08100026 CITY OF CUPERTINO '
BUILDING DIVISH4N PERMIT QR INFORMATICIV
BUILDIrS pDRESS: PERMIT NO.
777 BELKNAP DR SHENG' S CONSTRUCTION CO 08100026
OWNER'S NAME: PERMIT SUE DATE
CHI AND YUAN LIN ZHANG 10078 SANTA CLARA AVE 10/06/2008
lurE; (415) 519-7874 SANITARY NO. CONTROL NO.
ARCHI EC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
I� 0
uoo LICENSED CONTRACTOR'S DECLARATION Ib Description
1 hereby sabot that 1 w licensed under provisions of Chapter 9(commerOeSGnp
ems Zwide Section 701141)MDivisbn 3af7e am.and Professional Code.and my license is RE-RF RMD
Ot
V EXT ASPHLT SHNGLS& INSTL NEW 1/2 PLYW
<< n full forte and ertm
j q Z Liaenm Class Ltr.g BKNG
1)Fp Dam ARCHITECTSDWARATION & NEW ASPHLT SHNGLS CLS A 30SQ
WI understand my psms shall bo used an public mouths
k a Licensed pm(cssional
OWNER-BUILDER DECLARATION
I I hereby affl m Not I am exempt from dee Contractor's License Law for the
❑o following arta..(Section 7181.5.Business and Profcmures Code:Any city or county
,29! which rtquims a permit to cmrstrueL alcor.Improve,doomiula,or repair my stroma
prior to its issuance.also oxi.i.theapplicam far such Permit to Rlea signed uamment
< tw he is licensed pumant In the prbvisiool Of time Canmctor'&License Law(ChaPrn 9 - Sq.Ft. Floor Area Valuation
rEs�g (commencing with Section 70W)of Division 3 of the Business and Professions Code)of $9000
9 that he is exempt therafrom and the bub for dee alleged exemption.Any violation of
Section 703 L5 by my applicant fa a permit subjects due applicant to a civil penalty of Number Occupancy Type
rause an five mora them huredred dollars(S500). 3 6 2 0 8 04 OW
1,u owre r of the property,a my employees with wages u Jamb sale compmmdom,
wRl da Ne wark and des swaum is not in andeal oroQead Wask(Sce.7011,Business
and Professions code:The Canuecmes License Lew dose rot apply to an owoer of -- Required Inspections
Property who builds err improves thereon,and who does such work himalf err thomgh his
..employ=.provided that such imProvemmts..at imeNN aaRcad formle It.
however.the building orimprovemant b sold within arc yeas of completion,det awoer-
buildce wit base tht Huhn of pmvi,that he did not build or improve fa pmposc of
sale.).
Q 1.as..,of the property am exclusively convecting with licensed contracmra to
constfuet Ne pmjecs(Ser.7044.Business and Protestant Code)The Contractors Li-
cense Lew dates not apply to an owns of property who Wilds or improves thereon.sed.
who contracts far such projeLas with acmntrmror(a)licensed purunt m the Contesctae.
Lkxue law.
❑ism exempt under
See .B do P C for Nb reason
OwnerC ` � Dora /V �d-
WORKPAYCOMPENSATION DECLARATION
1 hereby&Boon order penalty of perjury ant of Ne fallowing declaraliou:
I ham&M will maintain a Certificate of Consent to self-insure fa warkers compen.
scion.at Pn rldW for by Section 37W of the tabor Code,for the performance of dee
work for which this permit is issued.
❑i have uM wi0 mains.Worker'&Compensation Ins.,as a t.imd by Section
3700 of the tabor Code.fa dee performance.f the work far which this permit is Issued
My Wmime,Compensaman Insurance carrier W Policy number are:
csol. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS' '
COMPENSATION INSURANCE
(Ibis s:Nm meed aorbocomphned irNe permit as lame hundred do0an($100)
or ma)
1 renify that in the perfmmurt or the ware fa which this permit is issued.I that Our
of loymyperamman anrorm user become mbjatmtbo Wadoss'Compewuon
Laws of Calsc t r NOTICE
Nccon: TOAPPLI rpenung this Cerficamo mopmn.you must
baome object m the,workers Compensation provisions of Ne tabor Coda,you masa
.J O forthwith comply with suede provivons or Nb permit dull be deemed rtw4d
Z yr CONSTRUCTION LENDING AGENCY
[r(W) T Wmby.M.them thea Ice.cmatr 6.lendingagency far deer performance of
C!.m7 the wade for which this permit b issued(Ser.3097,Civ.C.)
ALenders None ,
. z lenders Addats .
U 0 1 astify Nat I have road NO application and sum d u the above information is
js.!'. comm 1 agree to comply with all city and county ordinnues and rum laws relating to
SV' Wilding construction,and hereby mNodm mpmsenWOsn of this city m enter upon Nc
r[11 about-mentioned Property for iupeedan purposes
1 (We)agree to Save,indemnify,and lamp humles the City of Cupertino against
FIA IiNilities,Judgmenu.cau and expmrms which may N my way accrue mems said Cy
V,'� A consequence of the grating of Nis permit
Z APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOVR {iGUlATION .
k'/
Smgnavue err Aphn
pcaonuanor 6Z Re- roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding oecepant tram orhandle hazardous msmrial
as de0rod by the Cupertino Municipal Code.Chapter 9.12.and dee Health and Salary
Cob,Scedon 25532(.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes 9410
OWill the applicmt or future building acupsnt use equipment a day ocs which If a roof is installed without first obtaining an inspection,I agree to remove
ft hunobons air contaminants u defined by Ne Bay Area Air Quality Management all new materials for inspection. .
rictT
YG E146
-
I ban atl dee hueNwsm&mialsrequirtmems under Ch&Fmrd95afthe Califor.
nb Heslde@Salety Code,Savau25505,25533 mail WM.I undersand mu ifthc building
dors not cue y hove a tmrnl mal it b my resparmality In roily the oaupmt of the
rtyubc h hmuwbemetprior issuarocafaCmtifeemrOcauPlaocy; _/ Signature of Applicant Date
i—� 1 �Y•^—/tit
All roof coverings to be Class'*or better
Owner or auffiallyf5d.lpta Dam
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 36208046 . 00
DATE ISSUED. . . . . . . : 10/06/2008
RECEIPT # . . . . . . . . . : BS000006280
REFERENCE ID # . . . : 08100026
SITE ADDRESS . . . . . : 7949 BELKNAP DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA
OWNER . . . . . . . . . . . . : CHI AND YUAN LIN ZHANG
ADDRESS . . . . . . . . . . : 7949 BELKNAP DR
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4973
RECEIVED FROM . . . . : DR CHI ZHANG
CONTRACTOR . . . . . . . : SHENG J YONG LIC # 25890
COMPANY . . . . . . . . . . : SHENG' S CONSTRUCTION CO
ADDRESS . . . . . . . . . . : 10078 SANTA CLARA AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (415) 519-7874
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT. THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
1REROOFRES SQ FEET 30 . 00 390 . 00 0 . 00 390 . 00 0 . 00
TOTAL PERMIT 390 . 90 0 . 00 390 . 90 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- -------
CREDIT CARD 390 . 90 AMEX
---------------
TOTAL RECEIPT 390 . 90
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 Raid 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.
Homeowners Name: l L(i AI A� YUw n/ <PA
Job Site Address: 7 M f 7361_ LJf LK.
Roofing Company Name: �7H r C/d uS��Lf riT%m✓ �iL
Applicant's Signature: Date: !� rrI
• Greg Casteel
Building Official
Revised 07/30/08
. r
CITY OF CUPERTINO
p` REROOF
•CUPERTINO PERMIT APPLICATION
APN # 2 a 0 jb y (P , O 0 Date/D
Building Address:
Owner's Name: Phone #:
CAgo Uak� �� � �tarJ6) >
Contractor: hone #:
I CclC, oISS o�� �. Fax#:
Cupertino Business Licen e #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
X Asphalt Shingles A.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.
Job Description:
P,eMcV,� �tict6T/ l� �sP�q(T y{�}l/�i�65. - To-rmi rki,)TlfJli, 9azjt-t��f;�* �CYsa s
r . ws7ra4C N�� �L Pko
N6rA,1- t4r( � � ti/�y cc�rf /A, 3a a
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:
I Have Read, erstand and Will Comply with Cupertino's Tear-Off Policy:
•
Sature
Revised 6/16/08
r r
arcims
CITY OF CUPERTINO
REROOF
CUPEkTINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
so
1RER00FRES Re-roof Residential B 1SFDWLROOF .
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
•