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08110069
CITY OF CUPERTINO - . +- �'Rck✓.�»' 'C.,-'+ '.v '�" BUILDING DIVISION PERNUT yaCONTRA,CTOTt.I�NF,ORMATION; BUILDING ADDRESS: PERMrr No. 1034 JUDY AVE TBD — TO BE DETERMINED OR110069 ' OWNER'S NAME: PERMIT ISSUE DATE TNE; SMTrARYWO? CONTROL N0, ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 rhmoij LICENSED CONTRACTOR'S DECLARAnON Job Description 1 hereby affirm Nal l am seemed under Provisions of Chapter 9(cournmemg wiNSect. 7W0)of Di' n3ofdauBust essi and crse is ± N in full fmmcandcffm REPLC EXT ASPHLT SHNGLS W/40YR ASPHLY SHNGLS 30 p$Z Lice an C Lie.g Da¢ Convector LB ee pp CMTECrS DEC ,4CIwMmvand mypWU NWlboumdspub rc oAs ASPHLT PAPR CLS A 11SQ u so. wt Licensed Professional j5 OWNER-BUILDER DECLARATION <m I hcmby affirm Nal I am exempt from IW Contractus License Law for the no following reason.(Section 7031.5,Business and Rofessiom Cale:My City or county 429 qwhich requures a permit w conarorL alter,improve,&MORsb,Or repair any nmu em 4;r' Prior N its issuance.aIW mccilea NespplleNl for such permit to filc a signed statimcm < that he is licensed PUOMML In dice provisions of the contmeur's uccom Law(Chamber 9 Sq.Ft. Floor Area Valuation commenein with Suction 70P0)of Division 3 of Ciro Business and Pmfcsiam Code)or L $ ( gw' 2100 WI k u exempt therefrom and the baso far the aI•e•4 exemptiam MY violauon a( Section 7031.5 by artyapplicant for a penet mbjecu the applkcant In-civil penalty of APN Number Occupancy Type not mom Neo five hundred dollars($5= 3750804i . 00 I,u mvner of th properly,m mY employes with ages u Neirnle wmpemadon, willdothewmLndtheatmmum lsomireandcdmoffemd fWsalc(Sec.7DLl.Bnslnen Required Inspections and Professors Cods,The Committees Liendocs ro License Law t apply m n mines of q P properly who builds in i mpmvn thereon.and who does such work himself or Ilhough his man moplmyces,intended Nat such impmvemnu art net imendnd a.fTerm fmraak U. however.the Wilding or Improvement is sold within orc Sete of oompletion.Ne mmer- Wildes will have sh burden of pruning Nat Is,did rot build in improve for puryo¢of sae.). 1,as Owner of she property,am exclusively mnvacting with licensed conuacmn in commas the project(Sec.7044.Business and Professions Code:)TM Contnnm's Li- come law does not apply in an owner of property who builds or improves Neman,cad. who contracts for such projects,with a comanscmr(s)licensed pursuant to the ConvacmYs Llreme Law. ❑l am exempt under See .B k PC for that maven owner Dau WORKER'S COMPENSATION DECLARAnON 1 hereby alllrm under pcmiry,of perjury one of the following dedaradome have and wBl maintain aCanifiote of Consent to self-mom for Workem Worker's Comp am, as provided for by Section 3700 of she Labor Code.for Ne perform.of the work for which Nu permit is issued ❑I have and will maintain Worke'.Compensation I...as required by Section 3700 of Ne labs Code,for Ne performance mf the work for which this permit is issued. My WmkesC,,mLrp��em�Nea l....0 conies and Polity numbed©/GSd Cartier. S`I6— CrM/�Poliry FROM ss V CERfIFlC O OF�Pr1I NFROM WORKERS COMPENSATION INSURANCE rlTis xNon need ntbocempleted If the pewit is furans,hu need W]IM,($IBM Or less) 1 certify Net in she Performance of the work for which this permh is ismd I shall not employ any person in my murmur so as to became subjecl in the Workers'Compensation" Laws of California.Das AppBeam NOTICE TO APPLICANT.If,after masons this Certificate of Enmption,you should becem a subject N din Workefs Compensation Provisions of the labor Code.You must O0 forthwith comply with such providmu m Nu permit shall be doemed revoked. r CONSMUCrION LENDING AGENCY . [-+ IhembyaRrm that Nem iaa cmmlrmllnn lending agency for the performvpnuf ai> the work for which this permit k;issued(Sec.3097,Or.C.) 10 umles'a Name a z leaders Address UQ 1 cratify that 1 have mad Nis application and esu Ns the above information u V.E corm 1 agree N comity with all city sod cowry Ordinances and sum Ian relating N .0 building commuclion,and herby authorim repremnutives of Nis city in enter upon Ne 0. ahee-mentioned property for inapection Purposes (Ws,)agree to save•indemnify cad keep hamsles the,City of Cupertino against rrn liabilities.)ndgri cru and expmnes which may to my way accrue against said City U aZ in conugwxe of the granung of th v"^ APPLICANT UNDERSTAN WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCEREGULATIO J S QQx(L/ Re-roofs SignartureofAriplicentMoffilialcum Date HAZAILDOUS MATERIALS DISCLOSURE Type of Roof Will the aapplicant Coleman (Muni Municipal Cg mcupntamm orhandlehnudoanmaterial s defined by de Cupenin Municipal Code.Chapter 9.13•and the Health and SefttY . Code.Section 35532(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes 9No Will Ne applicnt or fu WildingWilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it haominus air contaminants as rued by the Bay Area Air Quality Management all new materials for inspection. Nim? ❑Ys 1 have mad the heasddessOM 5. req 3 a menus unrlcrCiupter6.95 oft.Califm- nuFlralNhSntly Cade.Savokduat 14 MY am12 li.1 undemand Nardve WWNg dam rpt cwmndY ha L Nal it ts my respansiNlilY to rpufY the aceupnt Of the j 12S mquiremenu l prior in ism.ofa ccnificam Or7 Signa re of Applicant Date owter orM cat Dap All roof coverings to be Class'W'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37508049 . 00 DATE ISSUED. . . . . . . : 11/18/2008 RECEIPT # . . . . . . . . . : BS000006644 REFERENCE ID # . . . : 08110069 SITE ADDRESS . . . . . : 10349 JUDY AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : YANPING WANG ADDRESS . . . . . . . . . . : 10349 JUDY AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : LIJIE DONG CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---- ---- ---------- ------- -- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 100 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1REROOFRES SQ FEET 11 . 00 143 . 00 0 . 00 143 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 143 . 50 0 . 00 143 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CREDIT CARD 143 . 50 VISA --------------- TOTAL RECEIPT 143 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ----- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO all 0 U(P q REROOF 6CUPERITY TINO w PERMIT APPLICATION APN # Date: Building Address: %o3 v — — 0 G / Owner's Name: Phone #: 0 Contractor: Phone #: ZW'- �47_ DZ(b a GehQ Ya Fax #: Cupertino Business License #: Contractor License #: o92 G Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof !d Asphalt Shingles 4 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: Da#" zwt , % /�spkvd Sk-ntk 4t, uoo sg t ,,.,,ztt i. 40 (rs �spl�a.I �h leS . 30 poa t tds( a( �4 n-'lf Residential Commercial El 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: ❑ a licable' include in plan set & the sheet index. Valuation: I H e Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Si re Revised 6/16/08 �>. CITY OF CUPERTINO REROOF �3 CUPEI,TINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B / 1RER00FRES Re-roof Residential B 1SFDWLR00F I 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B IBUSLIC Business License B Revised 6/16/08 • 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 I/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: v�p1i�� (t)ld►V job Site Address: O 7-h; v�<�9f l(4 Roofing Company Name: _ 6 - R l a"n c.1 r Applicant's Signature: Date: I IA Greg Casteel Building Official Revised 07/30/08