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08010162 CITY OF CUPERTINO �`/'�ryn�,y'rxw xc �i:.,b PP]g�*' �°'y r' BUILDING DIVISION PERMIT �+'vt\':1.� �4P, BUILIADIG.AFTIESTA LN KEVIN SULLIVAN ROOFING PER08010162 NE/R2S5 ME:P 1 PERMIT ISSUE DATE GRACE CHUANG ' 1696 VALLEY OAKS DR 01/29/2008 PHONE: SANITARY NO. CONTROL NO. ARCHCIECI'2ENGINEER: BUILDING PERMIT INFO RE-ROOF,T/0 EXTNG SHAKES&WD HIMELECT PLUMB MECH u00 LICENSED CONTRACTOR'S DECLARATION -•---�Bb•DesCrl II00 1 hereby affirm that 1 em licensed under provisions of Chapter 9(commencing """ ""'•-'_ ""'-•"' _' p t `.f wide Ecdion]OfllO olD viAon Jaf Ne Bu.Wau an mfa%dWhSida,a ylicense is ny in lull tome aM ac C�,Z License Class DemCantracmr ?q HITECI'S DECLAR TI N C 2 1 undenunJ y plans shall be used u public accords a. 50 Licensed Profce.fonal M OWNER-BUILDER mDECLARATION 0 F I hereby affiant on I (. .Bump[faces Pr Contractors License Law forme o O following massa.permit t 7031.5,eLBusiness and Pro.demes Code:Any city or county S which requires a permit re rnrsrm4 dmr.intfrove,demsliil airs asir ed anomuac i ry^ prior mita issuance,also mquima the applicant for such parmiva file aligned stammem G (c mace icensedpursuant. D)ofDisionaofdeaWBusi r'sLicenselaw(CMpmr9 Sq.Ft. Floor Area Valuation 3 (commaming with Section 70W)ofDivision3nf the Busimatand R°(msinos Cnda)ur Nat be u esempt therefrom and the basis far the alleged esempti°n.Any Aota bon of Section 7031.5 by any,applicant for a permit subjects dee applicant to a civil penalty of APN Number Occupancy Type not more Nan five hundred dollar($500). ❑I,a owner of tlooproperty,m my employes with wages as Nab role compeesedon, will Professions and Na he Con umtinLntlnse Law ed last apply in an Bosinesa Required Inspections proend pmIGW°N Cade:The Camnatara ndwim live dear net apply lf rt rough is q p aws any who builds orireprove chicon,andwho dossuchworkhimsel[ter through his awn employees,provided deatwch improvemanrs are not ear of d moRered forsole.own If. - huilder,the have th g.Improvemant is seld awithini =I I year of completion,theowner.of salewill have Ne burden of proving Nat be did act build or improve for purpose of ale.)• ❑1,as mvner of the property am eaclusinly contracting wide licensed cor aacmr to construct the project(Sec.7014,Business and Pmfessi°ru Cade:)The Contractor's U. came law does not apply to an owner of property who builds or improve thereon,and, who contracts for such pmjecm wide a conuacmr(s)licensed forecast in Na Contractors License law. ❑l am exempt under See ,B&PC far this Hasten oper Data WORKER'S COMPENSATION DECLARATION 1 hereby inm under penalty of perjury aro of use following daclandmis: ❑I haw and will maintain a Certifinmaf Consent to self-i"sumfmworksrscamper. sailor,as,provided for by Scotian 3700 of the Labor Code,far dent performance at dee work for which this permit is issued. ❑1 haw and will maintain Wmkers Compensation Insurance,as required by Section 3700 of the lab.Code,fm the performance of N.work for which this permit is issued. My We, sacPlatinum slna...a artier and Polity nu Carrier. Policy No.: CERCIFICA E EXEMPTION FROM WO RS' COMPENSATION INSURANCE (Th4sacti°n need not W complemd If Ibe permit is farms hundred dollars($I00) or kat) I certify that in ft performance of Ne work for which this permit Is issued.l shall not employ any per°°in any manner.u te became subject in the Warken'Campensadon Laws of Califamia Data Applicant NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should Im ame subject he the Worker's Compmuation provisions of dm labor Cade.you most .J O foMaith comply wide such provisions or mil permit shall W decanted rewked. ,z., r.� CONMUCnON LENDING AGENCY ti [-+ Thar Which Nat dmrtkacoaswc.3M.Cleading agency for the performenee of asi i theLe work fur which thk permit k earned(Sec.3t]9],Civ.C.) W� Lenders Name z Lenders Address V Q I sonify that I have mad this application and scam that the above information is I]. coma I agree in comply with all city and county entireness and sum laws mining to Wilding convection,and hereby aumarin reprosemative of this city an enmr upon deo til above-mentioned property for inspection purposes ty,a (We)agree to sew,indemnify and keep harmless In.City of Cupertino against Ly y Iiebilldes,Judcis- gmenk.coats which may in any wyaeenre against sold City („)rZ.a IAnPoesegmncaUNDE gDS At,, W t L CO PLV WITH LL NO -POINT Issued by: Date - 50 Re-roofs sign ter tie 'Ce m HAZ USMATERIA[SDISCLOSURE Type of Roof WIII applicant. fumes building occupant some m head].henrdoes mamCd deRnad by Cupert] Municipal Code.Chtpmr 9.12•and dee Health and Safety 5cc6on zs All roofs shall be inspected prior to any roofing material being installed. Y. a Will the applicant or future building ocmpem use pquipmmt.devices which If a roof is installed w' first obtaining an inspection,I agree to remove ..it haraNnes air canuminanu p denwd by the Bay Area Air Quality Management all new materials OC pecti District? l�j,'/,NhJ� ❑Yes I haw at Ne hasskrrr amdalsmquimma.m.ner Chepmr6.95ufdeo Calif.- ^ nit Healthdisaletycado, am 505.25533m Z5534.1undermndthatifdeebeilding c�lb does not Came 'IY haw ant, at it u y po 'h1111Y m notify Na owup ret of the mq ' uwhicham at 'orloi of asthma cupaimy. Signa A plica)[ Date Owner or author.etla m Oa - 11 roof coverings to be Class"B„or better 090/ of C-0 ,� CITY OF CUPERTINO REROOF •CUPEkTINO PERMIT APPLICATION APN # 3 a 3 o a 3 0 0 at . 2-9 Gn Building Address: Owner's Name: Phone #: G-at-ac0, C,hJ 4o�N?��73- 85 C�on�tr`actor: Phone #: z— �7 V�/y b�� \`�1'U I CQS Fax #: Cupertino Business License #: Contractor License #: I Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles `X Asphalt Shingles }� 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. Job Description: VY\ 7`ib �g 30'� H' Cir bth Lanc�w�ar� 30- ` P_ Residentiat Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation •I Have Read, Under t nd a-Zrnply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO �(d, REROOF CITY OF • CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B ICOMMLROOF 1BSEISMICO Seismic Commercial B Z4 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B IREROOFMRES Re-roof Multi-Family B IMFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 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 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: &ak CQ (locna lob Site Address: 79 99 Roofing Company Name: 1 �S Applicant's Signature: - Date: Greg Casteel Building Official Revised 11/2/04 • CITY OF CUPERTINO 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36213023 . 00 DATE ISSUED. . . . . . . : 01/29/2008 RECEIPT # . . . . . . . . . : BS000003796 REFERENCE ID # . . . : 08010162 SITE ADDRESS . . . . . : 7899 FIESTA LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : GRACE CHUANG ADDRESS . . . . . . . . . . : 7899 FIESTA LN CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4118 RECEIVED FROM . . . . : ROOFSERV ROOFING SV CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN LIC # 23810 COMPANY . . . . . . . . . . : KEVIN SULLIVAN ROOFING ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR CITY/STATE/ZIP GILROY, CA 95020 • TELEPHONE . . . . . . . . : (408) 842-1057 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ------7--- --------7- ---------- ---------- ---------- 1BSEISMICR VALUATION 8, 000. 00 0 . 80 0. 00 0.80 0. 00 IREROOFRES SQ FEET 24 . 00 312 .00 0. 00 312 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 312 . 80 0. 00 312 . 80 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • _ Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 l UPERJINO �y / L BuildingDe artment JOB 11 E7 S. r/e S c� L.4— PERMIT # OVINE` R'S NAME: �(nCu. PHONE # — GENERAL CONTRACTOR eV ,\ FAX# — I am not using any subcontractors: Z� Si ature Date Please check applicable subcontractors an lete 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 O er/C tractor Signature Da