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07050161 CITY OF CUPERTINO BUILDING DIVISION PER MIT BUILDING ADDRESS: PERMIT NO. 19328 GREENWOOD DR NICE & RIGHT CONSTRUCTION 07050161 OWNER'S NAME: PERMIT ISSUE DATE EVE SUN 10663 :SANTA LUCIA RD 05/17/2007 ONE: SANITARY NO. CONTROL NO. (408) 861-0928 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 00 LICENSED CONTRACTOR'S DECLARATION Job Description m I hereby affirm that I am licensed under provisions of Chapter 9(commencing z with Section 7000)ofDivision3oftheBusiness and Professions Code.and mylicense is REROOF—REMOVE E, INSTALL 30LB FELT 1/2" CDX-16 y in full force and effect. viz License Class Lic.# S QUARE S. EDate Contractor uJ J ARCHITECTS DECLARATION 1 understand my plans shall be used as public records aV G y Licensed Professional n� OWNER-BUILDER DECLARATION 1 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 V which requires a permit to construct,alter,improve,demolish,or repair any structure Zy prior m its issuance,also requires the applicant for such permit to file a signed statement < that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation I=mo$ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $23000 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty oft��1 Number Occupancy Type not more than five hundred dollars($500). 3 7 5 4 3 0;i 1 . V U ❑I,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 Contractor's License Law does not apply to an owner of q p 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.If, 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.). [11.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑1 am exempt under Sec. B&P C for this reason Owner�� p�� «7 Date S O WORKERS OMPENSA ON DECLARATION I hereby alum under penalty of perjury one of the following declarations: L]I have and will maintain a Certificate of Consent to self-insure for Worker's 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 Worker's Compensation Insurance carrier and Policy number arc: Cartier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one 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. Applicaal NOTICE TO APPLICANT.If,after makin this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Cade,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. N O CONSTRUCTION LENDING AGENCY .4.N-� I hereby affirm that there is a constroction lending agency for the performance of . 4 > the work for which this permit is issued(Sec.3097,Civ.C.) 7 Q Lender's Name Z Lender's Address 0 I certify that 1 have read this application and state that the above information is 4 t.. correct.I agree to comply with all city and county ordinances and state laws relating to VUbuilding construction.and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. w y CL (We)agree to save,indemnify and keep harmless the City of Cupertino against y V) liabilities,judgments,costs and expenses which may in any way accrue against said City Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b✓: Date SOURCMEGULAnO S. S:-_ i / _ Re-roof: Signikide of Applicant/Contrac r Date t `� HAZARDOUS MATERIALS DISCLOSURE Type,of Zoof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Cede,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes �No Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new l naterials for inspection. District? ❑Yes No I have read the hazaM s materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Codc,Sections 25505.25533 and 25534.I understand that if the building does not currently have a tenant,that it is my responsibility to notify the occupant of the requircmerts which must be met prior to issuance of a Certificate of Occupancy. S ignatut f Applicant Date Ate-- / , S_/1 All roof coverings to be Class"Br' or better Owner Vauthorized agent Date CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk : Lot: APN 37543031. 00 DATE ISSUED. . . . . . . : 05/17/2007 RECEIPT #. . . . . . . . . BSC00001360 REFERENCE ID # . . . : 07C50161 SITE ADDRESS 19328 GREENWOOD DR SUBDIVISION . . . . . . CITY CUEERTINO IMPACT AREA . . . . . . OWNER EVE'. SUN ADDRESS . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-3454 RECEIVED FROM SHIRLEY NG CONTRACTOR JI1, HUO YU LIC # 23446 COMPANY NICE & RIGHT CONSTRUCTION INC ADDRESS 10663 SANTA LUCIA RD CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 TELEPHONE . . . . . . . . : (408) 861-0928 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- BPERMFEE VALUATION 23, 000 .00 309. 96 0 . 00 309.96 0.00 BSEISMICRE VALUATION 23, 000.00 2 .30 0 .00 2 .30 0. 00 ----------- ---------- ---------- ---------- TOTAL PERMIT 312 .26 0.00 312 .26 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 312 .26 MC --------------- TOTAL RECEIPT 312 .26 Community Development 10300 Torre Avenue ' Cupertino CA 95014 Telephone(408) 777-3228 CITY 00 Fax(408)777-3333 ''UPEkTIN0 Building Department JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE # GENERAL CONTRACTOR: FAX # I am not using any subcontractors: ` a Signature Date Please check applicable subcontractors and complete the following information: 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 er/Contrac ature Date CITY OF CUPERTINO RE ROOF ITY OF CUPEkTINO PERMIT APPLICATION FORM APN# Date: Ell Buildi g Adess: . -- Owner's Name: Phone#: .E V� ._ b Contractor: License#: , Contact: 7 y Cupertino Business License#: 9� Q344 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles �+ F-1WoodShingles El Other(Specify) 0 J -e a-N YJ ❑ Other(Specify) Number of existing coveri s ❑ Provide LC.B.O.Report GJUi?d. S'hAk'.F ❑ To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read,Understand and Will Comply With Ci.pertino's Tear Off Policy: ❑ Job Description: 3 D tr Pla- c l4 Residential 1� Commercial ❑ Fire Zone: Yes No Confirmed with Planning Dent. if there are any restrictions: Cost of Project: oo Type of Construction: GjEj Occupancy group: 23000 - je. tA Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business 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 agrE e to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the buildin€;inspector. A final inspection and approval shall be obtained from the bu_lding 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 f irst 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 vlspection 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 he 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: Ole • l'`✓�i �� Roofing Company Name: oc L'4'-C-Jl- 76,.s 3 3 Applicant's Signature: - ;-�-' _ Date: 161 C Greg Casteel Building Official Revised 11/2/04