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11100101 (2) CI Y Y OV CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10121 ORANGE AVE CONTRACTOR:ULTIMATE ROOFING PERMIT NO: 11100101 OWNER'S NAME: JUAN GARCIA 925 W 17TH ST DATE ISSUED: 10/14/2011 'OWNER'S PHONE: 4082536310 SAN JOSE,CA 95112 PHONE NO:(408)297-4547 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License Class -`�`7 Lic.# "77 72-5 RE-ROOF 15 SQ-REMOVE COMP OVER WOOD SHINGLES, Contractor UL I [rpti' C a w—''"G Date t O ll INSTALL OSB SHEATING AND LANDMARK PLUS COMP I hereby affirm that I am licensed under the provisions of Chapter 9 SHINGLES (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$62225 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:35716097.00 Occupancy Type: permit is issued. 7f- / APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS M LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the /0 // A4 granting of this permit. Additionally,the plicant understands and will comply Issued by: (�`k/ Date: with all non-point source regulations per e Cupertino Municipal Code,Section 9.18. l I RE-ROOFS: Signature "<' Date U L Zol / All roofs shall be inspected prior to any roofing material beiig installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. OWNER-BUILDER DECLARATION Signature ofApplicant:Zl� G:' Date: 10��lZV l I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for whichthis permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505 5533,and 534. Section 3700 of the Labor Code,for the performance of the work for which this 7`��V � DateaU�lY Ld f Owner or authorized agent: permit is issued. 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 Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, ts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. anting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228- FAX(408)777-3333•building(W-cupertino.org PROJECT ADDRESS - AP # ( 2 ► d� .'✓G 19�/� OWNER NAME I PHONE 7E-MAIL ,� l�c G A-ac i rte+ --� :3 i STREET ADDRESSCITY, STATE, P FAX (C� 2. ( 2r�n/Gr t g�� Lj F9- CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection. For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. Progress and Final Inspections will be given a two hour window. 3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked-down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. Progress Inspection is required when approximately 50% of roof covering is installed. 7. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is completed. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of/" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 8. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: ��,, f7 Date: C� Reroomolicv 2011.doc revised 02/16/11 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 16 1 2 1 PERMIT# � 1 UJI C) OWNER'S NAME: i rQ- PHONE # 'Z�S-3 3 u GENERAL CONTRACTOR: v 4::1 1 r.A tqT C QGc rf r'1(:; BUSINESS LICENSE# ADDRESS: (022- t 0 C t4v t CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: 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 Painting/ Wallpaper Paving Plastering Plumbing Roofing V (`'T► V111 A r✓(� C3Cs Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN 35716097. 00 DATE ISSUED. . . . . . . : 10/14/2011 RECEIPT #. . . . . . . . . : BS000015045 REFERENCE ID # . . . : 11100101 SITE ADDRESS . . . . . : 10121 ORANGE AVE SUBDIVISION . . . . . . : CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . JUAN GARCIA ADDRESS 10121 ORANGE AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PATRICK HOWARD CONTRACTOR PATRICK C HOWARD LIC # 23069 COMPANY ULTIMATE ROOFING ADDRESS 925 W 17TH ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE (408) 297-4547 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 62, 225 . 00 3 . 00 0. 00 3 . 00 0. 00 1BSEISMICR VALUATION 62,225 .00 6 .22 0 . 00 6 .22 0 . 00 1BUSLIC FLAT RATE 1 . 00 115. 00 0. 00 115. 00 0. 00 1REROOFRES SQ FEET 15 . 00 210. 00 0. 00 210 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 334 .22 0. 00 334 .22 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 334 .22 me --------------- TOTAL RECEIPT 334 .22 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(408)777-3333 • buildingaa cupertino.org b PROJECT ADDRESS [ I� 2 l ` ry 1/� A.PN# 3 s 7 ILC C17,00 OWNER NAME,r r7"�^ fj•2c! Y� PHONE`(, ,�. 2� i ` E-MAIL STREET ADDRESS CITY L CU i 2 1 C;c �►✓Cry T►�;; � - APPLICANT NAME PHONEZ �. E-MAIL STREET ADDRESS CITY,STATE, ZIP - FAX c� ZU`3! L rvnl tf�`i✓C'✓ >2 S t CVA- LlG ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT b6CONTRAL-rOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR N LICENSE NUMB LI SE BUS.LIC.# 120 COMPANY NAME E-MAIL FAX STREET D S, CITY,STATE, PHONE ' ! c �•-v�✓ .,- - gow X05 2 ` 2 —45 ARCHTTHCT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF )K"SFD or Duplex ❑ Multi-Family ROOF AREA:: VALUATTON: STRUCTURE: ❑ Commercial I b S Q ft �s I Z2 {_ EXISTING ROOF TYPE: ❑BUILT-UP ROOF ) ASPHALT SHINGLES ❑WOOD SHAKES WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE'YES IF NO, PLYWOOD ❑ 'A" I PLYWD I OSB PITCH' ROOF 13 NO ERSEl#LAY : THICKNESS: ❑ 5/8" TYPE: CDX '1 Z CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTS ICC-ES REPORT# DESCRIPTION OF WORK co('t G of 2 L^�' 0 l!/1Es f!'v c S By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have ad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building coratruction. I orize.representatives of Cupertino tc enter the above-identified p pert;For inspection purposes. Signature of Applicant/Agent J,� ` ��`�t2 /f C� �'� Date:_ - U Z C� l SUPPLEMENTAL INFORMATION REQUIRED2. —If building is associated with a Home Owner's Association,provide letter IN of approval from HOA. � � ^ Provide Planning approval to verify if there any restrictions. _Provide copy of Manufacturer's Installation Specifications. � E � — _Provide signed copy of Cupertino's Tear-Off Policy. - _ ReroofApp_2011.doc revised 03/02/11 CITY OF CUPERTINO BUILDING PE -_ BUILDING ADDRESS: 10207 ORANGE AVE CONTRACTOR:ZV CONSTR CTION PERMIT NO: 10120151 OV'"""R'S NAME: JIN FENG&LILLIAN CHOU 909 SAN RAFAEL AVE DATE ISSUED:05/13/2011 OH...:R'S PHONE: 6505759660 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)213-6512 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class Lic.# ( p MECH RESIDENTIAL COMMERCIAL Contractor V �� (� �0at 9 I hereby affirm that•I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:CONSTRUCT 1,716 SQ FT SFDWL,1,128 BASEMENT W/413 (commencing with Section 7000)of Division 3 of the Business&Professions SQ FT ATTACHED GARAGE,142 SQ COVERED PATIO Code and that my license is in full force and effect. 10/18/2011-REVISION#4-REVISE GARAGE PIER LOCATION-STRUCTURAL- 10/20/2011 REV#4 ISS'D I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the perfonnance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$398000 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:35715036.00 Occupancy Type: correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cu ertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Sia^-~are Date t!� r! Issued Date:/G ZQ'� ❑ O ER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain [have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. mer or r a t Date:__ APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) ur ie above mentioned property for inspection purposes.(We)agree to save Lender's Name it Afy and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional