08040039CITY OF CUPERTINO
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BUILDING VISION PERAUT
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BQILIItrt`ppD>_'E HELLY DR
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TNT ROOFING CO
PERMIT08040039
OWNER'S NAME:
PERMIT SUE DATE
HUNG CHEN
1610 BLOSSOM HILL RD STE 6C
04/07/2008
PHONE:
SANITARY NO. CONTROL NO.
CHITECT/ENGINBER:
RE—RF RMV SHK RF INSTL CLS
BUILDING PERMIT INFO
BLOC ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
'-"-'"-'--"' Job Description
1 hereby a(Ilrm Nu I am Increaseunder pmvitiom of Chap 9 (commcruing
with Section ]Dfll)oC fp{vi n oInhaling nrsv nd Profcuium Code.and myliceve la
in (u11 fame end eff
License Lk. g
-
Dau Conuacuor
'-
ARCHITECTS DECLARAWN
I undermaml my plana call den used as public records
. • .
Licensed Professional
OWNER-BUIWER DECLARATION
1 arch, olnrm that 1 am attempt from the Contractor'] License Lew for the
following moon. (Section 7113 1.5. Business and Professions Code: Any city or county
which requirca a permit to comtruct, alar, hnprow, demolish. or minor my structure
prior us its Issuance. alW requires; the applicant far such permit in Me a signed resonant
dm Conrsemrs license Law 9
Sq. Ft. Floor Area
Valuation
Nu a is licensed pursuant to the provisions of (Chapter
(Commencing wine Sectio 7f)(0) of Division 3 of ant Business and Profession Code) Or
Nat he u wmpt the arrom and she bub for dm alleged exemption. A., vloladan of
APN Number
Occupancy Type
Secdan 70314 by arty appllant far a permit subjects the applicant m a civil Penalty or
not man Nan Rw hundred dollars ($500).
❑ I,umna Ofneepmprty.mmympluymwithwwgesu Neerspkeompemdon,
- Required Inspections
-
for toan Businor
whi m Newdo. he
Iapply.
Llceun law dos rot apply u rt owes
and au Code The do
Code-Com este, License
q p
ms ther'urr
is
Property Improwa thereon, andwM measuch sort himselfsir through deb
erty who Wildo
wh
own i ssehimpro
awn
ear
man, thea,ding or i pral
the Owner•
ofdaro@rcd the most, however, the buildingorimpwwmentbast withinateyes a(c
id within am
parow, for
builder will have she burden of proving Nu he did not brim or improv for purpose of
ala).
❑ 1, es awns Of dm property am aelaively conuacting with licensed aentracuts u
conatmn to project (Sec. las. Bairns, and Pro(nssh m Cam:) The Cwuae e's U.
cense law does not apply Is an owner of property who builds or Improves the con, and.
who contracts for such projects wide a conuanar(o) licensed Panama m the Cantrurce.
License law.
❑ Imatcumpcunder See ,B&PCfa Nirmuan
Owner Data
-
WORKERS COMPENSATION DEC URATION
1 hereby Man under pmulty of perjury one Of the fallowing deckndo s:
aw will mar Cem3am
r Code,fort a erformaCompo-
byn.
fur by Section 3700 0( see labor Code, for the performance a( to
n, providedof ft Labor
(sir which Nb permit is issued.
for
,
❑ I hew and will maintain Worker's Compensation Inemma. u required by SCcdon
37W Of Ne lata Code, far the performance of to wart for which this permit is intend.
My Worker'o m du�u same oma and Polity umber
tib ��
CanierT /uGM Polity No.: N
CERTIFlCATE OF EXEMPTION FROM WORK S'
COMPENSATION INSURANCE
(This section bond ani be canplemd if the Permit is (mane hundrW dollars (SIM)
or legal
1 certify tat in Ne performance of to work for which Nb Permit b issued, I shall am
employ anyperaM In my rainstorm a m b ucarc subject m to Warteta' COmperemon
Lam of CaliromiL Dam
Applicant
NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should
became subject be the Workers Compensation provisions of the labor Coda you must
forthwith comply with such provisions or Nb permit shall a memed newked.
CONSTRUCTION LENDING AGENCY
1 Money ailing tat Vert is•conlending agenry for the Performance of
Ne
' work which
(a which oda permit b (Se,. 3issued (Sec. a'1, Civ. CJ
'
IanmYC Name
Lender's Atldrcu
1 certify that I ban road tills Application and Sam that the above Information Is
' correct. I agree u comply with all city and county ordinances and sum laws reeding in
Wilding consusunion, and hereby amhmim repromuhms of this city in enterupon ant
ahnve-mentioned property for inspection purposes.
(We) agars to save, indemnify and keep hotmlesa the City of CupMino against
j Il.biliues,JWgmenst. cast and expects which may in my wayaccroeagsinst said City
in canregance of the graming of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALI, NON-POINT
Issued by: Date _ 7 rrl,
SO E TIONS.
Re-roofs
Type of Roof
/
Sit ort of AppliwnVConu.cur Dam
HAZARDOUS MATERIALS DISCLOSURE
Will to ippllant or future Wilding accupmt sum or hurdle awdou masedsi
as earned by the Cupertino Municipal Cade. Chapter 9.13. and the Health and Safety
Cam, sender 25532(.)7
All roofs shall be inspected prior to any roofing material being installed.
❑ Yes ❑
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or sum building occupant use sculptress or devises which
It ha s ma air conuminanst u defmcd by Ns Boy Arta Air Quality Mwgement
all new materials for inspection.
ct7
❑Yes f-12i�
.
essentials unearCapkrd.95 of
I hem mW theCOde.
Caldin
SNum
Scan 535.requirements 33 mu he
no Wof
dies nonh&snd, haw,
does not currtntly hew a renanL Ns it 4 mss rospouihility m notify dm occupant of
see it 4m ortfi34.1 hemmmde Occup
rcllnlrcroe whichsbcmnt 'musiumn irle.ma
Signature of Applicant Date
All roof coverings to be Class's" or better
Dam .
r annear;Sed.gtnt
• 2 ITEMS OF 4
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN .......1: 35911021.00
DATE ISSUED.......: 04/07/2008
RECEIPT #.........: BS000004378
REFERENCE ID # ...: 08040039
SITE ADDRESS .....: 20619 SHELLY DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: HUNG CHEN
ADDRESS ..........: 20619 SHELLY DR
CITY/STATE/ZIP ...: CUPERTINO CA,
RECEIVED FROM ....: MICHAEL D WILLIAMS
OPERATOR: patg
COPY # : 1
95014-2923
CONTRACTOR .......:
WILLIAM TYLER
LIC # 22988
COMPANY ..........:
TNT ROOFING CO
ADDRESS ..........:
1610 BLOSSOM
HILL RD STE 6C
CITY/STATE/ZIP ...:
SAN JOSE, CA
95124
TELEPHONE ........:
(408)277-0800
•FEE ID UNIT--- QUANTITY
AMOUNT
PD -TO -DT THIS REC
NEW BAL
----- ----- -----------------
1BSEISMICR VALUATION 12,000.00
---------- ----------
1.20
----------
0.00 1.20
------
0.00
1REROOFRES SQ FEET 28.00
364.00
0.00 364.00
0.00
TOTAL PERMIT
---------- ----------
365.20
----------
0.00 365.20
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
705.10
---------------
705.10
VOICE ID DESCRIPTION
----------------------------- -
601 ROOF TEAR OFF
603 ROOF BATTENS
605 FINAL REROOF
REFERENCE NUMBER
--------------------
VISA
VOICE ID DESCRIPTION
--- ---------------------
602 ROOF PLYWOOD NAIL
604 ROOF IN -PROGRESS
0�o V �3�1
CITY OF CUPERTINO
REROOF
CUPEkTINO PERMIT APPLICATION
•
APN#�`—(� Do
Date:
LlI�����
Building Address: L l G Sk e�(
1
0 1Z,
Owner's Name:
Phone #: �t sII ?-7( __ Z
1
Contractor:
Phone #: Z % 7 — O -�d Cl0
TN LO /tV
Fax#: �—�( -Zs-_03
Cupertino Business License #:
Contractor License #:
So 7 -
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
k 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: kQ�kavp y6_ 0_,O -up
Z N S +�O S 6 w %IWDOD
Residential
Commercial El
Fire Zone: Yes ❑ No
Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation:
Z I V
I Have Read, Understand ai;d Will Comply with Cupertino's Tear -Off Policy:
0
'
of
CUPERTINO
0
CITY OF CUPERTINO
REROOF
FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
Z
1RER00FRES
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismic Residential
B
1REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
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
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 Raid 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: �Jtr 1 p rnt
job Site Address:
Roofing Company Name:
Applicant's Signature�� )�� Dater /
• Greg Casteel
Building Official
Revised 11/2/04
Community Development
10300 Torre Avenue
h,�'�.q,, Cupertino CA 95014
Telephone (408) 777-3228
CITY OF Fax (408) 777-3333
CUPERTINO
Building Department
•
JOB ADDRESS:
ZOc/-? �i4el1 3-1-
PERMIT #
OWNER'S NAME: e"
PHONE # Yl:I - Z7/ - lz'
GENERAL CONTRACTOR: d
FAX #
I am not using any subcontractors: �c�
Signature Date
Please check applicable subcontractors and complete the following information:
45
veer Contractor Signature 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
Septic Tank
Sheet Metal
Sheet Rock
Tile
45
veer Contractor Signature Date