06070027 CITY OF CUPERTINO
BUILDINfrtlTVIs10N PERMIT .`UFS.•X12.�1.C�`TnRT1�I+'tC�ATTIPI Via.
}n. ,ys�g,F,gga�wrw 54+.�s. eaw.i'uxmrp
BUILDING ADDRESS: LINDY ROOFING CO INC PERMRN0.06070027
7930 FALL CT
OWNER'S NAME: PERMITISSUEDATE
KEHYUEN FU 5554 HARVD DR 07/07/2006
NE: SANITARY NO. CONTROL 110.
(408) 286-9990
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0
ioa LICENSED CONTRACTOR'S DECLARATION - Job Description
1 bueby arsine Net 1 W licenced under provisions of Chapter 9(Commencing p
with Section 70M)of Division 3 of the Business anal Professions Code,and my license is
+� in fullfomeande REMOVING THE EXISTING COMP OVER WOOD SHINGLES
j 2 License Ciro Lk.s
�' Date Contractor d INSTALLING PLYWOOD 30# FELT AND 26 SQUARES OF N
eya-- f1
ARCHECTs DECLARATION
C < Ice nudmyplansshallhensedupublicrecorN 30 YEAR DIM COMP. CLASS A
a Q UUP Lkcvcd Prufcssional
`y5 OWNER.BUILDER DECLARATION
g 1 hereby M.Nat I am exempt Wm did Conuauor's License Law for the
O o following memo.(sects 1031.5,Business and Professions Code:Any city or county
3 S which requiresa Permit to consumer,aim,.Improve,demolish,or repair my structure
-Za prior to its issuance,aim requires the applicant for such permit to file asigneemsemrnu
<
that Wislicensed pumsmltothe pmvislosofNeCommunes cemeLaw(chapter 9Sq.Ft. Floor Area Valuation
B (commencing with Sectiou7000)ofDivision ImfNCBwmimssandProfculonsCode)or $5000
i;.. Net he b emmpt Nuefmn and the bub for the alleged aaempdon.My violWon of
Section 7031.5 by any applicant for a permit subjects the applicant he a civil pemby of APN Number Occupancy Type
oat mart Nm fivehundred da1Ws(5500).
❑I,aowner . edproperty,ormy emplyyerawW wegnsuthe4alecompetwtian,
will Pn Nework,Cdlheatrucfwebnat111pppLicom Lawease,act applyiOea.euvrcof Required Inspections
and Pro(esaions Code Tde Caauacum'f nd wha law doe rot apply lf m owner of q p
progeny who bullde mimprowa Ne mend whodossuchwahhimself ar Maugh deb
own em to ua,provided Nu melts provemenu ve notinmMw ora@red
forsake.if.
havevv Urt building arimpmve rbanld within one year of completion.tlseawser-
builder will ban that burden of ring that W did not MW m Improve for purpose of /
❑Cause /
1,as awmr of than property,em exclusively comouning with licensed contracture to
comment Nec.e project(S70x4.BuYtws and Profavlam Cade:)The conn ctor'a U.
O
cense Taw dont rot apply to ts owner of property who builds or improves Nesmn,and
whocontractsLe.. for such Orolects WIN aconteactartsl licensed pursuant wdie Contractors `O
0 l am law.
❑Ion exempt under See ,BBPCforNism»an
Owner Dam
WORKERS COMPENSATION DECLARATION
1 hereby,aflm under penalty of peajusy Can of rhe following decluNone
1 have and will maintain a Cenificam of Coment to calf-ilium fu W~$Compen-
W)on,as provided for by Section 37M of the Labor Code,for Ne performance of Ne
work for which this permit is Issued.
❑1 ham and will maintain Workah Compensation Insurutce,u required by Section
3M.f the LaborCode,for the performance cribs work for which Nb permit b issued.
My Workers Campismadon lou curio and Palley nuantscr are:
Carrier: .S 1'qT r r/U� Paiicy No.:
CERTIFICATE OF EKEMPITON FROM WORKERS'
COMPENSATION INSURANCE '
flTbxcdon seed mi Ise complemd ITNe permit is foram hutWmddnlla s($100)
or Icas.)
I cenify,used In the performance of Ne work for which this permit is issued.I shall not
employ any person In my answer an u he become subject to de Wormmf Compensation
Owe of California.Data
Applicant
N0710E TO APPLICANT:If,after making this Ccalncam of Exemption,you should
become subject to the Workces compensation provisions of Ne Labor Code,you muss
0z formwits Comply with such provisions or this permit"I be deemed rewtcd.
,zt O CONSTRUCTION LENDING AGENCY
[--t I hereby affirm Nat Vert Is a construction lending agenry,for the performance,of
0.' > dm work for whim this permit b issued(See.3097.Civ.C) .
W Q Lcml Name
7 z lander',Address .
V Q 1 unify that I Mw reed this application and some that the about infomNm is
{a. coma.I agree to comply with all city and county ordinances and Nm laws relating to
U building construction,and hcmby authadm mprescntaiivns of Iia City to enter upon the
W alcove-mentioned property for inspection purposes.
FL (We)agree to caw•indemnify and keep humleu the City of Cupertino against
`y) Iiabilldetjudgments,toss and expenses which may in my way amen against sold City
in V �+ Leor the itrambig or UN tpermit.
RSTANDS AN
APPLICANTEWILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
Re-roofs
Sign
IemVContsantor Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will dse applicant or future building occupant am or handle havrdam material
u deBsed by Nc Cupertino Municipal Code.Chapter 9.13.and the HeaIN and Safety
Code•Section 2553z(a)7 / All roofs shall be inspected prior to any roofing material being installed.
\ ❑Ye .1.
WIII Ne applicant o/f/alum building mupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mit MIArdnu air em uZ=25.5"O'
fined by Ne Bay Area Air Quality Management all new materials for inspection.
DisuicGIhevemwlJtahedab requimmcnts underChapmrd.95 ofuhe Califo � �niceHcvlNhSafctyCode3.25533 and 25534.I undernmel NnlTNe building
dace county haw a teaanl Nat it b my responsibility to notify de occupant at
dse _
¢quimmen hichanfLnbcMet prior aniuumaof,CeNficatearoc`cu S'1 ofApplieant Date
Owner 1 p All roof coverings to be Class"B"or better
CITY OF CUPERTINO
em 2 of 2 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36213007 . 00
DATE ISSUED. . . . . . . : 07/07/2006
RECEIPT # . . . . . . . . . : 35140
REFERENCE ID # . . . : 06070027
SITE ADDRESS . . . . . : 7930 FALL CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KEHYUEN FU
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : LINDY ROOFING
CONTRACTOR . . . . . . . : RUMFORD, LINDY LIC # 3921
COMPANY . . . . . . . . . . : LINDY ROOFING CO INC
ADDRESS . . . . . . . . . . : 5554 HARVARD DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95118
TELEPHONE . . . . . . . . : (408) 286-9990
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 5, 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00
BSEISMICRE VALUATION 5 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 116 . 06 0 . 00 116 . 06 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 264 . 82 1891
TOTAL RECEIPT 264 . 82
•
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
COPE TINO 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-progzess 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.
Homeowners Name: KekL&Len F&-
Job Site Address: --79,3o c t t CT
Roofing Company Name:
Applicant's Signa Date.-? -7-610
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
x Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
OJPERTINO
Building De artment
JOB ADDRESS:7130
/LL- C_` PERMIT #
OWNER'S NAME: PK &-y\.) PHONE # Z 0 Ia —g9'C/0
GENERAL CONTRACTOR: LIN p FAX #
.
I am not using any subcontractors: c `,
Signature Date
Please check applicable subcontractors and complete the followinginformation:
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
CITY OF CUPERTINO � IbOZ�I
REROOF
CUPERJT1NO PERMIT APPLICATION FORM
APN.# 21 ,f►— 13_�v�1 Date: 7. 7—06
Building Addre=ss:
_7 2,3 0 cel cT
Owner's Name: Phone#: `
e. e-n Pu y0S-3G(a- 5-8
Contractor Phone#: License#:
l t Roa�i✓i v�)a C� �j�0 58/
Contact: w � hone#: Cupertino Business License #:
Type of Roof Covering:
Existing: Proposed:,
❑ Built-Up Roof ❑ Built-Up roof
W Asphalt Shingles ❑ Asphalt Shingles
❑ . Wood Shakes ❑ Wood Shakes
YY 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 Comply With Cu ertino's Tear Off Policy:
Job Description: re-rrvsuIrry I-n. eV44;1 1 COv%%06"� L"c' s ln�Le.V in54-nt11"`I lalyw�r�,
64 c^L a(c S -r tiatZ 30 S4r.Dig - L'
Residential Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if
there are any restrictions: L1
Cost of Project Type of Construction: Occupancy group:
Qty:if
Applicable Fee ID' Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy. BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING