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11010064 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1154 KENTWOOD AVE CONTRACTOR:TIP-TOP ROOFING PERMIT NO: 11010064 OWNER'S NAME: ALEX SHANG 1160 NADINE DR DATE ISSUED:01/11/2011 Q`"IER'S PHONE: 4087770961 CAMPBELL,CA 95008 PHONE NO:(408)370-6425 0 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB r License Class r 3 q Lic.# e d�, r MECH RESIDENTIAL F COMMERCIAL Contractor /'�,'/�1/9 Z . Date ��� I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF 2 LAYERS COMP SHINGLES,INSTALL 30LB FELT&30YR DIMENSIONAL SHINGLES CLASS A (commencing with Section 7000)of Division 3 of the Business&Professions 22SQ 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. 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:$5650 permit is issued. APPLICANT CERTIFICATION X!!lAPN Number:35931026.00 Occupancy Type: 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 constriction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. / /� / Issued bX Date: Signature A//� e , C16' Date OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: 463V 4`� Date: If I,as owner of the property,am exclusively contracting with licensed contractors to 1001 construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I Owner thorized a it: become subject to the Worker's Compensation provisions of the Labor Code,I must c L Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address and expenses which may accrue against said City in consequence of the .mg of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Signature Date Licensed Professional Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: !l_Pl;' it/Tu&"r•O iWW0= PERMIT# DU OWNER'S NAME: AGE' -< AVCZ PHONE# GENERAL CONTRACTOR: -77- —7,voo BUSINESS LICENSE# ADDRESS://4'&V ,vAO--M45 A-4• CAW P/347ee CITY/ZIPCODE: CAcWl64W 40- V!&•? *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 D e Please check applicable subcontractors and complete the following information: V 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 Septic Tank Sheet Metal Sheet Rock Tile ner/Contractor Signature FSate 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(a)cupertino.org PROJECT ADDRESS i^�A17(&QOA tq4jr APN# OWNERNAME f Ve f �LGn PHONE E-MAIL STREET ADDRESS �j/�� �/I� II D �� CITY, STATE,ZIP /Jy.AL�Q�Iw� FAX CONTRACTOR NAME >4 //1#40�G.y LICENSE NUMBER6 04'O LICENSE TYPE BUS.LIC.# COMPANY NAME �,Pvi � E-MAIL,r�E,�/ ir`�ob,*� FAX/AAs STREET ADDRESS/!�a *��''�/E ri1 CITY,STAATE,ZCC e���„� GG V�rPHONEE� ✓7 (J 7 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of I/4"per foot of slope and must 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. 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 behal�nderstan d agree to comply with the re-roof policy stated above. rr Signature of A licant/Agent: �' �i4 � Date: ®� 11 w_ � Reroo,Policy_2010.doc revised 05/17/10 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 1154 kentwood ave. DATE: 01/11/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$5,650 q*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF USE: P PERMIT TYPE: WORK re-roof existing sfd. SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,200 LfccG. Plan f'?rr,c_k Phwu h. Plnn t`hcc'h !Jcc Plan Chc:k _T L1�><h, Ptp`ni t I'Ve Wlinzi,. f'errnit Fcc: 1:ifrc, Pcrmit V0 RtecL Insp, 01hCIV P imb h-1"P. Li Oth r 1;t'Cc 1'n-sly. Li l'i't'. Iter Insl}, 1'co NOTE: Theset or addn 7 in-fees are based on the preliminaryin ormation available and are onlyan estimate. Contact the De o. FEE ITEMS (Fee Resohition 09-051 E ',"1.,'10) FEE QTY/FEE MISC ITEMS Plan Chccl` Fee: szfpp/ 14",FCC, FT A f'ltrrrtf�.i;l tec lt./I;l c:Platt C.Jwc k: Permit Fee: $286.00 Supply In.sp Fee f'Izrrnf7.;';11�xc�Tr.i7;lcc: t'nirfE�t: _T TJurtth.%F�1c�ctt./I;lc°c 1'c�rrnif I'ec�; C'onstt-tw[ion 7-ax [..,ou:siic al Rci°ic iv F c Work Without Permit? 0 Yes 0 No $0.00 I'lanrtin fees: 11 71-avcel 00climcnfoliolt Strong Motion Fee: IBSEISMICR $0.57 Select an Administrative Item Bldg,Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $287.57 $0.00 TOTAL FEE $287.57 Revised: 12/07/2010 CITY OF CUPERTINO 3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35931026 . 00 DATE ISSUED. . . . . . . : 01/11/2011 RECEIPT #. . . . . . . . . : BS000012449 REFERENCE ID # . . . : 11010064 SITE ADDRESS . . . . . : 1154 KENTWOOD AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . . OWNER ALEX SHANG ADDRESS . . . . . . . . . . : 1154 KENTWOOD AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : NIJAZ KADICH CONTRACTOR . . . . . . . : NIJAZ KADICH LIC # 24202 COMPANY . . . . . . . . . . : TIP-TOP ROOFING ADDRESS . . . . . . . . . . : 1160 NADINE DR CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (408) 370-6425 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 5, 650 . 00 1.00 0.00 1. 00 0 .00 1BSEISMICR VALUATION 5, 650 . 00 0 .57 0 . 00 0. 57 0 .00 1REROOFRES SQ FEET 22 . 00 286 . 00 0 . 00 286.00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 287.57 0.00 287.57 0 .00 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 CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION APN# -: Date: If residential, is house an Eichler? Yes ❑ No)K If yes, needs planning approval. Building Address: Owner's Name: Ike-1 S 4At Phone # 4-9.7 HOA: Yes ❑ No [j[---1f'yes, provide letter from HOA Contractor: Phone #: hyo g) 3 Z S Fax#: Cupertino Business License #: Contras or License Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ?t Asphalt Shingles �c Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report# ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: /4pq/' ss`•f 2 ,�,t�.t1 Residential [ 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, include in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: