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08020046 CITY OFCUPERTINO ,CU1�I RACTOR�IIVFURMATary PERMITBUILDING DIVISIGN ? ON' PERMrr NO. BDILQ1bMT DEWS NAME?aEsg_ INTREE SPRING CT TBD — TO BE DETERMINED 08020046 : ttE; PERMIT ISSUE DATE SHIAU JIIN HWA AND SITYUE CHIN 02/07/2008 PHONE: SANITARY NO. CONTROL NO. ARCHRECUENGWEER: BUILDING PERMrf INFO REMOVE WOOD SHAKE INSTALL 3 BLDG EIECr PLUMB MECH 0 0 0 0 300 LICENSED CONnsedmd R'Sovii..DECLARATION —Job-DesC on F thereby in.)al' Wtf amlicensedBu underpmnuoment archaism,Conn. 9(my Irc'ein{ •'^ ^^••^ ^' ^^ mSX! with Section 7dlU)of DivblanJo(Ne Business and Profeuiom Code.and mylice is n=� in I'llfome end if q ��Z Llum.Clan � 1 Lk.0 Dan ComraMr ARCHDITcrS DECLARA 1 mMersund my plane shall M used as public memos, Ss. !� LicowdPmfossionM , 7a OWNER-BUIIDER DECLARATION ContrON E<E I hereby.ffironsect on 1 em ucmpr from the Cssors; c Licenu Law for the E O O following myon.section 7(O L5,Business and ve,demolish, e fins Cade:My city or county $ which its issu n permit re cnnstthe alter,imprrea h permit t or repair any swaum Z't^ prier W its issuance.aimant to t&do vpplkant for each permit Limage Law htement �< that he incinwdpurwmt vide or Division of do ConwcWsa Ucxwlsw(ChaptersCeuta)or Sq.Ft. Floor Area Valuation - $ thammcnc ammin Sstion7000O basis tel of On Business anion.My vi Code)err ^ that as ls eumpt dnrefrom and the basis for the JIegW exemption.MY violation of ' Section 703M by any,mplicant For a psong,mbJects On applicant an a civil pretty of APN Number Occupancy Type on.some than five hundred dollar,(LIM 0 L u&weer of t e property,or my employers wW wage u the'v sok compewdon, wiRdothew rk,andtheswaumtsnotWendedor.Quedfossele(Sec.70a4,Bs and Professions Cade:Tun Coruscate,License Law Law dant apply to an uuw.emus,of Required Inspections property who build,or improves thereen,and w6odousuch work himtel(ar Waugh his aver employee,provided that such improvements ere not innMed araaered forssle.If. hommem.On building or Improvement I.sold within one year o[compledon,the owner. Wilder MR have On bmdco of proving past M did not Wild or improve for purpose of sure). Cl 1,as owner of the property,am exclusively contacting with licensed contractors to wawa the project(Sec.70th,Business&fid Prefeaparu Cade:)The Contractor,U. came Law docs not apply W in owner of property who builds or improm damage,and who contracts for such pmjecu with a conuactor(U licensed foramen W the Co stracmr's Lkew Law. Ol am aerept under See ,B g:P C for this mason to. Data p WORKER'S COMPENSATION DECURATION 1 hereby alRrm under penslty of perjury aee of the fallowing declar&Wge: 0 1 have and will maintain a CeNficee croownt W ulr-insure for Wodmes Compen- sation.as provided for by Section 7700 of the Labor Code,fa the performance of the .,it far which this permit is Issued. 0 1 have and will maintain Wmism's Compensation Insunn¢,as Iryuired by Section 37M fdeUperrmmanceorwe work r« lm Wrmh weer Peh I. ued. e M Worke ,d��erdl0 sum curerW/ Poli numberme:Yp[1 ^oliry No.:QC3 O� . CERTIFICATE OF EKEMPTION FROM WORKERS' COMPENSATION INSURANCE ants=ran used rot he completed if dem permit Is form a hundnddoRus SIM) or lea) 1 ani(y Nat In On performance of the work for which this Permit is issued:I Nall me employ any person in any matncr an as m become subject to the Workers'Compewllan Laum of Califomia,Dan Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you sbould become subject w the Worker's Compensation provision,of the Labor Code,you mug .7. O foMwith comply with such Moistens or this permit shall he domed revoked. ,Zv r CONSfRUQI'ION LENDING AGENCY [—i Ihereby affirm We more ler conswctinn lending agency for the performance of ad. the work for which this permit Is issued(Sec.7077,Civ.C.) W� Q Under',Name , 7 z Lendees Add. U 0 I certify that I have mall this application end sum dant the shave information 6 H coma 1 agree W comply with JI city and county ordinance and sun law,fila ng W - 0U building construction,and Wrobyautharire representatives ofthis city to enter open the [L7 above-mentioned Property for inspection purposes. (We)agree to ave,indemnify and temp harmless the City of Cupertino,gaiat . rA ITabilidos,Judgments,core and expresso which may In any way accnn&Saiw said City UZ In consequence or the graving of this Permit. ^' APPLICANT}yypggg��RSTAN 3 AND WILL COMPLY WITH A.I. POINT Issued by: Date 2 ,SOURC/FA�B�L ON � �j7� lir^ !< O Re-roofs 2 k Si{n of AppliaHAZARDO Dan HAZARDOUS fRoous MATEw,us olsaosuRE Type of Roof Wil the Cupertino (Muni Wildinga.Chapter SAL handle Health and OeOncd by the Cupertino MuniciWl Coda.Chapter 9.11 and the HNth&fid Safety .Susi..25532()? All roofs shall be inspected prior to any roofing material being installed. ❑Yu a WIII Nc applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove emit hauN.a air contaminants as dcli ed by the Bay Arot Air Quality Management all new materials for inspection. District? --// 0Ye I�rvu I have read W haaWnms materials requimmcnu under Chapter 6.95 or the Califor- nia Health gtSaFelyCom,Sections 15505,25557 and 25534.1 understood than if de,Wilding dors not carent finer 41st II is mY napoaihililY atfy Je Ne m ulrtmcnu ust e W Issuawc.fs Ccrtifn"ouryon, Signature of Applicant Date 0 onuthomcd&gem Data All roof coverings to be Class"B"or better CITY OF CUPERTINO REROOF •COPE 'J1NO PERMIT APPLICATION /J v60 APN# Dat � 5 �3�.UU ciy /l l� Building Addre : S`� -lrc� 5 i ►1 Lf Owner's Name: Phone #: r Contractor: Phone #:Cy6992V,?-1p V Z Fax #: Cupertino Business License #: Contractor License #: 13 gy Erl Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles w'Asphalt Shingles e"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. Job Description: *-ILp -c u,d OG 5�g/� Q ;2 � � /� 3d ��5 ICe c�44� Residential Commercial Fire.Zone: Yes-7 No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: ooc) •I Have Read, Un nd and ill Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO REROOF �cUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B '. 1REROOFRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B IREROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • 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: �h y U•e, C (n i vt S 4 ,&cc r Job Site Address: // Roofing Company Name: acts Applicant's Signature: Date:� T • Greg Casteel Building Official Revised 11/2/04 • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECETPTOPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654038 . 00 DATE ISSUED. . . . . . . : 02/07/2008 RECEIPT #. . . . . . . . . : BS000003880 REFERENCE ID # . . . : 08020046 SITE ADDRESS . . . . . : 11549 RAINTREE SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SHIAU JIIN HWA AND SITYUE CHIN ADDRESS . . . . . . . . . . : 11549 RAINTREE SPRING CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5123 RECEIVED FROM . . . . : EM HOANG CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD."- TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . - -" . TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 6, 000. 00 0. 60 0. 00 0. 60 - 0. 00 1REROOFRES SQ FEET 21. 00 273 . 00 0. 00 273 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 273 . 60 0. 00 273 . 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 273 . 60 MASTER CARD --------------- TOTAL RECEIPT 273 . 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • Community Development r 10300 Torre Avenue 1 ✓ Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 4kUPERTINO Building De artment JOB ADD ES$ PERMIT# (P OWNER'S NAME: 5 ; PHONE6 47C? G —/Z- GENERAL CONTRACTOR: o4)t z>^ t FAX # I am not using any subcontractors: 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 Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date