10090076 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10142 BILICH PL CONTRACTOR:WING'S ROOFING INC PERMIT NO: 10090076
OWNER'S NAME: SUE CHAU 1243 SYDNEY WAY DATE ISSUED:09/13/2010
!ER'S PHONE: 4088238031 4-ASTRO VALLEY,CA 94546 PHONE NO:(510)889-9068
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r PLUMB
License Class . ��� tic.#
' MECH r RESIDENTIAL r COMMERCIAL r
Contractor _Date
I hereby affirm that I m licensed under the provi_V-s,
f Chapter 9 JOB DESCRIPTION:RE-ROOF T/O ASPHAL SHINGLE INSTALL LIGHT WEIGHT
(commencing with Se tion 7000)of Division 3 of the Business&Professions /ILEA TILE UNDER 6LBS PER SQFT CLASS A 27SQ
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 iq,Ft Floor Area: Valuation:$8800
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
CPN Number:31621063.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
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 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
Z .
Date:
9.18. Issued by:
` 3 / o
Signature � Date �r
L, OWNER BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
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, Signature of Applicant:_�J Date:q /
Business&Professions Code) tr
I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by 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
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
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 Owner or authorizyed4gent:
become subject to the Worker's Compensation provisions of the Labor Code,I' <<b �`r► -Date: ' r
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
inify and keep harmless the City of Cupertino against liabilities,judgments,
and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 31621063 . 00
DATE ISSUED. . . . . . . : 09/13/2010
RECEIPT #. . . . . . . . . BS000011436
REFERENCE ID # . . . : 10090076
SITE ADDRESS . . . . . : 10142 BILICH PL
SUBDIVISION . . . . . . .
CITY CUFERTINO
IMPACT AREA . . . . . .
OWNER SUE CHAU
ADDRESS . . . . . . . . . . : 10142 BILICH PL
CITY/STATE/ZIP . . . : CUFERTINO, CA 95014
RECEIVED FROM . . . . : WING J CHEA
CONTRACTOR . . . . . . . : CHEA, WING LIC # 21239
COMPANY . . . . . . . . . . : WING'S ROOFING INC
ADDRESS 3243 SYDNEY WAY
CITY/STATE/ZIP . . . : CASTRO VALLEY, CA 94546
TELEPHONE . . . . . . . . : (510) 889-9068
FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 8, 800 . 00 1 .00 0 .00 1. 00 0 .00
1BSEISMICR VALUATION 8, 800. 00 0 . 90 0. 00 0. 90 0 . 00
1REROOFRES SQ FEET 27. 00 351. 00 0. 00 351. 00 0 . 00
-- -------- ---------- ---------- ----------
TOTAL PERMIT 352 .90 0 .00 352 . 90 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF C'UPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: DATE: REVIEWE7BY:
APN: BP#: *VALUAT $8,800
xPERMIT TYPE: Minor Building Permit PLAT CHECK TYPE: Re-roof
PRIMARY 1CaI,9Z.
[F�NTAMATION 1SFDWLROOF
USE: SFD or Duplex i:r{��?I �fhf I PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AREA
s.f.
1 REROOFFRES 2,700
F A 1h I
Oil7C
Imp,
MV) hce
NOTE. These fms are based on the prelimina in ormation available and are on1v an estimate. Contact the De t or addn'l info.
Q MISC ITEMS
FEE ITEMS (Fee Resolalion 09-051 Eff. %7i10j FE1E�, TY/FEE
Nott { 1ti'c'l Vcc
Phold) Ilcch. I:fct:PIc117 {'fw(";
Permit Fee: $351.00
Pfrrtrttt.;'.t lt�i lt. f�l��c Pertttit FCC,'
`f7Ctlt?t t 1 t1.
r 7
,1t.:(37#SftC:�t! ftE'i'tE'tz' '£'c':
Work Without Permit? ECOE) Yes TNol-
Pjanm
0.00
.w, 1°cc',"-
Travel Docrrttra'llotiora FCCS_ �
`;0.88 Select an Administrative Item
Strongr Motion Fee: IBSEISMICR
Bldg Stds Commission Fee: IBCBSC ;61.00
SUBTOTALS: $352.88 $0.001 TOTAL FEE:- $352.88
Revised: 9/01/2010
M.Indoor Air Quality and Finishes
1.Use Low/No-VOC Paint 1 IAQ/I-lealth pts y=yes 0
2,Use Low VOC,Water--Based Wood Finishes 2 IAOJHealth pts y--yes0
3.Use Low/No VOC Adhesives 3 IACJHealth pts y--yes 7. 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0
5.Use Engineered Sheat Goods with no added Urea
Formaldehyde 61AQ/HeaM pts Y--yes0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal al Expiosid abwd or MCF _ 4 IAOJHealth pts = es 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAD/Health pts y--yes 0
1 1 0
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yes 0
2.Use f3ap�diy Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts Y--yes0
1 1 1
Total Points Available: �-� 140 130 57
Total Points Project Received:1 1 01 01 0
li
Mdatalprogs/gieenbuildingguidelineslremodelerslgreenp6intsfinal212Mproteoted.xis
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPART MENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228 FAX(408)777-3333•t gilding
(cDcupertino.org
FPROJECTADDRESS 0 r n N )LAPN#
r LI lll....���E Ch PHOTE _` AIL
STREET ADDRESS CITY, ST..TE,ZIP���,j �,/�I` �. FAX
CONTRACTOR NAME c LICENSE N E R l/ LICENSE TYPE BUS.LIC#
M1 a C_
COMPANY NAME E-MAIL FAX
R \ 111ccc
STREET ADDRE CITY,ST/TE,ZIP V ,f ;d PHONE
I UNDERSTAND AND A 3REE TO THE FOLLOWING:
1. The re-roof project shall comply with all applica)le 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 aid 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 -or 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 dove n to the sheathing so a proper inspection can be
performed.
7. A final inspection and approval shall be obtaine i 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 _bot 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 agrf a to comply with the re-roof policy stated above.
Signature of Applicant/Agent: Date:
ReroofPo1icy_2010.doc revised 05/17/10
CITY OF
CITY OF C.UPERTINO
Wi REIROOF
CUPERTINO PERMIT APPLICATION
APN # � � Date:
Building Addres :,
2 I L
Owners Name: Phones#t 8.,3 , p
HOA: Yes ❑ No If Yes, provide letter from HOA
Contractor: VJ t AIs 6 Phone #: -
6 CIS
5 M ti % x-
+r-o �' 11 OfFax#:
Cupertino Business License #: Contractor License #: G�� l3
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
.A Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) 5( Other (Specify) ly
Number of existing coverings % ❑ Provide I.C.C.E.S. Report#
To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
vile , � VL ��
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: S k6 v
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09