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08100056BUILDING DIVISION PERT IBDILYIZ gtg"MSTA DR I ALL SEASONS ROOFING SERVICESI78100056 OWNER'S NAME: PERMIT ISSUE DATE CHING YUAN CHEN 1720 SMITH AVE 1 10/10/2008 1 an li¢mN under Provision of Chapter 9 (commencing on 3 of the Business and Professfum, Code. and my license is in full forte and Lt.. ❑ass _ 1 musersland my pedal mail W used As public ¢cords Licensed Pmfesrianal OWNER -BUILDER DECLARATION I hereby alirm that 1 am exempt from to Commeto/s License law for the following mason. (Section 7(n I.S. Business and Professional Code: Any city or county which mquirta a permit In commuct, alter, improve, dcmnllsh. Or repair any AVuclure prior w its issuance. also myuimA Ile applicant fursuch permit to file a signed statement that he is licensed pure rmL m the provisions of Ne Comsxmes Ilcene law (Chapter 9 (commencing with Session 7000) of Division 3 of the Busimssand Professions Cade) or that he is eacmpt thcmtrom Arai the basis fm Ne alleged exemption. Any violation of Section 7031.5 by any applicant fa A Permit mbjma Lha applicant m A civil penalty of not mart than five hundred dollars (SSW). I,nownmofdaptvpemymmyemployceswiNwg uNelrmlecompe=don, will do the work, and Ne smacrum Isnotimanded or offered for sale (Sec. 7004. Business And Pmfassloru Cade The Commodore, License law don not apply to in owner of property who Wilds mimpmves Ncrcon, andwhodaresuchwmk hiseselfortImugh his own employ=, provided that such improvements art not intended or offered fm sal& If. however, the Wilding or anpmvement is mid within One year of compladon. Ne Owner - Wilder win have IW burden of proving that k did rot Wild or improve for purpose of sale.). ❑ 1, As owner of the property, am ex. arively co rtardng wird licensed connacmm m construct the psojom (See. 7(tth, Bustsers and Professions Code:) TTe Cmes Li- canse law d= not apply m An owner of property who Wilds or improves dterton, and who contracts fmsuch projects with a commustor(s) licensed pumuant In du Convector's Lmenee law. ❑ I Am uempt under Sae B k P C for Nis mason Owner Daus— WORKERS auWORKERS COMPENSATION DECLARATION I hereby, aff under penally of perjury one of Ne folmwing declarations for the performance of the 1 have and will maintain Wmte'A Compensation Inpu ,. As myvired by Section X) of the labor Code, fm Ne prKturn ea of Ne work far which this Permit is Issued. Wanner. Consternation Ms. carrion and Policv numbar am: COMPENSATION INSURANCE not W completed n the Permit is fm ane hundred dMan(SI00) cattily Nat in Nc perfarmenee of Ne wart fm which this permit is issued,. shall Int .play any person in any mennerso as to thecoma subjw to the W.Almn Campensanan NOTICE TO APPLICANT: IL after making this Cerdfiesm of Eacmpdon, you shaum become subject to the Wargefs Compensation i msisions of am lab¢ Code- you muss .J z foMwiN comply wird such peovis cels or this Permit shall k lamed mated. Z n CONSIRUCr1ON LENDING AGENCY ti [—i I far whihdri Nat Vert4aed(Sao. ionl.CN. agency far dm performenee of ai ti an wart fm which ddA prnnit v issued (Sec. J09'1, Civ. C.) 0, A landses Name z Lenders Address V 0 1 calmly that 1 have read INA application W 'uac that Ne above munnaWn Is L� ^ MITOM 1 Agree,m comply wird all city and county ordinances and Alan, laws relating to 0 CSJ^ Wilding destrmtion, and hereby suNorin: rtpmaenutivsA of this city m row upon ft aW.-mendomad property fm insprclian purposes H4 (We) agree to save, indemnify and keep harmlea dm City of Cupertino against gq liabilities, Judgments, costs and cape. which may In any way.ante against said City V z in dostruenee of Ne Starting of this permit. ^v APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT HAZARDOUS MATERIALS DISCLOSURE Will Ne applicant or future Wilding occupant same or handle hazardous material OcMcd by dAr Cupertino Municipal Code. Chapter 9. 12. and tk Health and Safety de, Salon 25532(.)? ❑Yon KN. Will Ne applicant or future Wilding Occupant tau cytaipment or devices which A havardous air contaminants As defined by the Bay Area Air Quality Management mc'? ❑Yes No I have mad Ne haardmu manorial. reyuimmmcuu Ondm Chmmr 495 of Ne Caifm- iHcahh@SafelyCode Sad. 255W.25533am175534. I undernand thaifthe Wilding as nes currently baso a ¢nam, the it is my responsibility in neGfy Nc naupant of the lulmmd4ta=Jath roup or mm isq, An ismaacc of a Cwfic.m of Occupancy. 10184,10190,10196 VISTA- RE - Required Inspections Issued by: Re -roofs Type of Roof Date CONTROL NO. All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ---A 1A)010y Signature of Applicant Date . All roof coverings to be Class 'W' or better 2 ITEMS OF 6 • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31624042.00 DATE ISSUED.......: 10/10/2008 RECEIPT #.........: BS000006319 REFERENCE ID # ...: 08100056 SITE ADDRESS .....: 10184 VISTA DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER CHING YUAN CHEN ADDRESS ..........: 10184 VISTA DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2223 VOICE ID DESCRIPTION -- ---------------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS O VOICE ID DESCRIPTION ------------------------------------ 602 ROOF PLYWOOD NAIL 605 FINAL REROOF RECEIVED FROM ....: ALL SEASONS ROOFING CONTRACTOR .......: GORSHTEIN, VLADISLAV LIC # 21035 COMPANY ..........: ALL SEASONS ROOFING SERVICES ADDRESS ..........: 1720 SMITH AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)971-4455 • FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR -------- --------------- VALUATION 18,280.00 ------------------- 1.90 0.00 - ----- ----- 1.90 ------ 0.00 1REROOFRES SQ FEET 48.00 .624.00 0.00 624.00 0.00 TOTAL PERMIT ---------- ------ 625.90 0.00 --------- ---------- 625.90 0.00 VOICE ID DESCRIPTION -- ---------------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS O VOICE ID DESCRIPTION ------------------------------------ 602 ROOF PLYWOOD NAIL 605 FINAL REROOF Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: I a 1 SK 1 0 1 o 0 PERMIT # 6 if OWNER'S NAME: K, A,, q ' PHONE # 'Vo L5 a 1,3 07 i GENERAL CONTRACT FAX # � O °v 9 3,5 `9 ! i 7 I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followine information: 60 SUBCONTRACTOR BUSINESS 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 Signature Date Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 • Fax: (408)777-3333 Building Department • E Subject: Re -roofing policy for the City of Cupertino and manufacturers specifications on re -roofing. 7.. 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. ZI. 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 $176.18. The re -inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will cornly with the above stated policy on re -roofing. 5 C Vt.A (JV` —SUVA Kt� Homeowner's Name: Cy�$�5�� uGt� Com,.-V.V\� � k )9_0�r Job Site Address: �0��S y 1 `O \ C -\o \ (D\C1.J'a '$� S-Ez D '�_ Roofing Company Name: 1i"nC •\ �Q ��P/ f`i��Sp C Applicant's Signature i7nh`�f�(.Lx.(Y� Greg Casteel Building Official Revised 11/2/04 Date: JQP k 0:(�- �s 0 E T �I O CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION Qd/v00Elo APN # Date: Building Address:`0 \ �\ r15p \y I 01c\o C) CA pp C�e� Na pv, Phone #: yYjB o2lpj=C�?r''7 Contractor: j-'\��SCPnS'o�S��O'�� scr'JiCCS Phone #: Fax #: Cupertino Business License #: Contractor License #: -> Type of Roof 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. Job Descri tion: �' co 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: `S,1 add 1 Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature Revised 6/16/08