06080183 CITY OF CUPERTINO T�a,g* �y„# "b s!•*�•ma��Y�}j. WTI BUILDINGbIVISION PERMIT l.V l l�.!} Vll� lf`r A.;VLt.tYltfTI "
34 .&:R$.,v w'#vs?u&Y�'1Nd'£a�Iry Y` ,r'.F'c',41P2
BUILDING ADDRESS: WING' S ROOFING INC PERMrr”°'06080183
21102 GRENOLA DR
OWNER'S NAME: PERMIT ISSUE DATE
DAVID LEE 3243 SYDNEY WAY
NE: SANRARY NO. ii� CONTROL NO.
(510) 889-9068
ARCHITECTIENGWEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0, LICENSED CONRACTOB'S DECLARATION Ib Description
I hereby affirm that I am licensed under provisions of ChapterO
9(commencing
0
with Section 70W)of Division 3 of the Business Profauians Code,and my license I,
InmBrame. as TEAR OFF WOOD SHAKE. INSTALL 7/16" OSB AND CLAS
L"`" Class Lm'• ASPHALT SHINGLES 25 SQ.
�r•� Date Cos DWL
qg AR ITECTS DELLA ATION
la lundersund my Plans
Ilheused upublie reeoNs
s
'W
Licensed Pm(cnional
It0 OWNER-B emit(mm the Cor ION
0 0 I hereby.(Arte that 11. ,using from the Cssions o License Law for she
:00 O following msson.(Saute 703 omen Business and improve,
de m Cade:Any city structure county
$ which rets i me•pewon re tnnwu0.alters improv,h permit t nr e a sig any ement
•x Priorm itsccoo Ri,eso requites the provides,
far cab pemte to Me a,Law(autemcm $tV800
G
the,hcblkerwW putwantu the Pmviuons arum Conuacurs license law Chapter9 Sq.Ft.Floor Area ialuatl
i€j (ca mmencingwihSauon7000)of Divbion3afthe Buslne Pmfessiom Cado)w that he is excmpt tbemfmm and the limb for the alleged excerption.Any violation of
Section 7031.5 by my applicant(or a permit subjects the applicant in a civil penalty of APN Number 't�A�ji—?t!cY Type
nos more then five hundred dollars(SSW). 32628063 . 00
0 1,u awns of tie property.is my woployces with wagn ar dae'v role campenatian,
will do the waricind the slmaum is not intended or offered for sale(Sec.7094,Restrict Required Inspections
and Professions Cade:The Co eracmrs License Law does rot apply m an owener of q P
property who builds or im proses dterm a and who does such work hum elf erNsough his
own employees,proviEW that ruche improvements are not imeMed oreffeetd forele.If.
however.the building or Improvement),veld within one year of completion.the owner.
builder will haw the burden of proving that he did sot build or improve for purpose of
sale.).
❑1,as owner of the Property,am smiulimly conuuning with licensed rnmracmn in
consvuct the pmjert(Sec.7099,Business and Professions Code:)The Contractors Li.
cense Law dace sot apply in an owner of property who buiW3 at impmvea daemon.and.
who comments for such projects with a conuum(s)licensed pmwaw in the centimeters
License Law.
❑I am exempt under See ,B&P C for this mason
Owner Wte
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penally of perjury one of the following declardiom:
1 ham and will trained.•Certificate of Comate m self hu m e for Wanka's Compani
"res.u provided for by Smear,3700 of the labor Cade.Iwo the perfonnar e:of the
work for which this permit is issued.
I have and will maintain Workers Compewllon Insurance,as required by Smiw
of the labs Code,for to. a of the work for
which this permit b inued.
My rtrrs afitn 'a atW Polley number am:
Cartier: Policy Na,:
IFlC OF PfION FRO W RKFAS'
C PENSA NINSURANCE
mfis section sued n tthecompbted If the permit la farms hundred dollars($100)
or lose.)
1 certify mut in the performance of the work for which this Permit is issued.I mush nor
employ any prime In my m nmrse as se become subject m the Workers Compensation
Laws of ci lifomia.Date
Applicant
NOTICE TO APPLICANT.If,after making this CoelBote of Exemption.you should
become subject an the Workers Compensation provisions of Ne lobar Code,you muss
.,0 faMw10 comply with such provisions or this permit mall he deemed rewkcd.
'Z ,N. CONSTRUCTION LENDING AGENCY
(•' I hemby affirm uw them Is a constructions tending agency for the performance of
f�> the work for which tNs Poirot is burned(Sec.3097,Civ.C.)
ALenders Nam,
D z Landers Address
U0 I certify Nat I have mad this applicukn end sum the the above informafiun is
lk, f" coned.I agree in comply with all city and county ortinances and cute hers mieung to
C) building cansuuctitn,and hcmby sulhoria rcprcenutiws of Nis city to seer upon dac
LU shove-mcmioned property for inspection pumices.
(5.
(Wo)agree to save,indemnify and kap harmless the City of Cupertino against
s.nh liabilificafmg onW cos"andespenus which may in any way acerae agairin said City C
V t"- APPL qA `oN ERSTANOS RIND WILL COMPLY WITH LL NON- INT Issued by: Date
SOU LA ONS,
�' Re-roofs
Sign a PPII an u am
c�AR$OUS MATERIALS DISCLOSURE Type of Roof
Will um ap. nt sur farm building occupant sure or handle ha'vmom material .
u defined by the Cupertino Mum ipal Code.Chapter 9.11,and the Health and Safety
eaJe,taction 1ss31(a>? All roofs shall be inspected prior to any roofing material being installed.
❑rte e
Will the applicant sur Ice building accepant use equipment w devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit h eardcus air comlmmants dcflmd by the BayArea Air QuWlly Management all new materials for inspection.
Olivier?
DYes No
thevam theh.,d.smamrialsmquimmen"underChapter6.95ofthcC,lifor-
mile
th&S i Co
de.Sectlmu15505,7S533m,125534.1undcmmndthat thee,bei ing
ot urren y haveaw.4Wlhbmyresponsibilitytenotify easoman f the
ntsw' nm hemetpdartoIumnce0racoNrte sur cu y. Signature of Applicant Date
o e ,ata ad,g L ,m All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
I
AI -4
! 1 '�: Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
#UPEkj1N0
Building Department
JOB ADDREI $O �- n q „ 0 PERMIT�6 6 �O(
OWNER'S NAME: l �►/ PHONEC#/ (�
GENERAL CONTRACTOR fvq ( # v L
I am not using any subcontractors: (
Signa a Date
Please check applicable subcontractors and complete the following information:
21 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
• Zr Z D
Owner/Co ctor Sign tune Date
CITY OF. CUPERTINO
•em 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 32628063 . 00
DATE ISSUED. . . . . . . : 08/22/2006
RECEIPT # . . . . . . . . . : 35720
REFERENCE ID # . . . : 06080183
SITE ADDRESS . . . . . : 21102 GRENOLA DR
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : DAVID LEE
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 8, 000 . 00 147 . 96 0 . 00 147 . 96 0 . 00
BSEISMICRE VALUATION 8, 000 . 00 0 . 80 0 . 00 0 . 80 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 253 . 76 0 . 00 253 . 76 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 253 . 76 VISA
TOTAL RECEIPT 253 . 76
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 t e abov s t d olicy on re-roofing.
Homeowner's Name: V
Job Site Address: 2 II L?2- G V, A 0b4, 0 Y q
Roofing Company Name:
Applicant's Signature: Date:"7-1
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO IJ�DIIT.0 ��
REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN#
�L� 0
Building Address: 21102-
1IVZ
V-2V1 d V
Owner's Name: Phone :
L7avt N Le-e- Phone
C16-1 q30
Contractor: I �Ci S License#:
NL L-,, f10
Contact: VVj t n /_ Cupertino Business License #:
t/V 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.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description: va W" 5 7 6 p $ (3 C
Residential Comnf6rcial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dt. if
there are any restrictions:
Cost of Project: Op pU Type of Construction: Occupancy rou :
_
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