The URL can be used to link to this page

06060246 CITY OF CUPERTINO '+ 'l 'BUILDING DIVISION PERMIT '_CONTRACTnR INp`URMATIO,N m .7P.r.. r, .t, BUILDING ADDRESS: K H ROOFING PERMIT NO.06060246 10344 N PORTAL AV OWNER'S NAME: PERMIT I SUE DATE DEBBIE VI-TRAM 1556 LITTLE ORCHARD NE: SANITARY NO, CONTROL NO. (408) 293-2754 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PO LUMB OMECH O iOp LICENSED CONTRACTOR'S DECLARATION mF 1 hereby affirm that 1 am licensed under provisions of Clupter 9(commencing IO IpL Lm ?Zi✓y with Secion101rof Diviska3oflhe Booens'"IProfessons Code.and mylicenseu ±gig Infullf0.earWcrcemt j TEAR OFF WOODSHAKE BUII �LDE BY /2" OSB PLYWO xvyz Licenxclasp Lie.g CLASS A/B JJ ZOO6 =Fp Dam Contxmr '^ ARCHTfECfS DECLARATION f < 1 understand my plans shall he and As puM1lie records '1s u 3tp�Jt7llr{If' i../�� a o'G 5Licensed P.R i...I `0g OWNER-BUILDER DECLARATION Rm N 2 1 1 hereby arat lm exempt from the Contractors License Law for she 00 following mason.(Section 1031.5.Business and Professions Cade:Any city or county s m which requires a Permit m Cansuva,Aller.imPmve,demolish,or repair any Immune prior to its issuance,also requires the applicant for such permit on file A signed eamment a that he is licensed pursuant to the previsions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area ValuatiO6000 y (commencing with Section 7")of Division 3 of the Business and Proressions Code)or ;! that he is exempt therefrom and the basis for the Alleged!exemption Any violation of Section 1031.5 by any Applicant ror A permit subjects the applicant to a civil penalty of qEN Number Occupancy Type re not mothan fee hundred dollars($500). 316 29006 . 00 0 1,u owner of dm property,a my employees with wage as thehsole compensadon, will do the.,hand the a...lana imendComancond forsale(Sce.1044,BYsh1e33 Required Inspections and Professions Cade:The Commemer's License law times not apply b in owner of q p property who hu ilds m improuv tuar son,and who does such work himself.,through his awn employees,provided drat such improsemenss Am not intended aoBerW facade If. however,the building or improvement is sold within one yea of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of .. saic). 0 1,as owner of the propertB,am excdusivdy convecting with licensed contractors in construct t.project(Set.7044.Business and Professions Cade:)The Conveemru U. cense law docs not apply m An owner of property who Wilds at improve thereon,and who contacts for such project with a comacmr(s)licensed pursuant In the comme es L.iccnse Law. (:3 l Am eaemp,under Sec .B&PC for trisswan Owner Date WORKER'S COMPENSATION DECLARATION I hereby of ino under paWty of pesjury one of the following declamations: 1 here and will maintain a Certificate of Consent o self-imam for WorlmesCompen- sation,an provided for by Section 3100 of the Labor Cade.for the Performance of Ne work for which this permit is ironed. 0 1 have and will maintain Worker's Compensation Insurance,as required by Section 3100 of the Labor Code,for the performance of the work for which this permit is issued. ' My Workes Compurectfian hswsana carrier AM Policy number Carlo. Polity No. �jQ�.( � ( �E' "C APICF P ION FROM O`A RKEItS' COMPENSATION INSURANCE OTu it.need not bcc.on,emd irthe .it Is form.hundred dollars($100) or less.) 1 certify mm in the performance of dm work for which this permit Is issued.I shall not employ any person in any mannerse as to become subject o the Workers Compensation Laws of Califomia.Dam Applicam NOTICE TO APPLICANT:If,after making this Ceniftcam of Exemption,you should become subject m the Worker's Compensation provisions of the labor Code,you most .J O forthwith comply with such Provisions or this Permit be deemed revoked. 'z CONSTRUCTION LENDING AGENCY (-. I hereby affirm that then is a construction lending agency rat the Performance of ai de,work for which this permit Is issued(Sec.3097.Ci,C.) CV QLandcYs Nam, IL z Lender's Md.. ' U Q 1 certify that I hast read War.,Iwadon and rule that the abuse information Is I, F Cara I.,me to comply with all city and county.m inane,and ser.laws relating I. 0 V building construction.and hereby amhorire mpmsenmiws of this city to enter upon the Frychow-mentioned ms,property for exp hies purposes. (We)agree to save,indemnify and keep harml.the City of C.perinoagainst Z liabilities.judgmentse eooniAnd orputaeswhicn may in anyway acerae agaimssaid City Z in consequence or ng r this fmrmit. APPLICANT UNDERSTAND AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ,/ SOURCE RE ONS. >a �s Signature o AMlicam/Comtanor G��'-TDate � Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding Occupant oro.or handle haaamous material As dcfis.d by the Cupertino Municipal Code.Chapter 9.13,and the Health and Salary Cale,Section 35533(x)? ❑Yes JWNe All roofs shall be inspected prior to any roofing material being installed. Will the applicant err tutu.building aaupan,use equipment err Jevim which If a roof is installed without first obtaining an inspection,I agree to remove emit District' m air canlamimnu udcOneO by Ne Bay Arta Air Quality Management all.new materi Is for inspecti GYes tAn(o I haus mad the hnudaus macrial,mquimments under Ch.Pler6.95 of the Califon Me Health&Safety Code,Sections 35505,25533 and25534.1 understand dentition building does not cumcu0y haA tenant Nat i,u .s my m notify the occupant of on, PAY ozr .gadre nic ts rat met Prior missua.caracerira.arOcenpanIn ey. Signature of Applicant Date Owner OfallLbare agent Date All roof coverings to be Class"B"or better ad Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 OUPE(�TINO Building Department JOB ADDRESS: _ PERMIT # /03y �V /�6e/4�. 60Ya Lc OWNER'S NAME: PHONE #¢oa d- Z GENERAL CONTRACTOR: 1<17aFAX # I am not using any subcontractors: C Signature Date Please check applicable subcontractors and complete the following information: 60 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/Contractor Signature Date CITY OF CUPERTINO •em 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 31629006 .00 DATE ISSUED. . . . . . . : 06/29/2006 RECEIPT # . . . . . . . . . : 35070 REFERENCE ID # . . . : 06060246 SITE ADDRESS . . . . . : 10344 N PORTAL AV SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DEBBIE VI-TRAN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : KHANH TRAN CONTRACTOR . . . . . . . : KHANH TRAN LIC # 26971 COMPANY . . . . . . . . . . : K H ROOFING ADDRESS . . . . . . . . . . : 1556 LITTLE ORCHARD ST. CITY/STATE/ZIP . . . : SAN JOSE, CA 95110 TELEPHONE . . . . . . . . : (408) 293-2754 *FEE ID UNIT QUANTITYAMOUNT 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 - --------- ---------- ------- --- ---------- TOTAL PERMIT 126 . 96 0 . 00 126 . 96 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 126 . 96 VISA TOTAL RECEIPT 126 . 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: I !r' ac2-r`J Job Site Address: Roofing Company Name: —12912..2 i:2 14 Applicant's Signature: - Date:.6�c -o, G • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO D(Vwg� x REROOF CUPERTINO PERMIT APPLICATION FORM APN# 2' " n 9 —00'Y^ Date: 06" Zf. O0-6,Building Address:J G Owner's a e: L,//, -ef ��Q Phone#: tt O� ��3'2 S Contractor: ' / an/7x_ 7�5N// License#: J -2Contact: I�C ` ¢ I Cupertino Business License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof �❑�! Built-Up roof E3 Asphalt Shingles 7`J�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''� �d�s Tear Off Policy: Job Description: ,,iii (CDU of -V�j?A 6 w 04CA 4 _L1,9, 17 Residential Commercial 0 Cr -(3 Fire Zone: Yes ❑ No B' Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Project: /,,6-_ _ 1 Type of Construction: Occupancy group rL 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 •