Loading...
07090154 7777777 77777777 .7= CITY OF CUPERTINO BUILDING nr0SIOH PERMIT CT+C'1R IN +(}RMATIf3 '' PERMIT NO. BUILQII�G,/a"96-OTLAND DR AVALON CONSTRUCTION LLC. 07090154 l l l!� PERMIT ISSUE DATE OWNER'S NAME: MR. & MRS. TSAI 41882 CFADBOURNE DR 09/24/2007 SANITARY NO. CONTROL NO. NE: (510) 2E2-0980 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH p Z LICENSED CONTRACTOR'S DECLARATION Job Description w r 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing z with Section 7000)of Division 3 of the Business and Professions Code,and my license is RMV & I1`S TL NEW ASPHALT SHINGLES ROOF, CLASS A t=w in full force and effect- r n Z License Class Lic.# 137 :—E Date Contractor ARCHITECTS DECLARATION SQ FT 1/2 CD & 1 LAYER 3 0 LB FELT. i d a I understand my plans shall be used as public records )yU U.yLicensed Professional :O a OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the p O following reason.(Section 7031.5,Business and Professions Code:Any city or county which requires a permit to construct.alter,improve,demolish,or repair any structure prior to its issuance,also requires the applicant for such permit to file a signed statement r. Valuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 ,q.Ft.Floor Area $15000 e.t $ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or L r that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 36228021 .�Number Occupancy Type not more than five hundred dollars(5500). ❑I,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 offcmd for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law docs 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.). XI,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 exe t under B&P C for this naso Owne Date WdRKEio COM EN ION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a Certificate of Consent to self-insure for Workces Compen- sation,as provided for by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ❑I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Carrier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the perfomtance of the work for which this permit is issued,l shall not employ any person in any manner sus�Q�f !! t to the Workers'Compensation Laws of Cali(om Dar n C/! r'a"a Applicant I —� NOTICE TOA A a r making this Ccrtilgatc of Exemption,you should become subject to the Workers Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. Z, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.) W A Lender's Name 0 z L.cnders Address U O I certify that I have read this application and state that the above information is LL" correct-I agree to comply with all city and county ordinances and state laws relating to .J U building construction,and hereby authorize representatives of this city to enter upon the Lfa above-mentioned property for inspection purposes. Q. (We)agree to save,indemnify and keep harmless the City of Cupertino against r�r liabilities,judgments,costs and expenses which may in any way accrue against said City U,Z in consequence of the granting of this permit. Date P­4 APPLICAA4T UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by SOURC EGULATI S. Re-roofs Signature of Applicant/Contebdor Date Type Of Roof HAZARDOUS MATERIALS DISCLOSURE yP Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Cade,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. 13 Yes ❑No If a roof i 3 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 rr aterials for inspection. District? ❑Yes ❑No I have read the hazardous materials requirements under Chapter 6.95 of the CAifor- nia Health&Safety Code,Sections 25505,25533 and 25534.1understand thatifthc building docs not rrently have a tenant,that it is my responsibility to notify the occupant of the requircm'n which LbemetpriortujlssuanceofaCcrtificatc ratmpancr. Signature ofApplica Dat `/ -°7 All roof coverings to be Class "B"or better Owncr or authorized agc Datc 0-70 I ®iso CITY OF CXPERTINO '' REROOF CITY or CUPER,TINO PERMIT APPLICATION FORM APN# Date: c v 7 2b OU 00 Building Address: 014, Owner's Name: Phone#: �i 1•nSG{n T,� - 51ti TSS 09 - )s - 37 Contractor: czS c r C_cvu V. License#: �4s¢g aa-e1V f2 Contact: Cupertino Business License #: (Sze-) C_Pqep5le Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof 12 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 Cu:)ertmo's Tear Off Policy: Job Description: C D c b4a 4 e Residential Commercial ❑ 0-7 Fire Zone: Yes ❑ No [�-' Confirmed with Planning Det. if there are any restrictions: LJ Cost of Project: Type of Constru;tion: iW Occupancy group: Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING f 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 1. Prior to permit issuance,you must afire 2 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 apprcval. 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 f first obtaining an inspection, will require the removal of all new mat?rial down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail iuispection and the job is not ready, you will be charged a re-inspection fee :)f$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: �� �' �1 -Sv1 n '�E'f' Ski yTS�c� Job Site Address: 1114 SCU IaIIJ �erli n T so114 Roofing Company Name: t�-lddterZ G� - P Applicant's Signature: Date: Greg Casteel Building Official RevisEd 11/2/04 CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN 36228021 .00 DATE ISSUED. . . . . . . : 09,'24/2007 RECEIPT #. . . . . . . . . : BS000002729 REFERENCE ID # . . . : 07090154 SITE ADDRESS . . . . . : 11:.4 SCOTLAND DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER MR & MRS. TSAI ADDRESS 11:.4 SCOTLAND DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5051 RECEIVED FROM . . . . : TIDE SHAN TSAI CONTRACTOR . . . . . . . : ALLEN B SHAD LIC # 29256 COMPANY . . . . . . . . . . : AV2�LON CONSTRUCTION LLC. ADDRESS . . . . . . . . . . : 41882 CHADBOURNE DR CITY/STATE/ZIP . . . : FREMONT, CA 94539 TELEPHONE . . . . . . . . : (5"_0) 252-0980 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -•--------- ---------- ---------- ---------- BPERMFEE VALUATION 15, 000. 00 223 .56 0. 00 223 .56 0. 00 BSEISMICRE VALUATION 15, 000. 00 1 .50 0. 00 1.50 0. 00 -•--------- ---------- ---------- ---------- TOTAL PERMIT 225 . 06 0. 00 225 . 06 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 225. 06 #1555 --------------- TOTAL RECEIPT 225 . 06 Community Development 10300 Torre Avenue vLCupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 -UPEkTINO Building Department JOB ADDRESS: PERMIT # / / 6-( S Co 4-) o.?o 5�a i S- OWNER'S NAME: ;'�x PHONE # 2J77--37-7 GENERAL CONTRACTOR. , cJk,0,1 tc4AJ,-i- FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSIN!'ESS 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 Own r/Contfa for Signature Date