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06090033CC Z C V a C C UJC OF L HV U2 CITY OF CUPERTINO.^.3'r �CONTRACTO,R INFORMATI©N ; BUILDING DIVISION PERMIT sUILDINCADDRESs: EL CAMINO ROOFING CO INC FERMITN0.06090033 10365 STERN AVE OWNER'S NAME: PERMIT MUE DATE WON & HONG LEE 1650 S 7TH OT ONE: SANITARY NO. CONTROL NO. (408)292-7644 ARCHTrECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job DCSCiIptlOn 1 hereby affirm that 1 am licensed touter pm usimss of Chapter 9 (commencing with Section ]OTU) of Division 3 ofthC Business and Profruiuv Code, and my laccase is in fun romamdcf�c yzy37z REROOF- TEAR OFF TAR AND GRAVEL ROOF. INSTALL 2 _ Dow y�lc- commete&O"a POLY IBO INSULATION & NEW TAR & GRAVEL ROOF. ARCHITECTS DECLARATION e used as public cords I understand my plans shall hre CLASS A Licensed Professional OWNER -BUILDER DECLARATION 4 I hereby .(Sero Nal 1 am1. eumpl from the License Law for the / / io Codc: Any following mason. 7113 LA Business and Proposition I/ any ssmewn: ow, de fi my structures which Permit t re conn alts. impmva, demolish. is a h Permit t a a sir prior to its issuance, alto requites the $pions Of foe such permit m fiat a signed sukmcm its n .. alm dic )provisions.(the Law (Chapter thalW iard,withSc Sq. Ft. Floor Area - p Valuation eBusinosSLicenxshon.0 eiror n.70 ovation r of the Business and Proaon. with scavrom $16350 and theof Anyof Oat lie u eumpt therefrom and the bssu for On alleged esemption. Any violation of Oat ho iii rem APN Number Occupancy Type P Y YP Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Nan love hundred dollars (MOO). O 1, as owner of the Property. or my wpicycu with wages as their role compensation, Required Inspections will do thcwoh, and the smictme u wt intended or.Raced for sate (Sec. 7044, Busiws and Pmfaasiom Codc The Conlrazmr's Licuae Law does not apply to an owner of property who Wildsorimpmsss thcrrnn, and whodoessuchworthitveuor through his own cmploycas. provided Nal such improvements are trot intended oroffered for sale, if. however. the building or improvement is sold within one year of complcuon, the owner. builder will have the burden of proving Nal he did not Wild or improve for purpose of sok.). ❑ 1, as owner Or the propenY• am exclusively contracting with licensed contranurs to construct the project (Sec. 7044. Business and Professions Code:) TW Contracor's Lt. come Law docs nor apply va an owner of property who Wilds or improves Ihercon, and who contracts for such projects with a contrazmr(s) licensed pursuant m dre Contractor's License Law. ❑ larneaemptundcr See .B&PCf.tMs on Owner Dau WORKER'S COMPENSATION DECLARATION I hereby a(frm under penalty of perjury one of the following declarations: I have and will msimain a Conifca a of Consent to self -insure for Workers Compcn- sation, u provided for by Section 370(1 of the Lader Code, for the performance of IW work for which this permit is issued. td 1 have and will maintain Workah Compensation Insurance, as required by Smoot 670O of the Labor Codc. for the pOfmmmac Of Ne work for which Nis permit is issued. My Workkee's Compensa{y'-e�a�ins urap/a cortin and Policy mrk, amII Camicr.>7 f - ~V Polity No.: -t O S, 1'9711('o CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Mrs section need Out he complcmd lithe Permit is foronc hundred dollars (SIM) or less.) I cerufv Nat in the performance of the work for which this Permit is heated, 1 shall not employ any person in any manner an as m become subject to tha Worlecor Compensation , Laws of California. Dau Applicant NOTICE TO APPLICANT: If, afar making this Ccnifcau of Exemption, you should Warms $Object to the Worker's Compensation provisions of the U Wr Coda, you must forthwith comply with such provisions or this permit shall W deemed revoked. CONSTRUCTION LENDING AGENCY I herebyaffirmthat these is ronamctinn landing agency for the Pcrfo,mance of s Una work for which this permit is issued ($a. 7097, Ci, C.) Lender's Name Lender's Address 1 1 canify that 1 have toad Nis application and sure that the sinew, information is correct. I agree ro comply with all city and county .Ninu meas and sure laws dilating to Wilding construction, and hereby awhorion mpresenuriwes of this city to enter upon the amiliti smudge property fordexitaN.n purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against Incoide,tjudgments, costs and may In any Way seethe against said City nceofthe ' in consequence of the granting of Nu permit. of this Permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date SOURCE'/N/i� HB%/� y- g__ OH Re -roofs C7, 3' amre irlApifi' UC.ntract.,Dak HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Na applicant or future Wilding occupant store or handle havud.us material as defined by the Cupertino Municipal Code. Chapter 9. 12. and the HaalO and Safely Code. Secure. sssJlfa)+ ❑Yu ?NOAll roofs shall be inspected prior to any roofing material being installed. Will thea scant or furore building occupant moa equipment of which applicant P p q If a roof is installed without first obtainingan inspection, I agree to remove P g Maas Cmil havallom air conuminanu v dcfirud by sec Bay Area Air Quality Managcmcm it Qu all new materials for inspection. Distiicr! (]Yes sgNo I have mad the hsvatdous materials requirements antic, Chapter 6.95 of tho Califon (nom Qp ria Health h SafmyC.de, Scedo 15505.25573 and 25534.1 undcmund Nm i(thc building docs not loom I y haws nk Nat it is my responsibility 1. noufy Or n.c.,som nr Ilia mquirerco rtvmvmtca.facanirca¢.faapancy. o"'Sig5hireof Applicant Date All roof coverings to be Class "B" or better wool ,Mthnri,adagant Dau CITY OF CUPERTINO Oem 1 of 1 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37510054.00 DATE ISSUED.......: 09/06/2006 RECEIPT #.........: 35924 REFERENCE ID # ...: 06090033 SITE ADDRESS .....: 10365 STERN AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: WON & HONG LEE ADDRESS ..........: CITY/STATE/ZIP ...: , OPERATOR: amyw COPY # : 2 RECEIVED FROM ....: EL CAMINO ROOFING CONTRACTOR .......: CASTILLO, MARK LIC # 21455 COMPANY EL CAMINO ROOFING CO INC ADDRESS 1650 S 7TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)292-7644 OFEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ------------------------------------------------------------------------- BPERMFEE VALUATION 17,000.00 245.16 0.00 245.16 0.00 BSEISMICRE VALUATION 17,000.00 1.70 0.00 1.70 0.00 TOTAL PERMIT : 246.86 0.00 246.86 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : 11 AMOUNT ------------ 246.86 246.86 NUMBER ------------------ 010791 Eli CITY OF �UPERTINO E Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: IOS6S 5*11/v r9ec- C✓ ,.wo PERMIT # OWNER'S NAME: W0.1/ LeC PHONE # GENERAL CONTRACTOR: 61 &miAa zC6 FAX # I am not using any subcontractors: r'or. Signature Date Please check applicable subcontractors and comvlete the followine information: Owner/Contractor Signature g-, = 06 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 7� Roofing �/ C,9�+'lw PfG (d• ,v'c y2Y 37 z— Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature g-, = 06 Date 5L , • CITY or CUPERTINO Pi 0 CITY OF CUPERTINO 1-1990101111 PERMIT APPLICATION FORM c0CVCqCo33 APN# 3-T5— lo— of5L- Date: Building Address: / /03 6 S S%ri✓ c i/ 1 `a/o y5 O� Owner's Name: BUILDING Phone #: p WO,✓ LC, BUILDING -1 O- 51 - 1920 RX"i Contractor: BUILDING License #: IFivo & - yzy37 Z Contact: l BUILDING Cupertino Bust ess License #: °/ s -I-z, le- CSI S - hi o L/ Type of Roof Covering: Existing: Proposed: it Built -Up Roof ffi Built -Up roof ❑ Asphalt Shingles ❑ 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. I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: i' Job Description:_12„57tt O /rte�yf E i 11 Z �1 �v Residential Commercial ❑ Fire Zone: Yes ❑ No ❑ Confirmed with Planning Det. if there are any restrictions: LJ ,.Cost of Project:Type /6 3 -o �0 of Construction: Occupancycgroug s Y Qty. if Applicable Fee ID Fee Descrintion Fee C'rrnun 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 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: Gt/� 6z l�cL Job Site Address: 5;4--o.✓ /4-✓rz Roofing Company Name: 11_7mi ;'�> 12v Applicant's Signature Date: 91- f— 0 b Greg Casteel • Building Official Revised 11/2/04