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09060154 CITY OF CUPERTINO BUILDING DIVISION PERMIT � TR i � R I R AITIO . PERMIT NO. BUILDING ADDRESS: 10740 BROOKWELL DR JUST WATER HEATERS INC 09060154 PERMIT L%UE DATE OWNER'S NAME: ANGELA T FTTN(', n—TNBTEa` SW CONTROL NO. 2009 ')NE: (510) 293-9901 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH o p a LICENSED CONTRACTOR'S DECLARATION Job Description ul V I hereby affirm that I am licensed under provisions of Chapter 9(commencing z m with Section 70()0)of Division 3 of the Business and Professions Code,and my license is RPLC 5 0 �iA. WATER HEATER D y in full Con a and effect Z License Class Lic•M in Date Contractor F ARCHITECTS DECLARATION < I understand my plans shall be used as public records 3WU O y Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the E 2 O following reason.(Section 7031.5,Business and Professions Cotte:Any city or county c$11Z which requires a permit to convect alter.improve,demolish,or repair any structure prior to its issuance,also requires the applicant for such permit to file a signed statement Valuation < that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.FI.Floor Area Y. H$ (commencing with Section 7000)of Division 3 of the Business and Professions Cade)or $1076 y 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 of AP:9 Number Occupancy Type not mom than rive hundred dollars(s500). 36921040 . 0) 0 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 sola 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.). 0 I,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 Caw 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. 0 1 am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. 0 I have and will maintain Workers 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.) 1 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 `j.., forthwith comply with such provisions or this permit shall be deemed revoked. Z O CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of > the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name ]z Lendees Address V 0 1 certify that I have read this application and state that the above information is LL correct I agree to comply with all city and county ordinances and state laws relating to CV building convection,and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes W (\\` W (We)agree to save.indemnify and keep harmless the City of Cupertino against Hc4l liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit Date ►'d APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE REGULATIONS. Re-roofs Signature of Applicant/Contractor Dare HAZARDOUS MATERIALS DISCLOSURE Type of Roof 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 Code,Section 25532(a)? All roofs shall )e inspected prior to any roofing material being installed. Dyn ❑No Will the applicant or future building occupant use equipment or devices which If a roof is inst:llled without first obtaining an inspection,I agree to remove it hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. ✓tstrict? 0Yes ONO 1 have read the hazardous materials requirements under Chaptcr 6.95 of the Califor- nia Health&Safety Cade,Sections 25505.25533 and 25534.1 understand that if the building does not currently have a tenant that it is my responsibility to notify the occupant of the requirements which must be met priors issuance of a certificate of occupancy. Signature of AF plicant Date Owner or authorized agent Dare All roof coverings to be Class' "`or better Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 aCITYF Fax(408)777-3333 rUPEi�TINO Buildin r Department JOB ADDRESS: VERMQIT # _ 10740 Brookwell Dr. o-`o�p 0 OWNER'S NAME: Angela Leung PHONE # 650-504-0815 GENERAL CONTRACTOR just Water Heaters FAX # 510-783-6360 I am not using any subcontractors: `— 06/25/09 Signature Date Please check a plicable subcontractors and com let�� the following ' ormation: 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 Just Water Heaters 591329 Roofing Septic Tank Sheet Metal Sheet Rock Tile U-1AkQ-- 4- c r 06/25/09 Owner/Contractor Signature Date 10/28/03 ()q City of Cupertino Building Permit Application E-Mail Jobsite Address: 10740 Brookwell Dr. Date: June 25,2009 Owner's Name:---Angela Leung Phone No (650)504-0815 APN#: 369-21-040 d L9<-_-' Project Valuation $1,076.00 Building Permit Info: Bldg----- Elect,.—__- Plumb---X--- Mech�_�� ,Job Description Replace 50 gal water heater Contractor Information Company: just Water Heaters Inc. Phone (510)293-2012 Contact Name: Dulce Fax: (510)293-2022 Address:3400 Investment Blvd E-mail: permits@justwaterheaters.net City,State and Zip: Hayward,CA. 94545 State Contractor's License# 591329 Exp.Cate: 3/31/10 Worker's Comp#: C45096282 Carrier: ACE Exp. Date: 4/1/09 Credit Card Information Credit Card #: 5474-6390-0047-8660 Name on Card: ,Just Water Heaters Inc. Expiration Date: 6/11 Visa MasterCard Comments CITY OF CUPERTINO BUILDING DIVISION PERMIT � f PERMrr NO. BUILDING ADDRESS: 01 IAL I C 3 35 PERMIT ISSUE DATE OWNER'S NAME: IMPROVEMENT: ffbff EZ A O. CONTROL NO. 6 Z88-2921 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH p C LICENSED CONTRACTOR'S DECLARATION Job Description Vp I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing Z with Section 7000)of Division 3 of the Business and Professions Code.and my license is `oy in full force an� RMV SHK RF « RE—RF ADD. 7/16 OSB CLS A TILE 27SQ v�Z License Class Lrcit 5� ' 7 7 _ t- Dam Contractor LU.0 ARCHITECTS DECLARATION -r 1 understand my plans shall be used as public records m< 96 W y Licensed Professional O< OWNER-BUILDER DECLARATION I 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 prior to its issuance,also requires the applicant for such permit to file a signed statement Ft Floor Area Valuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $28000 $ 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 of App I Number Occupancy Type not more than five hundred dollars(5500). 35623046 . 00 ❑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 oroffered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does 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.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.). ❑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 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 Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen- .ton,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' Cofm�pen"Out Insurance carrier Poll.nunumbmilm* i Corner rr'r tel ` �v �aryu•: 1 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 certifv that in the performance of the work for which this permit is issued.1 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 Workces Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. Z"" CONSTRUCTION LENDING AGENCY [~—t I hereby affirm that there is a construction lending agency for the performance of C>!i> the work for which this permit is issued(Sec.3097,Civ.C.) QLender's Name L.cnder's Address U t0 I certify that I have read this application and state that the above information is LL correct 1 agree to comply with all city and county ordinances and state laws relating to 0 V building construction,and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. LL (We)agree to save,indemnify and keep harmless the City of Cupertino against liabilities,judgments,toss and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit Date L APPLIC NT UNDERSTANDS A WILL COMPLY WITH ALL NON-POI Issued by: SOUR TIONS. 2 Re-roofs Signature of App rcant/Contractor Date T of Roof HAZARDOUS MATERIALS DISCLOSURE Type 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 Code,Section 25532(x)? �" All roofs shall l le inspected prior to any roofing material being installed. ❑Yes o If a roof is insu.11ed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which hazardous air contaminants as def by the Bay Area Air Quality Management all new materials for inspection. Act? ❑Yes No 1 have read the hazard=materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building does not curetd have a tenant,that it is my responsibility to notify Ute occupant of the It must be met prior once of a Ccn ificate of Oc Signature of AF plicant Date Owner or out onisd agent Date All roof coverings to be Class'A!'or better CITY OF CUPERTINO ..�ag RERGOF CUPEkT1NO PERMIT APPLICATION APN # Date: Building Address: 3 ,X 6 C_ '5 :A` Owne 's Name: L. Phone #: HOA: Yes ❑ No Zlf yes, provide letter Irom HOA S" cl Contractor: Phone #: 4 C `i - o Fax #: (AbN 3-0 0('-j-0 Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles o Asphalt Shingles ,Wood Shakes o Wood Shakes o Wood Shingles ❑ ood Shingles o Other (Specify) Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report# o To be Removed o Provide Mfgr. Installation Specs. Job Description: —De vw/us' C-� -�- C esidentia 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, inc de in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 02/05/09 CITY OF CUP:ERTINO '' REROOF CUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standa--ds B ALL PERMIT TYPES Commission Fee 1BSEISMICO Seismic Comme-cial B 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee / 1BSEISMICRE Seismic Residential B 1 REROOFMRES Re-roof Multi-F rmily B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fec 1 BSEISMICRE Seismic Resider.tial B 1BUSLIC Business Licens-_ B �t 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 Cit�r of Cupertino 1. Prior to permit issuance,you must agree tc�comply with 2007 IBC Standards and manufacturers specifications on re-rocfing.All roofs are Class "A"per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied w ithout first obtaining all inspection and written approval from the building in::pector. 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,th,!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 ins,:)ection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new materi<<1 down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail insp?ction and the job is not ready, you will be charged a re-inspection fee of 5176.18. 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 comply with the above stz.ted policy on re-roofing. Homeowner's Name: Lc.k2 job Site Address: 'AJo 12� C�v��p��—��-� C4 'Kc�:` IA Roofing Company Name: Applicant's Signature: -- Date: Z- — Greg Casteel Building Official Revised 07/30/08