05110046 CITY OF CUPERTINOA.
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BUILDING DIVISION PERMIT /CON„TRACTOR INFORMATION -"
UIL
BDING ADDRESS: TNT ROOFING CO PERMIT NO-05110046
20556 SCOFIELD DR
OW NER'S NAME: PERMIT LSUE DATE
JOHN TUNG 210 SAN JOSE AVE. 2005
NE:
SANITARY NO. CONTROL NO.
(408) 277-0800
ARCHI'fEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
;op LICENSED CONTRACTOR'S DECLARATION
inC 1 thereby affirm that 1 am licensed under pmviuom of Chapmr 9(commencing Job Description
<U with auction 7000)ofDiAsion 3oflhe 0uuneu and Pfofcssime,Codc.mul my been.is
inhmOfageanderea SU�85 Z REROOF-TSO SHINGLES/ INSTALL ASPHALT SHINGLES
? License Cl Z 9 Lie 0
r pDen: Conuanor / 5_0 / F,
7W ARCHITECTS DECLARATION
19 I w U 1 undmmxnd my plata shut he used es public records
6
s rn Licensed ProfessionalG
1 3 Ron I am exempt fr DECLARATION
2 I hereby.M.on 1 1. exempt from do,Casae;Co :My c taw for the
O O following reason.(section RD 1.5,Budmss and Plefesdnm Coda:Any city or county
I
m which requires a permit to rnnnnwL our.improve,dcmhluh.or uPoir any stmnurt $9600
Zi priorm in issunto.,also requires aMapplleant far such Permit file a signedsuwmcm
< that he is licensed pursuant to the provisions of the Commelor's License Law(Chapter 9 Sq.Ft. Floor Area ; ',; Valuation
YFC (comm uncingwiNSccuon7000)of Divuign Jofthc Businmand PmfossionsCode)or
y 5$ Wm he u eumpt homebred and the bests for the alleged exempdon.Any violation Of
SaOon 7011.3 by any appliant(m a permit subjects use applic.nt th a civil penahy 0( R.
Occupancy Type
not mom dufive
n bundred dollars(5500).
I.a wart of the property.Or my eram ploywith wages as their sum compensation, vlV•f)�, /��✓
will do do,work,and the tomacum,It our intended nORertd for sale(Sec.7 .Bud.
and Prefesumes Code:The Connector,License Law dams.1 apply to an w.Of Required Inspections
mopeny who buildsorimpomm domain,andwbo doessuch work Womelfor through his
I.-
own employee,provided that such improvements art not intended mustered fmsue If, rU.
hwevm.Ne building or improvement is sold within one year of completion.the Owner. )
builder will have the burden of proving that ba did Out build or improve for purpose of `
tam.). 9
❑1,as Owner of the Property am eocludvely commucticeme
ng wish Bd cammat e an �
chnsuuct the project(Sec.7014.Bruin.and Professions Code:)The Commoners U. VVV Il!%N
come Law docs not apply in an owner of propvtywho builds Or improes themon,andCIA
who contracts for such projems with a contrxwr(s)hemmed puraunt th the Convenors
Licence Law. Noll
,ws �i
❑IamesemFsunder See. ,Ben PCfmdtismasmn /8 9
Owner Dau 17As QOJ/'
WORKER'S COMPENSATION DECLARATION 41
I hereby affirm under penury of perjury onto of the following declarations: n
;�cj4,
I han
aved will maimunaCatiOcmeofCommum self-insert forWoke"Comport- [;
,tion,as provided for by Section 3700 of doe Labor Code,for the performance Of dte e/ s
work for which Nis permit is Issued.
Q 1 hast and will mum not Whence.Compewtian Insurance,as haptood by Senior
3700 of Ne labor code,for the performance ofdo,werk for which this permitis issued '
My Worker,Camnpema it n Insurance caner and Policy number art:
Cartier.571-A 7,- "1 A9 Policy No.:D ZIt- 7J7/-10U
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thiswetimn seed not he eompicud K use permit in for one hundred dollars($100)
or mss.)
1 certify that in the perfonnmue of the Warta for which Nis Permit u isued.I shill nm
employ any pere n in any manrwr so as N become subject to the Worker,'Cme casatihn
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:IL after making this Certificate of Exemption.you should
become subject th the Workers Compewtion provisions of doe lahm Code,you moss
.J Q forthwith comply with such Provisions or Ni.permit shell be deemed mvmked.
CONSTRUCTION LENDING AGENCY
4
[—i work
whafOrm Natmert issued(Sec.307.Cing agency for time performanceof
D; the murk fur which the permit u issued(Sec.J097.Civ.C.)
1 Q Lenders Name
Z:) Z !.coder,Adres
U O 1 certify Nat I lure reed this application and sou the do,Wove information is
U,^ corrctt 1 agrtt to comply with til city and county macauseca and sum laws relating no
0 SVS Wilding conmucdmn,and hereby auNarice repro 2nudry of Nu city to enter upon de
[f7 above-mcrubm d property for inspccuon purposes
(Wu)ague to save,indemnify and keep harmless The City of Cupenm against
fA liabiliticajudgmum.costs and expenses which may in any wayaccraetgunstran City
U Z in consequenc..f the gmm.g hf thia permh. �r
APPLI NT UNDERSTANOf AND WILL COMPLY WITHALLS4��(7aa
-POINT Issued by: Date
// y a, Re-roofs
Signmumo ppli dCan RE Dau
HAZARDOUS MATERIALS DISCLOSURE o5U0.E Type of Roof
Will the appliant Or louse Wilding arupapt scare m handle Health ad Safety u @fine0 by the CuI.)?an Municipal Code.(11aPwr 9.12,and the Health and Sa(ety
ale.Section 25531(,)? �o All roofs shall be inspected prior to any roofing material being installed.
❑Yes
Will the applicam Or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mit harardnus air contaminants u defined by the Bay Area Air Quality Management all new materials for inspection.
Disuic4 �
❑Yes
I Tont read the ha arthuvmaurius requirements udm Chapter6.95 of Ne Calilm,
nit Heslthh Safesy(ade,Sectiou25505,2553J ad 75534.1 urmdcrsmriE thmifthe building
does ler counts have a menanm that it u my nsienjoy at mtify the occupant or the
m n his mass a �arthlss ceaf.Ccmfi.m, Oce Signature of Applicant Date
/7�/,Fi f . All roof coverings to be Class"B"or better
Owner ser auth rd agcm Dow
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
� o35J6 scor/( 01-/L/00 L 6
OWNER'S NAME: -,rc) ,L/nj TUN PHONE #
GENERAL CONTRACTOR: TNT R o() F/N (, FAX #
I am not using any subcontractors: '117 o S-
61, Signature Date
Please check applicable subcontractors and complete the following information:
66 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 T
Septic Tank
Sheet Metal
Sheet Rock
Tile
"//; O s—
er/Contractor Signature Date
Community Development Department
ff Building Division
, t City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
U P E IST I N O 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: .7C) HIQ 7u 0 G
Job Site Address: -2 U S"S Z S Cy /C 1- 49.
Roofing Company Name: TN 7 120 y F//J G
Applicant's Signature: �� ✓ Date: 11 p S
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
Zola
CITY OF CUPERTINO o c>REROOF
CUPERT°`iNO PERMIT APPLICATION FORM
APN# r /a 0 / Date
Building Address:
'2oTS'6 SCDi lCL O d/<
Owner's Name: Phone#:
jONtJ 7l/N Vov 621-06012—
Contractor: Phone#: License#:
TN i
/?0L) ,5 / /06 ydk `277-61oe Sb /w SL
Contact: Phone#: Cupertino Business License#:
64:,-�,q /ill d fTAqod 7P o
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Wr Asphalt Shingles V Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
b/ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
H( To be Removed ❑ Provide Mfgr. Installation Specs.
I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑
Job Description:
RFr��YG OL-,V teOv�i 1n�fTA�L Af'P,0417- -O t/FHR TDGl3
Residential IS Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if
there are any restrictions: LJ
C st of Project: Type of Construction: Occupancy group:
9GOo1?F ROO
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
7