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06060077 CITY OF CUPERTINO PERMIT (� 12A.GrTPIZA VIA.TIQ'1 ,�R BUILDING DIVISION e eb.. „ BUILDING ADDRESS: MBROWN CONSTRUCTION, INC PERMIT NO-06060077 22009 OAKDE OWNER'S NAME: PERMIT ISSUE DATE GRACE KIM 702 S . DANIEL WAY 06/09/2006 E: SANITARY NO, CONTROL NO. (408) 260-1260 ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH as o LICENSED CONTRACTOR'S DECLARATION b Description j I hereby air,.that 1 am licensed""a,ponew ns of Chapter 9(mmmcndng � 70 P . with Section 7")of Division 3 ofthe Businessand PV!.�io�Dpd ylkenxe is in falifame eM eIT Lmg �- L m REMOVE APPROX. 34 SQUARES, APPLY OSB RADIANT Lkemm m s Date on BARRIER & RESIDENTIAL CLASS A COMPOSITION 1 ARCHITECTS DECLARATI N �� 1 a� 1 undersunJ my plans shell he usetl as public records n Jt�i � B C Licensed Professional OWNER-BUILDER DECLARATION S I hereby affirm that 1 am exempt from the Convector's License Lew for the }p O fallowing mann.(Section 7031.5,Business and Professions Code:My city or county J a which mquirca a permit ed construct,alar,improv.demolish,or repair my suuctum -i� prior its issuance,also requires She applicant for such permit to file aligned suumem < that he is licensed pureumtto the provisions of the Conuocmes License Law(Chapur9 Sq.Ft.Floor Area Valuati r7000 (commencing with Section 7")of Division 3 of the Business and Professions Cade)or that he is exempt therefrom and the bub for the saeged exemption.My violation of Section 7031.5 by my applicant for a Permit subjects the applicant 10 a civil penally of APN Number c u ancy Type SO mom than five hundred doll=(M). 32639005 . 00 ❑Las Owner of the property,army employees with wages u them solecompeneation, will do thewotk and the swnusta is natinunded or offered M,sale(Sec.7041,Business Re uiredlf].ypgctlpns aha Pmfeaaim.Cade:The Contractors Lt..Law doe tet apply to an names of q "�`l=j1]Y1 Jf' property who builds orimpeaves thereon,andwhodaasuchworkhimselfor Waugh his g �. .SOO� own employees,Provided Natsuch improvements am notinualed aroRe.d lots*.If. H. ` however,Ne building or Improvement Is gold within one year of mmpietion.the owner- 1�9Nq:+vUN IB� builder will have the burden of proWne Net ha did rot Wild Or improve for Pwpoxe of /U'JJ( �� sale.). ❑1,as owner of the property,am exclusively convecting with IlceeseA convactem to ocmLConstruct the pmnot (Bey.as an Business and Profnssions Code:)The Contractors d cease law does not apply to to owner of property who sedlds or Improves Contra,and. ahanse La tsfor such projects with aconbxtos(a)Ucensadpersonal to me Contractors License Law. ❑I=esempt under See. .B&P C fm Nis mann Owner Dau WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury ate of the following declaraUmu: 1 have and will tommodn a CerUOcvu of Consent to self-insum fm Workers Compen- Baron.as provided for by Section 3700 of tie labor Coda,for the performance of the work for which vis permit is Issued. have and will msintnin Workers Compensation Insmence,as required by Section Me f Ne labor code,far the performance of the wank for which this permit b issued. y Workes's ea UOm surseco ca.im and Policy number tor: _ Caerier. Policy NO.:,�.,�,_p1.'n,,G_ C^RTI�IGTE OAF tGEMPITON FROM RKOW ERS' COMPENSATION INSURANCE (Thbsection need rot be completed if the permit is forme hundred dog=($100) or less.) 1 ommly that In the performance of the work for which this permit is issued.)shall not employ any person in my matter an as to become subject to Ute Warkers'Canpensagon Laws of Califomta.Data Applicant NOTICE TO APPLICANT:If,after making this Cenificam of Exemption,you should become subject to the Workers Compensation provlsims of Ne Lahm Code,you muss z forthwith comply with such provisions or this Permit shat be deemed mwkod. za O CONSTRUCTION LENDING AGENCY v [r I hereby.M.the Ute.is 4 eonssra den lending agency for the performance of C> the wads for which this permit Is issued(Sec.3097,Civ.C.) GQ lenders Name z Lendee,Addrcss U0 1 Curtly that I have read this application and sena that use above information is D. E~- correct.I agme to comply with all city and county ordinances and sore lens totaling to 0 building conswctm,end hereby mohmin,mpnemnuti.of this cisy eo enter upon the W move.mcadoned property for inspection purposes. (We)agree to save,indemnify and keep homeless the City of Cupertino against rat rrAA liabilities judgments.casts and expenses which may in my way¢cane against mid City U 4 in consequence of the greeting of this permit. APPLICA UNDERSTAND AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE ULATIONS /�(/� - Signatureaf Applican )tractor ��" Re-roofs ARDOUS MATERIALS DISCLOSURE ( "- Type of Roof Will Ne applicant m future building occupant mac or handle hazardous material as de0ued by the Cupertino Municipal Code.Chapter 9.13,and On Health and Safety Cattle,Section 35532()7 All roofs shall be inspected prior to any roofing material being installed. ❑Tats ^�Tlo Will the applicant o future building Occupant sago equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove mit haardaus ter commumanu as defencd by the Bay Area All Quetty Managcmcnt all new materials for inspection. Dssvta7 ❑Yes u I have rood the haard smaudab rcqul.ments unJcrChapur6.95oflhe Glifon nu Heald&SafetyCodc.Se ans25505,25533and25534.ImderstsndthatlfNebuildtng docs nal c ntlY haw a unanL that it ie my meponsibility to notify Ue occupant of the mqummen which must be met ' issuemeohCmUBcauofOccup yr• Signature of Applicant Date Owner ora a 7ad,g All roof coverings to be Class"B"or better CITY OF CUPERTINO 1 of 2 PERMIT RECEIPT OPERATOR: kiersaw COPY # 3 Sec: Twp: Rng: Sub! Elk: Lot: APN . . . . . . . . : 32639005.00 DATE ISSUED. . . . . . . : 06/09/2006 RECEIPT #. . . . . . . . . : 34786 REFERENCE ID # . . . : 06060077 SITE ADDRESS . . . . . : 22009 OAKDELL PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . .. GRACE KIM ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , RECEIVED FROM . . : MBROWN CONSTRUCTION , CONTRACTOR . . . . ... . : CHRIS BROWN LIC # 25108 - COMPANY MBROWN CONSTRUCTION, INC ADDRESS . . . . . . . . . . : 702 S. DANIEL WAY CITY/STATE/ZIP .. . : SAN JOSE, CA 95128 TELEPHONE (408)260-1260 - OE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ______ _____________ __________ __________ __________ __________ __________ BPERMFEE VALUATION 7, 000.00 137.16 '0.00 137.16 0.00 BSEISMICRE VALUATION 7, 000.00 0.70 0.00 0.70 0.00 ' __________ __________ __________ ---------- TOTAL PERMIT 137.86 0.00 137.86 0.00 • Community Development Sl- 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPEf�TINO Building Department JOB ADDRESS: PERMIT # 2 0 o°� O kd e_l l IPI . 0, ' a?-7 OWNER'S NAME: , PHONE # e -91 $ 541 f3q GENERAL CONTRACTOR: r r, FAX # Q I o� I am not using any subcontractors: �P / l Signature Date Please check applicable subcontractors and complete 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 ,,, 1 D Septic Tank Sheet Metal Sheet Rock Tile 6wner/Contr-act ignature Date CITY OF CUPERTINO • REROOF CUPEkTINO PERMIT APPLICATION FORM APN# 3acv_ 3� � C>�S D e: � 6 Building Address: Z Zoo a)L ale- Owner's Name' Pho e rr Ce. I i^� • ��' �� 222CoContractor: 6,^,,, l License#: b(022-2— Contact: ntact: n /) S Cupertino Business Li nse#: 5 ,5 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Asphalt Shingles )' Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) N ber of existing coverings 1 ❑ 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: 7Descyition 3L( �S0�. >r1/1Gr E R/v�lc�ar�� C VV Residential Co erci ❑ ' Fire Zone: Yes ❑ No 9� Confirmed with Planning DMt. if there are any restrictions: U Cost of p7e:t: �6d Type of Crgpstructjpn: _ 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 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$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate that there is no ponding. 2.' An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comp �comply with the ab ve stated policy on re-roofing. Homeowner's Name: O'raG �t vh Job Site Address: ZZbU Roofing Company Name:Applicant's Signature:Signature: Date: �b Greg Casteel /Building Official Revised 11/2/04 CITY OF CUPERTINO3? +' - � .' BUILDING DIVISION PERMIT IONrRACTOR INFORMATION . inti BUILDING ADDRESS: LINDY ROOFING CO INC PERMIT No'06020077 10079 OAKLEAF PL OWNER'S NAME: PERMIT MUEDATB ROY LIU 5554 HARVARD DR 02/13/2006 NE: SANITARY NO. CONTROL NO. (408) 286-9990 ARCHITEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 30; LICENSED CONTRACfORSDECLARATION C� O �0¢ I hereby aRrre thu I am licensed under provisions of Chapter 9(Commencing Job Description a< with Section 7M)of Division 3 of the Business and Professium Code,and my licam is m full force and. ( S'S) REROOF--T/O SHAKE, INSTALL SHINGLES .C1 Clm Lie.g �^ �'�� Date Conuxlor n Call IseSDELLA Tp N Ss I undentsnd my plans shall Ec used a public meads l ED at Licensed Professional 7 .] OWNER-BUILDER DECLARATION A 7 Q 2 i q 1 hereby otftrm that 1 am exempt from the CantraCIM'a License Law for the r'46 L0o9 COO follawing moon.(Section 7031.3.Business and Prelessioa Code:My city or County 5$ which requires a Permit so commuct.alter,improve,de sulklu ar repair any structure 11%0 No. $20000 prior m its iauance,also requirm the applicant for such permit to file a signed stsmmcat ££ < that he is licensed pursuant In the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area ion Y�$ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or Q .. that he k exempt themfam and the beck for the ailcgrA exemption.My violation of Salon 7031.3 by any applicant for a permit subjects the applicant a a civil penalty of r Occupancy Type not mom Nan Bae hundred dollars Q 1,u owner of the property,m my employees with wages As their sale compensation, will do the work.and Ne swan.i.nmumnded moBened(oracle(Sec.70,14.Beat. and Proposal..Code:The Carmine,License Law does mil apply to in owner of Required Inspections property who builds m improves thereon,and who does such work himself or though his awnemployea,provided that such Impmwmemu are nal ince moffered far ask.IL however.the building or improvement is said within om year of completion.the owner. builder will have ate burden of paving that he did nm build or improve fm purpose of AAA.) . Q 1,As owner of the property,am exclusively contracting with licensed Conaacmrs he ..net the project(Sec.7014,Business and I mfemioM Code:)The Coduk-W,Li- am Law does and apply to an owner of property who builds or improves thereon,And, who contracts for such pmjeea with a contracar(s)licensed pursuant As the Conaaaols License Law. ❑I am exempt under Sec. .B h P C for this mann 13071err Data WORKERS COMPENSATION DECLARATION I hereby alarm under penalty of perjury am of the following dedare0om: I have and will maintain•Cenifteaaaf Conant aself-insure for WorkcYeCamper. M on,u provided for by Section 3700 of the Labor Cade,for toe performance of the k far which this permit is issued. 1 have and will maintain Warkefs Compensation Insurance,a required by Section of the Labor Cade,for the performance of the work for which this permit is issued. Workela Compensdan Insurance easier and Policy n/umber tie:rtier. I ss PolicyNo.: 1—%5:) CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE Club section need not be complead If the permit is forme huMrea dollars(1100) or less.) I certify,that In the performance of the work for which this permit is issuel l shall not employ any person in any roamer an as in become abject in the Workers'Canpeowuon Law.of California.Date Applicant NOTICE TO APPLICANT:If,after making this Ccnifcate of Exemption,you should become subject a the Worker's Compensation provisions of the labor Code.you must O O foMwi0 Comply with such provisions or this permit shall he deemed reoked. z' CONSTRUCTION LENDING AGENCY [r I hereby affirm that them its consuuctun lending agency fm the perfurmana or Ci the work for which this permit is issued(Sec.3097,Civ.C.1 a0 landch Name 0 Z Lender's Maness U 0 I canary Nat I have read N.sppliamm and sue Nat the above information is Drs!" context.I agree as comply with all city and county ordinances and sum laws rotating a 0 SU" building eonsnction,and hereby authorise representatives of this city to enter upon the shove-memimcd property for inspection purposes. (We)agree in save,indemnify and kap hamtless the City of Cupertino against y liabilities,Jualluncraus.costs and expannsest which may in my my sarme against had City ��77 V z to comegAHTeUNDERSTANDS ANDof the sonfing of WILLWILL COMPLY WITH ALL ON-P INT Issued by: Date SOUR E U TIONS, 'Re-roofs Si ApplicanUComracar Dam HAZARDOUS MATERIALS DISCLOSURE Type Of ROOF Will the applicant or future building occup ntstaa or handle Iuvallous material a de0md by Us,Cupertino Municipal Code.Charm,9.12.and On Health and Safmy Code,sales 25532(.)7 ` All roofs shall be inspected prior to any roofing material being installed. Will ❑ryO Will the applicant m lure building oaupanl ase equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove It haardnm air conuYN. dcMed by the Bay Area Air Quality Management all new materials for inspection. istrict? ❑Yes Ihaveredthchvmriaisnquimments underCbpter6.93 of the Gli(ory 2 r niceHcalthBSaiaYCade,Savoru23303.23333 wW73334.iandcrstad thui(the building does not currently haw a Comm that it is my responsibility a rally the aecupant of the /'lV m now'chmunbcmelpriormWarmofaCatifcamafOccup Sign of Applicant Date w Z �3 0 owns act rireaa...i D,te All roof coverings to be Class "B"or better Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 OUPEkTINO Building De artment JOB ADDRESS: 9 Q6o�t eu4� /OZ PERMIT#G 2 D? OWNER'S NAME: 0 1 t't / PHONE # U 9,7 -2-SCo' GENERAL CONTRACTOR 1OQ FAX # _ I am not using any subcontractors: W a-`�-G Signature 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 o — V Owner/Contractor Signature Date Community Development Department Building Division City of Cupertino 10300 Torre Avenue c Telephone: (408)777-3228 Fax: (408) 777-3333 CUPEI�TINO 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. Homeowners Name: Job Site Address: 60 ::7- Roofing Company Name: Applicants Signatur ,L� . _ .Low Date: CC// Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper CITY OF CUPERTINO 77 REROOF v 2 2 CUPERTINO PERMIT APPLICATION FORM APN # � 2 / �, bs'. Date: Building Address: 140 -7—� oC"(LLea� P� Owner's Name: Phone#: LIU Contractor: Phone#: License #: Llnd o-Fi v - O a 8 Contact: Phone#: Cupertino Business License #: v � - & go Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles yQ� Asphalt Shingles 9, Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O. Report# Ck'To be Removed ❑ Provide Mfgr. Installation Specs. • I Have Read,Understand and Will Comply With Cu ertinoo s Tear Off Polic m Job Description: /Zean- e.� s rz o ins /T ec/ Chd 5 re o r L rrie Pre c e.Aa:= TL cr1 Residential VCommercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Project: (� o� T e of Construction: Occupan y group: Y/ soh 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 -� � �