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08020050 (2) CITY OF CUPERTINO *_••^'tea Fes' '* l� '�`�' ' '• " 'BUILDING DIVISION PERMIT ;C,'U1KA.CURXtUTATI�J„1 ' ' BUIL 1 G D FSS: PERMIT NO. JOHNSON AVE WESTSHORE ROOFING INC 08020050 19 ER'S NAME: PERMIT ISSUE DATE CHU LIN 2814 AIELLO DR C 02/08/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITEC(ENGINEER: BUILDING PERMIT INFO TEAR OFF 1 LAYER OF TAR AND BLDG ELECT PLUMB MECH O O O O 38j LICENSED CONTRACTOR'S DECLARATION b)]�SGxi Ikon 1 hereby affirm that 1 an licensed under provisions of Chapter 9(commencing -•^ -�^^ ^—-- ^^^ Gp ¢uF� with Sceuon7OW)of Divialon3ofde Busincuand Profession Codo.andmylicenseu o<<p N in full force and.fe!,L 2 1 Z Licenw I fi Lk.N Z- �o Date CL motor 11-1 Kz"P_ ARCHITECTSECTSDECLARATION 1 understand my phos shell be used M poetic mcnNa s 5 C Licensed Professional gm OWNER-BUILDER m Ce CormsON 4<i 1 herohy.Rimm Nati 1. exempt from the COntnactoh License c law for the C II o following moon.(Section 70 rear,Business,-un. end hnfexsimil Code:Any city an county S$ which mquims issuance.permit re cnosS the altec,improve,h Permit t or mash any ewment cture _Zy pdormitsensedalhe eculto Ins dovisio so for such Permit to iecomfile a Law(ned statement €� that he I.licensedwit purwant taut)p DMA. Sof Convector a Llcenclaw(ChoPter9 Sq.Ft.Floor Area Valuation 3 (commencing I,exem with Section7(s)(3)and ti basis 7 of 0te Busalleged surand Profession Com1wi,.car — Net he ts exempt therefrom and dm bssu for de alleged eumption.My violation of Seodon 7031.5 by any applicant for a permit subjects de applicant to a civil penalty of APN Number Occupancy Type net mart than Ove hundred dollars(5300). o 1,u owner cribs Property,or my maployeu wile wages as their sets cmmpenadon, will do the wart,and thestructure is unintended oronered pertain(See.7014,Business Required Inspections and Prefessiaru Code:The Contractors License Law does net apply to In owner of q p pmperly who builds or im pteves thereon,and who doea such work himself or through his own employoea provided that such improvements arc not intended aro@rod forsake.If, however,the building or improvement issold within ane year of completion,the owner. builder will haw the burden of proving Nu be did ret build or improve for purpose of sats.). L an owner of the property am uelusively contracting with licensed contractors to .tract the prokm(Sec 7044,Business sees Pro(esalon Code:)The Cmarector's Li- cane law does net apply m an owner of Property who builds or Interests Burman.and who cewsaws for such projects with aeontm earls)licensed pursuant to the Contractor's License law. ❑1 am exempt under See. .B h P C for this maws 40 se Dam WORKER'S COMPENSATION DECLARATION I hereby alarm under penalty of perjury one of de following dechration: ❑Ihaveandwillmaintaina C= fieskofConunttowl(-intimforWorkcrsCompen- known,as provided for by Section 3700 of the labor Code.for the Performance of the work for which this permit is issued. ❑I ban and will maintain Worker's Campemaian Insurance,as mquimd by Scedw 3700 of the labor Code.far the performance ofdte work for which this permit is Issued. ' My Works s Compensation Insurance caries and policy number art: ^1 Cartier: CER FIC 7'L•VI Policy No.:F007-66 Q—Z UP EKPMPTION FROM WORKERS' COMPENSATION INSURANCE (This=ties not W cempldted If Its Permit Isforow hundred dollen($100) or leu) 1 certify Net in the pall....of me work for which die permit is!good.l shall am employ any p=rwn in any manner so as to become subject o the Workers'Compenadon Laws of California.Dem Applicant NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should become subject to lire Waheh Compensation previsions of the Labor Cede.you most Qforthwithfowith comply with such provisions or this permit shall be deemed revoked. ,zt CONSTRUCTION LENDING AGENCY Fr 1 hereby amort thus dem is•conwcuse lending ag)my to,dr performance of �i > do work for which this permit Is issued(Sec.3097,Ch,C.) GQ Lender's Name .`D z Lenders Addrm U Q 1 certify that I have rad this application and stem that de above information is . LLI eormcL I agree to comply with all city and county aNimnces and smk laws minting in - -C) building construction,and hereby authorise representatives of this city to enter upon the W alrove-mentioned Property for inspection Purposes L5. (We)agree to save,indemnify and keep harmless de City of Ctmind.against y Ilabilides.Judgments,costs and expenses which may in any way acerin against said City U In consequence of the granting of this Permit. ^' APPLICANT UNDERSTANDS AND WILL COMPLY Issued byDate sOURC N D Re-roofs _ t ppli HAZARDOUS MATERIALS DISCLOSURE Type Type of Roof Will the applicant or futum building occupanteme,or handle haaardohs material deMcd by thus,Cupeniw Municipal Code.Chapter 9.12 and the Health and Safety .Section 25531(.)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes Well the applicant or future building aceupant caw equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove emit henndous air contsmmants g dcfind by the Bay Area Air Quality Management all new materials for inspection. Disuict? ❑Yes /�M' I have mad the hays, mmeriW requirements under Chapter 6.95 ofde Califon. r nu Health @SafetyCode.Section 25505,25533 and 25534.I undersand that if the Wilding does not comedy have a tenant.that it'u en meponiIn. to sou dm occupant n(de nequlmmcntswhichm prier be iuvanc o(Occupaacy. gnature of Applicant. Dat D or orirmag=m D All roof coverings to be Class"B"or better • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37518037 ._00 DATE ISSUED. . . . . . . : 02/08/2008 RECEIPT #. . . . . . . . . : BS000003891 REFERENCE ID # 08020050 SITE ADDRESS . . . . . : 10341 JOHNSON AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHU LIN ADDRESS . . . . . . . . . . : 10341 JOHNSON AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PAUL FOWLER CONTRACTOR . . . . . . . : PAUL FOWLER LIC # 21417 COMPANY . . . . . . . . . . : WESTSHORE ROOFING INC ADDRESS . . . . . . . . . . : 2814 AIELLO DR C CITY/STATE/ZIP . . . : SAN JOSE, CA 95111 • TELEPHONE . . . . . . . . : (408) 694-0060 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- --------- ---------- ---------- 1BSEISMICR VALUATION 6, 000. 00 0. 60 0. 00 0. 60 0. 00 1REROOFRES SQ FEET 9 . 00 117 . 00 0. 00 117 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 117 . 60 0. 00 117 . 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 117 . 60 MASTER CARD --------------- TOTAL RECEIPT 117. 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 • CITY OF CUPERTINO REROOF •CUPE'RTINO PERMIT APPLICATION APN # ,15 l b 037 . 06 Date: O Building Address: I ©3 u 1� 5o I 0�I VI /� I Owner's Name: Lh V Phone #: �p 2ss Contractor: �Je5tt57IOYe Phone #: W 9C/ —0060 Fax #: �O 6Qy "005 ( Cupertino Business License #: I Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes a Wood Shingles a Wood Shingles Other (Specify) jAr 4 ravvl ,mother(Specify) f 3 -D A/v1.1 , Number of existing coverings ► a Provide I.C.B.O. Report# ,,zr_*`To be Removed ❑ Provide Mfgr. Installation Specs.. Job Description: �Ca v p�f �u y�y 0 t/ rv�AL gyzalveij V15 fir4 11 50 hill . 5 IM51,e ply R c&�- 5ys 1-ems, Residential Commercial El Fire Zone: Yes ❑ No Confirmed with Planning Dept. if . there are any restrictions: ❑ Valuation: � � mo I Have Rea derstand and Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO REROOF •CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roofMulti-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B IBUSLIC 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: C h 1/ I if kl Job Site Address: i l q I T(7(i1y1 SO t/t /`f Roofing Company Name: B d" V Applicant's Signature: Date: Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torre Avenue ai. Cupertino CA 95014 Telephone(408)777-3228 i CITY OF Fax(408)777-3333 CUPEkTINO Building Department JOB ADDRESS: 103PERMIT ## y � .�ov�nsor A v�2 . OWNER'S NAME: e I n c - PHONE # 6 GENERAL CONTRACTOR: Ko v FAX # I am not using any subcontractors:?��_-�_ —�–�� Z 8 o Signature r 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 8 lo Owner/Contractor Signature D to