06050161 BUILDING DIVISION PERMIT �yCO1�TRACTOR INFORMATION =:
BUILDING ADDRESS: SANFORD ELECT PERMIT N0.06050161
20202 RODRIGUES AV
ER'S NAME: PEIDAn ISSUE DATE
OWN
FUNG-YEE LEUNG 20888 PROSPECT RD 05/18/2006
E:
SANITARY NO. CONTROL NO.
' (408) 996-9797
ARCNITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION lob Description
1 Mickey affirm Oat 1 am licensed under provisions of Chapter 9(commencing P
CItJ with Secrion70M)ef Division 3ef Me Business and Professions Code,and my licenscu
±�„ loranfam aterrecc TEAR OFF WOOD SHINGLEIiPLYWOOD
>�z Lieti-V Lie.g 6 X0041 REPLACE 50 YEARS ASP Yom`
=� Dam .Y/� —(j L_Cantracbr� 4t,
pp —� ARCHITECTS DEtor. I
I y V I understand my plans shall W=it u public records
c 3 Licenced PmfcuianalMAY 2 x2006
y OWNER.BUILDER DECLARATION
i Z 1 hemny affirm Wal I am clump,(soon Me Contractors Lieenso Law far the
0 O fallowing reason.(Section 703 L5,Business and Pmfeulons Cole:Any city or county
<$ which requires a Permit to rnnswet, NO.improw,demolish.ere rtput,any swcture oil I I }�A
uZi Priors iuissuanec,alsurcquires Me applicant for such permit to Olcasigned statement
< E7
Mat be is limrucd Pursuant to Me pmriaiormef tho Centractur's license Law(Chapter 9 a93
Area Valudt' (1000
rG (commencing with Saxon]000)W Division 3 Me al Business and Professions Code)m
Net W u exempt therefrom and the Esso for Oe alleged exemption.My violation of
Section]031.3 by any applicant for a permit mEgcu Me applicant to a civil penalty of ber Occupancy Type
nam mart Wan five hundred dollars(5500). 6 ..0 0
❑I4sOwnmofthepm,.Y,ormyemploycuwiO.g..ft4m11compewdon.
will cio Je work.and Meswctum is notinteeded or offered forsale(Sec.7044,Busioeu
and Profostans Code:The Canuacmrs License law deet,Out apply in an Owner of Required Inspections
property,who builds enion prow thereon,and who does such work himself or through his
awn employees,i m Tided that such improwmenu art reticulated or oReaW forsale.If,
howewr,Oe building or impmwmenm is sold within one yeu of completion.Me owner-
builder will have the burden of proving Mat he did no,Wild or improve for purpose of
sok.).
❑I.as owner of the property,am exclusively contracting with licensed contractors to
construct this project(Sec.7040.Business and Rafrasians Code:)M Conugnas's Li-
come Taw does not apply to an owns of property who Wilds or improv dome n,and.
who contracts for such projects with a eonuacmr(s)licensed psuun,to the Contactors '
Licence La-
0 1 ourexempt under Sec ,B&P C for Nis season
Owner Date
WORKERS COMPENSATION DECLARATION
1 hereby affirm under Penalty of perjury one of Oe following declensions:
I have and will maintain it Certificate of Consent to self-insure for Workers Campen-
samion,as provided for by Section 37M of Me labor Code.for the performance of the
wart for which Oil permit is issued.
❑1 have and will maintain Work es Compensation Insurance,as recanted by SccMm
37M of Me Labor Carlo,for We perfarmanee of Me work for which this permit is issued
My Workers Compensationlwraac aria and Policy number are: -
carsier. S-CYiTn FUND EXEMPTION
2 WORKERS'
CERTIFICATECOOF COMPENSATION
FROM WORKERS'
COMPENSATION INSURANCE
(Thu seniors teed not W completed if the Permit is for one hundred dollars(SIM) r
or less.)
1 certify Mem in Me penformanee of Me .,it for which Oil Permit is issued.1 shall am
employ any person in any manner an as m become subject to Me Warkars'Compensation
Laws ar California Dam
Applican,
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject m Me Watters Compcnsauon provisions of Me Labor Code you menu
.J O foMwith comply with such Provisions or Mis permit shall W doomed emked.
CONSTRUCTION LENDING AGENCY
w�.F
1 barely affirm MS Mort is a contraction lending agency for Ne perfomumm or
ai> Me work for whim this permit is iuucd(sec.309],Cie CI
a Q Lendcm
s Nae
.7 z Lenderes Address
U0 I cmifY Mat 1 naso read Ota application and sure Mat Me show information Is
Ly H correct.l agree to comply with all city and county ordinusces and state laws relating to
pU building construction.and hereby authorise represematives of Mia city to cmcr upon Me
CsJ a how-mentioned property for inspeedon purposes.
F G (We)agree to inw,indemnify and kecP harmless the City of Cuprcino against
In Iiabili0u.judgmcnsm,casu and cap"" .- which may in say way...agsnst.,it City
of the grariffing of
s Formth.
V z APPLLICANT UNDERSTANDS AtND WILL COMPLY WITH ALL NOWPOINT Issued by: Date —1?T12-
SOURCE RULATIONS.,, e l0
LfcW,I �) Re-roofs
Signature of Applinacmr DateHAZAR
HAZARDOU MATERIALS DISCLOSURE Type of Roof
Wi11 Me a C.p m..forum Wilding oeapapt r 9.1 wand M Health
anmaterial
As defined o 25 Cupertino Municipal Code.Chapter 9.12,and Me Health and Salley
caJc.Semon zss3z(a)T
❑Yu WNe All roofs shall be inspected prior to any roofing material being installed.
41 If a roof is installed without first obtainingan inspection,I agree to remove
Will the applicant or future Wilding acevpant tare cyuipment or devices which P
emit hazardous air conuminanu as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes It No
1 have mad Me hazardous materials requirements under Chapter 6.95 of Me Califon.
.is Health&SafelyCodc,scions nM5.25533 and 25534.I understand Os if the,Willing
docs not currently haw a tenant Mel it is my rtspomibility,in notify Me occupant of Me
rtqu'vemc hick onus tpriorm issuance ofa Ccrdficam are Occupancy. Signature Of Applicant Date
'Y B
Owner oruthorixcd ascm Data
° All roof coverings to be Class "B"or better
Community Development
f 10300 Torre Avenue
J Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
*UPEI�TINO
Building Department
JOB ADDRESS: PERMIT #
� o z R D UT ur-- 060So� G
OWNER'S NAME: V/us PHONE # _ 6 6 p
GENERAL CONTRACTOR: FAX # 4d, 996—.72,y
I am not using any subcontractors: 7Aanh z.-04
Signature 0 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
CITY OF CUPERTINO
om 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36932046 . 00
DATE ISSUED. . . . . . . : 05/18/2006
RECEIPT # . . . . . . . . . : 34443
REFERENCE ID # . . . : 06050161
SITE ADDRESS . . . . . : 20202 RODRIGUES AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : FUNG-YEE LEUNG
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : FRANK LIONG
CONTRACTOR . . . . . . . : LIONG, FRANK LIC # 20090
COMPANY . . . . . . . . . . : SANFORD ELECT
ADDRESS . . . . . . . . . . : 20888 PROSPECT RD
CITY/STATE/ZIP . . . : SARATOGA, CA 95070
TELEPHONE . . . . . . . . : (408) 996-9797
4REE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 7 , 000 . 00 137 . 16 0 . 00 137 . 16 0 . 00
BSEISMICRE VALUATION 7 , 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00
---------- ---------- - --------- ----------
TOTAL PERMIT 137 . 86 0 . 00 137 . 86 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 137 . 86 VISA
TOTAL RECEIPT 137 . 86
•
0Q0501101
CITY OF CUPERTINO
d' REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# -3 n� �-j-�f/
0 1 1 n Date: s
Building Address:
0 2 T
Owner's Name: Phone#:
&&4—VEE D — — I
Contractor: License#:
S FD L"
C-1,9 , 8 64330<?
Contact: Cupertino Business License #:
�R,9�iVK lil o iJ
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles B Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
d 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's Tear Off Policy: ❑
Job Description: As�l
7-o-ai e,-W wood ! fW / 2 as 1p &41� J27 4064d
Residential ® Commercial ❑
Fire Zone: Yes ❑ No g� Confirmed with Planning Dept. if
there are any restrictions: U
Cost of Project: O Type of Construction: Occupancy group:
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
•
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: f- AJ6 V e-F L
Job Site Address: 2,9202 Z�D d,246'u z C AVE
F
Roofing Company Name: Sart) 5W ,6
Applicant's Signature: �� ++� Date: S o0—O6
. Greg Casteel
Building Official
Revised 11/2/04