08080221 (2) CITY OF CUPERTINOa -xk� '
BUILDING DIVISION PERK T �CONTRA�T,OR IN�,QRMA,TI®N.�"`
• BUILDING ADDRESS: PERMIT NO.
! 1D57. LAKE SPRING CT CASTILLO' S ROOFING 08080221
HER'S NAME: PERMIT ISSUE DATE
C11OU W7:1AA AM T HUA ET AL 1703 CATHAY DR 08/27/2008
PHONE: - SANITARY NO, CONTROL NO.
ARCHfIEC(ENGINEER: BUILDING PERMIT INFO
TEAR OFF EXISTING WOOD BLDG ELECT PLUMB MECH
O O O O
uOp LICENSED CONTRACTOR'S DECLARATION ' .._IohIIOSCTI IIOn
u� 1 hereby affirm Nat 1 am licensed under provisions of Chapter 9(commencing P
.nth Section 700M of Division 3 of do Bummuesse d Pfufcssivns Coda,and my license u
in full force amcmae 35 �3o'fS6 __. _ _-__ _ _____
i Liceme Cl
Cmtoasau� _
nfy Da¢T_
7 ARCNffECTS sedaspLA�understandsh —
I� ATIb
I understand my plans all W used u public mcoNs
ayU
g G Licensed Pon ideal
3 OWNER-exempE0.m the CoATION
1 hereby.(Rrm on 1 1. exempt from the Conmat Co License Law for the
O O following massa er CPM 1W str t.Business and Pmfe'ons Coda:Any dlY or county
3$ which requires a pmmil ru construct.apes.nfor such
h Nott,fi repair any structure,
_Z< prim N it issuance.also mquima lW applicantioofor Contractors
Lic rc signed(cakmam
Nat he is licensed pursuant to to provisions of to ConuacturilJcense Law(Chapter Sq.Ft. Floor Area Valuation
L�$ (commencing with Section 7000)of Division 3 of to Businw and Profesuom Code)or
i Nal he Y eaempl Blenefrom and BC Moana for Ne alleged eaempdon.Any violation of
Section 7031.5 by any applicant for a Permit subject the applicant m a civil penalty of ApN Number Occupancy Type
nm more dran five hundred dollars(gsaB). P Y YP
I.uowrcraf Nepopnty.mmyuoploywwiN"psufte vele mpewdon,
will do tewok and Ne swclum is notintnded oroRemd for cak sec.1014,Buunw
and Proteins.Code:The Contractors License law does net apply m an owner of Required Inspections
own employ=.
m loy builds mire proves NemoasedwW me aalnuunddorr •IfarNmugh his
own ver.the
improvattruchement
improvements art ne year fc mpledo .for cafe r.
f.
however,Ne building or Wprovemmd Ice sold within one year of completion,Ithempose
ore of
builder WB have Ne burden of proving Nat he did rot ddb m improve for purpom of
sole.).
❑1,as owner of the property.am eache ively...meting it licensed contractor to
construct due project(see.8314,Basioess and Professions code:)The Comraamrs U.
cense law does not apply to an swam of property who Wilds or improv dcreon.am.
who contracts for such project wit a canm sur(s)licensed pursuant to Ne Contractor's
Ucease Law.
Iameaemplunder See .B&PCfm Ntmuon
ou Dao:
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under pemiry of perjury one of dm following decluatiam:
❑Iha.eandwillmainWni CeruBcamof Cnnsenttomlf-imumlm Wm sCompen-
scion,as provided for by Section Tf110 of do Labor Code,for the performance of the '
wore for which Nis permh is issues.
0 1 have and will molmam Worece,Compensation Insurance,to required by Section
3700 of to Labor Code.1.me perforentux. (tho wore for winch this permit.issued
My Woreefs Compeuation loss-nms,-carlrier and Policy number am:
Cartier. s 7 �,Z UAI Policy No.: _�7 DDO j
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(lbb account need rot W compko:d if to permit is formas hundred dollass(SIM)
m kis)
I ceelfy that in the Performance of the wore for which this Permit is issued.l shall not
employ any person in any remoter sou m become subject m the Worecri Compensadon
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If,after making Nu Ccnifica.of Exemption,you should
become subject to NC Wmluc a Compewuon provision of Ne Latour Cade you muse
O frokswith comply wit such Provision m Nu permit opsit W decreed mwk e.
Z M CONMUC ION LENDING AGENCY
[-••-+ Ihereby affirm NU Nem ka ronsvucd.lending agency for Ne pmform.of
a•7 dm work fee which Nt Permit'.issued(See.3097,Civ.C.)
fA 0 lenders Name
7 z L<ndefs Address
U Q 1 certify Nat 1 have read Nis appikatian and scat sive Ne above infonnW un is;
I2. coarct.l agree to comply wit all city and county amm ares and awe laws missing to
.p Wildini comm�rcuan.and hereby audorire representatives of Nu city m sew upon Ne
alpve-mentiorod property for inspection purposes
Hy (We)agree to can.indemnify and keep harmleu the City of Cupertino against
fA Iiabilides.judgment.costs and expenses which may in my way accrue against sold City
C)Z in conscgmrce of the granting of tit permit.
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH AL NON-POINT Issued by: Date rCYr�}
SOURCE EGULATIO �.�-7 B k
Re-roofs /
35iiiomp
fApplirmUCanuanor I Date �' v
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will do a Cupertino
m forum Wilding mcuhaptvom m handle Health a d Safety l
Bred by 25 Cupeniro Municipal Code.Chapter 9.12 and the HnIN and Safcry
.sesden zss3z(.)7
❑Yu r9lo All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtainingan inspection,I agree to remove
Will Ne tu,m ur or future Wilding occupant y A equipment or devices which Pe g
crop District? m sir canlaminirlu u defined by the Bay Arse Air Quality Management all new materials for inspection.
DiW cl7
I]Yes o
1have mad Nehua m=dri mquimmenuunder Chap) 6,95ofticColifor-
nuHeslN&Safely Cade.Se .25N15,25533am125534.Ioodcrsemdtniftc Wilding
does out currently have a UmmL Nu it u my msPumihility m mtify Na amupanl of the
mgnimmcnu wde ma at prier m issuance ofa Ccoif�f2upucy -l� Signature of Applicant Date
ow mar umodaedagent 7Datl All roof coverings to be Class'%ga'or better
CITY OF CUPERTINO
REROOF
•CUPEI'TIN0 PERMIT APPLICATION
� k02Z/
APN # Date:
IDIP 022.60 0�
Building Address:
15�3 I LAIze 5 �n
Owner's Name: J Phone #: ( U - �C I
It 1
0 o'T
Contractor: Phone #: a5' 35&5
0- Pf-S I l l L95 S Va4/-Q Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ uilt-Up roof
❑ /Asphalt Shingles V/Asphalt Shingles
V Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Na�ber of existing coverings LiProvide I.C.B.O. Report#
�✓TO be Removed ❑ Provide Mfg. Installation Specs.
Job Description: —� o �.� exy�fW004 Sha.(ceS nb+P,II Orb .
ahc� A (1I1fF- 9rMr_)d CAr)VM Conn, , Sh, n6LS .
Residential E97 Commercial ❑
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuatio
•I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
S na re
Revised 6/16/08
CITY OF CUPERTINO
REROOF •
CUPEI,TINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
IREROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE. Seismic Residential B
IBUSLIC Business License B
Revised 6/16/08
•
Community Development Department
Building Division
• City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408) 777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m."
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off 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
Greg Casteel
Building Official
Revised 8/13/04
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 2007 IBC Standards
and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino
municipal code 16.04.080.
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: f�n
Job Site Address: 15j5 La ke_ G
Roofing Compan;Name: n L s
• Applicant's Signa & Date: D�
Greg Casteel
Building Official
Revised 07/30/08
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OCUPER,TINO
Building De aAment
JOB ADDRESS: f PERMIT #
551 Lake e,-,,Pr i n C.+ Ffl(fb2--L-/
OWNER'S NAME: Gh p U PHONE # -3SCo5
GENERAL CONTRACTOR: QPtzr>T\C-\,C S YE FAX # S ,
I am not using any subc acto
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
a
Owner/contractor Signature Date
• CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN 36654022 . 00
DATE ISSUED. . . . . . . : 08/27/2008 '
RECEIPT # . . . . . . . . . : BS000005925
REFERENCE ID # . . . : 08080221
SITE ADDRESS . . . . . : 11551 LAKE SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHOU WILLIAM T HUA ET AL
ADDRESS . . . . . . . . . . : 11551 LAKE SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5120
RECEIVED FROM . . . . : CASTILLO ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTILLO'-S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
• CITY/STATE/ZIP SAN JOSE, CA 95122
TELEPHONE . (408) 251-3565
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -- ----- ---------- -------- ------- ---------- ----------
IBSEISMICR VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
1REROOFRES SQ FEET 18. 00 234 . 00 0 . 00 234 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 234 . 90 0 . 00 234 . 90 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
---- --------------- --------------------
CHECK 234 . 90 15304
---------------
TOTAL RECEIPT 234 . 90
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------- ------ --------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS _ - " 605 FINAL REROOF