /
7 b
Contractor License #:
o 70
Type of Roof Covering:
Existing: Proposed:
❑ Built -Up Roof ❑ Built -Up roof
❑ Asphalt Shingles X Asphalt Shingles
)< Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles .
. ❑ Other (Specify) ;)a( Other (Specify) 7 ) OSB
Number of existing coverings ❑ Provide I.C.B.O. Report #
To be Removed /W, Provide Mfgr. Installation Specs.
10.5 s „
S 5 —Roo'
Job Description: z/yw e -
o
Residential Com ercia]
Fire Zone: Yes ❑ No IM Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuarion: 00
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
•CUPEkTINO
CITY OF CUPERTINO
REROOF
FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1RER00FC0M
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
3 Q
1RER00FRES
Re -roof Residential
B
1SFDWLROOF
i
1BSEISMICRE
Seismic Residential
B
1RER00FMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
0
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: e k Lim ��
Job Site Address:
Roofing Company Name:
Applicant's Signature:/1//) t�y) i i Date: �D/(J
•
Greg Casteel
Building Official
Revised 11/2/04
CITY OF
4kUPERTINO
L
a
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS:
/9930 So, wvo-i Dr
PERMIT #
0P-030(3 Z
OWNER'S NAME: ;, a S H
PHONE # 09 - Z 9 g- 939 °(
GENERAL CONTRACTOR: Lo ��. os oa
FAX #
I am not using any subcontractors: 3 z o $
Signature Date
Please check applicable subcontractors and complete the following information:
Z -11-/
Owner/ Contractor Signature
Date
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
Tile
Z -11-/
Owner/ Contractor Signature
Date