07050081 77777777-77777777
CITY OF CUPERTINO
BUILLING DIVISION PERMIT
-- PERMIT NO.
BUILDING ADDRESS: ALLEGIANCE ROOFING 0 7 0 5 0 0 81
10075 CARMEN RD
PERMIT ISSUE DATE
OWNER'S NAME:
ASILIN HUANG 1566 HARVEST:' DR. 05/09/2007
-------
SNE: SANITARY NO. CONTROL NO.
(408) 937-97' 7
BUILDING PERMIT INFO
ARCHTTECTIENGINEER: BLDG ELECTPLUMB MECH
(� 0 (�
a Z LICENSED CONTRACTOR'S DECLARATION Job Description
0
Vp I hereby affirm that I am licensed under provisions of Chapter 9(commencing
Z UW with Section 7000)of Division 3 of the Business and Professions Code.and my license is SHAKE TO CO-AP CONVERSION
y in full force and effect * �D��G� 3 Q YEAR LAB:DIRK COMP
v�z License Cl
r p
Date tk=Contractor P
ARCHn-i—= DECLARATION 1/2" OSB SHEATHING
I understand my plans shall be used as public records
mu
qU
u.y Licensed Professional
o a OWNER-BUILDER DECLARATION
aI hereby affirm that 1 am exempt from the Contractor's License Law for the
00 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
"y prior to its issuance,also requires the applicant for such permit to file a signed statement Sq.Ft. Floor Area Valuation
z< that he is licensed pursuant to the provisions of the Contractors License Law(Chapter 9 1 0 0 0 0
FZ (commencing with Section 70D0)of Division 3 of the Business and Professions Cade)or
that he is exempt therefrom and the basis for the alleged exemption.Any violation of Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 35701 06 . 1 Number
not more than five hundred dollars(M).
❑1,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 offered for sale(Sec.7044,Business Required Inspections
and Professions Code:The Conuactoes 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.U,
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.).
0 1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044.Business and Professions Code:)The Contractor's u.
cense Law does not apply to an owner of property who builds or improves thereon,and
who contracts for such projects with a contraclor(s)licensed pursuant to the Conuactots
License Law. B&P C for
0 1 am exempt under Ses,
Date
WORKER'S COMPENSATION ECLARATION .
I hereby affirm under penalty of perjury one of the following declarations:
L]I have and will maintain a Certificate of Consent to self-insure for Workers 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 Workeess 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 formic hundred dollars($100)
or less.)
I certify that in the performance of the work for which this permit is issued.I shall not
employ any person in any manner so as to become subject to the Workers'Compensation
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
Z forthwith comply with such provisions or this permit shall be deemed revoked.
Z O CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a consumcdon lending agency for the performance of
the work for which this permit is issued(Sec.3097,Civ.C.)
W A Lender's Name
Lender's Address
V 0 I certify that I have read this application and state that the above information is
LI,1-1
correct.I agree to comply with all city and county ordinances and state laws relating to
0 U building construction,and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
W (\\`
t]. (We)agree to save,indemnify and keep harmless the City o[Cupertino against
t�'y t� liabilities,judgments,costs and expenses which may in any way steric against said City
V z in consequent a granting of this permit. Dat O
i-r APPLICA UNdERSTANDS ND WI COMPLY WITH ALL NON- I Issued by:
SOURCE EGULATIONS, a 0
6 Re-roofs
Signature TApp xanU for Daig
Type of Roof
H OUS LSD[SCLOSURE YP
Will the applicant or future bu' ing occupant store or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being.' stalled.
❑Yes m
If a roof is 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 Arca Air Quality Management all ne ate6 ifs for inspection.
District?
❑Yes T o
I have read the hazardous materials requirements underChapter 6.95 of the Califor-
nia Hcalth& ode.Sections 25505.25533 an .I understand that if the building
does not c ntly have a tenant my respons tlt�tify the occupant die
rem is which mast be m t prior issuance a Ccrtif orOceupancy. Signature of plica Dat
coverings to be Class "B"or better
Owner authon>cd a ate
CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RE:7EIPT OPERATOR: christya
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . . 35701006. 00
DATE ISSUED. . . . . . . : 05/09/2007
RECEIPT #. . . . . . . . . : BS000001265
REFERENCE ID # 07050081
SITE ADDRESS 10075 CARMEN RD
SUBDIVISION . . . . . . .
CITY CUPERZINO
IMPACT AREA . . . . . . .
OWNER ASILIY HUANG
ADDRESS
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2761
RECEIVED FROM . . . . : RECEIPT INTERFACE
CONTRACTOR . . . . . . . : SUSAN TANUPO LIC # 23080
COMPANY . . . . . . . . . . : ALLEGIANCE ROOFING
ADDRESS . . . . . . . . . . : 1566 HARVEST DR.
CITY/STATE/ZIP . . . : SAN JOSE, CA 95127
TELEPHONE (408) ()37-9757
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ----------- ----------
BPERMFEE VALUATION 10, 000. 00 : 69.56 0. 00 169 .56 0. 00
BSEISMICRE VALUATION 10, 000. 00 1. 00 0 .00 1_ ------
00 0_00
-----
TOTAL PERMIT
L70.56 0. 00 170.56 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ----------------
CREDIT CARD 170.56 * M%STERCARD
---------------
TOTAL RECEIPT 170.56
O 7 =J oo � l
CITY OF CUPERTINO
'f REROOF
CUPEkTINO PERMIT APPLICATION FORM
APN# 3 �S_ 7 O ` O O CGS L Date: s- g -
Building Address:
AW-7 -S` r
ne
Owner's Name: P Te#: 7 -- 61 pe)F
Contractor: qLic
A "
Contact: Cupertino Business 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.
I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy: El
Job Description: 6,^Aw'-'e-- 7T O"P C G►��1''E -. ��`y/�, j >� ' O
Residential Commercial ❑ :� �`' f
Fire Zone: Yes E] No Confirmed with Planning Det. if
there are any restrictions: LJ
Cost of Project: Type of Constructior.: Occupancy group:
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Sei:,mic Fee Res BUILDING
BSEISMICOM Sei:;mic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Bu..iness 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 agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
2. New roof coverings shall not be applied wit-iout 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 s:heduled.
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: '%�
Job Site Address: � � �' eA"
Roofing Company Name: L 1.t_-er"Ave-
Applicant's Signature: Date: S
Greg Casteel
Building Official
Revised 11,'2/04
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408) 777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Mondav through Thursday and from
7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch Creak from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off 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.
Greg Casteel
Building Official
Revised 8/13/04