The URL can be used to link to this page

08030052- BuiLDINGDIVISION PERMIT CONTRCTQRINF.3>UItMAT..,ION:�` eu11.p1�q,apD R8$INDELL WAY 2N�AbME: ALL PHASE ROOFING 08030052 - NF.R'S PERMIT ISSUE DATE HUI PAUL W AND EVELYN L 315 CLARKE LN 03/11/2008 ONE: SANITARY NO. CONTROL NO. (408)779-3740 ARCHITECT/ENGINEER: BUILDING PERMIT INFO 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION o Job Description at 1 am Massed under provision of Cluplu 9 (mmmensing I thereby affirm NMa with Section 70M) aDivision Joffe Business and Plefesvom Cade. and my lice. is RE-ROOF T/0 EXSTNG COMP INSTL 50YR COMP CLS A License Clan — Lk.♦ 31SQ . Dote Contruur AsCisil CTS ON upubilemc 1 understand mY Pbna shall M1e rid a PUM1Iic mends Lkend Pmfeui no.1 OWNER-BUILDBR 04GLARATION I hereby a]irm that l am exempt from the Conuactars License Law for the following reason. (Section 7M 1.5, Business and Professions Cade: My city or county which 2GYITJ a permit to controls ohm. Improve. dcoullah, or repair my structure prior to its lsauamc. aim requires We spplicam fersuch permit to rile a signed statement licensed ofdocontracmrsLiconLaw 9 Sq. Ft. Floor Area - Valuation WeWlspumrmttoateprovisions (Chapter $g300 (commencing with of Sccdm 7000) of Division J tiro Business and Pmfeadons Code) or that Be Is emmpt Nemfrom and the buss for Ne alleged exemption. Any violation of 36223005, Occupancy TypeNumber Section 701.5 by aro' appliam far a permit subjects the applicant m .,oil penaltyof nom mom dun Rw hudrd delWa(53o0). 0 1, u owner of the pmpmty, m my employee wIN wages u Neu role comMmdon. e Required Inspections will do the work, and the structure is notimended oranered fm We(Sm. 7044,11tmirm and Pmfeukru cede: M Comuscrees Lt. Law does not apply m an own. of _ q P property who builds mimpmves moment, and who dam smeth work himeelrnrNmugh his own employees, pmNded that such improvements me not intended oroQered forum If. however, the Wilding orimprovemcnl is mid within can year ofaamPkum. the owner- ' builder rill have Ne burden of proving that Its ml Wild m improv for, purpose of uk.). 0 1. u owmr of the property, w exclusively... meeting with licensed mnm.on m nonsmacn the project (Sao. 7044. Buunm and professions Code:) The Cmmaetor's U. - ceme Law does not apply m an owner of property who WilN or improves Norton. and , who contracts for such pmjecu with acanuamar(s) Band pmsunt to the Conumtm's -' Lim. Law. 0 i sap exempt under Sm , Btit P C for this moon nu Dam _ WORKER'S COMPENSATION DECLARATION I hereby dim order penalty of perjury am of tits following declaradone 0 1 buts and "I maintain a Certificate of Consent to self-inum fW Walkers Camper. . vim. as provided for by Section 37M of use Labor Cade. fm Na performance of the . wek for which this permit is issud. .v 0 1 haw and will maintain Workers Comps.W.n buuranm, as required by Section 3100ofdm labor Code, fee the perf.rmanceaNe work for which Nu Permit ls Mused. is My Worl�cIoom��pereat bass an i. and PolicynumWam: Canter. <TT+✓F > 4�C PoIIry No.:0 CERTIFICATE OF EXEMPTION FROM S COMPENSATION INSURANCE (TItlssedm mad notM completed lithe permit Is forane hmlMddollan (SILO) or lea) 1 mtiry than in the Perform. a the work for which this pmnit is issued, )awl ret employ any person in my ream Bran as b hecmm subject to the Workers' Compensation La" of California. Dun ' Applicant NOTICE TD APPIICANP. IL after mhlnt this Ccrunak of Exemption, you Amid bmome subject to the Workbrs Compensation Previsions of the Labor Code, you most fc Mwith comply with such Novitiates or this FWmit Mail W doomed! revoked. I CONSTRUCTION LENDINOAGENCY I hereby M. that Vert Is. cmumuedre kndirt,,ecy for the perfurmanm of the work for which this permit is issued (Sm. Jell, Co. C.) Lender's Name Undoes Address j 1 comfy that 1 have rid this witadon and sum that the above information is comcL I agree to comply with all city and county ordinances and awe laws Rioting to Wilding construction, W hnmby authorize opmmrtatiws orths city to cater upon We 1 above-manuma d propeny fer Wpactim purposes (We) agree maw, indemnify tad keep harmless Ne City of Cupertino atalmt itmillda,lW gmenu,com and.Penw which may it my way accrue agal ruard City 1 in'...'. of the treating of this PmmdL APPLICANT UN NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE '1710 {Ze-roofs Type of Roof r SI ofAMlian .n1rNl.r %%DM HAZARDOUS ATEkL DISCLOSUICE l Will the appliant or fulum Wilding occupant scam rehandle luta dour material as defind by the Cupertino Municipal Code. Chapter 9.12. and the Health and Safety / Crok.Sucloo 73z(,)1 All roofs shall be inspected prior to any roofing material being installed. ❑Ya fT Cl Y.21No If a roof is installed without first obtaining an inspection, l agree to remove Will the applicant m ffuttum Wilding occupant use equipment m deaices which emit huadnu air curtaminsnts as donned by the Bay Amo Air Quality Management all new materials for inspection. Nw ct7 ❑Ye No I haw mad the hm o dors materials requirements under ClmNm6.9f athe Califon. ` nit Health h Saicty Cedc, Swdans 25505,25533 ad25534. 1 understand thuifNo Wilding dminot.:nonny ha L Nu It is my responsibility m notify IW occupant of the myulnuou on IIm Wumcofacerdtkautau. Signature of Applicant Date All roof coverings to be Class'W' or better owner wthonmd age., ate 0 3 ITEMS OF 3 C' CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36223005.00 DATE ISSUED.......: 03/11/2008 RECEIPT #.........: BS000004126 REFERENCE ID # ...: 08030052 SITE ADDRESS .....: 7786 ROBINDELL WAY SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------- 513.90 --------------- 513.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF REFERENCE NUMBER -------------------- #9115 VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS OWNER ............: HUI PAUL W AND EVELYN L ADDRESS ..........: 7786 ROBINDELL WY CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5013 RECEIVED FROM ....: ALL PHASE ROOFING CONTRACTOR .......: LOUIS J. REBOZZI LIC # 27941 COMPANY ..........: ALL PHASE ROOFING ADDRESS ..........: 315 CLARKE LN CITY/STATE/ZIP ...: MORGAN HILL, CA 95037 TELEPHONE ........: (408)779-3740 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ----------------------- VALUATION 8,300.00 -------------------- 0.90 0.00 ---------- 0.90 ---------- 0.00 1BUSLIC FLAT RATE 1.00 110.00 0.00 110.00 0.00 1REROOFRES SQ FEET 31.00 403.00 0.00 403.00 0.00 TOTAL PERMIT ---"------- ---------- 513.90 0.00 ---------- 513.90 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------- 513.90 --------------- 513.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF REFERENCE NUMBER -------------------- #9115 VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS I . , alm *CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION 0803 D v�-;)Z. APN #3 �9 3 COQ ` Do Date: Building Address: -7 `7 V Owner's Name: Phone #: N�_ C7�6y Contractor: Phone #: yo 7 -77`!— Fax #: 7�3S% Cupertino Business License C / Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof X Asphalt Shingles v, 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. Job Description: U 1 •2AZ C� F F D1J�. �iCc S fiiivC Cou.� p �oo �U t C /s15 Residentia mmercial Fire Zone: Yes ❑ NoJ2. Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: Cd dU - I Have Read, Und d Will Comply with Cupertino's Tear -Off Policy: CITY OF CUPERTINO w REROOF •CUPEI,TINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMIC0 Seismic Commercial B / 1REROOFRES Re -roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re -roof Multi -Family B IMFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 0 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 IMPORTANT: 1. Flat roofs must have a minimum of Y4 " 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: TA (� �� l Job Site Address: %—,},1 �� 1 J �j k Roofing Company Name: Applicant's Signature: ' -- //� i Date: Greg Casteel Building Official Revised 11/2/04 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 Y4 " 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: TA (� �� l Job Site Address: %—,},1 �� 1 J �j k Roofing Company Name: Applicant's Signature: ' -- //� i Date: Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: -7 7 2: 6 Z�LA ��,'v�C L PERMIT # O9b � O� OWNER'S NAME: PHONE # r/0 Y _ 9-6 GENERAL CONTRACTOR / FAX # ->7• _z I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date Owner/Contract ature Date 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 4rl Septic Tank Sheet Metal Sheet Rock Tjl Owner/Contract ature Date