06120043 y0WNFWSN7AME:
ERTINO a a#�:.°z.K t�;%t:H« O k III
IVISION PERMIT ,kCON!TRA.CTOR?INFO,IZ ATIOIV
: WIN ROOFING INC F"mrr No'06120043
RDENA CT
PERMIT ISSUE DATE
P CHAI - DUPLEX 3243 SYDNEYWAY 12/12/2006
NE:
SANITARY NO. CONTROL NO.
(510) 889-9068
ARCHI=MNGINEER: BUILDING PERMIT INFO
BLDG ELECTPLUMB MECH
0 0 0 0
ices LICENSED CONTRACTOR'S DECLARATION Job Description
wF 1 bcrabaf
y firm Net 1 ar limmocal under provisions of Cbapur 9 m arum ming
:Z,,, with Suction 7")of Division 3 after Business and Professions Code,and my license is
ipruRfamseaa meal e� C // REROOF- TEAR OFF EXISTING, INSTALL 7/16" OSB
,p= tree-•-slam . '- Lm.. AND 30' YR ASPHALT SHINGLE, CLASS A
t-c Dam j Gonlrscmr
44,
ARCHRECTS DECL.ARA O!
i < I understand my plans shall W used u public abounds
)yU
G Licensed Pmfcssional
5 OWNER-BUILDER DECLARATION
iF I hemhy affirm Nal 1 am umnp,from the Cmarsta rs License Law for Nc
no following mason(secWn 7031.5.Business and Professiuv Code:Any city or county
which mquiry a Permit On conarueL alms,improve,demolish,nr abpair any swmuab
-Zi prior N its issuance.also mquiaba the applicant for such permit m Bic aligned statement
:i
< Me,heuliccnscdpursuanttotedprovisionsofNeContractor'sLicenselaw(Chapor9 Sq.Ft. Floor Area Valuati T8000
tarts is cu pth humors and M basis
3.f the BasegeinessaM Profeny vi Cade)ar
��$ Nat he u eumpt therefrom and Ne bvis far rhe alleged eumpuan.Any violation of
Section 7031.5 by any applicant far a permit subjects the appticvlt m a civil penalty of 4p��`ppyr`Ns����Ns`t mber Occupancy Type
but mart clan five hundred Manus 00(0). 32608 72 . 00 P Y YP
1,uo mrofthepropwy,amyemployeeswithwagesu Ifmbsalecomperadon,
willdo Neworkand Nessrnumunotintendedwoffemdforsals(Sec.]014,Bu was
and Profesdwv cox:Tie Canu¢mrs Limve taw awes not apply In an owner of Required Inspections
Property who builds or impays Mercon,and who dam such work hink elf or thmugh his
owvemployms,provided Wt such improvements tae at intended oronered forsale If,
however,Ne Wilding or improvement is sold within ane year of completion.Ne owner,
builder will have Ne burden of proving Nat W did vel Wild ar improve for pts,.of
sale.).
❑1,as owner of Ne propeny,am exclusively contracting wit licensed conlrubrs to
construct ale project(Set.7(M4,Business and Imposed..cox:)Tm consomme.Li- _
cove Law docs not apply In an owns of property who Wilds or imparam tWabon,and,
who concocts for such projects with a contramar(s)licensed pursuant be the eonuacmls
Liceve taw.
C31 me sempt under Sec .B S P C far Nu Icvan
Owner Data
WORKER'S COMPENSATION DECLARATION
40 1 hereby aflim under penally of pe0ury arm of the fallowing dodamdov:
1 haveand will mtai
ainn a Conifism ofC...I la sel6ivum far Workcb Compcm
cation,as provided for by Section 37011 of the Labor Cox,for the performance of Ne
work,for which this permit is Issued.
❑I havoc and will maintain Worker's Compensation Insurance,u mquired by Section _
3700 of led labor Cade,far time performance of Me work for which this permit is issmd. --
My Workser Compcnsmon man c snier and Policy number art:
Camicr.`)yT Polity FROM
2rarq
CERTIFl TE OF CEMPIION FROM WORKERS'
COMPENSATION INSURANCE
(Thtsxction reed not W completed iflW permit is foox hundred aaltars(SIM)
or less.)
I sonify Met in the performance of Ne work for which Nis Permit is issued I shall nos
employ any person in any meaner an az m become subject In the Workers'Compcwdon
Laws of California.Due
Applicant
NOnCE TO APPLICANT:If,armr making this Certificate of Eacmption.you should
Immum subject m Ne Worker's Compensation pmvisions of to labor Cnde,you mut
.JO foMwith comply wide such provision at this permit shall W deemed revoked.
Z CONSTRUCTION LENDING AGENCY
r. I Wmby affirm clot Nora is.mar mecurm lending agency for the pr(ormancc cal
'34 > to work for which this permit is issued(Sec.3097,Civ.c.)
LW
leaders Nemo .
.7 Z Landers Address
V Q 1 certify Nu 1 have mad We application and sum Nat Ne above information is
U, E^ cancel I agree m comply with all city and county ordinances and sum laws muting m
C V Wilding convection,and hemby amhonm abpruenutives of this city to enter Upnn Inc
G ahpvcmcnbovud Property for inspection pugmscs. �/` w�VG/V
(We)agree to save,indemnify and Imep harmless the City of Cupertino against
F" fq liabilitigjungmem,cvts and expones which may in anywayaccme Mai"' ssia City
V Z in cmtsequcrim of the granting of this permit.
'-' APPLICANT UNDERSTAND AND WILL COMPLY WITH ALL NON-POINT Issued by: Date /Ltd
SOUR RE UkATIONS.
CIE( �fLr (/,r ry/n DOW
Signature of Appli unuxtor - Dam Re-roofs
RDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building a ospantsmre orhandlc harudous material
u defined by ted Cupertino Municipal Code.Chapter 9.11,and ft Hurt and Safety
Conk,odTn ors 11131(a)7 All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed-without first obtainingan inspection,I agree to remove
Will the applicant or fustr building occupant use equipment ar deviw which P g
emit hmaNnv air contemn as defined by the Bay Ars Air Quality Mavgcorm, all new materials for inspection.
❑Ye ptN.
I have mal Ne luurdraumamriais abquimrmnts underLTaPmr6.95 wfthe Giiror-
niaHcalNd:Sofsty Code,Scction 15505,155J3 amI155Jd.1 undcrsund Nat ifthc building
t0- ..mM.nrcdAg,Ai,-
t tune Iy home a mneaL clam it u my mapovihility m rodfY IW ompeat of tbe
ants Khmaabemelpiarluissuammwfk Cedfcamoro, Prey' Signature Of Applicant Date
Cz All roof coverings to be Class"B"or better
am- g
CITY OF CUPERTINO
m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN 32608072 . 00
DATE ISSUED. . . . . . . : 12/12/2006
RECEIPT # . . . . . . . . . : 37014
REFERENCE ID # . . . : 06120043
SITE ADDRESS . . . . . : 10666 GARDENA CT
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO _
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : PHILIP CHAI - DUPLEX
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : WINGS ROOFING
CONTRACTOR . . . . . . . : CHEA, WING LIC # 21240
COMPANY . . . . . . . . . . : WING' S ROOFING INC
ADDRESS . . . . . . . . . . : 3243 SYDNEY WAY
CITY/STATE/ZIP . . . : CASTRO VALLEY, CA 94546
TELEPHONE . . . . . . . . : (510) 889-9068
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--------- - ------ - - - ---- ---------- ---------- ---------- --------- - ----------
BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00
BSEISMICRE VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
-------- -- ---------- ---------- - ---------
TOTAL PERMIT 159 . 66 0 . 00 159 . 66 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 159 . 66 VISA
TOTAL RECEIPT 159 . 66
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
•
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: PA/j I L
Job Site Address: J �6 b I U 6� ��i/lj�p Gt C-7
RoofingCompany Name:
Applicant's Signature: /y Date: / 1/(v
• Greg Casteel
Building Official
Revised 11/2/04
lea—,
Community Development
IF 10300 Torre Avenue
s Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
OUPEkTINO
Building De artment
JOB ADDRESS: PERMIT #
/0666-10 C)4- P&-,V4 c ,16/ 2o0 "-t 3
OWNER'S NAME: vt)rk"p c.` PHONE # jr0 G- e S /0
GENERAL CONTRACTOR: X, IFAX #
I am not using any subcontractors: L Z
IL
Signature Date
Please check applicable subcontractors and c m Tete 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/C n actor Signature Date
C)CCI2�
CITY OF CUPERTINO
S REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN # � 072 Date:
Building Address: �/ I ,G, `
Owner's Name: /06 6 /J //� I6( /� i, G_ Phone#: 400 S 06—pS I (�
Contractor: ' I 1 Sb ID(J I �fp( License#: _ Gc� N3
Contact: W� _ ) /, j_: (� Cupertino Business License #:
Vv ch
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles Asphalt Shingles
2( 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: 7�6 i -t ?�j6 " O S • - __ l 3
(/!'nom l
Residen ial Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: 0 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
•