06010010 F
ITY OF CUPERTINO
BUILDING DIVISION PERMIT �CCSNTRACTORINFRMATION
ILDING ADDRESS: LINDY ROOFING CO INC PERMITN0.06010010
OWNER'S NAME: PERMIT ISSUE DATE
JEFF & CHRIS PERRY 5554 HARVARD D 01/03/2006
xNE: SANITARY NO. CONTROL NO.
(408) 286-9990
ARCHITECTMNGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
uoo LICENSED CONTRACTOR'S DECLARATION
1 hcroby if irm the,1 am Ilemnscd under provisions of Chapter 9(commencing Job Dese p n
wllh Secfl n7IXgBofDivl on 3 of NO Business and Profs ns Code,and mY license is
mmumme.ndmr- - pl 1p REROOF--REMOVE SHAKE, INSTA4N(aLES
Z License Clu L S B� 141Vft �A,
ARCHITECTS DECLARATION
I un (Land my pllN allall M awd As pYhllG mCnrdt
ry��w
+0� Licenud Pw(cuianal
OWNER-BUILDER DECLARATIONCts
.�0I hwemY affirm that 1 1. exempt s an the fesstractah e:Any c Law far the
D o following reason.(Satan 703 1.5,Bualm.e and re.dem ns Code:Any city or county
$12 which rtyuims a perm(re.Ores the pike improve,h permit t fie.sig any structure i ]-4 0 00
4�,' prior In itsissuanpursu requires thovisios,of for amhpermtu.Dleulaw(Cha rent
(commiecing wit purSecsuant to the700)of Division
of thea Business
uinessnd Profssw(Chapter Sq.Ft. Floor Area aClOn
SCS (cation Is
(commencing hemfm 7 and the
baiiion?of thea ed ex�and Profau vi CnEc)of
yes 3.. Nat he ie.sump(themfmm and Ne brae Ira the alleged eumpton.My violatbn of
Section 7D31.5 by any applicant for a permit subjects Ne applicant to a civil penalty of -5 APlq
not mom than five hundred dollars(M). T Occupancy Type
Q I,uowner of sum proprny,d,my cmployus such n{uudte4 sure cmnpewtia..
will de the wore,and me Nunum bnot InmMed w o@red fwsale 6..7044,Busimn
And Profession.Code:The Communes License Law dons an(apply to an want or Required Inspections
property who builds orimprovea thereon,andwhodaesauchwork himself or though his
awn employees,provided that such improvements art not immnled cronerdd for Asia If,
however,the building or improvement b sold within ane yearLf completion,the owner
builder will have the burden of proving that he did not build.r Improve(d,purpose of
sale.).
Q 1,u owner of the property,am"elusively contracting with limned conmctun to
construct the project(See.7044,Business and Pafestom Cade:)7h"Comrscmfs U.
cense law docs not apply in an owner of pmpenywbo builds or Imposes thereon.and
who mntmcts far such projects with Aconuwtw(s)licensed part.,in the Contractor.
License Law,
Q l am exempt under Sea ,B•PC far this moan
Owner Data
Adhk WORKER'S COMPENSATION DECLARATION
1 mercby-firm under potty of perjury arc of rte following decimeters:I haw end will matnuinlCeNOcaw ofConsent m self-insure for WorkeraCompen-
u,lon,As provided for by Section 37M of Ne labor Code,for the performance of to
waste for which this permit is issued.
Q 1 haw and will maintain Warkers Compewton Insmuance.u required by Section
371Daf the Used,Code,for the performance of the work for which this permit is Wood.
My W area Cg1m� m Insurance mrtiw and Policy number am: ']
Carder. ` � PolicyNo.: I S 00010 I
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need oat becompleted lithe p reit is foram hundred dollars($I00)
or leu.)
I modify that in Ne prformanee of the work for which this permit is issued.I shall not
employ any person in my manmr an As to Wormesubjmt m the Worken'Compeuadon
Laws of Calif emia Dam
Applicant
NOTICE TO APPLICAND If,after Makin{this Certificate of Exemption,you should
become tbjnet w the Worker'.Compensation provisions of the latter,Code,you most
QQ forthwith comply with such provisions or this permit shalt Ise deemed revalued.
r~NiCONSTRUCTION LENDING AGENCY
Fr Ihereby.Rum that there Is construction lending agency far the perfotmanemaf
a to work fur which this permit is issued(S..3097,Ci,C.)
W�Q Landes Name
=z Lenders Address
U Q 1 mNfy dot 1 haw read(hi.applicant..and sum that the also.InfatmNon b
ly torten.I agree to comply with all city and county ordinances and 4tsm laws relying to
0 building construction.and hereby authodm repmsenutives of this city to enter upon the
;t+ shove-mentioned property for Inspection purposes.
(We)gree As saw,indemnify and keep harmless the City of TCupertino!gains(rod liabilities,Judgments,cath ad expense.which may in Any ac....iolmisud City
UZ in consegg
S.
wnce of the mming of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WI TN A NO -POINT Issued by: Date
t aro,
—�anl�plim.ucantr.tw _ Re-roofs
Si{natu
HAZARDOUS MATERIALSDISCLOSUREOSURE Type of Roof
WIII Ute appEcam o,(arum building Co mcuWnt r 9.1 w handle H allou material
Cm
defend by the Cupertino Municipal Code.Chapter 9.12.and the Halm and Safety
c.ue, 0 Vice xsssx(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yea No
Will the appE.ant ar arc building omupem Asx cyulpment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it hovardnus air con Manu u dcfmmd by the Bay Area Air Quality Management all new materials for inspection.
Dovicfl
0y. u
I have mad sum hu m.materla4 mquirtm"w under Chepmr 6.93afthe Glifor-
wxealthas,rcmycam.S«,ixhxsws,x+s»awsssx4.lunderammuwutheWilding
data not currently hew a tenant that It b my responsibility ea not fY we t of dw
no most metpnwwiuuanceofacenificamaf c
A.iR a„ t ""b SI a are of Applicant Date
Own Auto ...de.anl 'Dow
All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building Department
JOB ADDRESS: PERM #
2 Coce mftoCgf� �G6
OWNER'S NAME: Lt r�io- >7�l C<--) PHONE # r$ 2(07-L( I
GENERAL CONTRACTOR FAX#
�---1 } D D (p
I am not using any subcontractors: "—
� -�^ �
Signature Date
Please check applicable subcontractors and complete the following information:
RI SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum% Wood
MP Glass / Glazing
Heating
Insulation
Landscaping
Lathing -
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing ,
Septic Tank
Sheet Metal
Sheet Rock
Tile
-J
Owner/Contractor Signature Date
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408).777-3228
U P E TIN 0 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: 7e-pp 06C fl--t-S Aex
Job Site Address:
Roofing Company Name: LI R.UO-�� � • _
Applicant's Signature: Date: 1 2 /QS
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
CITY OF CUPERTINO
' REROOF
CUPERTINO PERMIT APPLICATION FORM
APN # 326
_ D � � Date:
3 z � �s �-as-os
Building Address: i ,� C op. H ac(-e�,�,
Owner's Name: ��S �� Phone#:
Tej ,�r t
40�5-a57 - 5a.3
Contractor: Phone #: License #:
I.-� tZ�-q ' L4blb-a-8(o-t4cro d( 5 8 f fo
Contact: Phone#: Cupertino Business License #:
1 ve 9 08-3-8G-44 4
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles NQ:Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O.Report#
jY To be Removed ❑ Provide Mfgr. Installation Specs.
I Have Read, Understand and Will Comply With Cu ertino's Tear.Off Polic
Job Description: � = a S %�S 'C '�O 12J` C K ,
Residential KI Commercial ❑
Fire Zone: Yes ❑ No �D- Confirmed with Planning Dept. if
there are any restrictions: LJ
Cos f Project: Type of Construction: Occupancy group:
SoS414400c) e_ St Le—,
Qty. if
Applicable Fee ID ' Fee Description Fee Group
BPERMFEE Bldp Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
F
ITY OF CUPERTINO
BUILDING DIVISION PERMIT �CCSNTRACTORINFRMATION
ILDING ADDRESS: LINDY ROOFING CO INC PERMITN0.06010010
OWNER'S NAME: PERMIT ISSUE DATE
JEFF & CHRIS PERRY 5554 HARVARD D 01/03/2006
xNE: SANITARY NO. CONTROL NO.
(408) 286-9990
ARCHITECTMNGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
uoo LICENSED CONTRACTOR'S DECLARATION
1 hcroby if irm the,1 am Ilemnscd under provisions of Chapter 9(commencing Job Dese p n
wllh Secfl n7IXgBofDivl on 3 of NO Business and Profs ns Code,and mY license is
mmumme.ndmr- - pl 1p REROOF--REMOVE SHAKE, INSTA4N(aLES
Z License Clu L S B� 141Vft �A,
ARCHITECTS DECLARATION
I un (Land my pllN allall M awd As pYhllG mCnrdt
ry��w
+0� Licenud Pw(cuianal
OWNER-BUILDER DECLARATIONCts
.�0I hwemY affirm that 1 1. exempt s an the fesstractah e:Any c Law far the
D o following reason.(Satan 703 1.5,Bualm.e and re.dem ns Code:Any city or county
$12 which rtyuims a perm(re.Ores the pike improve,h permit t fie.sig any structure i ]-4 0 00
4�,' prior In itsissuanpursu requires thovisios,of for amhpermtu.Dleulaw(Cha rent
(commiecing wit purSecsuant to the700)of Division
of thea Business
uinessnd Profssw(Chapter Sq.Ft. Floor Area aClOn
SCS (cation Is
(commencing hemfm 7 and the
baiiion?of thea ed ex�and Profau vi CnEc)of
yes 3.. Nat he ie.sump(themfmm and Ne brae Ira the alleged eumpton.My violatbn of
Section 7D31.5 by any applicant for a permit subjects Ne applicant to a civil penalty of -5 APlq
not mom than five hundred dollars(M). T Occupancy Type
Q I,uowner of sum proprny,d,my cmployus such n{uudte4 sure cmnpewtia..
will de the wore,and me Nunum bnot InmMed w o@red fwsale 6..7044,Busimn
And Profession.Code:The Communes License Law dons an(apply to an want or Required Inspections
property who builds orimprovea thereon,andwhodaesauchwork himself or though his
awn employees,provided that such improvements art not immnled cronerdd for Asia If,
however,the building or improvement b sold within ane yearLf completion,the owner
builder will have the burden of proving that he did not build.r Improve(d,purpose of
sale.).
Q 1,u owner of the property,am"elusively contracting with limned conmctun to
construct the project(See.7044,Business and Pafestom Cade:)7h"Comrscmfs U.
cense law docs not apply in an owner of pmpenywbo builds or Imposes thereon.and
who mntmcts far such projects with Aconuwtw(s)licensed part.,in the Contractor.
License Law,
Q l am exempt under Sea ,B•PC far this moan
Owner Data
Adhk WORKER'S COMPENSATION DECLARATION
1 mercby-firm under potty of perjury arc of rte following decimeters:I haw end will matnuinlCeNOcaw ofConsent m self-insure for WorkeraCompen-
u,lon,As provided for by Section 37M of Ne labor Code,for the performance of to
waste for which this permit is issued.
Q 1 haw and will maintain Warkers Compewton Insmuance.u required by Section
371Daf the Used,Code,for the performance of the work for which this permit is Wood.
My W area Cg1m� m Insurance mrtiw and Policy number am: ']
Carder. ` � PolicyNo.: I S 00010 I
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need oat becompleted lithe p reit is foram hundred dollars($I00)
or leu.)
I modify that in Ne prformanee of the work for which this permit is issued.I shall not
employ any person in my manmr an As to Wormesubjmt m the Worken'Compeuadon
Laws of Calif emia Dam
Applicant
NOTICE TO APPLICAND If,after Makin{this Certificate of Exemption,you should
become tbjnet w the Worker'.Compensation provisions of the latter,Code,you most
QQ forthwith comply with such provisions or this permit shalt Ise deemed revalued.
r~NiCONSTRUCTION LENDING AGENCY
Fr Ihereby.Rum that there Is construction lending agency far the perfotmanemaf
a to work fur which this permit is issued(S..3097,Ci,C.)
W�Q Landes Name
=z Lenders Address
U Q 1 mNfy dot 1 haw read(hi.applicant..and sum that the also.InfatmNon b
ly torten.I agree to comply with all city and county ordinances and 4tsm laws relying to
0 building construction.and hereby authodm repmsenutives of this city to enter upon the
;t+ shove-mentioned property for Inspection purposes.
(We)gree As saw,indemnify and keep harmless the City of TCupertino!gains(rod liabilities,Judgments,cath ad expense.which may in Any ac....iolmisud City
UZ in consegg
S.
wnce of the mming of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WI TN A NO -POINT Issued by: Date
t aro,
—�anl�plim.ucantr.tw _ Re-roofs
Si{natu
HAZARDOUS MATERIALSDISCLOSUREOSURE Type of Roof
WIII Ute appEcam o,(arum building Co mcuWnt r 9.1 w handle H allou material
Cm
defend by the Cupertino Municipal Code.Chapter 9.12.and the Halm and Safety
c.ue, 0 Vice xsssx(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yea No
Will the appE.ant ar arc building omupem Asx cyulpment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it hovardnus air con Manu u dcfmmd by the Bay Area Air Quality Management all new materials for inspection.
Dovicfl
0y. u
I have mad sum hu m.materla4 mquirtm"w under Chepmr 6.93afthe Glifor-
wxealthas,rcmycam.S«,ixhxsws,x+s»awsssx4.lunderammuwutheWilding
data not currently hew a tenant that It b my responsibility ea not fY we t of dw
no most metpnwwiuuanceofacenificamaf c
A.iR a„ t ""b SI a are of Applicant Date
Own Auto ...de.anl 'Dow
All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building Department
JOB ADDRESS: PERM #
2 Coce mftoCgf� �G6
OWNER'S NAME: Lt r�io- >7�l C<--) PHONE # r$ 2(07-L( I
GENERAL CONTRACTOR FAX#
�---1 } D D (p
I am not using any subcontractors: "—
� -�^ �
Signature Date
Please check applicable subcontractors and complete the following information:
RI SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum% Wood
MP Glass / Glazing
Heating
Insulation
Landscaping
Lathing -
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing ,
Septic Tank
Sheet Metal
Sheet Rock
Tile
-J
Owner/Contractor Signature Date
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408).777-3228
U P E TIN 0 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: 7e-pp 06C fl--t-S Aex
Job Site Address:
Roofing Company Name: LI R.UO-�� � • _
Applicant's Signature: Date: 1 2 /QS
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
CITY OF CUPERTINO
' REROOF
CUPERTINO PERMIT APPLICATION FORM
APN # 326
_ D � � Date:
3 z � �s �-as-os
Building Address: i ,� C op. H ac(-e�,�,
Owner's Name: ��S �� Phone#:
Tej ,�r t
40�5-a57 - 5a.3
Contractor: Phone #: License #:
I.-� tZ�-q ' L4blb-a-8(o-t4cro d( 5 8 f fo
Contact: Phone#: Cupertino Business License #:
1 ve 9 08-3-8G-44 4
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles NQ:Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O.Report#
jY To be Removed ❑ Provide Mfgr. Installation Specs.
I Have Read, Understand and Will Comply With Cu ertino's Tear.Off Polic
Job Description: � = a S %�S 'C '�O 12J` C K ,
Residential KI Commercial ❑
Fire Zone: Yes ❑ No �D- Confirmed with Planning Dept. if
there are any restrictions: LJ
Cos f Project: Type of Construction: Occupancy group:
SoS414400c) e_ St Le—,
Qty. if
Applicable Fee ID ' Fee Description Fee Group
BPERMFEE Bldp Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING