08040036CITY OF CUPERTINO
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BUILDING-DIVISION PERMIT,C®NTRACC
*M' ''ORMATIt)ON
eInLl�yc�LggRFSEE. ESTATES DR
-CUPERTINO ROOF, INC
iall
P�08040036
OWNER'S NAME:
PERMIT ISSUE DATE
LOW QWAI H AND TAN YOK C
1052 KELLY DR
04/07/2008
PHONE:
SANTIARY NO. CONTROL NO.
6HMCTIENGINEER:
RE—RF, T/0 COMP&INSTL 50YR
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
o
lb Description
1 hereby 10hm Nn isi
1 am licensed under pmvan or Chap cu 9 (xurnom ming
with Section 7") of Divisionp3 of ma Buoneas and Professions Code. and my license Is
in full foroe and effe� 3
License Class ` Loc.A
Dau —3 Conlrsetor
AR HRECTSO O N
1 undemsed my plans Nall k used as public records
Licensed Pmrcian... I
OWNER-BUBDER DECLARATION
I hereby aMrm that I am exempt (runt dto Comnmo's License Law for the
following mann. (Section 70313, Business and Pro(Msion Code: Any city of Monty
which mqulms a permit to emmmet, slur. improve. demal m, or repair any suumum
prior m iu ummuce. also requims Ik applicant for such permit he file a signed statement
that he is licensed pursuant to the provisions of the Contractor's UMMa Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Section 7000) of Division 3 of Ne Busies and Profeuiahn Calc) or
that he h exempt themfmm and the basis for dm alleged exemption. Any vloladon of
APN Number
Occupancy e
P Y TYP
Section 7031.5 by my applicant for a permit subjecu the applicant o A Call Penny of
not mom than A. hundred doll. 500)
n (5.
❑ L u manr attic m cea with wage u their sok compenuton,
Required Inspections
ren k r nfincr dws
marine. is
will do thewark. ands,
forulepply
deted
Cade: The an matter of
mm/a W m co
he Cru bed's Lndedm Law
Law doss tot apply
and Proarty
q P
who wes d doessuch work himself or mrough his
emy wise builds or emphases menton, and who f
and who
man uiprodded ma Ice Weer,
awn..th
inch impmwmmtaartnot ear
bawevv, buildingpr ordaro@mA
Out ruimpro
b 11 have provinisaaldwithinoneYearofmmpomfartiroowner-
witl low the bmlNm of proving Wt k did rot hdk or improve (or purpose of
.
de.).
ale.).
0 I, u matter of the property, am exclusively conuaening with licensed ronuseton to
eomtmal the project (Sec. 7044. Business and PmfeeVOm Cade:) 77C COOYLLb/s U.
MMC Law docs, not apply to N owmm of property who builds, at klpmKs tkman. and .
who ronuuu for such pmjens with a mnhmasr(U licenced pursuant as the Conusmm's
Ucemmse Law.
I man exempt under See , B k P C for this mason
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby aebm under penalty of perjury arc oris following docaraton:
I haw and will maintain • Cmificum of Comenl to elf-Inure for Worker's Compen-
n, u pravidod fee by Sector 3700 of Ne Labor Code, for The performance of the
-
for which this permit is issued.
❑ 1 hive and will maintain Worker's Compensation Insurance, u required by Section
3700 of the Labor Code, for the performance of the work for which this Permit is Issued.
'
My Warier'. Compem1Na. Immrance artier and Polity number am:.
Cahrim, 15 f 1 < P)% t
9 Policy No.: ) 1 7- f
CERTIFICATE OF EXEMP 70N FROM WORKERS'
COMPENSATION INSURANCE
(This mcdon need ml becompleted time pered, Is forme hundmddallua ($100)
or leu)
1 certify that in the perfenots. of the .,it fm which oris permit is issued. 1 shall am
-
employ any person In my munerm as to bnrome subject to the Workcri Compensation
Laws of Califomia. Dau
Applicant
NOTICE TO APPLICANT: IL of making this Cenificato of Exemption, you should
become subject as the Worker's CMPenuton provision of me Labor Cade, you most
faMwith comply with such provision Or this permit shall k deemed revoked.
CONSTRUCTION LENDING AGENCY
1 herehy&Mmm mal them is a construction lending agency for the sorurmanM of
the weds for which this permit h issued (Sec. 3097, Cho. C.)
Lender's Name
,
Undeh Address
1 Mnlfy that 1 kw mad this application aed sum mu the sinew infomtatiun is
comer. l agree he cmaPly with all city and romly ordinances and sum laws nth ing to
Wilding convection, and hereby authorim mprosuntisea of this city to enmrupnn the
akve-mentioned property for enPection purposes
(We) agree to haw, indemnify and keep h mbleu the CII, of Cupertino against
liabilities judgmenum
.cu and expenw which may in my way amue again, and City
In ceM1ama
quence or the grng of this permit
NT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date
SO
TypRe-e
Type of Roof
/
`�
Si um of Applican onuactor Dau
DISCLOSURE
HAZARDOUS MATERIALSnOccupant
Will the apCenmtor building C none orandt a huudandSamaterial
.. Muni
de. Chapter
as dcOMd by ten Cupertino Municipal Code. Chapur 9.13, and the HMIth and Safety
Code; Schon 35533()7
All roofs shall be inspected to any roofing material being installed.
❑ Yas------- = No
prior
If a roof is installed without first obtaining an inspection, I agree to remove
Will me applicut or future building occupant use equipment or devices which
I, hnmdon air conhaminmu as derined by the Bay Area Air Quality Managemem
all new materials for inspection.
ict7 .
❑Y�u
IhawmWthe vmaterials requirements nCk5ofinWil(oo
.I. emm,25505.25533
55Q.2553snd25534.1 mdnmand usum Wilding
Jas currently has, a tonemt, Uma it h my rrtapoMiNIiY to notfy, sac occupmrbut
require u 'henustk1priartohmmMar,cenrmamara pammy._
Signature of Applicant Date
All roof coverings to be Class'W' or better
.Q
or aathad ad.Bkr Dam
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 36908008.00
DATE ISSUED.......: 04/07/2008
RECEIPT #..........: BS000004377
REFERENCE ID # . 08040036
SITE ADDRESS .....: 10225 E'ESTATES DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............: LOW QWAI H AND TAN YOK C
ADDRESS ..........: 10225 E ESTATES DR
CITY/STATE/ZIP ...: CUPERTINO CA, 95014-3312
RECEIVED FROM ..:.: DAVE SMITH
CONTRACTOR .......: DAVE SMITH LIC # 25701
COMPANY ..........: CUPERTINO ROOF, INC
ADDRESS ..........: 1052 KELLY DR
CITY/STATE/ZIP ...: SAN JOSE, CA 95129
TELEPHONE ........: (408)973-9427
•FEE ID UNIT
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
------------------
IBSEISMICR VALUATION
----------
7,000.00
----------
0.70
----------
0.00
----- -----
0.70
----------
0.00
1RER00FRES SQ FEET
22.00
286.00
0.00
286.00
0.00
TOTAL PERMIT
----------
286.70
----------
0.00
----------
286.70
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT
AMOUNT
---------------
286.70
---------------
286.70
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
REFERENCE NUMBER
--------------------
MC
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN -PROGRESS
605 FINAL REROOF
•
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0
CUPER,TINO
0
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
02b vL)3
APN #
d1 0 SCJ
Date:
L/
Building Address:
Owner's Name:
Phone #:
(QLvq► Lo
%Sg - s
Contractor:
�GC
Phone #:
Z-4 Z- i
C L2 I" F 4f,4 1 r
Fax #:
Cupertino Business License #:
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)
❑ Other (Specify) GCj F S v �/ k 9,,—
iceNumber
Numberof existing coverings
❑ Provide I.C.B.O. Report #
❑ To be Removed
❑ Provide Mfgr. Installation Specs.
Job Description:
�hS-��,� S�yQ\ VC �o
Reside
Commercial El
Fire Zone: Yes ❑
Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation: �1
Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
0
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a(IN
CUPERTINO
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
rn �_
/6
1REROOFRES
Re -roof Residential
B
1SFDWLR00F
1BSEISMICRE
Seismic Residential
B
1RER00FMRES
Re -roof Multi -Family
B
IMFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
0
r-1
LJ
•
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 Y4 " 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: C��. (& ) C, 1 L., 0 -..�>
Job Site Address:
Roofing Company
Applicant's Signature:
Greg Casteel
Building Official
Revised 11/2/04
-4-T $r( ->
Date: —SL—D —0
0
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS: O ZZ S+ ES-} 4,
PERMIT#�oyDQ 3
OWNER'S NAME: V✓a�
PHONE # S —S ZZ
GENERAL CONTRACTOR: C v &_eF) «
FAX #
I am not using any subcontractors:
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
U
C -i'4- ✓11 c—E b4 L S
Sheet Rock
Tile
Owner/ Contractor Signature
Date