06090052 (2) CITY OF CUPERTINO 'k tn ,y,ry �r
BUILDING DIVISION PERMIT , CCSNTI�ACRryI 'FO,�, pN ,
BUILDING ADDRESS: KEVIN SULLIVAN ROOFING PERMIT NO.06090052
1038 CRANBERRY
OWNER'S NAME: PERMIT ISSUE DATE
WILLIAMS JO ANN 1696 VALLEY
NE: SANITARY NO. CONTROL NO.
(408) 842-1057
ARCHREC7/ENGINEER: BUILDING PERMIT INFO
BILDO ELECT PLUMS MECH
OO
pop LICENSED CONTRACTOR'S DECLARATION Job Description
hereby a(lbm Nm l w licensed uruler provisions of Chapter 9(commencing
with Section 70010 of Division 3 ofthe Business and Professions Code.and my lie sso Is
infn11fraud ec O3'( T/O COMP SHINGLES, REPLACE W/ CLASS A SHINGLES
i z Lken CI Lie.N a
M:F Da¢ Counselor
QQ ARCHTfEC o nselor ATION
ou 1 undemund my plane.hall he sed u public tea ords
16 y.
•O y, LIceRRd Professional
5OWNER-BUILDER DECLARATION
<� I he."air..Nat I am exempt from the Conoaanofs Uwnw Law for tiv
e 0 O following msson.(Secfian 7031.7.Business and Prafessiom Cade:My City of roomy
i3 9 which equirne a no mit to conauvck alms)mprow.demWlim.ar repoir my umctuw BOO 0
-Z" prior in its issuance.also requires Cite applicant for such permit to rile a signed comment
G dim he isllueneed pUMMI to the pmvisio ,or the Comacmr's License Law(Chaptm 9 Sq.Ft.Floor Area Valuation
(commencing with Socars.7000)of Divui0n 3 of the Business and Profusion Code)a,
..
that hat is exwpt thwfrom and the bass for de alleged edanptim.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicanl m a civil penally of Nvi U U Occupancy Type
not maw them Ow hundred dollvs(SSW).
I,u owrrcr of the property,a my wplayen wIN vales u tick sole compenetion.
aid dodrewort.ark This Coloss iI lessee
or ORehodlor all
7014,Buwrxof Required Inspections
and PfofCabe lou Code:The COOYYbr't and
wi t Lawono tics.ml apply lf m OWnef Of q P
pmpeny Who Wildsmimprowathmron,indents amnsuchwrkchrof rNmugh hf
ownemploa Wiprovided than much ImPmwmanm art not intended moOohoE fm Amor.
hawder.the Wilding or Mprowmantusold within an Wild of mprowf rtheowner-
bale.). wild low Cid burden of provinC dol in did rot bulk or impmw for purpom of
sale.).
❑1.as tswmr Or tie pmPony.704 am inclusivelynuand Prromon,witCo limned mnuseall -
cou.La the project pply 70th. .of and property
whotsne ds Or:)The.twomis nd t
sones law cora rot apply w os owns of pmpeny who builds or Improwa Norton,and 9/y
who contracts for such projeeu with amnwcmr(s)Iiccttee pursuant In she Continuities
Licensemm
❑IeawPt sneer See .BAPCfea Nu sawn
Owner Dam 0�
WORKERS COMPENSA71ON DECLARATION
41 I hereby af1Um under peaty of perjury oro of N.following declam0oes:
❑[ham and will mwnmin sCeNfscaw of Couent N self-Insure fm Worker's Compen•
nation,a provided for by Section 3700 of Ne labor Cade,rue the performance Of me
work for which this pemtit is issued.
❑1 have and will maintain Worker's Compensation laurmce,as required by Section
3700 of the Labor Cade,for the performance of ft weak for which Nu mrmlr a issued
My Worker's Camp. .tion Insunnm artier and Policy number w:
Carrier.« PJA Polity No.:MOCI
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Trnumction wed nothccompleted If the permit Is forenc hundred dollars(SI W)
or less.)
1 will(v Nm in the performance of the work for which this permit Is Issued.I shall nos
employ anyperian in my manner m saw become Subject to be W011son'GOmPCMmIOa '
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:IL after making Nu Certificate of Exemption.you should
bttome subject in Ne Works?,Comp riondon pmvuiona of Ne Lahr Code.you must
.J O faMwith comply with each provisions cattle permit M deemed eemed howled.
ti CONSTRUCTION LENDING AGENCY
[••I I hereby 4117rm Nal men is a construction lending agency for Ne perfurmmce of
{y' 7 the work fur which this permit Is issued(Sol.Xi Civ.C.)
W�A Lendefs Name
i7. z Undoes Add.
O Q I lordly that I haw read this applicum Net mion and sthe above information is
U. F correct I agree w comply with all city and county Ordinances and sum laws telaning 10
O U building construction,and hereby amhonic MpmmnutinS of this city to enter upon the
U above-mentioned property far inspection purposes.
(We)agree to saw,indemnify and loop harmless the City of Cupcnoo against
„Hy y
liabilities.judgmcnu,cosdendexpensuwhichmay In anyvnyaccme agaimlaid City
U z in eonwquanm of the f this permit
^ APPLICANT U D STANDS L COMPLY WITH ALI,NON OINT Issued by: Date —�'.-q�j
S REGO S.ir� (\
1 Re-roofs
Sig oho c ARdI �Contr AZARDOU Dam
S MATERIALS DISCLOSURE Type of Roof
Will for fuhtw building Coaccupmtatoreorand to illustrious emamrial
ss defined by the Cup.rtiro Murrinpal Code.Chapter 9.12.and tits health and Safety
Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Yea
Will roc applicant or fuse building Occupant use equipment or dcvima which If a roof is installed without first obtaining an inspection,I agree to remove
emll hmammus air cmumiend in defined by N.Day Area Air Quality Management all new materials for inspection.
District? %P
❑Yes f14Ciu
TT i
Iban mml Cohengirmse awriaumqui ements vW25534.1f p¢dOgifIM Wildcat
Wame comoll Cade, 25lit am125334.1 WO.Omndthwieupfft Wilding �
Oriona rot ceamntly haw an s It my nwhility m notify accvpant nl the C1/ce A56
ho m ohm (prim iia ancenin.al�y Signature of ppl ant Date
1 8 b� All roof coverings to be Class"B"or better
Owns or..dm d*1 1 dam
aClOF
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
Fax(408)777-3333
�UPEkTINO
Building Department
JOB ADDRESS: � PERMTT#
Lri
OWNER'S NAME: m W ; \ PHONE # ZEP—
GENERAL CONTRACTOR 1 FAX #
I am not using any subcontractors: 8 btn
igna a Date
Please check applicable subcontractors and co a following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets&Millwork
Cement Finishing
1
Electrical
Excavation
Fencing
Flooring. Carpeting
• Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing D
Septic Tank
Sheet Metal
Sheet Rock
Tile
/Contractor Signature jDat4
CITY OF CUPERTINO
1 of 1 PERMIT RECEIPT OPERATOR: bethe
COPY # 2
Sec: Twp: Rng: Sub: Elk: Lot:
APN . . . . . . . . : 36204051.00
DATE ISSUED. . . . . . . : 09/08/2006
RECEIPT #. . . . . . . . . : 35963
REFERENCE ID # . . - : 06090052
SITE ADDRESS . . . . . : 1038 CRANBERRY DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : WILLIAMS JO ANN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4926
RECEIVED FROM . . . . : KEVIN SULLIVAN ROOF
CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN LIC # 23810
COMPANY . . . . . . . . . . : KEVIN SULLIVAN ROOFING
ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR.
CITY/STATE/ZIP . . . : GILROY, CA 95020
TELEPHONE . . . . . . . . : (408) 842-1057
OE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
______ _____________ __________ __________ __________ __________ __________
BPERMFEE VALUATION 8,000.00 147.96 0.00 147.96 0.00
BSEISMICRE VALUATION 8, 000.00 0.80 0.00 0.80 0.00
__________ __________ __________ ----------
TOTAL PERMIT 148.76 0.00 148.76 0.00
METHOD OF PAYMENT AMOUNT NUMBER
_________________ ____________ __________________
CHECK 148.76 3917
TOTAL RECEIPT 148.76
•
CITY OF CUPERTINO
"«'� REROOF
• CUPEI�TINO PERMIT APPLICATION FORM
APN# � O DSI Date:
Building Address: '
Owner's Name: • Phone#:
(New 111 -ams 4ca, 3
ContractQL License#:
ROOF Q (5
Con : Cupertino Business License #:
Ectn�2. 38 0
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Asphalt Shingles �X Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) O 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 Descriptio
T O 2laSin S
Residential Commercial ❑ C(4PIA
Fire Zone: , Yes ❑ No Confirmed with Planning D4Vt. if
there are any restrictions: U
Cos of Project: Type of Construction: Occupant gro
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res LBUILDING
BSEISMICOM Seismic Commercial. - BUILDING
BPLANCHK Plan'Check Fee BUILDING
BUSLIC Business License BUILDING
•
I'I
Community Development DepartTent ,
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 ie-roofing:
2. New roof coverings shall not be apphedwithout fust 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,
1 'so'a proper City inspection can be,per'for'med.
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 insyection 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 abovestatedpolicy on re-roofing.
Homeowner's Name: OK��F� Wt%LL1e{4M_:!5
Job Site Address: 10� C p
Roofing Company Name:
Applicant's Signature: Date: '�1 Idjp
Greg Casteel •
Building Official
Revised 11/2/04