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MY OF CUP:"RTINO
BUILDINd"011SIOPI PERMIT
CONxI2AC TR Il k'ORMTIO
BulLglyd4ADD�(
PERMrr NO.
ORLINE CT
WING'S ROOFING INC
08090184
OWNFWSS.N/A4MEE:
PERMRLSSUEDATE
PENG ROGER C AND PENNY I
3243 SYDNEY WAY
09/29/2008'
NE:
SANITARY NO. CONTROL NO.
(510)889-9068
ARCHITECD/ENGINEER:
BUILDING PERMITINFO
BLDG EIF1T PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
licensed Chapter 9
Job Description
Iat p
1 hcscby affirm N1 Am under provisions of (commencing
with Section 7M) dDirision 3 orae Bonn. and Prof a ,and my tic. it
RE—RF T/0 WDSHK INSTL 7/16"OSB& ASPHLT SHNGL 29SQ
in full force and4frcm.
L`_LI Lic.t
CLSA
Date Conmcmr /
RCHf1EC17S DEC
NRA
mh sh.11 M„ -a u public mcoNs
1 dcmand .,/V—
,
Licensed Professional
OWNER -BUILDER DECLARATION
1 Mmby alRm that I am exempt From the Coneacmrs license law for the
following reason. (Section 7U31.5. Business and Prefemiom Cade: Any city ar county
which requires A permit m cmt9net. Aber. improve. demolish, or repai, any seu lore
prior in its issu,«c. Also as uirm rhe applicant forsuch permit in file a signed sutemrt
this he is licensed to the at the Committees ueeme Law (Chapter 9
Sq. Ft. Floor AreaValuation
percent, provisions
(commewith Section 7000) of Division 3 of the Business and Pro anions Cade)«
$ncing 9850
than he is exempt therefrom And Ne huffs for the alleged exemption. Any violation of
Section 70]13 by any applieLm for a permit subjects the applicant m a civil Penalty of
Number
Occu ane —Type
P
not mom than rm hundred d.IWA(S300).
35922056.
Y YP
❑ I,u ownm of tie proputy,«mY emP�eswiN wags uNek role eompewtion,
will rk, dna the rh is nmi «a fm
Apply
Required Inspections
Com
.ed Pr lesab I iccot w do 1 to An . of
Code The Conuanmrs Lia eA taw done apply f .n owner
wM ar through his
propertywho work h is
'a'no bisildr odmpmwa ch
Art notch
unproved
own cro reamed furnace. R,
awn
ver.theW,prog or bruplrvcnimpmvemwmincon yearofcom leumd
However the Wilding arimpmvemen,is
atIwiddnoroyearwWmpleforproowner-
builar will have ate burticn of proving that M did not build m improve Far purpose of
Cl 1, an owner of de prolar"y, am exelutiwly contracting with licensed Wnvacron an
Wrmtec, she Project (Sec. 7044. Business and Prufessiom Cade) The Contractor's U.
cruse law does not Apply in an own« or property who builds or improve thriven, and .
who contracts for such projects with a rnnracter(s) licensed pursuant as rhe Conuacmrs
License Law.
❑lam sump, untlu See ,B&PCIMMismasan
0. Dare
WORKER'S COMPENSATION DECLa MON
I hereby+film under penalty or perjury ane orae fallowing deelantiom:
I have and will maintain A Certificate of Consent in self-inswe for Workers Gampen.
Aum, u Provided for by Section 3700 or Ne lab« Code. for the perfurmuhc of the
work for whim this Permit is issued
1 have and will mainum Workers Compensation Imuran¢, As required by Section
ofthelabar Cade,r she pedo— ceor Neworkf«whichduspermi,uissued
'
My We m nsI n munnceq ri., and Poliry, number tie:
Carrier Poliry No.:
TE OF PTIONFROM ORKERT
COMPENSATION INSURANCE
CITU action need not M completed Brhe pcmit is f«omhuMred dollmr (5100)
m less)
I eerily she, in the Perfomaoro of use work for which this Permit Is wood, 1 shall nm
employany pemon in mtl manner m u u become Abject Workers' Compwadon
laws of Cali' -`r Aj
R'A` r
Applicant 111111 �tNN//\\// sNA I I i2
NUnCE TO APP : If. After making this1 a� mptio should
become subject Ne Wahera Compcmation pro it>!he of Ne labor Code, you most
forthwith comply wish such Pmvisiom or this permit Nall be deemed rewkcd,
CONMUCnON LENDING AGENCY
1 Mmby -alrm that aterc is. conA«d. h nding.penry for ae perfem .nce of
she work for which this permit is loved (Sec. 3077. Civ, C)
Lenders Name
lenders Address
1 costly Na, l have mad this application an n sate Nat the above mimmation I.
Wrse« l atree he empty with all city and county on inuresdna state laws relating he
building comrmnion, and hereby mthodrz rtpresenutives of Nis city to enter upon the
Aleve-menuaned pmperty for inspection porpmea
(We) agree ro can. indemnify and keep harmless the City of Cupertino against
liabithim Jodgmris, corm and expenses which -11- any way amus agalm said City
in consequence of she granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
SOURCE REGULATIONS.
ONS.
Re -roofs
of ApplswRpate
HAZARDOUS MATERIALS DISCLOSURE
Type Of Roof
atom «handle havAons matedty
Will the applicant m factum Mal
-
as dented Conic.
tie Cupertino Municipal Code. CTapur 9.13, and the Heslth and Safety
io
cadetsEl «aonsss]z(,)7 Vivo
Tor �Ne
All roofs shall be inspected prior to any roofing material being installed.
Will the. scant or fnmre Wilding ¢tea
OP t cent tic cyuipmr, or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
g
itbuardeus air contaminants u dcfincd by Ne Bay Arta Air obesity Management
all new materials for inspection.
❑Yes Nu
I havethehvallo mteriais mquhemcom Mover Cluptu 6.95ofthe Caliror-
maHcalsh&Sof yCotic, Sections 7SSU5.]SS]]aov1g5534.1unticrsund thn Rae building
does on um ve • tram. this it is my responsibility to rmury amp t of the
mquirer mw roue t *ormissuance of. certifiwear
Signature of Applicant Date
d
All roof coverings to be Class "}}" or better
(Ownero out omeds of Date
• 2 ITEMS OF 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35922056.00
DATE ISSUED.......: 09/29/2008
RECEIPT #.........: BS000006218
REFERENCE ID # ...: 08090184
SITE ADDRESS .....: 10740 ORLINE CT
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # 1
OWNER ............:
PENG ROGER C AND PENNY I
ADDRESS ..........:
10740 ORLINE CT
CITY/STATE/ZIP .
CUPERTINO CA, 95014-4351
RECEIVED FROM ....:
WING J CHEA
CONTRACTOR .......:
CHEA, WING LIC # 21239
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
1BSEISMICR VALUATION 9,850.00
---------- --------------------
1.00 0.00 1.00
----------
0.00
1REROOFRES SQ FEET 29.00
377.00 0.00 377.00
0.00
TOTAL PERMIT
---------- ---------- ----------
378.00 0.00 378.00
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
378.00
---------------
378.00
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
•
REFERENCE NUMBER
--------------------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
CITY OF CUPERTINO veo i 04y
REROOF
10 1PERMIT APPLICATION
APN #D
X95a()5�- b o
ate:
I Q
Building Address: 107LO orb ne, cT
Owner's Name:
Rol-o_L�1
Phone #:
P� 6 39
Contractor:�
Phone #:
/ �(
�/V S
Fax #:
Cupertino Business icense #:
Contractor License #: -
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
p*�Asphalt Shingles
tr/Wood Shakes
❑ Wood Shakes
❑ Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Number of existing coverings
VTo be Removed
o Provide I.C.B.O. Report #
❑ Provide Mfgr. Installation Specs.
Job Description: b9
G6 d S�
Residential
Commercial ❑
Green Building: Please complete relevant portion
of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application
or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation: D
I Have Read, Understand and Will Comply with upertino's Tear -Off Policy:
Signature
Revised 6/16/08
Sam
CITY OF
CUPER,TINO
CITY OF CUPERTINO
REROOF
FEESCHEDULE
0
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
Z %
1RER00FRES
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismic Residential
B
IREROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
Revised 6/16/08
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 2007 IBC Standards
and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino
municipal code 16.04.080.
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 Raid 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 ab ssttatteedj policy on re -roofing.
Homeowner's Name:
Job Site Address:
Roofing Company Name: 10 &V U
Applicant's Signature:
• Greg Casteel
Building Official
Revised 07/30/08
Date: