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08080123 CITY OF CT PERTINO Bu1LDINc•JIVI910' PERAUTCOO NTRACTOR INFORMATION BUILDING ADDRESS: PERMIT NO. 1 -: E363 SHASTA SPRING CT LOS GATOS ROOFING 08080123 OWNER'S NAME: PERMIT 1411E DATE JnMES TANG P 0 BOX 1726 08/18/2008 NE SANITARY NO. CONTROL NO. ARCHITELTIENGINEER; BUILDING PERMIT INFO RE-RF RMV EXTNG SHKRF INSTL aan EO PLUMB MECH woo LICENSED CONTRACTOR'S DECLARATION lob Description MI mostly afon Nat l we lived under proviaiom of Chapter 9(mmmendng with Saaw70IB)wGiviaion 3 ofthe Business pd Profesvmu gpda,and my ties=is M. afullfarts deQect. 3�3 Licen�Cntr 3 Dote GOmDECL e ARCHITECTS DECLARA ON y U 1 undersand my plms shall he need a public meninx k ted Licenced professional b OteIarBUILDER DECLARATION COS thereby.(Tien m I em exempt from k Conuana oa Licenseyc Law o for dK COO O fallowing wan.(Saito]m I3,Business m0 Rofaaitm Cade:Ana city or county S$ which inquires a premie re cons da Jtec impmw,do permit I err,sag any ummuml pdmmsl Wusedpurmnthe to emovisios.1'car,far mchpennil ca filcense Law(Chapter zp (thso.he commesiianeedpunumt7")ofDisicMa(theCon4inessmccnalaw(Chapur9 Sq.Ft.Floor Area Valuation $ (commencingwithSagan 9md of must l ni'the W Busal exception. Prokeodon.Anynvi latdc)ion of Nei k u exempt thmefrom and Ne bss4 for eek Jleged eumptian Any violation of Sad.70313 by my ippllam fora permit subj cm the apPlicenl to•and penury of APN Number' Occupancy T t mane than Eve hundred dollars(ism). Pane Y YPe nor 0 1,u owner of the property,or my employes won m gen as met,win compensation, will do the walk,and Ika rmuse 4 net intended oraRerod to,.1.(See.91116.Business and Pmfesvom Cade:The Communes License Law does not apply to an comer of Required Inspections property who builds m impmw mbereon,and who does such work himself of Nmugb his awn employees provided that such improvemenu an not intended oroRcmd for tele.If. however,the building orlmprowmant is mid within ane year of compliance,tee owner builder will have use burden of proving that k did not build Or imprvae fa pumoee of sale.). . 0 1.as owner of tk Property.an=Wively contacting with licensed contractors m construct the project(Sec.91316,Business and Profesvoas Cade)The Contractor's Li, came law does not apply is not owner of property who builds or improves thereon,and, who contacts for such projects with a comm m(s)licensed personal in the Contractors Licenee law, 0 l an exempt under See ,B&PC fm Nis won Owner Date O WORKERS COMPENSATION DECLARATION I hereby affirm under petWty of perjury one often rW te following declatne 1 have end will mainWn•Crstiftcelm of Cansem he self-ime re far Workeh Compere mean,u provided for by Suction 3'100 of the tabor Code,fm the perfoenence of the work far which this permit is issued. ❑1 have and will maintain Wall Compensation laureates,all mquimd by Section 3700af the labor Code.for On,performance of the work forwhich this Permit 4 iscued. MY WoYarrier aM Poliry numW Gorier. Poliry ry CERTI GTEOP ONFROROM WOfIKERS COMPENSATION INSURANCE (Thu methm need mtk completed I(Ik permit is i.e..hundred dellen($lee) or las) 1 clrnfy eat in the performance of the work for which this permit Is Wood.l"I amt employ my perms in my manner.as a become subject he the Workan'Conpenaatm Laws Of Calif nouL Dau Applicant NOTICE TO APPLICANT:If,afar making this Ccnificam of Exemption,you should become subject to the Workers Compensation pounboom of eek tabor Code,you mute 0 z forthwith comply with such provisions or this PermluhJl he dermal remand. - zv'" CONSTRUCTION LENDING AGENCY E14 I kmby aRlrm than dent U&couhmlimn lending agency for the performance of .moi the work fm which the permit 4 Wad(Ser.3077,Civ.r—) ' aa Lender's Name .7. z Undoes Address rJ 0 1 certify that I haw mad this application and sum that use above inftmunon is U, CPRCCL I agree he comply with JI city and aunty oNlpm u"and sae laws mladng to 0 building construction,and hereby mthonan mpmsmadm ofthis city to color upon the W aW.-m ation d property for impeodon purposes �,n gym (We)agree to am,indemnify and Imp harmuas as,City of Cupertino agdut 42 t„ fn Ilabilides.judgments.costs and eapmnu which may in my way acerae against said City )z in cavepumce of the pressing of this permit. AP LI hTf UNDERSTAN S AND WILL COMPLY WITH ALL ON-POINT Issued by: Date 50 REGULATION . \ r /1J1j� �✓ Re-roofs SitimiumufApplicamuCoomm, Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will de applicam or forum Wilding occupantnore m ou akle hasommo material as de0nod by tete Cupertino Municipal Code.Chapter 9.11.and the Health and Safety code.Section 155324)7 pJFo All roofs shall be inspected prior to any roofing material being installed. it h2'❑Ya Will the applicant or future building=open[um equipment or devicss which If a roof is installed without first obtaining an inspection,I agree to remove us air conuminmu as defined by the Bay Area Air Quality Menagemenl all new materials for inspection. DinrictT / 0Ya {]No I haw mad the Installations;malorixl.requimmmu under Chapter 6.95 of the Cs if n- .I.H.'4,k Safoyeode,Savor 25505.25533 and 25531.1 anlemeed the ifuns building eeneY haw a t ane the u u tly rapomibility m muf the aeupant of tee U�yY/.0=r�CW cnuwhichm b met riartoWuan O(aCcrdfKaO/O//].Lk�NmCy�7 Signature OfAppllCantp Date w maam oad]sd.gmt Date� - All roof coverings to be Class dT or better CITY OF CUPERTINO • 2 ITEMS OF 10 PERMIT RECEIPT OPERATOR:- patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36655028 . 00 DATE ISSUED. . . . . . . : 08/18/2008 RECEIPT # . . . . . . . . . : BS000005811 REFERENCE ID # . . . : 08080123 SITE ADDRESS . . . . . : 11863 SHASTA SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : JAMES TANG ADDRESS . . . . . . . . . . : 11863 SHASTA SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5107 RECEIVED FROM . . . . : LOS GATOS ROOFING CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481 COMPANY . . . . . . . . . . : LOS GATOS ROOFING ADDRESS . . . . . . . . . . : P 0 BOX 1726 CITY/STATE/ZIP . . . : LOS GATOS, CA 95031 TELEPHONE . . . . . . . . : (408) 298-9399 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ----- ------ 1.13SEISMICR VALUATION 6, 972 . 00 0 . 70 0 . 00 0 . 70 0 . 00 llREROOFRES SQ FEET 29 . 00 377 . 00 0 . 00 377 . 00 0 . 00 ---- --------- ---------- ---------- TOTAL PERMIT 377 . 70 0 . 00 377 . 70 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO REROOF •CUPERTINO PERMIT APPLICATION APN#,3(vlo— S S—e2 rr O U Date: Building 46 3 SCS r/✓1 Owner's Dame: Phone #: JameSTJJ�.9 S/6) 2159-- 72,3 Z Contractor: L p S CrQ.- �o S h 0o y I nq Phone #: yQ 8' 2 -,j3 .99 `J Fax#: YOF �Q - VL3 Cupertino Business License #: , / Contractor License #: `7 .0 7 0 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles �9 Asphalt Shingles �G Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) )� Other (Specify) TM �0 Number of existing coverings ❑ Provide I.C.B.O. Report# ❑ To be Removed a Provide Mfgr. Installation Specs. Roof l_,j4 SS 1--�L� Job Description: u 30 ��L� Residential Commercial El Fire Zone: Yes ❑ No PQ Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: b7 _22_ I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Si re CITY OF CUPERTINO a]10F REROOF •CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group IREROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B c,;,2 F. IREROOFRES Re-roof Residential B 1SFDWLR00F ' IBSEISMICRE Seismic Residential B 1REROOFMRES 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)7773333 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: Job Site Address: Roofing Company Name: S T Applicant's Signature: T� 42Z-6 /, L Date: �Q • Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torte Avenue ry � Cupertino CA 95014 Telephone(408) 777-3228 CITY OF �UPEI�TINO Fax(408) 777-3333 BuildingDe artment JOB ADDRESS: ��(03 PERMIT #v 0 p a 0 � 3 _ OWNER'S NAME: _ zlo L1/J PHONE # GENERAL CONT CTOR: S FAX # I am not using any subcontractors: Signature Dte- Please check a22licable subcontractors and complete the followin 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 0 Co tractor Signature Date