Loading...
05090094 (2) CITY OF CUPERTINO k = «x�«+ i .' � ` x % ` BUILDING DIVISION PERMIT it RACTnR,INFORMATI®N BUILDING ADDRESS: MDC ROOFING PERMIT H0.0509OO94 10581 E ESTATE DR OW NER'S NAME: PERMIT ISSUE DATE SUNG JOON KIM 1612 TRIESTE CT 09/14/2005 NE: SANITARY NO. CONTROL NO. (408) 271-9548 ARCHITECT'ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB - MECH Abp LICENSED CONTRACT'OR'S DECLARATION Fp 1 berchy affirm that I am l econed under provisions of Chapter v(commencing Job Description ?W with Scedon7W0)ofDivision 7ofthc Busincxea dProfcuinm Jc,and mylicenx is vi In m0@rce and effect. O 7 REROOF--TSO SHAKES/INSTALL SHINGLES j License Class Lic.N o Date-Comract0rLIP, P� s ARCHITECTS DECLARA O I understand my plans Mall W used as public records a� � Licensed Professional ` S OWNER-BUILDER DECLARATION , ���ppp qqq pp a.0 1 hereby affirm onthat I70 1. aurin from d1e Contractor C s License Law far the � � ,�i sr-a O following mason.(Section]ID 1.5,Business and Pofessinns Code:Any city or manly (fkY )� r}r_" 5 w which requires a ponnit to construct,eller,improve,demolish,or repair any someturc t, f $8250 y y;�, prior to its issuance.also minims the applicant(orsuch permino Rlc a signed statement Ya:O that be u is licensed Pursuano the provisions of the Contractor's Liamc Law(Chapter 9 Sq.Ft. Floor Area Valuation �i"$ (commencing with Section 70(0)of Division 3 of but Business and Profes5i0ns Code)of .. that he it;exempt shcrtfrom and be betas for the alleged cxempdom Any violation of Section 7031.5 by airy applicant for a permit subjects the applicant in a civil penalty of r ' `Occupancy Type .0,mart Nan five hundred dollars(5500). 1,As owner of the property,or my employes with wages as their sole compensation, will do Newark and amstrucmm is not intended or offered forsale(Sec.]W4,Business - In Hk sus;,a yaa and Professimts Cade:The Coesm ntrumea License Law donapply o an owner of Requirea-nspecsflot s o property who buildsor improves Thereon,andwho does suchwod himself or through his own employtrs,provided Nal such improvements are not intended oroffered forsale.If. however,be building or improvement is sold within one year of completion,be owner- builder will have the burden of roving d a M did not build or improve for purpose of sal,.). I,as owner of the property.am exclusively contracting with licensed rnnuacto u 10 conswct the project(Sea.7044.Business and Professions Code:)The Contractor's Li. conte law does not apply to an owner of property who Wilds or improves Norton,and who contracts for such projects with a combatants)licensed pursuant in the Contraco's License law. ❑ l am exempt under Sec. .B k P C for this..an IC314' ner Data WORKER'S COMPENSATION DECLARATION I hereby afrtrm under Penalty of perjury one of the following declarations: I have and will maintain a CcnlRasc of Consent to self-insum for WorkcYs Comper- an,u provided for by Section 3700 of be Labor Code.for be performance of be rk for which Nis permit is issued. have and will maintain Wofkcr's Compensation Insurance,as mquimd by Section of be labor Code.for be performance of the work for which this permit is issued. Worker's Come Gan Insurance ca d Policy number art: �srtier: Policy Na.:ll7e)n�til�i—g t75 EEWCA M OF EK EMPITON FROMWORKERS' COMPENSATION INSURANCE This xcGnn need not W completed if the permit is for one hundred dollars(SI W) or less.) 1 certify that in the performoncc of be work for which this Permit Is Wood,1 shall not employ any person in any manner to As in become subjccuo N¢Workere Compensation Laws of California.Data Applicant NOTICE TO APPLICANT:If,after making Nis Certificate of Exemption,you should Wcome subjat 0 be Worker's Compunssdan provisions of be,IaMf Cade,you meas .yO foMwith comply with such,...ismas or Nis permit Mall W dttmal revoked, CONSTRUCTION LENDING AGENCY f•.N-. 1 hereby affirm that Nero is a coostruction lending agency for tis perfurmane,of C[ Ne work fur which Nis permit is issued(Sec.3097,Civ.C.) (Z t; Lender's Name 4z Lcndcr's Address r1 t.)- I certify that 1 have.cad This application And state that aW sam, information is V.h winos.I agsa 1c comply with all oily and county ordinances and sole laws relating ito e U building construction,Omand lrcmby euNonpurposexnmives of this city to color upon do aahovemcntianW pmpcny for inspection purpnucs. (We)age,to Save.Indemnify And keep hernias BR City Of Cupef11n0 agdinel to liabilides,judgments,casts and expenses which may in any way accrue againasaid City Cy z in consequence of the granting of this permit. APPLICANT UIJDERSTA DS N L COMPLY WITH ALL NO -POINT Issued by: Date �- SOURC R ION /L q7 l-f Re-roofs Sigh re fAppbcam(Conuactor /R/-�/C/ lDae / HAZARDOUS ATERTI I) DISCLOSURE Type of Roof Will Nc applicant Or future building k.aspect stain or Mndu h Health anmaterial As defined tion the Cupertino Municipal Cook.Chap¢.9.11.and the Health and Safety Agj&ink.Scxion z5532(a)T No All roofs shall be inspected prior to any roofing material being installed. ❑Yes � /y'c� Will Nc applicant o" slur,building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove i1 hanrdnus air contaminants as dcrined by the Bay Area Air Quality Management all new materi Is for inspection. Cl Yet �No Ihave mal the hanNnusma¢rials requirements under Chapter&95 of on,Gn lifo / nix Health k Safel,Codc.ScNoa 15505.15533 and x5534.1 undcrsuad lhulithe Wilding does not cbrood,have a tenant,that it is my rapmeribility to notify be occupant of be / V require TenLi whKh mLLµW mel prla.Wi5aW11eC ora CCNfKaIC nIDLeupNCy. SiEntueof Applicant Date s to be Class "Bor better Owner or mahd odmagent Date All roof coven g " ,..,�., Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 UPEkTINO Building Department JOB ADDRESS: PERMIT # Q I 5'D fU O F C-� OWNER'S NAME: I PHONE # 1.9 z/ GENERAL CONTRACTOR: # 29n -0 (o I am not using any subcontractors: 7 O� Signature Date Please check applicable subcontractors and complete the following information: 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 a7au.. Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 CITY OF Fax: (408) 777-3333 UPEQ INO 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: Sr t n A Sz)c, n i la^ � f Job Site Address: 1© �Sf� S �,g F Ie s, Ca. 9s0 /.L( Roofing Company Name:,�,/J Applicant's Signature: Date: 0- S Greg Casteel Building Official Revised 11/2/04 Printed an Recycled Paper CITY OF CUPERTINO U c, ' REROOF C CUPERTINO PERMIT APPLICATION FORM APN # � / ^ � Date: Q/I Building Address: g�. Owner's Name: Phone#: Soal Contractor: Phone#: License Contact: Phone #: Cupertino Business License#: ' u L Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles )k Asphalt Shingles ,Cr\ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# ,K To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑ Job Description: Ge a a( - 7055m)Oo Residential K Commercial 255 yca/ Stil g�f Fire Zone: Yes ❑ No )RF Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Project: o ,Type of Construction: 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