06090245 CITY OF CUPERTINO
dU1L01NG mvlsrory PERMIT r,CONTI2ACTOIt IN' QRMATIbN.
BUILDING ADDRESS:
ECONOMY ROOFING PEaMITNo.06090245
18750 HANNA DR
OWNER'S NAME: PERMR ISSUE DATE
HUNG YU & HOWARD HOU 1110 HACIENDA AVE 09/26/2006
NE: SANITARY NO. CONTROL NO.
(408) 379-3093
ARCHITECr/ENGfNEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
loo LICENSED CONTRACTOR'S DECLARATION - Job Description
I hereby affirm Nn 1 am liemucd under provisions ver Chapter 9(m nroodng
;IEwith Section 7")orl)Msion 3 ofdu Business and ProfessionsCodcAnd my lkense it
ren, infullrarsxande .3 REROOF- TEAR OFF EXISTING TAR & GRAVEL, INSTALL
J8� LDateicenseccm�ua m NEW 4 LAYER BU, 14 SQUARES, CLASS A
1 A CHITECTS DECLARATIO
S 1 understood my plans shall ho used as public mcmd;
.6
Licemed Professional
re v, Oat I a.aU hap,train
DECLARATION
<I I hcahy.(Sero Net 11. uempe from Ne Cmianmrl lkanu Law far dm
p o following rtama(Salim 703 construct.
Business and professions Cade:My city or enemy
:40
$
which agmrea a permit ac sores,Mie alms improve,dcmanit i ore pair any strumum
•xi
prior mits issuance.also mqulma Use applicantrarauch pennitto Oleasigned statement
< Nu he if licensed pumwtttoMeproviaauaftheCmtracmraLkc=Law(Chapter 9Sq,Ft. Floor Area Valuat 6400
Igo
(commencing with Section 70M)of DivlsionJnf Ne Business and Professions Code)or
c Nat he is exempt therefrom and the basis for the alleged eamnpdm.Any violation of
Section 7031.5 by any applicant fa a permit subjeca,Ne applicam m a civil penahy of ppN Occupancy TYP
not mom Bun fiw hundred dollus($000). 3 73 2�11It1)(er 0 0 CCU anC e
❑I,uawarafthe pmprnY•amYwplayen with wage uNeir hale compenudm, f7 MB
. o
Nurturekrotimmndedoroffa rmuk(Sm.70N,Busirca
and Proksdou Code Tba Contractors License law does not apply as an owner of Required Inspections
property who builds or improws Norton,and who doessuch work himself or through his
awns h.,the
prwniimP�manu toe act in', fomoeered for um R.
builder Ne bw Me or ImProvemmn is hath within oro year orWinnow
in owfar hu owner-
builder will have tin burden of preying that k did not hulk or improve lor propose of
sale.).
-27❑I,u mane,of the propanY,are ea uawly contracting with gamed mnoactma to
murmur the t Dromm(Say s so Businessaofand property
peau build.or The Corso., nd
more Taw dam oat apply b as owner of pmpeny aha od or enproves Norton,and.
who se Laces for such mojccu MN amnoutot(.)Harrod purwunt m Ne Cmvanoh 's
License law. /
❑lam uempa under See .Bk PC for this reason
arse
Data
WORKER'S COMPENSATION DECLARATION
f/ 7�
I hereby aline under pesilly of Perjury one of tie,following dalantkm: v/
1 haw and will maintain a Cradfiau of Consent m self-iuum for Workers Camper- (�
cation,u provided for by Section 3700 of du Labor Code,for Ne performance of Ilse
work for which Nu Permit u issued.
®1 ban and will maintain Workers Compensation Insurance,u required by Section
of of Ne Labor Code,fm the performance of Ne work for which No permit u wood.
My Warker Comp madanI wance artierendPolicynumb"ma-
Carver. PolicyNa.:Wool" ��
FlCA EO (EMPIONFROM WORKPRS. '
COMPENSATION INSURANCE
('rhissectim need mtbecampleud If the permit Is nature hundaddallus(SIM)
or leu.)
1 certify Nat In the performance or the work fir whkh Nis Permit is Wood.I shill not
employ any Wuon in any man warm is u become subject m Ne Wmkxm'Compenvdon
Law.of California.Data
Applicant
NOTICE TO APPLICANT:If,ager making this Cenificam of Exemption,you should
become subject to the Worker's Compensation provisions or esu labor Code you most
.J O forthwith comply with such provisions or Nu permit shall h dcemed naked.
z CONMUCT10N LENDING AGENCY
EIhemhyalfsrm NardWm is a construction landingaganry far the perkmamusa(
LY .moi Ne work for which Thi.Permit is issued(Sec.3077.Civ.C.)
GQ Lenders Name
z
Landau's Address
f,•J Q I certify that I haw reed this application and sou that tiro above information Is
11.F correct 1 agree to comply with al city and county ordinances and sum laws relating to
0V building construction.mdhereby auNoane mpaanutins of this city to enter upon the
W shout-mentioned property rot iraecuon pugmses.
0e (We)agree to ave,indemnify and kap harmless the City of Capeninm agaius
rE'y
in Iiabithics.judgmcros,costa and expenses which may in any way accrue agam,aidGly
()wZin. APPLLIICCANTeof UNDagMtANDS ANof this D Wit C PLY WITH ALL NON-POINT Issued by: Date
SOURCEREGU I
Re-roofs
SI{natureor Appl' a'.TR Dam
0.DOUS MATERIALS DISCLOSURE Type of Roof
Will Ne Ikilaim usrumfuture Wilding Code.
Chapter 9.1 or handle Heankmmsmaa
u denmW DY Cupenina Municipal Cade.Chapter 9.11.and the Health and Safety
Code,Section 25531(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Ya No
Will Ne applicant or tore Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit haurdeu air cmuminanu as defined by tit Bay Area Air Quality Mamgcmcnt all new materials for inspection.
District?
❑Yes Nu
1 haw mad Ne huardaus materials requirements underChapmr6.95 of the Carter.
nialical"SafeyC Suction,2550525533 and 75534.1 understand Nmirdc building
does rot curtertly Wants.thin It is my responsibility to entry Ne occupant M dm
requianentswhic in Pa hum.of.Cerdrmama D Signature of Applicant Date
Owner or etrNaeve ghat ,m. All roof coverings to be Class"B"or better
CITY OF CUPERTINO
Sm 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 37529049 . 00
DATE ISSUED. . . . . . . : 09/26/2006
RECEIPT # • • • • . . . . . : 36211
REFERENCE ID # . . . : 06090245
SITE ADDRESS . . . . . : 18750 HANNA DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . : . . .
OWNER . . . . . . . . . . . . : HUNG YU & HOWARD HOU
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : ECONOMY ROOFING
CONTRACTOR . . . . . . . : HORSAGER, PAUL B LIC # 19307
COMPANY . . . . . . . . . . : ECONOMY ROOFING
ADDRESS . . . . . . . . . . : 1110 HACIENDA AVE
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 379-3093
'FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- --- ---------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 6, 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00
BSEISMICRE VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT : 231 . 96 0 . 00 231 . 96 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 231 . 96 MASTERCARD
TOTAL RECEIPT 231 . 96
•
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: WW 4U
Job Site Address: nnv
Roofing Company Name:
Applicant's Signature: Date: JZ1
• Greg Casteel
Building Official
Revised 11/2/04
F Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OUPEkTINO
Building Department
JOB ADDRESS: / PERMIT #
OWNER'S NAME: IPHONE #
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Signature ate
Please check applicable subcontractors Ld complete the following information:
RI 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/ironlractor Signature Date
CITY OF CUPERTINO
REROOF
CUPEkTINO PERMIT APPLICATION FORM
APN# -3-15- 29— (�+�'^ Date:
L(n D L
Building Address: g-I SO
Owner's Name: Phone #:
v -4L�44-0 ,_k ye 8b6-/iia
Contractor:& I License#: g�z 32
LOAu
Conta It Cupertino Business License #:
a�— - 2
Type of Roof Covering:
Existing: Proposed:
-% Built-Up Roof j( Built-Up roof
❑ Asphalt Shingles ❑ 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: N - p
P2 i2 3
Residential V Commercial
Fire Zone: Yes ❑ No [ Confirmed with Planning Det. if
there are any restrictions: LJ
Cost of Project: 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
a