08120011 CITY OF CUPERTINO
BUILDING DIVISION PERMIT :CONTRACT
QRIIVI''.ORMATTON: .._
BUILDING ADDIFf�.; �_._. PERMIT NO.
10756 ALDERBROOK LN PETER CONSTRTTrTTON f1 nni1
OWNER'S NAME: PERMIT Mlle DATE
}}}} ;•d r`,'B;7:33 Eti STE 52 sAyi'rc�(nM -�B9a CONTROL NO.
o
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
ELECT PO O RE-RF #30 FELT 50YR COMP CLS �e
u 0 G LICENSED CONTRACTOR'S DECLARATION
w C 1 kmby a rob that 1 am liccwcd under provisions of Chapmr 9(commencing A_ 12`5Q^1/2" CDX Job Description
=u= with Section 7M)or Diviven 3 oldie Buunw and Professions COdc.wd my license is
^.j H in full f..aM effett
j vh zcc Incense Clssa Is.N
=p Da¢ Conuacmr
e W7 ARCHRERSDECLARATIO!
; U IundmstanJ my plans alWlbe used.public Soo
u
O a is Licensed Professional
OWNER-BUILDER DECLARATION
I lemso affirm Nat 11. exempt from the Coons;Co :My c law for the
o following moon.(Section 7W 1.5,Business and ew.Professions;
de io i Code:Any coy Or Dante
whirl regWm a permit us cumtroct,slur.nttprow.dcmalW,ore aSig any structure
prim biuutwnce,alwnt W the theappRmnf to file Lac(Cha mot
E�0 that he acing it pursuant rothte ponvmuaf the Conusewr'S LJcewlaw(Clupter9 Sq.Ft.Floor Area Valuation
e�
i $ dust he Sadnn,andt(D aiisafrafNCeged Business My viCOdc)or
that Section u ea5 b 1MSefmm and the perm far de allegro exempdo.Any violation of -
an. 7ml.iw welood dollarar,pem,hSobjecu the appticanlm anvil penalty o. AYN Number Occupancy Type
not mare dun flow huMrM dollars(5500).
01,as Owner of the pmpemy.in my employees wlN wages in deb ml.pemadon,
will do the work and 0.someone Is not intended or offered for safe(See.7W.Somws
and Profrssiom de:Co The Committees License Law does not apply m a
So Owr Of Required Ifispections
property who builds or improv.dureon,and who dues ouch work himself or through her
Own employees,provided that such hoprOwou nu ate not intended oroffered for We.if,
however,the building or improvement is Sold within oa year of eempledon.the Owar-
buildcr will love the hordes of proving that he did not Wild or improve for purpose of
sale.).
0 1.as mon Of the property.am exchumwly com unng with licensed ce teamOe in
construct the projm(Sec.7(144,Business and Pmfecsiam Cade:)The Contrxwes Li-
ccw law does not apply m So ewer of property who builds Or imposes demon.and
who commcu for such projects with aconusemrts)licensed pussmnt in the Contracting
Liana Law.
0 1 am.emit under Sec. .B&P C Ins this Lesson
Ownv Due
WORKERS COMPENSATION DECLARATION
1 hereby afOrm under penalty of perjury me of the fallowing declantiom:
'ham and will matnuio•Ca6.uof Covent o seer-imam for WOrkera COmpen-
on,a provided for by Section 37W Of the Labor Cade.for the performance Of the
wok for which this permit is issued
0 1 have and will maintain Workees Compensation Insurance,as required by Section
37m of the labor Code,for the performance of the work forwhich this permit Is Issued
My Warkeea Compiowift.1ousen nce��t.q.in and Policy numbber
Carrier. C-4 s _`-!n tl Poliry m
No.:(0 1
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section aed not be completed if the permit is foreachundaddollan($I00)
or less)
1 unify that in the performance of the wort for which this permit is issued I shall but
employ any person in any mamicrso as So become subject rode Workms'Compewtio
Laws Of CallfooiL Dr•-
Appliant
NOTICE TO APPLICANT:If,after making this CeniOau of Exemption.you Amid!
beome Subject so the Workers Compi wdan provcvmu of the Union Codc,you mute
.J O forthwith..Ply its Such povuiam or Nu pe..t slit M Stormed rewkred.
Z M CONSTRUCTION LENDING AGENCY
[-+ I hermby afOmt that them is a construction Tending agency,for the Performance Of
!Yi the won for which this permit u issued(Sec.3097.Ci,C)
W Q Lenders Nun^
Z Landers Acid.
V Q I unify that I haw read this application and sue that the Show information is
W coven.I qra m comply with all dry and county oNinances and rnu law mining m
O building construction.and hereby Sothorim mprmenutiv.of Nn city ro enter upon do ^
W above-mentioned property for impecuan purposes //
by limiliu.WJudgmenu.costs and exntrpmu.wil whhiicch me, my wayiaeeeme.'ade.t and City
V Z to consequence of the Swung of NU permit.
�••� APPLICANT UNDERSTAN WILL COMPLY WITH ALL NON-POINT Issued by: Date/ /(
SOURCEREOULATIO -
,7 /Z D1��"�`6 Re-roofs (V/
Sigrmurc ofAMli�uConun
aor One
HAZARDOUS MATERIALS DISCLOSURE Type of Roof �-
Will tit applicant or future building oreupsnt pore or hanme harardom material
as de0ued by the Cupertino Mumcipal Coda.Chapter 9 12.and the Health and Safety
Cock.Section 255321)? a / All roofs shall be inspected prior to any roofing material being installed.
0y. D*o
Will the applicant or future building occupant on,equipment or&vices when If a roof is installed without first obtaining an inspection,I agree to remove
t h maw air cowam1;u fhncd by the Bay Area Air Quality Management all new materials for in ection.
vnT
❑Yes Nu
1 bout eW the Wv mmawHalsmgmmmcnuumkr Chipwr6.95oftheOsliror- nm
nuHealthk Salety Cade.Secomu 25303.25533 and25534.1 understand thatlfNC Wilding
dues of currently ham•mnanL. t it 4 my mope ndi lily be notify the Oaupant Of the
requirements which; arm woc.fa cemdeam or Occupmy. Signaturebf Appl nt Date
/? Q te 24 0
Owner onuNOri dgem Dam
3 All roof coverings to be Class's"or better
CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36920044 . 00
DATE ISSUED. . . . . . . : 12/01/2008
RECEIPT #. . . . . . . . . : BS000006721
REFERENCE ID # . . . : 08120011
SITE ADDRESS . . . . . : 10756 ALDERBROOK LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LIN CHEN
ADDRESS . . . . . . . . . . : 10756 ALDERBROOK LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4604
RECEIVED FROM . . . . : SUCK Y KANG
CONTRACTOR . . . . . . . : SUCK YONG KANG LIC # 29136
COMPANY . . . . . . . . . . : PETER CONSTRUCTION
ADDRESS . . . . . . . . . . : 1111 WEYBURN IN STE 52
CITY/STATE/ZIP . . . : SAN JOSE, CA 95129
TELEPHONE . . . . . . . . : (408) 529-6412
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ----- ---------- -- -- --- --
1BSEISMICR VALUATION 9, 500 . 00 1. 00 0 . 00 1 . 00 0 . 00
1REROOFRES SQ FEET 12 . 00 156 . 00 0 . 00 156 . 00 0 . 00
TOTAL PERMIT 157 . 00 0 . 00 157 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 157 . 00 VISA
TOTAL RECEIPT 157 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
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/s "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.
�G
Homeowner's Name: �LG� LGYL . W 7 l�Gyyti
v
ll
Job Site Address: ��y i4rl/ /�6L.tOr4�
Roofing Company Name:
GApplicant's Signature: Date: / 2--c> ^ od
SGreg Casteel
Building Official
Revised 07/30/08
1
CITY OF CUPERTINO
UN- REROOF
S CUPEf�TINO PERMIT APPLICATION
APN # Date:
Building Address:
/095 6 AIJeH bvrn K Ln. Ctip-erfo't-o - T of V—
Owner's Name: Phone #:
6ka"', tw, �, Uc*,P T xpo C,
Contractor: // 0 ' `� Phone #: 4.,,-
Ac�P cd)A S l LwCt' t° Fax #: J`
Cupertitho Business License M Contractor License #:
Type of Roof Covering:
Existing: Proposed:
• Built-Up Roof wilt-Up roof
• Asphalt Shingles Asphalt Shingles
'mod 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.
Job Description: 2-op C71 5ao
�%eq ( oSr °t^- �I a SS /.}" / yZn C]>x
Residential / 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.
Valuation:
A q,
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
•
Signatur
Revised 6/16/08
a CITY OF CUPERTINO
REROOF
CI OF
CUPER,TINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M I Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES ' Re-roof Residential B 1SFDWLROOF
r 1BSEISMICRE Seismic Residential B
1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
- I
IBUSLIC Business License B
Revised 6/16/08
•