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06030042CITY OFCUPERTINO 77 T 777, BUILDING 61VIS10N PERMIT �ONTRA-0TORANFORMATXQI�i �M . , �'.prv..,. ,. w.'i'�#?•..d8� e.i1$e'°`rdRF.&a BUILDING ADDRESS: ANDY'S CONSTRUCTION PERMIT No' 06030042 eR'S NAME: PERMITISSUBDATE JEFFREY TZONG & CHRISTINE ANG1354 SAGE HEN- y 03/09/2006 PHONE: SANITARY NO. CONTROL NO. (408)735-0111 ARCHITTIC AINGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONIRACIDR'S DECLARATION lb Description 1 hereby string that 1 am licensed under provisions of Chapter 9 (commencing with Section 1000).f Division 3 of Ne B.M. and Professions Code, and my liens is aandercect. 1/2 OSB PLYWOOD RE A OR B Lfe License Class Lic. N L Data Contractor ARCHITECT'S DECLARATION 1 understand my plans shall W used is, public records APR APR �2006 Licensed Pefes onal OWNER.BUILDER DECLARATION I heahy ofroe that I am exempt from the Communes License Law for the following reason. (Section 70315, Buaiass and PrefeWum Cade: Any City or County which eequlma a permit to ones uet. after. W prove, demnitsh, or repair any peuctum $ Q Q Q prior to its issuance, also requires the applicant rarsuch permit in file a signed summer that he is licensed pursuant o the pmviamns of the Communes License Law (Chapter 9 Sq. Ft. Floor Area Iuation (commencing with Section 7000) of Division 3 of the Bminw and Peafwimn Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of JAW 14W66P Occupancy Type Section 7031.5 by any applicant far a permit subjects the applicant to a civil penally of Out mom tun five hundred dollars (55001 01. ea owner of the property, or my employees with miles as their sole compensation, " Required Inspections will do the work, and the gtroctua is not Intended coffered foe mix (See. 7044. Business and Profess ans Code: The Ci nuxtoYs Liave Law docs ant apply W an wmer of preperty who bis Ilds ar improve thereon, end who does ouch work himself or through his own employes, provided Nat inch improvements are notimended oroRered fmaaln If. howev. the Wilding or Improvement is veld within rhe year of completion, the owner. Wilder will have Ote Wrden of proving That he did Inst Wild or improve for Purpose of sale.). (;�.1: es owner of the Property am exclusively conuetlnT with licensed ronomma to cpnstnet the project (Sec. 7000, Business and Professions Code) The Contractor's Lt. Came law does not apply to an owner of propertywho Wilds or Improv themon. anal, who ...Cord fur such projects with s connactor(s) licensed puewan,to the Contraaoh License Law. ❑laneeaem/Oty��der Sec h-P7C for this auon Cam r !//��/ i -"v Dau-Z� WORKERS COMPENSATION DECLARATION I hereby afRw under penury of perjury oro of the following dOclaraflov: ❑ [have and will maintain aCeNfiam of Covent to self-hnu ,forWorkeraCompen- eston. as provided for by Section 3700 of the Labor Code, for the perform em, of the wank for which this permit is Issued. ❑ 1 have and will maintain Workers Compensation Insueona, u required by Section 3700 of tW LabOcCode, for Ne performance of the wort forwhich this permit is issued. My Workce, Compensation Insurance carrier and Policy number aa; Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (DdsseNCo nesd not becomple al if flea permit tsformea hundred dollw(S100) or leas.) I ceNfy that in the Perform arcc of th�w fa which this permit Is issued. I staff net canployanyporeunln eaynn ncr b.Come mbjCoU Warycri Campcwton Lawaaf Calif D te — Applicant NOTICE TO APPLICANP. IL after makint;%is Certificate of Faemption, you should become subject to the Worker's Compensation provisions of the Labor Code. you must fondwith Comply with such prorisiap or this Permit shall W deemed revoked. CONSTRUCTION LENDING AGENCY 1 hemby aRirm that them Is a Convection tending agency fortW performance of to work for which this permit is issued (Sm 31197. Civ. C.) ' LandeYs Name , Londee.Address I certify that 1 have read this application and amus that the show information Ice Comca I ages to comply with all city and county ordinances and cute laws palating to Wilding construction, and hereby authatim mproenmives of this city to came upon the above-mentioned property fa Wpection Purpoes (We) agree to an, indemnify and kap henalem the City of Cupertino against Iiabilitica, judgments, cow and expenses which may In anyway acerve against said City in covegmme of Ne Treating of this Permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date 3_ 'Il 6,, SOURCE REOIIURFIONS. Re -roofs Type of Roof Signature afApplicai/Contrescmr Data HAZARDOUS MATERIALS DISCLOSURE Will to applicant or future Wilding occupant pans or handle havardom material es deRvd by the Cupertino Municipal Code. Chapter 9. @, and the Health and Safety . SCotion 75533(4)7 Yes CfWa 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 Will the appliceat or future Wilding Occupant use equipment or deviaa which emit havaame, air ceatamineats so defimd by flea Bay Arta Air Quality Management all new materials for inspection. District? ❑Yin No Ihave mad Nebrzandommatcdahrequirements rChapterd e Califon- niceHr Snfctyo .Satioru35315,33333 25534. 1 togirthsc Wilding sunde doeslnolcuerenflYmveaCoantNhumympsibiiiiywtifyeaucuPantoft mquremend mug bemet pflary, issuance oraCertificate ofOccupancy. Signature of Applicant Date All roof coverings to be Class "B" or better Owner or authorized agent Oau • CITY OF CUPERTINO Item 1 of 1 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31630037.00 DATE ISSUED.......: 03/09/2006 RECEIPT #.........: 33507 REFERENCE ID # ...: 06030042 SITE ADDRESS .....: 10522 DEODARA DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: kiereaw COPY # : 2 OWNER ............: JEFFREY TZONG & CHRISTINE YANG ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2431 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT NUMBER ______________________________ 148.76 2556 148.76 RECEIVED FROM ....: PROCON COMPANY CONTRACTOR .......: ANDREW KO LIC # 26141 COMPANY ..........: ANDY'S CONSTRUCTION ADDRESS ..........: 1354 SAGE HEN WAY CITY/STATE/ZIP ...: SUNNYVALE, CA 94087 • TELEPHONE ........: (408)735-0111 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL __________ BPERMFEE _____________ __________ VALUATION 8,000.00 ____________________ __________ 147.96 0.00 147.96 __________ 0.00 BSEISMICRE VALUATION 8,000.00 0.80 0.00 0.80 0.00 TOTAL PERMIT ------- -- ---------- ---------- 148.76 0.00 ---------- 148.76 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT NUMBER ______________________________ 148.76 2556 148.76 Cl OF UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 1 4r PERMIT ti OWNER'S NAME: J'c F,F2s 7Zc-/� L PHONE # GENERAL CONTRACTOR A,6pcoS'Tlztec7i40FAX# BUSINESS LICENSE # I am not using any subcontractors: �l��.C'�� - )—,? ds 11 Signature Date Please check applicable subcontractors and complete the following information 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 Owner/ Contractor Signature Date �ICITY of UPERTINO r L CITY OF CUPERTINO REROOF PERMIT APPLICATION FORM APN #Date: 31c�—moo.-o•.�q-- -- — -- - Bldg Permit Fees BENERGY Energy BUILDING Building Address: / o sc Dia 1pif Owner's Name:Phone BPLANCHK #: Contractor: Phone #:. License #: Contact: Phone #: Cupertino Business License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof el,- Asphalt Shingles .8! Asphalt Shingles )Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will ComplyWith Cu ertino's Tear Off Policy: Job Description: ply w. Residential Commercial ❑ Fire Zone: Yes ❑ No a Confirmed with Planning Dept. if LJ there are any restrictions: Cost of Project Type of C n truction: Occupancy group: ov0 s Qty. if Bee T1enn.intinn Fee Grout) Appilcame r-� .� BPERMFEE -- — -- - Bldg Permit Fees BUILDING BENERGY Energy BUILDING / BSEISMICRE BSEISMICOM Seismic Fee Res Seismic Commercial BUILDING BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING V W, CITY OF CUPEkTINO Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (468) 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. �-�F�i/2a`/-'aoluh cNRf 5,71 Homeowner's Name: � J6b Site Address: / O DA RA pr Roofing Company Name: / ala 1 ° r' `"t RC2 /C� • Applicants Signature: Date: ' Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper U