05120044 CITY OF CUPERTINO � a«-«' a'+ '* .' "`�`�
BUILDING DIVISION PERMIT c'0NTRXQ�TORI�NF0RMATIO
BUILDING ADDRESS: YUEGANG ZHANG PERMrr No'05120044
7974 WOODLARK WY
OWNER'S NAME: PERMITISSUEDATE
YUEGANG ZHANG
NE:
SANITARY NO. CONTROL NO.
ARCH=/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
300 LICENSED CONTRACTOR'S DECLARATION Job DescriptionmC I hereby affirm Nal 1 am licensed unm
der provisions of Chapter 9(comenein{
£iW with Section7000)af Division 3 of Ne Business and Profeaumal Coda.and my license is
±tD„ mmnfaroeandefreet. REROOF--T/O SHAKE, INSTALL SHINGLES
z
Li....Class Lie..
p Dale Contractor
7W ARCHITECTS DECLARATION
f w1 undcrsund my Plans shall be used as public records
u
a 0� Licensed Professional
5 OWNER-BUILDER DECLARATION
v� f 1 hereby afforn We 1 am exempt from the Contractors License Law far We
p o following reason.(Section 703 1.5,Bushes and Profesuam Calc:Any city or county
which tryuires a permit to construct,alter,improv,da raLlsh,or repair my structure $5000
prior m its iateme.also rate.tMapplicanl for such permit to file a signed sntemom
<
too In,islicensed personal oWeprovisions;arWeC.anoo/W't.Law(Chapter9 Sq.FC Floor Area Valuation
eFG (commencing with Send.701)(B of Division 3 of We Badness and Professions Code)m
i
that he is exempt therefrom and We basis fm We alleged cremptioo.Any violation of
Section 7031.5 by any applicant fm a permit mbjcca the applicant to a civil penalty of
aa,team the fire hundred d.11.($501).
r Occupancy Type
❑1.asowner of the property,m my omplayaal with wages as their mic compensation,
will do dmwork and thamtru a is iwti achded or anartA foaald(Sec.N0a/.Businnss
ma property ban coda:The Canhersons License Law doer art apply m,n owner of Required rctiopgr, 5'
.itED
PrYwhobuildse:The Co Nmm�,a Leese awdoes.1aax iplytm Nmugh Eu lu�jtio LEI
awn.mployres,provided Nat such improvements are not im makal m.Rered rte sale If.
however,the building or improvement m mid within arc year of complaints,the owner.
builder will have the burden of proving that he did not build or improve fm purpose ofsal.jyrs fs
01. OFT.
❑1.os ower of ct prc.704,w eulusir and
contracting with licensed contractions;U.
construct the project(Sec.7014,Business ertd Prafeadons Cade)The Contractor's Li�
wwase tsnarotapplytotseitherorproperty)whabuildsorimproves Norton,and
ho contracts for such projects with aconuacmn(s)Ilccnsc0pumuantmthe Canvmtors esu `\
List.L.W. lily
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❑ I am assmpt under See .B k PC for this lesson r
Owner �..V Date
WORKiM, OMPENS ON DECLARATION
I hereby aRim under penalty of perjury one of the following denuatians:
1 him and wall rostrums a Certificate of Consent in lf.insuno,fm Worker's Compete
action,a provided fm by Section 3700 of the Isbor Code,fm We per...of the
wart for which this permit is issued.
❑1 have and will maintain Workers Compensation Insunee,as required by Section
1700.17the Labor Cade,fm We performance of the work fmwhich this permit u issueff '
My Worker's Compensation Insuraaa shim and Policy number am:
Caaiv Policy No,
CERTIFICATE OF EXEMP ION FROM WORKERS
COMPENSATION INSURANCE
from seclirn need net becmhpkteJ if Ne permit Is(mane handled dollars(3100)
or less.)
I Unity Not in the performance of We work for which Nis permit u issuatl.I shall not
employ any paten in m manner ubbca csuWecl to the Workert Com nsatirn
Laws of Califomia Garay n 7G(I2�O D
APPliam tNf/w_.�
NOTICE TO APPL ICpN :If,after nfalking this Certificate of Etamption.you should
bootee subjm m the ahcr's Compensation provisional of the Labor Code,you muss
.,O faMwithcomply with inch provisions m this permit shall Ise dermad rewked.
Z CONSIRUCnONLENDINGAGENCY
n
I here by aRrm Nmthere iso ed(Sec.30 len ding agency rartM perfixmame of
a We work fur which this permit u mated(Sec.709'(.Civ.G)
1 Q lehd.r0 Nam.
,Z Lenders Address
U Q 1 certify Nat 1 haw rad Nis applicvfon and tam Naz We above iarona.d..u
iL P Corlett I agree to comply with all city and caumy orainanca and sure laws resting to
OU building construction,and hereby audionae representatives of Nis city in enter upon the [ 'pjy(/,�//�///�/7 -
W shove-mentioned property for inspection which v
F LL (We)agree so sate,indemnify and keep hamtkss ale City of Cupertino against
rn judgreced.comar of
gram it eapnuamit. may In any way accrue against said City
U z A PLIC eme of the granting of Nu permit.
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCERFy6U AS. TONS.
Signature fAppOcanUCan , l_� Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will We appliam or fmm<Wilding aaupant Mm or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.11.and the HeaOh and safety
we.E3 yes 531(0)? s(� All roofs shall be inspected prior to any roofing material being installed.
Ya mo
Will N.appliont arF/uture building occupant u¢cyuipmmt err @rias which If a roof is installed without first obtaining an inspection,I agree to remove
Distil h,,adous air anuminanm���e;yyya""""s Jcfiand by the Bay Ama Air Quality Management all new materials for inspection.
❑yes Lynu
Ihave readtheharardtmas materials and! 5534.1 rChamed.95ofNe Wilding e /J
rion-
niaHWthds Safety have a ou t, 1all'Is 5577anJall W amirnd Nazi(a humoring
Jan not currently have a tenmL Wall'u my respansihility m tetifY the oaupant of Ne _ fl
rayuiremms whichm hetet poor to issuance of a Ccreficate of(kapanry. Signature Of/Applicant —� Date
Owner err a tharimd agent 2 Date l All roof coverings to be Class"B"or better
J
_ Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPEI�TINO
Building Department
JOB ADDRESS: 7�7� �� /la PERMIT #
Q� bt)ay U S/2 o O L-t ti
OWNER'S NAME: u a an� PHONE # q-09- M - 17-7?
GENERAL CONTRACTOR: Lj AFAX #
I am not using any subcontractors: 1S—
Signature Date
Please check applicable subcontractors and complete the followinginformation
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/ ontractor SigAature Date
Community Development Department
` Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
U��,k_'�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: q �u cam// / Ag �
Job Site Address: �l
Roofing Company Name:
Applicant's Signature: Date: -2-11 Zw S
eGreg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
OWNER-BUILDER VERIFICATION
1. (Check one) I or my immediate family (parent, spouse or child) will perform:
A. P All the work authorized by this permit
B. = A portion of the work
C. None of the work
If B or C is checked,complete 2 or 3 below.
2 A state licensed contractor will be hired to do:
A. _ All of the work
B. A portion of the work (complete section below)
Contractor Address/City Phone # State License # Type of work to
VC Cil tiiiiiC4
3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
• portions of the authorized work. I understand that I may be an employer(see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
erformed
.....................................................................................................................................................................................
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information (reverse side).
Property Owner'sQSignature: _ Date: / Z// z /p S
Job Address: , r �ar� �`""1 Permit#
Any changes to the information vrovided on this form shall be submitted to the City of Cupertino Build
Department.
City of Cupertino Building Department
CITY OF 10300 Torre Avenu
CUP ERT I NO Phone: (408)777-322—
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself,you
may protect yourself from possible liability if that person applies for the proper permit in his or hes name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work,with the exception of various trades that you plan to subcontract,you
should be aware of the following information for your benefit and protection:
if you employ or otherwise engage any persons other than your immediate family,and the work
(including materials and other costs) is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors,then you may be an employer.
if you are an employer,you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding, federal social
security taxes,workers compensation insurance,disability insurance costs, and unemployment compensation
contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish,the US.Small Business Administration). For more specific information about your
obligations under state law,contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale,property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor,only under limited conditions:
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit,erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department,
City of Cupertino
Printed on Recycled PaPur
CITY OF CUPERTINO
E�e�' REROOF
CUPEI�TINO PERMIT APPLICATION FORM
APN # 3K2
D f OM
3 p Date: y �1 Z a
Building Address: l. Q
Owner's Name: Phone#:
Yuegati �tatle� log- 9�6 - 177
Contractor: , (� Phone#: License #:
Contact: Phone#: Cupertino Business License#:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles 0 Asphalt Shingles
;1I 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:
Job Description:
Residential Commercial F1 V
Fire Zone: Yes ❑ No Confirmed with Planning Det. if
there are any restrictions: LJ
Cost of Project: Type of Construc ion: Occupancy group:
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
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