06010110 CITY OF CUPERTINO K "� tt^��•'••°=,*'r' M " '""' --
BUILDING DIVISION PERMIT 'RCONTI2AGTU,RYNN,17'.RMAaI°IO .54
.
' BUILDING ADDRESS: WING' S ROOFING INC PERMITNo.06010110
IVAL DR
OWNER'S NA ME: PERMIT ISSUE DATE
\ CHUNG-HSIN HUNG 3243 SYDNEY 01/20/2006
NE: SANITARY NO. CONTROL N0.
(510) 889-9068
ARCHIL EC IENOMEER: BUILDING PERMIT INFO
ELDGQ ELECT
PLUMB MECH
O l�
3oij LICENSED CONfRACrOWS DECLARATION Job Description
I hereby affirm that 1 am licensed under previsions of Chapter 9(commencing p
with Section 7000)of Division 3ofdo Business and professium am my It,..is
_ mmunCl c.e rens G s7(( `' REROOF--T/O SHAKE, INSTALL SHINGLES
Lkenc Cl [a C' Lk.N
n„q Da¢ umul pr FINALE 7W RCHI'IECTB DECLAR N ttI'J��
101 TI
1 uederwnd mY plass atoll be used u public retards
g G� Licensed Professona
il
OWNER-BUILDER DECLARATION I 2_S Zoos
I 1 hereby.(Sere that 11. stump'Imre the Convener'. :A License Law for the `W, _S t
j S� following moon.(Section 7 onstr t.alit, and w,de oli Cade:Any City at county tl
which requires;a permit re enmwn,alma improv,demolish. file
repair any armature $7200
-zy prior issuance.also the applicant fanuch Permit to file aaigmd mmmem
£ a men he is licensed pursuant to On,provisions of the ContractoriU...U.(Chapter 9 Sq.F[.Floor Area �on
y
recommencing with Section 7000)of Division 3 of the Business and Prefcstions Code)or
i $ than he in comp,Ncmfrom and the basis far the alleged enempdan.Any violation of
Section 70313 by any applicant fors permit subjects the applicant to a civil penalty of r U U J Occupancy Type
not ream than five hundred delta,(ML
❑1.m owner of the property,m my employees with wages u thelrrolc compenation,
will do me warkend meswrne is net Intended orofferad forsak(Sec.7044,Business Required Inspections
and Profession Code:The Camnxcrort License Law dna not apply m an owner of q p
property who build.or impasses thereon.and who dao such work lowee if or through his
ownemployem,provided that such improvements art..Unended oraONW Dorsal.IL
however,the building or Improvement is aid within one year of completion,Ne owner. '
builder will law the burden of proving mat he did not build or improve far purpose of
ale.).
0 1.m owner of the property,am exclusively convening with licensed conussrors m
convect the project(Sec.7(44,Business and Professions Cade:)The Comtacmes Li-
ccnx law dean not apply m an owner of property who builds or improve thereon,and
who convecR for such projects with a comrwer(s)licenmd pursuant o the Convecmh
License Law.
0 1 ren exempt under Sec. ,B k PC for this mason
am Dam
\ WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following deelantiom:
I haw and will maintain a Certificate,ofCausent to self-bare far Worker's Cost
tion,as provided for by Section 3700 of the labor Code.for the performance of the
work for which this permit it issued.
0 1 haw and will maintain Workmen Compensation Insurance.u required by Section
3700 of the Labor Code,for the performance of me work for which this permit is Issued.
Myworkees re'"mionl stymoc esand Pollry number am:
Carrier: Policy No.: O
CERTIFICA •EK P ION FROM ORKERS'
COMPENSATION INSURANCE
flbisseniut recd notbeemnpked ifthe permit Is fiwonc hundred dollars(SIM)
or leu)
I certify that In the performance of the work for which this permit Is issued.I shall not
employ any person in my mannerser as to become subject m the Workers'Compenadon
law.of C.lim.w.Dam
Appliant
NOTICE TO APPLICANT:If,after making this Ccnil aw of Esemption,you should
become subject to the Workers Compensation provisions of the Labor Code,you must
.JO forthwith comply with amh provisions or this permit shall be domed evoked. .
Z tiCONSTRUCTION LENDING AGENCY
Fr (hereby affirm that then is a comtmctiet lending agency for me Performance of
a'7
the,work for which this permit is issued(Sec.3097.Civ.C.)
0 Lemmes Name ,
Q z Lendeh Address
C)Q 1"wry that 1 have mad this Application and sane mat the.bow infomNun i.
Iy^ Centel.I agree b comply with all city and county ordinances and auk laws mining to
C) SV' building construction.and hereby sit representatives of this city to enter upon me
W .hove-mentioned property for inspection purposes
gy (We)agree m saw,indemnify and keep harmless the City of Cupertino against
fq liMilidea,judgment,costs and expenses which may In my way a erne against aid City
(„) in consequence of me granting of this permit.
APPLICANT UNDERSTAN S AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURR LATION .
Re-roofs
Signature of-App!iVCamom r Dam
AZARDOUS MATERIALS DISCLOSURE Type of Roof
Will de appllanl ser faeR building acNpat Rom.10 n Ile hasudOm mamri.l
u defined by the Cupertino Municipal Code.Chapter 9,13,and the Health and Safety
odes sada.sss33(a>. All roofs shall be inspected prior to any roofing material being installed.
❑Ya VN.
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it harudous air comaminnu an defined by the Bay Area Air Quality Management all new materials for Inspection.
Win? *No
[
❑Yea t No '
Ihawiculmede.Smms ma305. mquind 255under Chaper forme tiding
dennotb&Safety Cade,mecum,Oat it i my mos dns33a.1 in notify n occu oust of me
does not currently hew a enanl.Net it u my reapoic8bilily,m notify de occupant of the
requirementswcd ec Oam,emustbcmetprorroissumccef.ccrufaeoOccu ty SignaturecfApplicant Date
° I roof coverings to be Class"B"or better
Owner ora
Community Development
10300 Torre Avenue
acloF
Cupertino CA 95014
UPERTINOTelephone(408)777-3228
Fax(408)777-3333
Building De aitment
JOB ADDRESS: PERMIT#
7&6) S�-i iJ 6 0l a l l a
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Sign tore Date
Please check applicable subcontractors and complete the following information:
60 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
AN Tile
O ?iv. �6 _
Owner tract Signature Date
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
UPEkTINO 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$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: C, H 6M4� P �,r
Job Site Address:
r
Roofing Company Name: W(
Applicant's Signature: JA� Date: D -
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
' CITY OF CUPERTINO
Gid REROOF
CUPER,Tirv/O'' PERMIT APPLICATION FORM
4PAPN # so Z Date: / :10 104—
Building Address: . D ��t VaL P
Owner's Name: Phone#:ep6g ?,eL-
Contractor: t Phon License#:
1'✓� S R � t A.�. S'w ah$
Cont t JPhone#: Cupertino Business License#:
C -ek-
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles P,' Asphalt Shingles
Jk 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: El
ob Description: W b- Stat; e
Residential Commercial ❑
Fire Zone: Yes ❑ No ] Confirmed with Planning Dept. if
there are anrestrictions: U
Cost of Project: Z�� 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