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08030011 (2) \ L //CITY OF CUPERTINO %a�As•�^' > »%��" ­ BVILDING rfIvISION PERMIT eCONTRACTQR NFQIt A ION BUILON DO ESS: PERMIT NO. ESTATES DR T D ROOFING 08030011 NER'S NAME: PERMIT ISSUE DATE KENNY & HOLLY TRAN 675 TULLY RD 03 LaiLIQ 0 ONE SANITARY NO. CONTROL NO. (408) 892-8872 ARCHMECTYENGINEEW BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 �09 LICENSED CONTRACTOR'S DECLARATION W 1 beraby aruunit t 1 am licemmm ad ander provision.of chapter 9(caaacing Job Description :z§ wiNSection 70(gBafOivlaion3ofdseBumareetndPrafusiosCoda,aMmyliccnseu RMV WD SHAKE,`INSTLD CONCRETE/CLY TILE 30#FLT ,<w. In murome nd rzA ,xy. ) g SCI ;4r' uanr I s ly 1 n_ Q Lk.a - " CLASS . TSC.MDECr ^� RCHITECTS DECLAR re A 28SQ i Z<, 1 undcrswnJ my plans shall be coed as Public rcc As jwU 'Qt; Licensed Professional H OWNER-BUILDER DECLARATION i I hereby alTim that I am exempt from the Contractor's Laanee Law for Ne :00 fallowing reason.Sadao 7031.5.Business and Pm(esume Code:My city 01..my m fl! which mrim..Permit to consnu d,alcor,improve.ti molbb,or repair any structure prior m its issuance.also requires the applicant for such Permit to file a signed statistical :�� thathe isllcansed pursuant the provisions o'Ne ComrazmeWacnse law(ChapRs9 Sq.FI.Floor Area Valuation 2 (commencing with Section 71100)of Division 3 of the Business and I'M asionw Coda)or 16 0 0(] J R$ shot he Is exempt thcmf ern and the basis far the alleged contraption.Any violation of Section 7031.5 by any appllcant for a Permit subjects the applicant w a civil Penally of lumber Occupancy Type am mom than Inn hundred dollars(11500). 36922010 .V�Num ❑1,u owner of the property,m my uoploycm with cages a de's sole campewdon, will dothassim"and the swnomittees License Law hot apply iMa.Budrcu Required Inspections and eny.h1.bu Calc The Committees Ga.e law dohs oro apply lf rt owner or q p - propenywhobisitch i i dtawa Neuron,and who doesationoo!orielfcar through his ownemploye.•provided Nat vemimprovementsare=yew dedcaraRerW the owner. builder, however,he buildings Improvement b sold awithin one year or improve for theepose of bam.). will have the burden of proving Nat he did rot build car improve for purpose of sok.). ❑1.as owner of the property,am exclusively contracting with licensed conuactm r in construct the project(Sec.7014.Business had Professions Cade:)The Conaacrh U- . crown Raw does em apply as an owner of property who wilds or minnows derma and. wW mmracsfar such propels wish a mnuacmro)Reasons pursuant r the contractions Lt..Law. ❑I am exempt under Sen ,B At P C for this mason nem Das WORKERS COMPENSATION DECLARATION 1 hereby a1Bm under penalty of perjury max of the following do:laruims: rl I ham said will maintain aCerufins of Consem wrelf-maure fm WahetsCanpcn- .son,as provided for by Section 3700 of the Labor Code,for the Were..of the ' work for which this permit is issued. IVand will maintain Worker's Compensation Insurance,u required by Saciion 3700 of the Labor Cade,for the ficefamaece of ma,work her which this perch is issued. My Worker'.Compensation Immanm carrier and Policy number aa: a JSmc,1 7 CrtierLS ( r Polity No.: ( 1 CERTIFICATEOF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thb s.tim need net becompleed if the permit is farm,,hundred doBan(11100) it,mos.) I cattily that in the performance of the wart for which this Permit is issued,I shall am employ any person in any manner so as to become subject to the Wmteo'Compainhodan Laws of California.Das Applicant NOTICE TO APPLICANT:If,after making this CeniOcam of Exemption,you should become sunt.,in Ne Worker's ComPeaeadon provisions or tine Labor Code,You mus .JO forthwith s with comply with such provisthisPenjil,mall W domed muted. Z"' CONSTRUCTION LENDING AGENCY (-..�. I herby aRm that shera b a construction lending agency for the Performance of a > Na work for which this permit Is issued(Sce.3097,Civ.C.) W Q Lender's Name z Lender's Address V 0 1 certify that I hale read this application she state that the above information Is W F correct.1 agree to comply with all city and county ordinances and stale lave ralating w OO Wilding convection.and hereby authorim¢poesemati.es of this city to enter upon the r W shove-menuoncd property for insP cuoa purposes. (We)ogre to save,indemnify and wap ham less Ne City of Cupertinoins agat ti h liabilities,judgmcns,corm and expenses which may In my way acme against aid City V in consequume o%Ns�� tint mNis Permit. L. APPLICANT ANDS AND WILL COMPLY WITH N -POIfJ]' Issued by: ' Date SOURCE RE / i 3 4 0 D Re-roofs signs— pplicmvconuanor Dam HAZARDOUS MQALS DISCLOSURE Type of Roof Will the applicant in future Wilding.cupantnore or handle hmudam manorial as dermd by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety 41 vide,Section 15532(¢)? ` „ All roofs shall be inspected prior to any roofing material being installed. ❑Yon F1Na Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hoommus air comaminanta as claimed by the Bay Area Air Quality Management all new materials for inspection. Diurict? ,ya f^Ny ❑Yes Ina mut hmardmsmamrials rtyuimmens under CbaPmr6.95 afthe Califor- n �r f/ /i� / 6 y no Health@ cafe ,Seco..15505,25533. Z534.1udersb aiflhe Wilding xffLlLl���•I•I/// (��J (, O does not cu nti ve a mnanL that it b my noape.ihilily w nose y the a pmt of the mgaimmm roma ,y,p{ior ama.f.cen;rym cap v Signature of Applicant Date O l l 3 O All roof coverings to be Class "B"or better Owner or so,arirzd agcm Dam • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . .. 36922010 . 00 DATE ISSUED. . . . . . . : 03/04/2008 RECEIPT #. . . . . . . . . : BS000004071 REFERENCE ID # . . . : 08030011 SITE ADDRESS . . . . . : 10810 E ESTATES DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : KENNY & HOLLY TRAN ADDRESS . . . . . . . . . . : 10810 E ESTATES DR CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4534 RECEIVED FROM . . . . : LESLIE A HOANG CONTRACTOR . . . . . . . : LESLIE HOANG LIC # 23155 COMPANY . . . . . . . . . . : T D ROOFING ADDRESS . . . . . . . . . . : 675 TULLY RD CITY/STATE/ZIP . . . : SAN JOSE, CA 9,5111 ® TELEPHONE . . . . . . . . : (408) 892-8872 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 16, 000. 00 1 . 60 0. 00 1 . 60 0. 00 1REROOFRES SQ FEET 28. 00 364 . 00 0. 00 364 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 365 . 60 0. 00 365. 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 365. 60 VISA --------------- TOTAL RECEIPT 365. 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF . . 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF ill O JO3 0011 CITY OF CUPERTINO REROOF OCUPEkT1NO PERMIT APPLICATION APN # 10 , w Date: 3 y 6 g Building Address: " In 1k to E & tatz> d�W Owner's Name: Phone #: Contractor: Phone #: g �� 1 p V-00 ' n `ta$ Fax #: `( a-93 Cupertino Business License #: Contractor License #: s9 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles 41 W Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles II rr ❑ Other (Specify) `iO Other (Specify) a k e - W(ca, b` Number of existing coverings ❑ Provide I.C.B.O. Report It �U To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: II i )jk o V e vv OOA S IV C.-(CQ- c-i( CL TA cL� k,\ LU-[ ::Lf. 30 6 -6 as/� g C Residential >P Commercial Fire Zone: YesEl No &P Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: -- I Have Re.d, nderstand and Will Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO REROOF OCUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B © 1REROOFRES Re-roof Residential B 1SFDWLR00F, / 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • 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: UN-Ock v-&-Y1 Job Site Address: 10 y, l O Roofing Company Name: i 11.. i Applicants Signature: � Date: Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torre Avenue no Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 IRUPEkTINO Building De artment JOB ADDRESS: 'n ' PERMIT # to S 1 o O $ 8 3 0 0 I OWNER'S NAME: oo, PHONE -1-q3 9 GENERAL CONTRACTOR ip v oo ` n c, FAX # qio .2- 3 /9 I I am not using any subcontractors: 3 1 o rnU Signature Date Please check applicable subcontractors and complete the o owin 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