08030067 CITY OF CUPERTINO ��s,� 3 ry,.�'l/.;� R"�k'Yg� 1�7 ,mak
BUILDINZ;DIVISION PERNIIT 'l
yaVIQ;\'J.1l..C,�1 � QA
MIT NO.
Bu1L.i1M'RffjMAS DR N G LEON CONSTRUCTION, INC. PER 08030067
OWNER'S NAME: PERMIT ISSUE DATE
WOOLEY GREG 1601 CIVIC CENTER DR STE 102 03/13/2008
E: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
RE—ROOF, LIGHTWEIGHT TILE,CLIS I BLDG ELECT PLUMB MECH
O O O O
300 LICENSED I MeCONTRACTORS DEsion of hap - Job Description
1 MrebY affirm Nat 1 am aItemosunfla under and
Fog
of Chapter 9(wmmcncin{
with Secncead d or Division Sea Nc Businmand Pro siuns Cadc'md�nylicemeu
d in full foto and cr(m't. f0/ /
02-
, License Cl Lk.♦
E Dew Conuecmr �"
ee s mail M mad DECLARA ION
C�0 1 understand my plans Nall k sect is public rearde
c` Licensed Poseamio..I
h3 OWNER-BUILDER DECLARATION
gm i krehy a?w that I em exempt from the Contractors License Law for the
COO following won.(Section 70313.Basin.and Professloro Cade:My city m county
I$Pi which requima s permit to corasc4 altar.improve.demolish,or repair any ounces.
Z'n prim in its issuance.also mquircuhc applicant fanuch Ismail to rile a signed mtamcm
�< Ne he is licensedSLit S U n 7")of provisional of the Gamut to License law(Chantar9 Sq.Ft.Floor Area Valuation
3 that(comm oming wW Smtion 7UW)of vivision 3 the C Budnm and ProRadw(Code)or
- that k u wimp,Nemrrom and the bub for the alleged caumption My vlolatia of
Section 70313 by cry,applicant for a permit subjects the applicant nc a civil penalty or APN Number Occupancy
net mom Nan Evahundred dollars(5500). p y -T�
+pe
01.uowerofdiepopery,amymoploymwithw{ondekwlecmnpe Um.
will do the work,and the sVumme,is nmimended or offered futsak(Sec.7044,Business
end Pmresslaos Cade:The Commences License Law dm not apply an an owner of _ Required Inspections
pmpeny who bullda or ire prows tmroon,and who does smh work bimself ut through his
own employer,provided that such improvements tie am intended mo@red formle.If,
howm od.the building m improvement is sold within ane/ear of wrapWion,the omen
builder will have the burden or prawns that he did trot bdld w improve for purpose of
uta.l.
0 1,u owner of the popeny.w exclusively conswun{with Banned anmwmn to
outrun the pmjm(See.7044.Business Mem Professions Code:)The Cnemactoh Li-
canes Law dm not apply to an owner of property who binds or Improves thereon,and
who conuacufor such projects with a commemor(s)demand purmant to the Consomme,
License law.
O lamcamoplundar See .B&PCfmthisreama
Owner Dow
WORKER'S COMPENSATION DECLARATION
1 hereby aflrm under Faulty of pottery arc of the following dMuuimc
1 ham and will maintain a Continues of Consent to¢Ir-luum fm Warkees Compnm
on,as provided for by Sa,Wm 7700 of the teem Cade.for the pact....or the
work for which this permit is;., _
0 1 haw anal will maintain Worhes Compensation Iruumna,as required by Senior
370(iofthe labs Coda,for the crformMct,of the wrk for which dans Permit islesued.
My Workers Compensation Insurance tamer and Policy number oe:
Came. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
ObisseNm nand not k completed HUM perch Is future hundred dollars({100)
m less)
1 a cly that In the part. ..a of the work or which this permit is iuucd,I Nall nm
employ anyperwnI. nym eso b bjecuo the Workers'Compemtian
Lswor Csiifok
Applicant
NOTICE TO P :IL&Ear making this Certificate of Exemption,you should
becomes m e Wmkees Compensation previsions of ter Labor Code.you meet
.J O faMwith amply with each un wsimm m this pecMi,mall k domed rooked.
'Z CONSTRUCTION LENDING AGENCY
(~ti 1 hnrehy.firm Nat Nem is a connotation lending agemy,for the Performance of
C' ti
the work for which this permit is issued(Sec.30997,Civ.C.)
Q Lendees Name ,
,=z Landers Add.
U Q 1 certify than I how mad this application and mw Nu the move information Is '
(y F comma I&I=to amply with all city and county ordinances;and sum laws reading to
pU Wilding constructional hereby wolverinerepresautivu or Nb city to=let upon the
t57 save-mentioned Property for inspection pumpoem.
d (We)agree to save,indemnify and keep hermlea the City of Cupertino ssama
w.t fA liabilities.judgments,cord and expenses which may In any way amao against aid City
V z in comdcf.cnce ic grams tg or this Permit.
^' APPLICA ND NDS AND WILL COMPLY WITH NO -POINT Issued by: Date
SOUR U S. /,gp Qy
II// C- Re-roofs /
Si{ arra of AuCanm.ceor Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will tun applicant or too=Wilding uccupat nom m handle haurdam matarisi
u dearvd by the Cupertme Municipal Code,Chapter 9.12.ad the Health ad Safety
Conn.Section 25532(07 ✓ All roofs shall be inspected prior to any roofing material being installed.
OOres Inv.
Will the applicant or rums Wilding occupant use equipment or device which If a roof is installed without first obtaining an inspection,.I agree to remove
il haurdou aif comumiwtu u defined by the Bay Area Air Quality Maagemcne all new materials for inspection.
Dimct7
0Yca PJ7T.-
I hew resltic hauNmnmamiab requirements under hipmr6.95oftheCollierel
-
nisHealthd+SaretyCada,Sectm25705.25533 and25534.1 undnR.md thelfthe building --311-141
� Q
dm net currant))�caw a�nant.No v .
It is my responsibility the occupant of the
requi.menu tffhm etpiarmiauanaof.CettifkawofOg,p K All roof covering SIlg Upllcant Datd
s to be Class
Owner wN 7 en1 � '
%¢ or better
Dam
ogo � oo��
�� CITY OF CUPERTINO
REROOF
• CUPERTINO PERMIT APPLICATION
APN# Date:
Building Address:
7u`/3 ✓ vw,,q12 v2�ii✓t! Cid SO/
Owner's Name: Phone #:
Contractor: // Phone #--Ce/0') 990—5,344
Fax #: yOS 36 7—ad Yd
Cupertino Business License #: a 9�s/ Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑. Asphalt Shingles ❑ Asphalt Shingles
)' Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) f Other (Specify) �;V o
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: /�S5 Ao r 4o,,c/ /pA 7/e
ap/y•3o �s j/�//���u�.
Residential Commercial
Fire Zone: Yes No K Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
i I
CITY OF CUPERTINO
REROOF
• CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMIC0 Seismic Commercial B
rj 'tel 1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC 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: �.eES--���44l / lly/� �SJ`��•
Job Site Address: 76 /.3 ,/ym/�6 /iZ ,/ ,e4*rz i ,1a e-w
Roofing Company Name:
Applicant's Signature: W Date: /O�
I
Greg Casteel
Building Official
Revised 11/2/04
• CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35925029 . 00
DATE ISSUED. . . . . . . : 03/13/2008
RECEIPT #. . . . . . . . . : BS000004148
REFERENCE ID # . . . : 08030067
SITE ADDRESS . . . . . : 7613 DUMAS DR
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : WOOLEY GREG
ADDRESS . . . . . . . . . . : 7613 SUMAS DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4310
RECEIVED FROM . . . . : NG LEON CONSTRUCTIO
CONTRACTOR . . . . . . . : NORMAN G. LEON LIC # 29851
COMPANY -N G LEON''CONSTRUCTION, INC.
ADDRESS . . . . . . . . . . : 1601 CIVIC CENTER DR STE 102
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050
. TELEPHONE . . . . . . . . : (888) 645-4555
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- --------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 20, 000. 00 2 . 00 0. 00 2 . 00 0. 00
1REROOFRES SQ FEET 30. 00 390. 00 0. 00 390. 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 392 . 00 0. 00 392 . 00 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 392 . 00 VISA
---------------
TOTAL RECEIPT 392 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------ ---------------------------- ------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF ..
e
Community Development
10300 Torre Avenue
{y, Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
WUPERTINO
Building De artment
JOB ADDRESS: 741:9lai n v5 /t PERMIT #
OWNER'S NAME: LQ PHONE # 4v7f, YG -.TrYJ—
GENERAL CONTRACTOR: it/G Lai•+ a- i FAX #
I am not using any subcontractors:
Signature Date
Please check applicable 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
::4Sheet Rock
Tile
3m
q4vner/C4)r'dractor Signature Date