08080200 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT s CONT=R 1CT(JR II I ORIVIA I0
BUILDING ADDRESS: PERMIT NO.
111 '.308 ROCK SPRING CT KEVIN SULLIVAN ROOFING 08080200
NEWS NAME: PERMIT ISSUE DATE
YOUNG KIM 1696 VALLEY OAKS DR 08/25/2008
PHONE: SANITARY NO. CONTROL NO,
ARCHPIECUENGINEER: BUILDING PERMIT INFO
REMOVE SHINGLE INSTALL 30 IB BO O �O O
300 LICENSED CONTACTORS DECLARATION __,JOb-DCSCrIptlOn
F. 1 beneby aflim Nal 1 am licensed under pmvitiou of Chapter 9(commencing '^ ^-•^•^^^ ^••^-^-
n= with Section 70p)ol'DivWon 3 ofu�cwa�' �um...and Profcnions Code,aha my liccrsis
& le fu 11 fora and cif `_
2 License CI , ```���..L LL_?
q_
p Dau Gan Dactuw
EC
'Cl3y ARCHf1ERS DECIA UTO"
a
I bertmod my plana Nall be used u Pohllc recmds
J
;u. Learned Professional
bus Oat I am exempt
from
DECLARATION
C 0 s hereby.Rice on 1 I. exempt from Ne Convector's :A ns Law for the
0 o following e.sson.(Section 1(c s5u t,ave and Professions Code:Any city or county
$ whkb its i ms a nt.elm m eonswe4 alter,inpoeve,"mullit n repay try annum
2y Imarbil,iEW11Q•.aWl Rgaime dC aisham f far sWhperali,La atlLaw(ChWlenl
g
that nlslicensed immune to NeproviaomoftheConuacml,liarsalaw(ChaPue9 Sq.Ft. Floor Area Valuation
r�tFB
(commercial with Secdon 7000)ofDivision 3 of No Business ted Pmfesinu Cade)of
Q - Nat he Is exempt therefrom and 0n,basis for the alleged assumption.Any violation of
Section 7031.5 by any applicant fora permit subjects the appikuun•Civil penalty of APN Number Occupancy �� e
not mart Nan Ron,hundred dollar ISISMp y•l•J p
❑Lasowne,Lt.d ropony,nnyenimmndaswlNwmdfor s'(S=.7044.8 timn,
will dothemah.ands, he Coreurots Linseed or oRcredfaeaale(Sec.70an Busse.••
and property
wh oro Cadet The Cmsacmr,Liars law dons rot apply m an owner is Required Inspections
motcr who allro u ed t awe Ih improvements m ve whe date oucbwmk gaffe ae Nmslle hie
manempkym,provided Nat vemwitam not year
of completion.
m hared for vie If.
however.lana, to building o Improvement Is said within am Weld ofImpro a for the owner.of
builder will low sere WNcn of proving Nat n did err build er improve far purpose of
ask.).
❑1,as"am of the property.am exclusively connecting with licensed antnnws in
amuuct he project(Sec.7044,Business and Profession;Cada:)The Contractor.U.
came law does°°l apply in an owner of Property who hall"or improves Neeson.and,
who contracts(anter,Projects with•eoeuaemow licensed pursuant to the Cmiume m.
I it a law.
Q lsanaemp,mderSee .Bh PCror Wsmaen
40 m Dau
WORKER'S COMPENSATION DECLARATION
1 hereby affm under family of perjury ore of the following declaaiom
IM .nd"lmainuinaCertiframofConsntmulf-In,umfaWorkefsCompon-
sWon,u previded fa by Section 3700 of the labor Code.lar the peofomercm of the
wart for which this permit is issued
ve and will maintain Wortefs Compensation Insuuna,u required by Section
00 of Ne labor Code.for the performance of the work for which this permit is issued
My Wornrs Crunis".IInsumence...and Poli -
Carrier.�jy'C Y'4MJ Policy No.c�
CERTIFICATH OF PXEMPnON FROM WORKERS'
COMPENSATION INSURANCE
(136 nasion need not n com pletod Ilan permit Is forme hundred dollars(1100) -
mleu.)
1 artily Nat in Ne perrame.of the work far which this permit is issued,l slWl am
employ any Person in any member so u as became subject to the Warkers'Compemdon
Law,of California.Data
Applicant
NOTICE TO APPLICANP.If,afar making this Clo inmu Of Eumpalan,you Mould
became subject to the Worker,Compensation provision,of the tabor Cede,you must
0 forthwith comply with such previsions or this permit shall be decreed mwked.
z CONSTRUCTION LENDING AGENCY
[-^
n I hereby anion Nat Nem is a anRruction lending agency for the peaomammOr
G' > the mark for which this permit is Wood(Sm.3197,Clv.C.)
lender's Name ,
,a z Lan"e.Address
U Q 1 modify Nat I haw mad this apoRcadon and sou that the abow information Is '
I,.^' camaL 1 agree in comply with all city and county ordinances and auto laws relating in
C) rU^ building convection,and hereby authorize representatives of this city m enter upon use
W .hove-mendmcd propeny for Inspection puTosg
(We)alas to sew,indemnify and keep bamlm the City of Cupertino stanR
r•n in liabilities.Judgments.coed and"peas-which may io any way amus against said City
U z in consequence of use,swung of this permit.
ti APPLICANT UNDERSTANDS.AN D WILL COMPLY WITH ANON-POINT Issued by:9 Date
SOURCE ULATIONS�
Re-roofs
Srg rex pplocen °nlmcmr -dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will us applicant Or forme building uccupa,mm of handle haandom materia
as de0ned by the Cupenion Municipal Code,Chapter 9.11.sand the Hm db and Safety
.same 25532(.)70Yon _ _ �a All roofs shall be inspected prior to any roofing material being installed.
�6�
Will the applicut or future building Occupant use equipment or devious which If a roof is installed without first obtaining an inspection,I agree to remove
emit haasdnm air conuminmua de d by the Bay Area Air QUally Management all new materials for inspection.
District?
Dy. o
I Mw mad the hldarda s materials requiremmu under Chapter 695 of the Caifor.
ria HmlthhSecty Cotle,Smti.B5 5,25533w25534.1uMeovand NetlfNe building
door not cumntiY low..M Na i,a my ma menitudir
regamnen n ar.R nareaf«aap.nay. ignature of Applicant Date
own car a i Dam All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
REROOF
OCUPEI�TINO PERMIT APPLICATION
2D t�
APN # Date:
(960 5 632-00i?I IZ5_
Building Address:
,IS-05 90664 S 6- 7.
Owner's Name: Phone #:
l'oLk46-
Contractor: i� /�� s � Phone #:
Fax#: 9+1— ,6ra
Cupertino Business License #: Contractor License #:
96313 1
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles o/Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report #
o/To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: #,6,,,,O06 5640(4$5 �,57A%A, 30 (b.,65L7 avt5lL, 9224 3-r,J L Ci
P� WND Su ,.rte iJ�l p l� 'l &.@ 5 i7 Ca>n�nSc .l sbtz��
(6A-r- ��)
Residential Commercial El
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: �t «ate
tI Have Read, Unders Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
REROOF
CUPERTINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
IBSEISMICO Seismic Commercial B
3 1RER00FRES Re-roof Residential B 1SFDWLR00F
1 1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
e
Community Development Department
Building Division
• City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)717-3333
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 paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/a "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: Wa(&&JCfVtr"-
job Site Address: I I S C1Q R oC-+-51A4./cf L7. LG cAS2� C°4
Roofing Company Name: 6ti
• Applicant's Signature: Date:
Greg Casteel
Building Official
Revised 07/30/08
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36651032 . 00
DATE ISSUED. . . . . . . : 08/25/2008
RECEIPT # . . . . . . . . . : BS000005893
REFERENCE ID # . . . : 08080200
SITE ADDRESS . . . . . : 11508 ROCK SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : YOUNG KIM
ADDRESS . . . . . . . . . . : 11508 ROCK SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5124 I
RECEIVED FROM . . . . : KEVIN SULLIVAN
CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN LIC # 23810
COMPANY KEVIN SULLIVAN ROOFING
ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR
CITY/STATE/ZIP . . . : GILROY, CA 95020
• TELEPHONE . . . . . . . . : (408) 842-1057
FEE IO UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---- ------------ ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 14, 000 . 00 1 . 40 0 . 00 1 .40 0 . 00
1REROOFRES SQ FEET 34 . 00 442 . 00 0 . 00 442 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 443 . 40 0 . 00 443 .40 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
---------------- --------------- --------------------
CREDIT CARD 443 . 40 master card
---------------
TOTAL RECEIPT 443 . 40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF