06010055 (2) CITY OF CUPERTINO '
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION
BUILDING ADDRESS: WING' S ROOFING INC PERMIT NOQ 60100 SS
771 PART.F.TT PT,
M'S NAME: PERMIT ISSUE DATE
FANG YUNG-CHANG ET AL 3243 SYDNEY WAY 01/10/2006
ONE: SANITARY NO. CONTROL NO.
(510) 889-9068
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
uOp LICENSED CONTIlACTOR'S DECLARATION IobDescri tion
C 1 Mmby affirm that 1 am littmed under pmvisimu of Cooper 9(mmmeMing p
h wi,Sectio.7")ol'Divivon 3 of Nc Businw and Professions Code,and my license is
j ? L enforteenderfe 4 ��3 T/O WOOD SHAKE, INSTALL 15/32 PLY AND ASPHALT
License Classes Lic. p'
�— Date T`S1 ter SHINGLE t(['v��y�—
�44 y an shallWTS DECLAR ON u 9 )) fl�aA
Ka� 1 undcrwnJ my plans shall be used u public records rt ttllf �W*S3yV�j
a
o Livcnsed Professional
OWNER-BUILDER DECO �
RATION
M1!HI hereby affirm that 1 em exempt from the Conuacmr's License law for the �r�
/— 2006
O following moCo
on.(Sdon]113 L5,Business and Professions Cak:My city or county �I U
— which requires•permit m construct,elms.Improv,demolish,or repair any swmur, R p so a
prior to its Issuanc^also requires t applicant for such Permit re fdc asigne(sutemens q f Valuat ®'�t50
<
that M is license) unman,m Nc provisions;of the Contentment',license law Cha ter9 S Ft.Floor Area � S yp ��
yH$ (eommencingwith Scetimn7000)of Division3of Ne Busineecand Pmfeuions Co )or
.. Nat he u the b
exempt therefrom and baso for the alleged exemption.Any violation of L✓J fl(j `!
Section 7031.5 by awry applicant fora permit subjects Na applicant to.civil penalty of ppN Number Occupancy T e
net mmamanfive bmndmddollars(ssw). 31646052 . 00 rp y yp
❑I,u ownu of 1W property,or my employem with wages u them rete compcnuuon,
will do the wort,end toeawcwm is not intended oro@red forsde(Stt.7014,Buis(..
and Professions Cron:The Conummea License law does not apply to an owner of Required Inspections
property who builds or improves thereon,and who does such work h imself or through his
own employ=,provided that such impro maene,sin not intended oroffered for sale.IL
however,the building or improvement Is mid within one year of completion,the owner.
builder will have tin,Wooden of proving that W did not Wild or improve for purpose of
sale.).
❑1,as owner of the progeny am exclusively contractin6 with licerued conhuenrs to
cmutmct the pmjem(Sec.7014.Business and Professions Code:)The Contravenes U.
cove law dors not apply m an owner of property who Wilds or improves themon,and
who contracts for such projects with a eomrxtor(s)licensed Forecast W the Conuactoes
Li,C.law.
E:1 I am exempt under Sea .B&PC for this reason
el Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under petalty of perjury one of the following declarafions:
1 haw and will maintain a Certificate of Consent to selLinsure for Worker's Compere
salient u provided for by Section 3700 of the labra Code,for Ute performance of the
work for which this permit is issued.
❑1 have and will maintain Workees Corepeuadon Insurance,as tequimd by Section
3700 of the laWrCode,for the performance of the wash for which this permit is issued.
My Worker's ons satin sursuce nim and Policy number ase:
Cartier. Policy No.:
CERTIFIC TETE OPTION FROM WORKERS
COMPENSATION INSURANCE
(This section need not W compIcuN Ethic Permit Is forene hundred dollars($1x)
or Mu)
I certify that in the performance of the work for which this permi,is tweed.I shall not
employ any person in any manner x as an became subject o tW Worker'Compensation
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,aper making this Certificate of Exemption.you should
become subject x the Worker's Construction provisions of tW Labor Code,you am
.J O forthwith Comply with such provisions or this Permit shall W deemed invoked.
Z y CONSTRUCTION LENDING AGENCY
[—i l hereby affirm that them is a construction lending agency for the performance of
!Y the work for which Nu permit is issued(S..3097,Civ.C.)
V.1 A landces Name
Z)z Lender's Address
U 0 1 certify Nat 1 have read this application and mute Nat tbe above inrosmdiun is
I4 H Comer,I agree to comply with all city and county ordinances and state laws relating to
0 Wilding construction.and hereby auhorim representatives cretins city to enter upon the
Fshove-mentioned Property for inspection Purposes.y (We)agree tin save,indemnify and keep harmless the City or Cupertino against
UZ in Coiduunce of thecosuang of this expenses which may in any way ettrvc agaiut mid City
Z APPLIC NT of DERSTiNOSNisD WILL Issued by: Date
^ APPLICANT NDERSTANDS AND WILL COMPLY WITH ALL NON-PAINT
SOUR E EG CATIONS. 6/
o U Re-roofs
signal fA li Data
HAZA DOGS MATERIALS DISCLOSURE Type of Roof
Will the applicant' future Wilding occupant score or handle hasoCcus material
as defined by the Cupertino Municipal Cade.Chapter 9.12,and the Health and Sarety
c,Section 25532(.)? 5,�
❑Yet rmNm All roofs shall be inspected prior to any roofing material being installed.
Will Ne.applicant or It t�mx Wildin occupant use a If a roof is installed without first obtaining an inspection,I agree to remove
OP B . equipment Qu or)wins which g p
it haaardous air conuminanta u JcfincU by the Bay Arca Air Quality Management all new mat rials for inspection.
sate,?
❑Yes u
I ban the
crials requirements under Chapter 6,95 Crum Califor.
nicer notuSalm Code.Sections 25505,2MYim,and 2553d.lunintsund Netifthe Wilding
Jury not curtcnJy ave a tenons that it u my responsibility en notll' the aceta t of Uc
mgmmme' wrc must Wme,Pon rximmanaof.canirtcatea �em SignatureofApplicant Date
Dome,m m, 'redagcn 1Dam All roof coverings to be Class"B" or better
CITY OF CUPERTINO
m 1 of 1 PERMIT RECEIPT OPERATOR: christya
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 31646052 . 00
DATE ISSUED. . . . . . . : 01/10/2006
RECEIPT # . . . . . . . . . : 32737
REFERENCE ID # . . . : 06010055
SITE ADDRESS . . . . . : 10271 PARLETT PL
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : FANG YUNG-CHANG ET AL
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2016
RECEIVED FROM . . . . : LARRYS
CONTRACTOR . . . . . . . : CHEA, WING LIC # 21240
COMPANY WING' S ROOFING INC
ADDRESS : 3243 SYDNEY WAY
CITY/STATE/ZIP : CASTRO VALLEY, CA 94546
TELEPHONE . . . . . . . . : (510) 889-9068
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
----- - - - -- ------------- -------- -- ---------- ---------- ---------- -- --------
BPERMFEE VALUATION 10, 000 . 00 169 . 56 0 . 00 169 . 56 0 . 00
BSEISMICRE VALUATION 10, 000 . 00 1 . 00 0 . 00 1 . 00 0 .00
------ - --- ------- - - - --- - ------ ----------
TOTAL PERMIT 170 . 56 0 . 00 170 . 56 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
------- - - ----- --- ----------- - ------------------
OTHER 170 . 56 VISA
TOTAL RECEIPT 170 . 56
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
CITY OF Fax: (408) 777-3333
CUPEkTINO
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 LC.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: a ` t---
Job
Job Site Address: L D 2-7 C�
Roofing Company Name: I. le:
Applicant's Signature:
Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
06, � � o �
S
CITY OF CUPERTINO
REROOF
IrCUPEI,TINO PERMIT APPLICATION FORM
APN # 3 1 L y / 0 ,; a , 0 0 Date: /u
Building Address: (O
Owner's Name: CSI Phone#: / _ v
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Contractor: Phone#: License A-
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! `S 'rrnl - dC 5 Ga 8� �6(�
Conta,ct�: JJ `` Phone#' Cupertino Business License#:
W r C' G� cpD�S'o6 _ON
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Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Asphalt Shingles K Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ 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 ert'n 's Tear Off Policy: ❑
Job Description: Zt IWJoof- 64VJD �y
Residential Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Det. if
there are any restrictions: E
Cost of Project:l� Type of Construction: Occupancy group:
Qty. if
Applicab e Fee ID Fee Description Fee Group
BPERMFEE Bldg Pen-nit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING