The URL can be used to link to this page

06010004' CITY OF CUPERTINO r' 7777- '`" BUILDING DIVISION PERMIT CONTRACTOR,JNFORMATION BUILDING ADDRESS: 7499 STANFORD PI, PERMIT NO. 06010004 OWNER'S NAME: PERMIT ISSUE DATE ERIC LIU 01/02/2006 JNE: SANITARY NO. CONTROL NO. CHITECT(ENGINEER: BUILDING PERMIT INFO IUC BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONfRd Job Description under provisions9 (commencing 1 hereby afOrm that 1 am limned under proddons p mChapter with Section ]IXX))af Division3of the Business and Pmfcssinm Code and mylicenseis �mrceandefre 1 REROOF-T/O SHAKES, REPLACE SHINGLES C0. Cl ass Lica Dam + ContrserorCONTRACTOR: TOBAR CONSTRUCTION ARCHITECTS DECLARATION 1 undcrwnd my Puns shall W used as Public records t�s�`\ � � {'A � �S Licensed Professional OWNER -BUILDER DECLARATION el/Y[Q_91Hylp] I hereby License taw for tK n 1 am exempt from the Contras . Sect o Section Mens Calc: Ann city or county LA B. and Cock: whichfollowingwason. which or lw,. Mss s permit os cons; alter, i w. m reach any swnure JAN -ons prior m is issuance, roe requires the applicant farsuch permit m tilt a signed satemcm tax h Permit t its n t for such thn Wulicensed purwam to the iviom aftWConuutoriiicen¢Lw(Chapter9 Sq. Ft. Floor Area Valua[' 15000 of Divisionexeandon. AssionaCMc)ser (commencingsem idi5eaion]0nd SIM, iaiii for the alleged that W u exempt tWmlrom and tW hese for the alleged exemption. Any violation of 1 �yJ li )i Ri Schon 7031.5 by atry applicant for a permit subjects door applicant in a civil penalty of not more dun fivehundred dollars($500). APN Number U•' 1 LOceii ane 'P�+ �U��gyp y'� 35932034.00 u ❑ I. u owner of the property, or my employees with wages o their sale compensation, will do the work and Ne suuaum is not intended or offered for sae (Sec. 7014, Business and Professions Code: The Conuacmrs L ca mse taw des tro duxes appy an an owner of Required Inspections propenywho builds or improves themon,and who dmssuch .,it Moselle, duough his Own employees, provided Nat such improvements are not intended woRcmd for Sale, if. however. the building or improvement is sold within one yar of ormpledon. the owner. Wilder will haw the burden of proving Nat W did not Wild or improve for purpose of sale.). Ej 1, as owmer of the property, am exclusively contracting with licaued eonu¢mrs m Construct the project (Sec. 7044, Business and Prefesdotu Cade:) The Comsumr's Li. cense Law docs not apply in an owner of propenywho Wilds or improves domen, and who contracts for such pmjeca with a communal licensed pursuant in the Comradots License law. ❑ 1 am exempt under Scc. , B & P C far this won owner Date WORKERS COMPENSATION DECLARATION 1 hereby a1Brm under penalty of perjury one of thc following declarauom: 1 haw and will maintain a CerdOmw of Consent to self -insure for Workers Compen- Sauon, as Provided for by Section 3]00 of the Labor Code, for the performance of the work for which Nis permit is issued. C3I have and will maintain Worker's Compme an an Imurarwe, u acquired by section ,W of the LWr Cock. far the performance of the work for which this permit is issued. My Wakee, Compensation Insurance carrier and Policy number aa: Cartier: E'.tam,P Polity No.: CER FlCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu union reed nmbeeompated If tW permit Isfarmwhundred dollars (SIM) or 1.) 1 comity Nat in the performance of the work for which this permit is issued. I shall not employ any perann inany �nmaO sslo hemme subjeeua the Workers'Compemuuan Law of Califop�'}� P¢ T 1 OO bb99 Applicant �•)y�[QLGt A , NOTICE TO APPLICANT: If,af�king this Cer iOcauc of Exemption, you should become subject ro the Worker's Compensation previsions of the Lsher Code, you must foMwidt comply with such PmvWOrx m Nis permit shall W deemed mated. CONSTRUCTION LENDING AGENCY 1 W mby Affirm, Nat then is a construction lending agency for the perfurma er of the work for which this permit is issued (Sox. 31191, Civ. C.) " Lender's Name Lender's Address 1 mnify Nat I have read this aPpli.don and show that the Steve infmmatiun u COMM 1 agree ro comply with all city and county ordinances and sate laws relating to building construction, and hereby amhome wpresenmives of this city in enter upon the far inspection purposes aWvc-menudgm propertycosts (We) agree to Save, indemnify and keep harmless the City of Cupertino against liabilities.judgments,fthecoagand expenseswhichmay in any way secret against said City in consequcncc of the granting of this Permit. APPLICANT UNDERST DS AND WILL COMPLY WITH ALL NON -POINT Issued by: DateG- SOURCE E I l 9--t) (0 Re -roofs Sigmdta dfArpseanu omrsaO! ow HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building acupantswre of handle hazardous materia as dcflmd by the Cupertino Municipal Code. Chapter 9.13, and the Health and Safety Calc. Section =2 a)? liUy. 2�No Will the applicant or future Wilding occupant use equipment or devises which it harardoos air mnuminana m defined by the Bay Area Air Quality Management avis] A ❑Yes P1Nu I have read the hvaMmumawrials requirtmena underCWpwr6.95 of dw Giifory nu Heath&safctyCode,Sceuom25N15,25533am125534.1umk:rnandthaiifthc Wilding does not currently haw a tenant that it u my responsibility M notify the occupant of do, requ45pens fpr h const W met poor y isone. ofa Ce mama of Occupame, � .r sastsso arsnaa sec mw bpknu prior w roofing any roong material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials r inspection. S e o Applicant Date All roof coverings to be Class "B" or better aul-4 CITY OF �UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESy : �� a� p/,� � PERMIT # 06 0C1 OWNER'S NAME: PHONE # GENERAL CONTRACTOR: 11,6n FAX # I am not using any subcontractors: 062 —0 6 Signature Date Please check applicable subcontractors and complete the followinginformation Owner/ 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 Owner/ Contractor Signature Date Community Development Department Building Division I� City of Cupertino 10300 Torre Avenue • t.- one: (408) 777-3228 CITY OF TelephFax: (408) 777-3333 CUPEkTIN® 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 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: L06 a, 1 / / Q/) Applicant's Signature: Date: 4,,t 6zbf Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper 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: L06 a, 1 / / Q/) Applicant's Signature: Date: 4,,t 6zbf Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper is SON CITY OF CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION FORM APN # Bldg Permit Fees BUILDING Date: 3 03 BUILDING BSEISMICRE - ddress- B'I ng Address- u, BSEISMICOM Seismic Commercial 14 / Plan Check Fee Owner's Name: BUSLIC Business License Phone #: / t /-/ Contract (001f i0 hone #: License #: Contact: Phone Cupertino Business License #: /X24 kloe Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles Iq Asphalt Shingles A Wood Shakes ❑ Wood Shakes VOp 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: Afalo 6 Residential IX Commercial ❑ 1 fiev Fire Zone: YeA No -n Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Pr ect: O Type o fC nstryaction: Occupancy5oup: w 1 Qty. if Anulicable Fee ID Fee Descrintinn Fee C7rnnn 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 3 z IL �2(��