03010072 (4) CITY OF CUPERTINO 'X , �. 3
BUILDING DIVISION PERMIT CONTRACTORINFO";' AT . tit
BUILDING ADDRESS: WONG WILSON T AND SUSAN S PERMITNO.
10397 SOMERSET CT
OWNER'S NAME: APPLICATION SUB DATE
WONG WILSON T AND SUSAN S 01/13/2003
PHONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
Op LICENSED CONTRACTOR derpDECLARATION JobDescri tion
P 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing p
wi hllforcn]doffmaDivision3 of me BOsinea and Profaa¢ions Codc,and my license is
e• in enseClaandanea. CHANG PATO ROOF TO HIP
� 4 License Class Contractor
v,,
Dy' D01e Gon DECL ������®
q�q ARCHITECTS DECLARATION
y'+� I understand my plane shall h mud es public records ,
KOdU
to u. k� Licensed Professional U 7
yG3 OWol am euILDER DECLARATION Connector's
2003
HU 300 1 herchy.(diem Nat 1 1. exempt from the Contractor's License Lew for the FEBY�
m—p 0 followwhich
guires aPermit
(Section]03LS,Business and Professions h,Or Code: to city orcounty
which requires a permit Int requires
alwc improve,demolish, file
repair any struchrc
ro$y thatheor isocense purse reto the thovisio antsof for such permit fofiensesignedwstatement iiial III villas
00ation
� � efirmam',innudpursuant to he provisions of thehe Buinessnd Professions
Code)or Sq. Ft.Floor Area
$ 'am a Is exempt
pt Bactseceron ium
and the
Division r aftheeged exempt Professions Cade)of
.. Net io Is exempt Therefrom and the basis for the alleged exemption.Any violation of
Section me Basin
anyapplicant do]$..for aPermit subjects the applicant m.civil penalty of Occupancy e
not more man rave hundred donors(gsuol P y Typ
D I.as rwner of he property,or my employees with wages as their aide mraper ation,
will do me work,and me strvclure is not intended oroUered for sale(See.7044.Business 305 — FRAME -
and Professions Code:The Contractor's License Law does not apply to an owner of307 - INSULA' ed Inspections
propeny who builds or improws themon,and who does such wark himself or through his
own employees,Provided thatsuch improvements ere not intended oroBand parade.If, 601. — ROOF TEAR OFF
however,the building or improvement is sold within one year of completion,the owner-
builderwillhavetheburdenof proving Nat he did not Wild or improve forpurroseof 602 - ROOF PLYWOOD NAIL
.]a)' 603 - ROOF BATTENS
D I,as owner of he property,am exclusively contracting with licensed contractors to 604 - ROOF IN-PROGRESS
construct due project(Sec.]044,Business and Professions Code:)The Connector's U.
cense law does not apply to in owner of property who Wilds or improves thereon.and
who contracts for such projects with aconoactor(s)licensed pursuant to the Contractor's
as Law
.
em axe/77pppl unp�rei,Sa. ,Bid !.
&P fOf is reason -
Ow r SA_o_Dale �S
w�-WWOIIiiT�cCE``R''CO N DECLA
1 hereby elrtrm under penalty of ury ane of the following deduatiom:
I how and will maintain acenineare or consent in self-Insude for Worked Camped-
sation,as provided for by Section 3700 of the Isbor Code.for me Performance of the
work for which his permit is issued.
D 1 have and will maintain Worker,Compensation Insurance,as required by Section
3700 of the Labor Cade,for to,performance of the work for which this Permit is matted.
My Workers Compensation Insmvtce carrier and Policy number are;
Carrier: Policy No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed ifft Permit is formic hundred d.11ms(1100)
.ries..)
employ certify hat in the patio Ince of he work fo which Ihis permit is issued;l shell not
LoC rson Inner n 1 < e t eWorkers'COmpcnseti.n -
Iasrciia I�P�e�. 'iF!^2"
AppEra. .f
NOTI APP InC th ton,you should
Wcome subject to the Workers Compenssl n provi' t s of the lahnr CSNe,you must
OO forthwith comply with such Provisions fir his permi sh 11 W ranted revoked.
CONSTRUCTION LENDIN ENCY
I Newby affirm that there is a construction lending agency for the performance of
C4 Y he work for which this permit is issued(Sec.3097,Civ.C.)
aQ Lander's Nam.
.7 z I�nders Address
U O 1 certify that 1 have read this application and suite that the shove information is
Iy F correct.I agree to comply with all city and county ordinances and slaw laws misting to
0U building construction.and hereby authorize represenmlives of his city to enter upon the 2/J
Lk7 above-mentioned property for inspection Purposes. (
a (We)agree to save,indemnify and keep harmless the City of Cupertino against
„y to liabilities,judgments,costa and expenses which may in any way same against said City
U 7 A consequenceANTof the granting of this permit.
r7 APPLI ANT UNDE TANDS AND/r4COMPLY WITH ALL NON.POINT Issued by:S Date
S U ER ULa 0 5. n (//3 3
¢ /� Re-roofs
Signature o pplicanUContmcmrDaw
HAZARDOUS MATERIALS ISCLOSURE Type of Roof
Will the applicant or f dice building Occupant Stam or handle haaerdous material
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health mid Safety
Curia,Section 25532(a)]
❑Yes �1 All roofs shall be inspected prior to any roofing material being installed.
IOCVO
Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove
emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
Dyes IfRNO
I have read the harandauuss mmamrials requirements under Chapter 6.95 of the Califor,
nia Healh&Safety Codc SecdomY ,25333and25534.1undcrsmndthatifft building 1 /1>—a�•/-�(Lf�
does t c rdti ave a tenant, tit my warm sihilily m notify I rccupant of he
regni Ina nia mustWmel 'onolavanc rae.mfieaworOceaQ ignatureofApplicant ate
wncr or.oth.dzed agent Da, All roof covering to be Class "B" or better
O*ER-BUILDER VERIFICATIO
1. (Check one) I or my immediate family(parent,spouse or child) will perform:
• A. All the work authorized by this permit
B. _ A portion of the work
C. _ None of the work
If B or C is checked,complete 2 or 3 be
2. A state licensed contractor will be hired to do:
B
A. _ All of the work
B. _ A portion of the work(complete section below)
Contractor Address/City Phone # State License # Type of work to
be performed
• 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer(see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office..
PersorVTirm Address/City Phone Number Type of work to be
performed
.....................................................................................................................................................................................
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information(reverse\id ).
Property Owner's Signature: Date,/ _
Job Address: �T- ` o'((- Permit
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
Department.
City of Cupertino Building Departme
CI�F 10300 Torre Avenue
C U P F T I N O Phone: (408)777-3228
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself,you
may protect yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California incl to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work,with the exception of various trades that you plan to subcontract,you
should be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family,and the work
(including materials and other costs)is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors,then you may be an employer.
if you are an employer,you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding, federal social
security taxes,workers' compensation insurance,disability insurance costs,and unemployment compensa tile
contributions.
There may be financial risks for you if you do not carry out these obligations,and these risks are
especially serious with respect to workers compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenuu
Service (and,if you wish,the U.S.Small Business Administration). For more specific information about your
obligations under state law,contact the Department of Benefit Payments and the Division of Indust
Accidents.
If the structure is intended for sale,property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors'State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department,
City of Cupertino
Printed on Recycled Paper
Mr.6 Mn.Wawn T.Wang
10197 Somerset
�! C_?!rUno.CA 9501{ ^_—_�__—.. . --.--
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CUPERTINO CODES ANDIORDINAd ES APPROVED
- TRI-hC�6RdA CE WITH THE CITY QA
DATE ICU _11140 D ADRFStf MCS
SIGNED
— — ---Tffl set of plans and specitications MUST TATE -
- �be;-kept-oa-tlle-iob�ot-eN-timerandit-isplr• - STGIQE " - �t � � _
lawful to make any changes or allerajJons Ibis get Of Pfacs ailds r F i T
on same without written permissicn from oe kept on the job!at all times anc it is un'
the hiiilnjro"-Dept-,qty-of-Cupe-hno:._—. ----._ .
nges or a 'era tons
The stamping of this p:en and specifications_-_----. __-. • .:_ ....____ � _witho rt written_-permiss o Stem_•_.__ —
SHAICNO tie fi d to0.MI
r to bz ap the building Dept., City of Cupertir).
approyaLof �4A of rr C rv� BET pfJ� The
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)f any city rSte I a �T G r HALL NOT be held to erm t r ems__
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Ti nlf F9�0 /¢ ipproval of the violation of any provisions
---------._____ ,f any e;ty-erdinan a orstate-Lav� —
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THIS PLAN SHALL REMAlid ON__-_
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Mr.8 Mn.Wilson T.Wong
(I 10387 Somerset CL
CuperOno,CA 88014
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45.00°
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H]p Roof- Plan View
ommon Rafter Run= 14'-0" Main Slope= 4112 (18.4350) Common=3/4"x.9 1/4"
ommon Overhang= 1'-8" Hip End Slope= 4112 (18.4350) Hip=3/4"x 9 114"
Hip Rafter Slope=2.82112 (13.260) Ridge=3/4"x 9 1/4" ,
• Fascia=1 112"x 5 1/2" •
Easy Rafters from Attention to Deta/l Untitled 111112003 11:32:15 AM
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-S 1142 ,8
1116"
m
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6'1/2"
57/16'
1'-8" 13'-11 5/8"
Common Rafter
Slope= 4112(18.435") Common=3/4"x 91/4"
Run a 14'-0" Ridge=314"x 9 114"
overhang=1'-8" Fascia=1 1/2"x 5 1/2"
-leel=6 112" ' Ridge Allowance=3/8"
Seat-9 314" Adjusted Run=13'41 518" • •
asy Rafters from Attention to Detail Untitled / p3 97 SO iFSE7' ET.j 1/1112003 11:32.09 AM
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5 7116" 4�
2'-4 5/16" 19'-9 1/16"
450 bevels ___._ ___ __ 450 bevels
Hip Rafter
:
ommbn Slope= 4112 (18.4350) Hip Slope= 2.82/12(13.260) Common =314"x 9 1/4" Ridge Allowance=1/2"
lommon Run=14'-0" Hip Run=19'-9 9116" - Hip=3/4"x 9 1/4" Adjusted Run=19'-9 1116"
common Overhang='1'-8" Hip Overhang=2'-4 5/16" Ridge=3/4"x 9 1/4" CommonDlff 16"=V-4 718"
:ommen Heel=6 Hip Heel=6 7116" Fas1 1/2"x 5 1/2" CommonDiff 24" = 2'-1 5/16"
3ommon Seat=9 Hip Seat=1'-1 1/8" Hip*=1116"
Easy Rafters from Attention to Detail Untitled /QYy y S OMS l I 'i 1/11/2003 11:32:03 AM
4 77
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Comma, II
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1d-21/8"
6'-0 13116" �^
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7-103/16"
m
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•jacks are measured along longest edge
•jack measurement includes oeerhang
. •layout is on center from hip center to outside corners
Hip Roof-Layout (24" o.c. spacing)
Common Rafter Run=14'-0" Main Slope= 4112 (18.4350) Common=314"x 9 114"
Common Overhang=1'-8" Hip End Slope= 4112(18.4350) Hip=316"x 9114"
'Nip Rafter Slope= 2.82112(13.260) Ridge=3/4"x 9114'•
CommonDifference= 2'-1 5/16" • Fascia = 1 1/2"x 5 112"
CITY OF CUPERTINO 2
• CUPEkTINO PERMIT APPLICATION FORM
APN# Date:
BuildingAddress:
11R?7 CAIN �l
Owner's Name: one#:
T 48Y- 2s-7-0 22 2
Contractor: License#:
Contact: "CrAIG, Phone#:
Applicant/Contractor: Fax #:
Buil 'ng Permit Info:
Bld Elect Plumb Mech
Description: p �LA7 Ta ffr
Residential: To 1�64ii, �° 1G� mmercial:
Sq.Ft.Floor Area: X ^ 4� $/Sq.Ft.:
Architect/Engineer: g0' EValuatioln:Type of Construction: p:
uanti Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX —Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V<= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BNEWMULTI New Mul i-family Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
1 of