08100160 CITY OF CUPERTINOBUILDING DIVISION PERNIIT t�C}ONTRAC,TORINFUR 'ATION
BUILDING ADDRESS: PERMIT NO. ,
10276 E ESTATES DR T D ROOFING
OWNER'S NAME: PERMIT ISSUE DATE
675 TTJLL* RD
SANWIM46.f CONTROL NO.
ARCHITECf7ENGINEER: BUILDING PERMIT INFO
RE—RF RMV WDSHK INSTL 7/16" eLoc ELECT PLUMB MECH
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300 LICENSED CONTRACTOR'S DECLARATION OSB 30LB FLT 30 YR C
U I hereby affrm Jut 1 w Ocem ul under provisious of Chapter 9(commencing M.fBb Description
wide Section 70gBofDivhmm 3ofdee Business and Professions Code.ander Imes
^mow n full mace sus c(Ta]. OI . l.ic.i F.� S M
yMz Wce sect. G
DamILI tractor
ARCHI ELTS DECLARAT
still 1 understand my plans me rte used as Public
54U
gra Wce,ed Professional
Gal I am exempt
R.from
DECUBATION
1 hereby affirm on 1 1. eumpt from Jus Conine Co License c Law for Jus
a O whichfollowing mason permit
t 7031.5.Business and improve.
derau Calc;Any city or mdmy
$ which mquirea a permit re const he alert improve,deeWkh,nre..ir any muctuh
-xi the he its iensedpall ut W tesltrapPlictur,sof fm sochnsclue Lice=Law
< Nsheuliceucd purnuntmthe provisions or Jus Conuecmri l.icxrtx law(CMprm9 Sq.FL Floor Area Valuation
s�$ (commencing wide Section 7(0(l)of Division 3 of the Business and Prorusiom Code)or
Nat he is exempt t ehfron uW the bus for the alleged eaemPdon Any violation of
Section 7031.5 by cry applicant for a permit subjects the applicant t.a Civil Penalty of APN Number Occupancy e
Imo..Imere N001
an five hundred dollars(51 . P Y •]Try,P
❑Luawm of tine propnty,mmY wPloym wide waguu Nevsok mmperuaJon,
aid dote work and Ne smuCont smtksendse:Law does apply
as
Boer of
and arty wh ou Cade The Contractors License law does rot apply r an owner of Required Inspections
properly who es,provided
i d that uch i m r and who are
oroelf oNrough his
awn employers,provided pr such impmvemmuarcnot intendedm.lfcmdFor ole,r.
halen,a li buildingorimprovementkmid within one ildormmo,nefo.theowner-
builder wiB love the bunds of proving that he tlitl not Wild Or improve for puryose of
a..).
I,u owner of the property.am exclu ducly contracting with Iicmued contraelan m
Construct Ne project(Ser.7014.Burin...and Profession Code:)The Conautors Li-
cense law dm not apply to in owner of properly who builds or improv thereon.and.
who Convects for such projects with amnvacmr(s)licensed puswnt be the Contractors
dices law.
O l soneacmpr under See .B R P C f,this reams
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under Penalty or perjury one of the following decimations:
411 1 have and will maintain•Certifiam of cool to self-insure for Wotkers C.N.
cation,u provided for by Section 3700 of the Labor Code,for the performo¢of Jr.
work for which this permit is imucd.
have and will maintain Workers Compensation Insurance,u required by Section
of Ne lab,Code,for the perfeamanceof the work f.rwhieh this permit is Tuned.
My Workers Co si ewCdgn insurance canter and Policy tourniix r��r art:
Carrion J I ! Policy Na: .
CERTIFICATE OF EXEMPn FROM ORKERS'
COMPENSATION INSURANCE
(This seetioa need antic completed if Ne Permit is roam hundred dollars($10111
or less)
1 unify Nat in the perfa m once a the work fee which this Permit is bound,l shall net
employ any person in any manner so a u,lmeon.subject to Jct Worked Compereation
laws of California.Dam
Applicant
NOTICE TO APPLICANT:IG after making this Ccrtificam of Escmption,you should
become subject m lie Worker's Compcuation provisions of the Law Cade.you most
.J O foMwide comply with such provisions o Nu permit shall he deemed rewked.
z s•' CONSTRUCTION LENDING AGENCY
[••i
4 1 hereby aRrm the Nem is a couructinn lending agency rat Ne perfermsw'a of
!�
We work for which this permit is issued(Sec.3097,Civ.C.)
Lcnd.rs Nam.
.:- z lenders Address
V C) 1 cotify that 1 have had Nis applicaion and we that the above information u
Is. E cortin.l agree to comply with JI city and county ordimnen and su¢lawn raising N
.C) SVbuilding construction,and hereby authorize mphsmutivu of Nu city to cmerupon Ne
W above-mentioned property for impection pury,ts
(~gy (We)agree to ave,indemnify and keep baotless the City of Cupertino agsiut
fnliabilitiea)ndgmens.cos and expe,es which may in any way acme against said City
V z mcavequerme rine ting Cl this permit
v-' APPLICANT N STANDS AND WILL COMPLY WITH ALL NON- DINT Issued by: Date
SOURCE RE N ..
10.1 Z' °S Re-roofs
Sigatuh of Appliant/Conracmrale
HAZARDOUS MA AIS DISCLOSURE Type of Roof
Will the applicant or foods buthi ng oceupentstort rehandle hmardous material
as defined by the Cupertino Municipal Code,Chapter 9.13,and the Health and Seely
Code.Sees..75533417
AyeAll roofs shall be inspected prior to any roofing material being installed.
will the applicant or future building occwpant Isa equipment or devices;which If a roof is installed without first obtaining an inspection,I agree to remove
it haaNnus vircCmcm u u dcrimd by Ne Bay Aha Air Quality Management all new materials for inspection.
vice /tK'j/—N,�,
0 Y,,
I onereadJusharsdnumamria.25533 mM34.lcr Chapterfi.95ofNe Gilding
dHnlNkSderyhave a 'us' an
mynepore a.lundmsrte part
Jms rot have
a nmunt Ns is u my respomiNlitY m 'fy Jus pant of Jr
requimmc ' ram met �mmlauatco.facirl ora .� Signature of Applicant Date
o
Owner tar mNomeO agent Date All roof coverings to be Class'a"or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36907024 . 00
DATE ISSUED. . . . . . . : 10/27/2008
RECEIPT # . . . . . . . . . : BS000006459
REFERENCE ID # . . . : 08100160
SITE ADDRESS . . . . . : 10276 E ESTATES DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RAVI NARULE
ADDRESS . . . . . . . . . . : 10276 E ESTATES DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-3305
RECEIVED FROM . . . . : LESLIE A HOANG
CONTRACTOR . . . . . . . : LESLIE HOANG LIC # 23155
COMPANY . . . . . . . . . . : T D ROOFING
ADDRESS . . . . . . . . . . : 675 TULLY RD
CITY/STATE/ZIP . . . : SAN JOSE, CA 95111
TELEPHONE . . . . . . . . : (408) 892-8872
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--- ------------ ---- --------- - - -------- ------
1BSEISMICR VALUATION 7, 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00
1REROOFRES SQ FEET 18 . 00 234 . 00 0 . 00 234 . 00 0 . 00
TOTAL PERMIT 234 . 70 0 . 00 234 . 70 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- ---- --------------------
CREDIT CARD 234 . 70 VISA
---------------
TOTAL RECEIPT 234 . 70
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$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of /a " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated rpolicy on re-roofing.
Homeowner's Name: )2 o y'. N ct kr
job Site Address: 1 O A SrrL a�A
Roofing Company Name: 1 D M U ?n r,
Applicant's Signature: D i Date:
• Greg Casteel zS
Building Official
Revised 07/30/08
CITY OF CUPERTINO
n REROOF
l CITY OF
CUPERTINO PERMIT APPLICATION
APN # Date:
,y
9o-70� y. v � ,oft / os
Building Address:
ion I � t 10. tILS clxU
Owner's Name: . Phone #:
-
� ccvi r4cit irC.(og) ,tam
Contractor: Phone #:
T D Roc -An `io$ 8g13. , S8
Fax #:C4 08 J_ 9 3 `1 1 ❑1
Cupertino Business License #: Contractor License #:
SySS �� I
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#
v/ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: II to
retl�oVe vldvd S (1 ca k2 -M
( 6 bS13
3 3 y Ccm P CW4_
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, Understarod and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
REROOF
CUPEI,TINO FEE SCHEDULE
Number of Fee ED Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLROOF
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLR00F
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
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