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06060245 CITY OF CUPERTINO BUILDING DIMISION PERMIT ,ONTR:AGTQRI�I�,TFbRMATIONN BILDING ADDRESS: WE RE ROOFING COMPANY PERMITNO06060245 U1567 FALLCREEK SPRING CT OW NER'S NAME: PERMIT ISSUE DATE LEELING WANG 2814 AIELLO DR 06/29/2006 NE: SANITARY NO. CONTROL NO. (408) 694-0060 ARCHITECOENGINEER: BUILDING PERMIT INFO 'BLDG ELECT PLUMB MUCH !00 LICENSED CONTRACTOR'S DECLARATION SCrI lob Description I V 1 hereby affirm But I am licensed under previsions of Chapter 9(Commencing p +'1 with Section 7")of Division 3 ofthe Business and Professions Cade,and my license u ifull force andeffec �2Z REMOVE EXISTING WOOD SHAKE, INSTALL 50 YEAR ELK '� ucenseC _ I`'" COMPOSITION. CLASS AOR ��q p Dam used or pts ✓ �� 1 uu79p�9p ARCHITECTS DECLARATION I urWeraunJ my plans shell he used u public records a e c!n Licensed Professal OWNER-BUILDER fmm did RATION JULL'� 2006 AN J r i 1 hennby eRm Nal I em exempt from J(o Canuumrs License Law for 0e 1 p o which woo(Srcdan]10 I.S.Business end Pre.dior i Code:Any city m mumy 3$ wMrh rcguiru n permi(m nuournoct.aloe improve,dpermit orereped, aligned any suuctum pdor70itsiemsedptlan requiter pmvismns o for suchpermitmiaow Law(Chmmem 4 < (commiscingwJPunuam70the pmviaiouofthe Business ndPOx❑onsCodmr9 Sq.Ft.Floor AreaL6 U al e 34 (commencing with Section 7000)of Division 3o the Business and Profeuinns Cnde)or y $ that he is exempt Merriman and the bub for Ne aided exemption.Any violation of ppN �y Sectun 703 LS by an)'applicant far.a permit subjects the applicant to a civil Rnalty of 3 6651 N��7e�0 0 � Occupancy Type net mom Nve an flint hundred dollars($500). ❑I.uowmof0apmpmy.mmympleymwlthvnguuJeuanlccampcmdm, will and Professiim's and aG The CConhbra�s L'icessed La m>°�apply�•aw'r of Required Inspections property who builds or ire proves thereon,and who does such work himself or Juough his own employ=,provided mat such improvements are not intended araQered farale.If. however,the building or improvement is sold within one year of compution,the ower. builder will have the burden of panvig that I e did nit build Or improve for purpose of au.l. Q I.as Owner of the property,am exclusively contracting with licensed mnrranon to another the project(See.7044.Buinea and Professions Code)The Contractors U. cense law dm Out apply to an owner of property who Wilds or impmw thereon.and, who contracts for such projects with a contractor(s)licensed portends to the Consacmh Lie'.law. ❑I em exempt under Be, ,B&PC for thin wen owns, Dau 40 WORRERS COMPENSATION DECLARATION 1 hereby alarm under porosity of perjury mu of the following decWvtions: I Its.end will maintain a Certificate of Consent to self4aom for WorkehCampen- atlon,as provided for by Section 3700 of the labor Code.ran We perfomanse of the work for which this permit is issued. ❑1 have and will maintain Workers Compensation Insurance,an required by Section 3700 of the labor Code,for the perfamunee of We work for which this pemdt Is lamed. My Workers Cam Cootie once nmio and Policy number am: Carder:loo, No.:t-h(b Q0�C,Vvk7 CERTIFICATE OF EMPTIONFROM WORKERS COMPENSATION INSURANCE (ITU modern need not N completed If the pemnit Is foram hundred dollars(5100) or less.) 1 certify that in the performance of the work for which this pcmit is issued.I shall Out employ any person In any powder an as to became subject to the Workera'Compenalun Laws of Caltfomis.Dam Applicant NOTICE TO APPLICANT:IL afar making this Cchificem of Exemption,you sMuld become abject m the Workers Compcnsestion pmvisions of the labor Cede,you mute .,O forthwith comply with such provisions or Nu permit Mall be deemed revoked. Z CONSTRUCTION LENDING AGENCY [r 1 hereby a1Bm that then la a constmcOnn lending agency rnr the m,finno en of a the work for which this permit b Wood(See.3097,Cl,C.) QLender's Name M z Lenders Addw U Q I codify that I have read this applicAv n and use this the above informed.is ly E-' correct.I agree to comply with all City and county on immea and amu laws misting m O U building convection,and hereby authnd m repnnxnutivu of Wil City to enter upon the ran shove-menwncd Property for impartian purposes. (We)agree to save,indemnify and keep harmless We City of Cupertino against rF-h rA Iiabllidu,judgmcnu,toss and expenses which may In any way accn¢against slid City U in cansequmce of the grenJng of this permit. o /J Q��L' �--� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date G C SOUR ULATI - �,�, (nZ Re-roofs Silimium of Appbania7mona,mr Dam' - HAZARDOUSMATERIALSDISCLOSURE Type ofRoof Will the applicant or furore building occupantsmrc or handle ha'rudou material N defired by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety Code,Scchmr 35533(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes ONO Will the appluantorfuture bildingaaupao us,equipment Or devices which If a roof is installed without first obtaining an inspection,l agree to remove mit IuuAous air contamination u dcfmcd by the Bey Anna Al,QWity Management all new materials for inspection. DimvW ❑Yos 94 [have read the aood.mamdalsmqum lmcnts underChapmr6.95 of Jho Califo -1 > nle Health&Safety Cede.SCedOns35W5.35533aru135534.IutmenundthatiNhe building Z O dm not currently have a anent.Nat it u my mapomihllity m nodry Jan occupe nt of 0e nc:; nuwhmh mwt met oda aiamamc of a Certificate of ach q-0r ' Signature of Applicant Date . Owner or�auWn'dmd agent Dam b All roof coverings to be Class"B"or better Community Development 10300 Torre Avenue J Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 6UPEkTINO Building Department JOB ADDRESS: / 7pjjj Cree� spy cL- PERMIT E8 YS OWNER'S NAME: -. PHONE # 00 O GENERAL CONTRACTOR FAX # 005-1 I am not using any subcontractors: Rik� r'06• 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 Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO !m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36651017 . 00 DATE ISSUED. . . . . . . : 06/29/2006 RECEIPT # • . . . . . . . . : 35067 REFERENCE ID # . . . : 06060245 SITE ADDRESS . . . . . : 11567 FALLCREEK SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LEELING WANG ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : WESTSHORE ROOFING CONTRACTOR . . . . . . . : FOWLER, PAUL LIC # 21417 COMPANY . . . . . . . . . . : WESTSHORE ROOFING COMPANY ADDRESS . . . . . . . . . . : 2814 AIELLO DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95111 TELEPHONE . . . . . . . . : (408) 694-0060 �EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 7, 000 . 00 137 . 16 0 . 00 137 . 16 0 . 00 BSEISMICRE VALUATION 7 , 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 137 . 86 0 . 00 137 . 86 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ --------- -------- CHECK 137 . 86 18013 TOTAL RECEIPT 137 . 86 • Community Development Department Building Division ��. City of Cupertino 10300 Torre Avenue • one: (408)777-3228 CITY OF TelephFax: (408)777-3333 CUPEkTINO 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 theabovestated policy on re-roofing. Homeowner's Name: Lei VV��1 Job Site Address: t` s-lo Fap��,,C�VeeK SP ry�t Ct - Roofing Company Name: VW eiS�Skr* r W�'1►� �1�C ,� Applicant's Signature: 1�NrV\_ Date: O mob • Greg Casteel Building Official Revised 11/2/04 Printed an Recycled Paper CITY OF CUPERTINO Q REROOF CUPEI�TIN0 PERMIT APPLICATION FORM APN# 21nln� G � Oil Date: FJ/ _ 06, Building Address: /156-7 ' 56? FA l l Cry K SP�in9 G t I Owner's Name: �ee ln9WQA 9 Phone#: — 2-346 tt Contractor: weSrShotre p�„�yn Pho* 69f,QO6 0 License#: 78-72�2--( Contact: Det F0VVI W I`w Pho* w_006o Cupertino i License#: f Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles "�, Asphalt Shingles A 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 Comply With Cu ertino's Tear Off Policy: Job Description: per_ Je , tK5 W� ,skQ (,k5fn / sa lit EIK- nrAPwhori Residential hu �U Commercial ❑ ' `"l Z c- m” Ayr Fire Zone: Yes ❑ No Confinned with Planning Dept. if there are anrestrictions: LJ Cost of Project: Type of Construc ion: Occupancy oup: oroot 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 •