03070007 CITY OF CUPEKHNO ,�
BUILDING DIVISION PERMIT ,,CONTRACTnRINFORMA'h;IO.N
cBUILDING ADDRESS: CANNING CONSTRUCTION INC. PERMITN003070007
D ER'S NAME: 181 YERBA SANTA PERMITISSU£DATE
NE' (650) 941-7959 SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
he BO ELO PLU=MB =
Z
LICENSED CONTRACTOR'S DECLARATION
£U❑ I thereby affirm that I am licensed under ym 'ons or Chapter 9(commencing Job Description
�W with SCction]LYM)t D' sion 3 of Nc BusinessSod Professions Code,and my license is
in Tau fierce and 6io3 REROOF
�v0�2 Liccnu Clgs/ v Lic.•
a�w
Dam
DECIf /ATION � CbKS IV p ®®
ARCHITECTS DECV,RATION A 1A��ar
U1 andcrstend my plans shall k used as public records -
`o< LicensedProfessonal DEC 0 3 2003
OWNER-BUILDER DECLARATION
a y I hereby affirm that I am exempt from the Contractor's License Law for the
O O fallowing moon.(Section 703 L.5,Business and Professions Code:Any city Or county s�
''e m which requires a NIHIL to construct,alter,improve,demolish,or repair any structure Yt
poor to its issuance,also requires the applicant for such permit to File a signed statement
that he is licensed pursuanotheprovisionftheCOMMON'ILicenseLaw(Chapter9 Sq. Ft. Floor Area Valuation
pursuant u
e1- (commencing with Section 7")of Division 3 of the Businessand Prufessinns Cour)or
i
Out he is exempt Nen,from and Or buts for the alleged exemption.Any violation of 36217054 . 00
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of APN NNumber Occupancy Type
not mom an Bve hundred dollars(5507.
1,u awnu of the propmy,army employers with wages az Heir sole compcwtion,
will do Ne work,and the swoon,is not intended oroRcrcd forsam(Sec.7044,Business
and Protrusions Codc:The Contractor's License law docs not apply to an owner of3 0 7 - INSULAT P� d Inspections r
peopeny who builds or improves Hereon,and who does such work himaelfor Nmugh his
own employers,provided that such improvemmu are,not intended or offered for sale.If, 601 - ROOF TEAR OFF
however,the building of improvement is sold within one year of completion.Ne owner-
builder will haw do,burden of proving Oat he did nor Wild or improve for Inflation or 602 - ROOF PLYWOOD NAIL
sale.). 603 - ROOF BATTENS
❑has awnu of cl property,.Business siv nd confessions wid licensed ronvumrs to
conarmcf HoesnotpplytoDnOweofandrprofessions disoriproCs daemon. Li. 604 - ROOF IN—PROGRESS
cave Law duos not apply loan owner of puffery who seills or ant to He Hereon,and
whim.Laeu for such projects with a conuaaor(q licensed pursuant He ConuaaoYa
License Law.
❑lam exempt under See. ,Bh PCfor this rtazon
Date
WORKER'S COMPENSATION DECLARATION '
1 hereby of i m under penally of perjury one of Or following declarations:
I ham and will maintain aCeniOene of Consent to self-iuun,for workers compen.
snion,az provided for by Section 370 of the Labor Code,for tk perfmmanm of the
work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,u required by Section
370 of to Labor Code,for On performance of the work for which this permit is issued.
My Work.,',Ci mpensafion Insannac carrier and Policy number arc:
earfrl'I D Pelle i "8Z fq�2
CERTIFICATE OF EXEMPT FROM WORKERS'
COMPENSATION INSURANCE
(Thu sfulmo omd nm k cmnpleteJ if de pemtil is foronc humdrcd dollan(SIM)
Or less.)
I certify Nat in He performance of ave work for which this permit is issued.1 shall not
employ any person in any mannerm u i bcmmc subject use Zmkins Compensation
Laws of California.Data
Applicant
NOTICE TO APPLICANT:If,after making this Ccnificam of Exemption,you should
become Subject 10 the Workers Compensation provisions of the Labor Code.you must
,Z fonhwifh comply with such provisions or this permil shall an deemed revoked.
'Z'O CONSTRUCTION LENDING AGENCY
(-' Ihereby affirm that there is a coaztrunion lending agency for lk Performance of
athe work for which this permit is issued(Sec.309,Civ.C.)
tL Q Lcndcrs Name
=2 Lender Add.
U Q I certify Nal l have read this application and sum that He shove intomluion is
U.E-' COCCI.I agree m comply wit all city and county ordinances and site Laws relating to
C)U Wilding CnmlmCllon and hereby authorine n,pmsenttivcs of this City to enter upon the
Ouve-mcm(nncd property for inspection purposes.
F y (We)agree to save,indemnify and keep harmless On City of Cupertino against
fn liabilities.judgments,costa and expenses which may in any way acemc against said City
U z in amsegterm the ins of this permit.
^' APPLICANT S AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE R G TI S. /
Sign rcofApplicanVCo ter Dam Re-roofs
HA ARDOUS MATERIALS DISCLOSURE Type of Roof
Will Ik applicant Or forum building Occupant store or handle hmardous material
az de0ocd by On Correction Municipal Code.Chapter 9.12,and the Health and Sarety
Code,Section 25532(a)9
❑Yea l9ga All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future baildin «cu ant use a If a roof is installed without first obtaining an inspection,I agree to remove
PP g P a Air u or devises which g
it haraNnus air conmminan-uYu defined by the Bay Area Air Qualify Manaishint? gement all new mat Is for' spec[ion.
❑Yes 1JNO
I have mvl a horaN 1�s imacinals requirements under Chapter 6.95 or me Califo>
n' Hcahr&Sson sale, C' os 255(15.25533 and 25534.1 command Hat if On Wilding
d t corm Y e mitis my respomihify J,c oaupml of Nc
fie 131,iM en, h It t d.rtoi.orunceroaCCNFi' r u Cy.
✓�/ 7 Signature of Applicant Dale
try lik
Dwnerorautari..cdagent Man All roof coverings to be Class "B"or better
Community Development Department
Building Division
' City of Cupertino
1 10300 Torre Avenue
CITY OF Telephone: (408)777-3228
'OU PEI�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-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.
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: EDMPAWyL kB,^l -1V612 .
Job Site Address: 780 2 6" -r&4L L DQ_
Roofing Company Name: 61YVnll AI(_ CLJ-1J' ' /Alt-
A plicant's Signature: Date: 7 /
Greg teal
Building Official
Revised 1/30/03
Printed on Recycled Paper
CITY OF CUPERTINO -" •�� a
BUILDING DIVISION PERMIT.• nCONTRACT,OR INFORMAL'`
BUILDING ADDRESS: CANNING CONSTRUCTION INC . PERMIT N003070007
OWNER'S NAME: 181 YERBA SANTA PERMITISSUEDATE
jb,"E` (650) 941-7959 SANITARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECr PLUMB MECH
CJ
X00 Lm thatI LICENSEDCONTRACTORSu R'S DECLARATION
�mF 1WrcbyoffrmThall.mGdennddunderpoPhionsofChupmrY(commencing Job Description
Zry with Scnion]IXg) Divixion]of the Busil¢evSnd Profcuioos Cod dmyliccns is
0. in full fared and ct. - /'
'q Licensee .� /: ue.e �•�/0-� REROOF
Dam / C N+ eU'YSi.
ARCHITECTS DELARATION
C 1 understand my plans shall heated as public¢cords
1
>yU /
g u.
Licensed Professional
rg.pg OWNER-BUILDER DECLARATION a3
AMIIIC I hereby reaso affirm on 1 ore exempt from Nc Cssions fa c:Any
Law for the /
p o.following reason.(Section]Ul L5,Business and Professions CMc:Any oily or county V
<w�. which requires a permit In cnn9ncl,eller,improve,demmlixh,or repair any structure
prior o its issuance,also requires the applicant for such permit to file a signed atammcm
@ o that herslicensed promisor it)be provisions nthe con=wr*sLicense Law(Chapter 9 Sq.Ft. Floor Area Valuation
a� (commencing with Session 7000)of Division 3 of the Business and Professions Code)or
i $
that he is exempt therefrom and the basis for the alleged exemption.Any violation of 3 6217054 . 00
Section 7011.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number
not mom than five hundred dollars(S!R)0L Occupancy Type
0 1,as owner of the property,or my cmplcyces with wages az their sold compensation, . i
Will do Ne work.and theawcture is net intended or offered for sale(See7044.Business —
and Professions Code:The Contractor's License law does not apply m an owner of q1 d Inspections
property who builds or improv thereon,and who does such work himself or through his 307 — INSULA �VN `
own employees.provided that such improvements arc not Intended or offered for sale.If, 601 — ROOF TEAR OFF
however,the buns ng or improvement is sold within one year of completion,the ve owner- 602 - ROOF PLYWOOD NAIL
builder will hathe burden of proving that he did not Wild or improve for purpose of
C11. 603 — ROOF BATTENS
1,ru owner of the property,.B exclusively convecting with licensed contractors to
construct thees not (sec.]D.4,Business and rty who Wigs or i The Contractors I.A. 604 — ROOF IN—PROGRESS
roue sow coda not apply m an owner or property who bonds or i on toKa thcmmn.and
who contracts La for such projects with a cdnlnctoKs)licensed pursuant to Ne Convanpls
0 nm Law.
Orem exempt under Sec. ,B&PC for this reason
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penally of Perjury one of the following declarations:
I haw:and will maintain a Cenifcate of Consent to self-insure run Worker'sCompen-
nation,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
0 1 have and will maintain Wmkcr's Compensation dsurance,as required by Section
37Wart elabor Code.for the performance of Or,work for which On permit is issued, '
My Worker's
Carrie JCopensaton Insurance carrier and Policy number are
Polc _116-8,Z ' -0G QPT
FROM WORKERS'
COMPENSATION INSURANCE
(rdesse inn need not W completed lithe Permit is formic hundred dollars(SIDB
or less.
1 cenify that in thc perrmmance of the work for which this Permit is issued,l shall not
employ any person in any manner or as In hecomc subject to the Workers'Compensation
Laws of California,Dam
Applicant
NOTICE TO APPLICANT:IL after making this Cenifieate of Exemption,you ahuuld
become subject to the Worker's Compensation previsions of the Labor Cade,you must
.J z fonhwi IS comply with such provisions or this permit shall W deemed revoked.
zO CONSTRUCTION LENDING AGENCY
'dw I hereby affirm that there is a construction lending agency for thee performance of
rL
the work for which this permit is issued(Sec.309].Civ.C.)
a CI Lender's Name
I< \
der's Address
U 01'mnify Nat I have mad this application and state that the above information is -
D. P cored.1 agree to comply with all city and county ordinances and state laws relating m
dr,) budding construction,and hereby autborim representatives of this city to enter upon Bm
H aabove-memioned property for inspection purposes.
(We)agree to save;inecmnify and keep harmless the City of Cupertino against
N liabilities,judgments.costa and expenses which may in any way accrue against said City ,>
t„) z in"nsequcnce Uc gP ling of thio permit. L/)
" APPLICANT ER 5 AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale
SOURCE R G TI S. + .
1 Re-roofs
Sign cof ApplicaOvc clan Dam
r
HA,
A ARDOUS MATERIALS Type of Roof
Will Ne applicant or future building Occupant stare or handle haysrdous material
as def tied by the Cupeni no Municipal,Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(.)?
Dyes lxJu All roofs shall be inspected prior to any roofing material being installed.
Will mea applicant or future building occupant If a roof is installed without first obtainingan inspection,I agree to remove
PP g Pam um equipment or devices which P g
mil haa4rdnus air conmminanu az define.by the Bay Arca Air Quality Management all new matalsfor' spec[ion.
District' er
❑Yes ISN.
Lha reel eharaN WIN.
under Chapter G95 ofthc CAifm>
d Hno,e.Safe ode, c res 255115, myr3 nd2sibil 1undersyLhcmfthe Wilding
reqqqesesesi t Cure y a f}tedy m it o my ruponsiM1il' ufy Nc Occupant of the
re0vlrsmcnu hKsEt I orwissuancemfaCCn nmf0ucu Date
✓✓�V/ / .f° 7i 0 y' Signature of Applicant
Owner urauthoriaedagenl —'�>a - - All roof coverings to be Class "B"or better
0 •
CITY OF CUPERTINO
I• 1 of 1 PERMIT RECEIPT OPERATOR: suem
COPY # 4
Sec: Twp: Rng: Sub: Elk: Lot:
APN . . . . . . . . : 36217054 .00
DATE ISSUED. . . . . . . : 07/01/2003
RECEIPT #. . . . . . . . . : 22343
REFERENCE ID # . . . : 03070007
SITE ADDRESS . . . . . : 7802 FESTIVAL DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : TAI EDMUND W AND FAM-HAR Y
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014
RECEIVED FROM . . . . : DAVID CANNING
CONTRACTOR . . . . . . . : DAVID CANNING LIC # 24577
COMPANY . . . . . . . . . . : CANNING CONSTRUCTION INC.
ADDRESS . . . . . . . . . . : 181 YERBA SANTA
CITY/STATE/ZIP . . . : LOS ALTOS, CA 94022
TELEPHONE . . . . . . . . : (650) 941-7959
IRE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW SAL
---------- ------------- ---------- ---------- --,-------- ---------- ____-__-__
BPERMFEE VALUATION 18, 000.00 237.00 0.00 237.00 0.00
BSEISMICRE VALUATION 18, 000.00 1.80 0.00 1.80 0.00
__________ __________ __________ ----------
TOTAL PERMIT 238.80 0.00 238.80 0.00
METHOD OF PAYMENT AMOUNT NUMBER
_________________ ------------ --____-_--__--___-
OTHER 238.80 M/C
TOTAL RECEIPT 238.80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
305 FRAME 307 INSULATION
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
•
1ITY OF CUPERTINO• �cs� 7
�as REROOF o3 /
•CUPOF
ERTINO PERMIT APPLICATION FORM
APN# / r Date: .7 J S
Building Address: j
Igo zS�1✓9� 12
Owner's Name: Phone#:
Contractor: Phone#: License#: 62�/O ?
C'��Ali�l� COV-5-T- /nic GSa-9�/-7959 `l
Contact: Phone#: Cupertino Business License#:
OAV-f C A4Vi4G - GSO- 7 /w/0/
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt ShinglesIW6;4)&2_ )0kp 1dM
IY Wood Shakes ❑ Wood Shakes QvLl1'fL
El Wood Shingles ❑ Wood Shingles
❑ Other(Specify) a Other(Specify) L16t47 �Fcl�td l� 774,1E
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:
Residenti> Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Det. if
there are an restric ' ns: r1
Cost of Proj t: �.7rType of Construction: Occupancy grou
Qty. 'f
A i b e Fee ID Fee Description Fee Grou
BPERMFEE BldgPermit Fees BUILDING
BENERGY Ener BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
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Jun 30 03 10: 47a .terry Vandewater 805 497 8964 P. 2
I
Received Aug-01-97 05:49am from 7149568932 + 8054978964 page 1
01;06/1999 14:43 714956SS32 DEPJ-ER DESIGN PACE 01
SA -M- axiierl, ifetile
R e R o o f D t o S h e e t
Maxim Revised to 1997 UBC Requirements
0,1
Name: �
o — Z)
Street a Ciry:N Zip:
New roof mater.a: IWeig_ '
`.
Ccnaactor.
Design Criteria:
Z (
Live load: Roof Pitches-Less than 4:12 =20 ps RC
4:12 and greater = 16 psi /7
Dead load:Roof tile 6.0 psi MonierLifetile products: C
Framing 2.0 psi CedarLite 5.6 psf
Sheathing 1.5 psf Premium Ouralito 2000 5.9 psf
Plywood 1.5 psf Premium Curalite 5.9 psf
TOTAL 1 LO psf Tfulite 5.9 psf
Danection:L1240 Module of Elasticity: 1,600,000 psi
• Bending: Lumber size _ Fh _Cf Cd. Cr Fb (psi;
2x4 _ 875 1.5 1.25 1.15 1940 _
2 x 6 875 1.3 _1.25 1.15 1681_
2 x 8 _ 875 1.2 1.25 1.15 1552
2x 10 _ 875 1.1 1.25 1.15-__1423
MAXIMUM RAFTER SPANS*- Chart is for#2 D.F.vvith Live Load= 16 psf t� y
Lumber size - Rafter Spacing _Maximum Span _
12" o.c. 9' - 9" o. 16286 a I
2 x 4 16" O.C. 81 - 10" cu,sao/lr/ A Bf
24" a.c. 7' -9" Cl I
12" D.C. 15' -4" qI
2 x 6 16" D.C. 13' - 11' E OF CBkt�l
24" ox 12' - 2' QtOFES
12" O.C. 20' 2"
2'x 8 16" O.C. 18' - 4"
�1 ^I
24" c.c. 15' - 6" No. 16286 A;
12" D.C. 25' g" ''*
2 x 10 16" O.C. 22'- 9" �TE OF1CA'
— --- _ 24" D.C. --
'v:)rGmaTc.:''e Jm A rID IPa n......1 innO W til ivo i11Cr
IMPOATANT NOTICE
need a(=iaties are pr uv tree as A general;plias for re roanrti iuwF t31e stn vele foul tr9{PES,and aro beliavud to be ac cu ram im 914 m,d.Hmw,lva+,
KIGIr tJleale.^.E aeS no wl^an bat ur tel On Otis or try type waard In gthe accufeeyofire Iphyalanan[onla.n to herein or Lb,suite bui:y of im.nate rdlb for Ory pll.
ar a:lialicaticr S,ed aebga va Wes!or m:Cd IV'(-1111 spao:e a.9 Me of Mate/ial,and Mar factors,iud ume til and Dr Aden c riva to wervised by Iho roofing Cana aC!w
SunCwtos sno_le m:One r.k e by a qua]Ili ed vchitect or 0npinsor,Ora all sirucu.,*1ainfarcoments should be Eone by sute finenod cmi,clots tosponsiblo for!nee work.
•
Jun 30 03 10: 4'7a J e r r tVandewater 805 48'7 8964 p. 3
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