The URL can be used to link to this page

10110001I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 7569 BARNHART PL I CONTRACTOR: STONERIDGE ROOFING I PERMIT NO: 10110001 1 OWNER'S NAME: JAU-HORNG HSU -VNER'S PHONE: 4086468152 LICENSED CONTRACTOR'S DECLARATION License Class C —37 Lich# � �G ContractorDate I hereby affirm that I am licensed under the provisions of Chapter 9 (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. 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 permit is issued. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. / Signatures i%�?LG>!� Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 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 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. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, , and expenses which may accrue against said City in consequence of the Jug of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 2798 GLENFIRTH DR DATE ISSUED: 11/01/2010 SAN JOSE, CA 95133 PHONE NO: (408)729-5101 JOB DESCRIPTION: RESIDENTIAL u COMMERCIAL RE -ROOF 38 SQ TEAR OFF WOODSHAKE, INSTALL 30LBS FELT 1/2 INC OSB RADIANCE BARRIER PRESIDENTIAL COMP Sq. Ft Floor Area: I Valuation: $20500 APN Number: 36616077.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DA AST CALLED INSPECTION. Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant L.�,,Z_ Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 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 compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: 4Gtz4K:E Date:/ � CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: S 6!� PERMIT # OWNER'S NAME: PHONE # 6 GENERAL CONTRACTOR: % BUSINESS LICENSE # ADDRESS:?38S y_ 5 zek- s 1 CITY/ZIPCODE: SetA *Our municipal code requires all businesses working in the city to have a City of Cupertino business iicense. 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: -ow C� �'�' Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date 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 Owner / Contractor Signature Date 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36616077.00 DATE ISSUED.......: 11/01/2010 RECEIPT #.........: BS0000I1878 REFERENCE ID # ...: 10110001 SITE ADDRESS .....: 7569 BARNHART PL SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: SylviaM COPY # : 1 OWNER JAU-HORNG HSU ADDRESS 7569 BARNHART PL CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5238 RECEIVED FROM ....: STONERIDGE ROOFING CONTRACTOR SERGIO GONZALEZ LIC # 25625 COMPANY STONERIDGE ROOFING ADDRESS ..........: 2798 GLENFIRTH DR CITY/STATE/ZIP ...: SAN JOSE, CA 95133 TELEPHONE ........: (408)729-5101 FEE ID UNIT ----------------------- QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BCBSC VALUATION ---------- 20,500.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 20,500.00 2.05 0.00 2.05 0.00 1REROOFRES SQ FEET 38.00 494.00 0.00 494.00 0.00 TOTAL PERMIT ---------- 497.05 ---------- 0.00 ---------- 497.05 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 497.05 --------------- 497.05 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF 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 (Wcupertino.org PROJECT ADDRESS / ` S'� APN # OWNER NAME G b PHONE T -6 — 8)s 7L E-MAIL STREET ADDRESS CITY, STATE, ZIP �• FAX 7561 �Pj �� J� CONTRACTOR NAME LICENSE NUMBER Q LICENSE TYPE BUS. LIC. # COMPANY NAME E-MAIL FAX 'li" e oa In- STREET ADDRESSCITY, " S )�Y. STATE, ZIP / PHONE ? Zai-S(o Ae c I UNDERSTAND AND AGREE TO THE FOLLOWING: 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 1/4" 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 behalf. I understand and agree to comply with the re -roof policy stated above. Signature of Applicant/Agent:ZZ Date: �f/ e ReroofPolicy_201 0. doc revised 05/17/10 CITY OF w CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION APN #J q 2 2 0, �O , , b Date: elf� - Building Address: )`S617 Owner's Name: �t�� - �f ��,�% Phone #:`�, 15 2 HOA: Yes ❑ No ❑ If Yes, provide letter from HOA Contractor: 5 fiOrK'�r I e OU,, 11�7 Phone #: jo _ - f G Fax #: Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles u.,, -Asphalt Shingles ti 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:�eyr 1l2inck 0-31 tti��;r�n-��-��-r, c_�,�, � �„ fi,c� reSti �ent►�,1 %,L . 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: Z 4 e D I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Si Revised 02/05/09