Loading...
07090009 ------------- CITE'OF CUPERTING BUILDING DIV131ON PERMIT � � INEd M T�©N• PERMIT NO. BUILpI)lr QRESSRA. INTREE SPRING CT CASTILLJ' 07090009 S ROOFING l l y PERMIT ISSUE DATE OWNER'S NAME: BELLE TFENG 1703 CAr.'HAY DR 09/04/2007 — SANITARY NO. CONTROL NO. )NE: (408) 25'--3565 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH ZLICENSED CONTRACTOR'S DECLARATION V0 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description ZU with Section 7000)of Division 3 of the Business and Professions Code,and my license is TEAR OFF OLD ROOF & INSTALL #30 LB. FELT, & y in full force and cff5rt Lia ft U INSTALL GAF MATERIAL GRAND CANYON. ? License Class C. _ LM Date -t1—C'7 ContjA ARCHITECTS A N i a< I understand my plans shall be used blic ords W U ,a U.N Licensed Professional t y OWNER-BUILDER DECLARATION > 1 hereby 31TM that I am exempt from the Contractor's License Law for the Co following reason.(Section 7031.5,Business and Professions Code:Any city or county Ii which requires a permit to concoct.alter,improve,demolish,or repair any structure t Z y prior toits issuance,also requires the applicant for such permit to file a signed statement Valuation _ that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area h 7 O O 0 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or 7 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of Number Occupancy Type not more than five hundred dollars(5500). 3665404L . `171I ❑1,as owner of the property,or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:'Ilse Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and. who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. ❑I am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑I have and will maintain a Certificate of Consent to self-insure for Workers Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑1 have and will maintain Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Workces Compensation Insurancecarrierand Policy number arc: Carrier. ��C 7//t'9' Policy No.: 2 3-E M40 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars(S 100) or less.) I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workcrs'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. z Q CONSTRUCTION LENDING AGENCY (~ tom. I hereby affirm that there is a construction lending agency for the performance of x > the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name L.ender's Address U 0 1 certify that 1 have read this application and state that the above information is t correct.1 agree to comply with all city and county ordinances and state laws relating to r� U building construction,and hereby authorize representatives of this city to enter upon the } W above-mentioned property for inspccuon purposes. (Wc)agree to save,indemnify and keep harmless the City of Cupertino against y y (n liabilities,judgments,costs and expenses which may in anyway accrue against said City 9 L U`Z in consequence of the granting of this permit. Date APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b): SOURCE REGULATPONS. — 6 - %'L/`0 Re-roofs Signal Applicani/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Wil c applicant or future building occupant store or handle hazardous material as dcrined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes ❑No If a roof .s installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Ycs 0N _ 1 have read the hazardous materials requirements under Chapter 6.95 of the Calitqr- l 2 nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building � � l/� �J y C / does not currently have a tenant,that it is my responsibility to notify the occupant of the requirements whit must be mel prior to issuance of a Certificate of Occupan igna urc-of Applicant Date All roof coverings to be Class"B"or better mer or uthorized agent Date —'--- CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk.: Lot: APN 36(54041 .00 DATE ISSUED. . . . . . . : 09/ 04/2007 RECEIPT #. . . . . . . . . : BS(00002545 REFERENCE ID # 07(90009 SITE ADDRESS . . . . . : 11_1-79 RAINTREE SPRING CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER BELLE TFENG ADDRESS . . . . . . . . . . : 11`)79 RANTREE SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5123 RECEIVED FROM . . . . : CASTILLO'S 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 ---------- ------------- ---------- ----------- ---------- ---------- ---------- BENERGY PERMIT FEE 137 .16 65 .84 0. 00 65 .84 0. 00 BPERMFEE VALUATION 7, 000. 00 137 .16 0. 00 137 .16 0. 00 BSEISMICRE VALUATION 7, 000. 00 0.70 0. 00 0.70 0. 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 203 .70 0. 00 203 .70 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 203 .70 #14692 --------------- TOTAL RECEIPT 203 .70 X10 000q CITY OF CUPER`I`INO CUPERTINO PERMIT APPLICATION POLI APN# 3 r _-_30 0 Date: Building Address: Owner's Name: 6hone#: Contractor: License#: Contact: Cupertino Business License #: Type of R)of Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ 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 Cul)ertino's Tear Off Policy: ❑ Job Description: -'.e are- v� O fzc C � i Yl 4 CA P MA+ejZ_j#+L Residential Commercial Ey Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Cost of Project: Type of Construction: Occupancy group: Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE I;ldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING 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 Prior to Perrnitissuance, }rvu 11 afire to compiy witI1 1_'K97 U13C Stcmdarcis and manufacturers specifications on re-:oofing. 2. New roof coverings shall not be applies without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the bui':ding 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 matE rial 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'),e 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 fie job site at the time on inspection. I understand and will comply with the above Mated policy on re-roofing. Homeowner's Name: �P , Job Site Address: Roofing Company Name: J ( L 1� 5 �t'► —1 Applicant's Signatftr - Date: q _ q Greg Casteel Building Official Revises 11/2/04 Community Development 10300 Torre Avenue It f� g. Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 7UPEkTINO Buildin7 De artment JOB ADDRESS: // PERMIT # 01 G 17-�-761 6ee, OWNER'S NAME: (bC k(f-- PHONE # �g I-5f57(0,5 GENERAL CONTRACTOR: M U S -i FAX# I am not using any subcontractors. Signature Date Please check applicable subcontractors and com:)Iete the following information SUBCONTRACTOR BUSI14ESS 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 q_�� Owner/Contractor Signature Date CITY OF C'UPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 3661,4041.00 I�I� DATE ISSUED. . . . . . . : 09/04/2007 RECEIPT # . . . . . . . . . : BS000002545 REFERENCE ID # . . . : 0701'0009 SITE ADDRESS . . . . . : 115`'9 RAINTREE SPRING CT SUBDIVISION . . . . . . . CITY . CUPERTINO IMPACT AREA OWNER BELLE TFENG ADDRESS . . . . . . . . . . : 115"9 RANTREE SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5123 RECEIVED FROM CAS`..'ILLO'S ROOFING CONTRACTOR JOSE CASTILLO LIC # 25850 COMPANY CAS`..'ILLO'S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 4,1/ - TELEPHONE (4M0251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ------- BENERGY PERMIT FEE 137 .16 65.84 0. 00 65.84 0. 00 BPERMFEE VALUATION 7, 000. 00 137 .16 0. 00 '� 16 0. 00 BSEISMICRE VALUATION 7, 000. 00 0.700. 00 0.70 0. 00 TOTAL PERMIT 203 .70 0. 00 203 .70 0. 00 r METHOD OF PAYMENT AMOUNT REFERENCE NUMBER I / ----------------- --------------- -------------------- l/ CHECK 203 .70 #14692 TOTAL RECEIPT 203 .70