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10090184 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10340 GLENVIEW AVE CONTRACTOR:XTERIA INC PERMIT NO: 10090184 OWNER'S NAME: FRANCIS NGAI PO BOX 5460 DATE ISSUED:09/20/2010 ER'S PHONE: 4089968997 SAN JOSE,CA 95150 PHONE NO:(408)289-5353 ❑ LICENSED CONTRACTOR'S DECLARATIONF BUILDING PERMIT INFO: BLDG ELECT PLUMB License Classy/e Liic..# ?/'V e;U 0S MECH F RESIDENTIAL r— COMMERCIAL - Contractor � l C��!c/Q- w9� Date 7 H2O'—tl I herebyaffirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF OF HOME 28SQ OSB 30LB CLASS A (commencing with Section 7000)of Division 3 of the Business&Professions **SEE NOTES** 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 Sq.Ft Floor Area: Valuation:$9500 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36911024.00 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- urce regulations per the Cupertino Municipal Code,Section 9.18. Issued by:--�" � Date: Signatur Date 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. 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, Signature of Applicant: Date: Business&Professions Code) 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. I 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 t or en. c ZO become subject to the Worker's Compensation provisions of the Labor Code,I mus: Date: L l 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 -unify 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 Dale 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: lO.3 qO &l eju,t � D PERMIT# OWNER'S NAME: /1q-�,�s �` PHONE# 3—76 GENERAL CONTRACTOR: ( X7.5%/uc BUSINESS LICENSE# ADDRESS: TO NO -5--1160 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. 20 � I am not using any subcontractors: qk_s gnature 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 Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION its ALBERT SALVADOR, P.E., C.B.O.,BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333-[PuildingCc�cugertino.org PROJECT ADDRESS I©3 l fO / /• e� Ut'e . / OWNER NAME / 7 �J �/� E-MAIL �A �JGr S JOPE STREET ADDRESS I CITY, ST.ATE,ZIP / `i ' FAX CONTRACTOR NAME -y�h LICENSE NUMBE R� " • LICEN TY BUS.LIC# 1 of r 4 (,_(/ G COMPANY NAME E-MAlrr ). \ ,,,` -r FAX STREET ADDRESS CITY,STY JE,ZIP / N 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 a id 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 inspFction 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 doNA 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 b al£ I d and a rE ee to comply with the re-roof policy stated above. Signature of Apphcant/Agent: Date: — ReroofPolicy_2010.doc revised 05/17/10 CITY OF CUPERTINO 3 ITEMS OF 4 PERMIT' RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36911024 . 00 DATE ISSUED. . . . . . . : 09,/20/2010 RECEIPT #. . . . . . . . . BS )00011502 REFERENCE ID # 10 )90184 SITE ADDRESS 10340 GLENVIEW AVE SUBDIVISION . . . . . . : CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : FRANCIS NGAI ADDRESS . 10340 GLENVIEW AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PPC-NET INDUSTRIES CONTRACTOR . . . . . . . : PHILLIP ULLIO LIC # 22346 COMPANY . . . . . . . . . . : X'IERIA INC ADDRESS : PC BOX 5460 CITY/STATE/ZIP . . . : SIN JOSE, CA 95150 TELEPHONE . . . . . . . . : (908) 289-5353 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- -- 1BCBSC VALUATION 9, 500 . 00 1.00 0 .00 1 .00 0 .00 1BSEISMICR VALUATION 9, 500 . 00 1 .00 0 . 00 1.00 0 .00 1REROOFRES SQ FEET 28 . 00 364 .00 0 .00 364 . 00 0 .00 ---------- ---------- ---------- ----- TOTAL PERMIT 366 .00 0 .00 366 . 00 0 .00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --------- -------- ------------------- __ _ -- -------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF M.Indoor Mr Quality and Finishes 1.Use L;ou ING-SOC P9uat 1 IAC)/Health pts yeses 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Lvw/No VOG Adhesives 3 IAC/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0 7.Seaiall+Exposael PaWddb9aWqrMF - 4 IAQ/Healtli pts y=yes 0 B.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 IAQ/Health pts y=yes 0 N.Flooring 1.Select FSC Certified Wood Flooring B Resource pts y=yes 0 2 Use Rapidly3eneera4le Flooring lylaferia�s 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=yes 0 Total Points Available: 1 1401 1301 57 Total Points Project Received: 0 0 0 G:data/progs/c�eanbulldngguidelineslremodelers/greenp6intsfinal21204protectedAs CITY OF CITY OF CUPERTINO RER.00F CUPERTINO PERMIT APPLICATION Date: Building Address: Phone # Owner's Name: Fr 4 t.S e-"js �,/� from HOA ` ! ` HOA: Yes ❑ No If es, rovide letter f Phone #: Ey©ffl --7 Z3 -7663 Contractor: X )e r ra Fax#: Cupertino Business License #: Contractor License #: Type of Roof Covering: Proposed: Existing: ❑ Built-Up roof ❑ Built-Up Roof Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) ❑ Provide I.C.C.E.S. Report# Number of existing coverings ❑ Provide Mfgr. Installation Specs. ❑ Tobe Removed Job Description: F b10M C1t�S � Commercial Residential Confirmed with Planning Dept. if Green Building: Please complete rel crti n or if there are any restrictions: Green Building Checklist & attach to theapplication a licable, include in plan set ©he sheet index. IH ea , derstand and Will Comply with Cupertino's Tear-Off Policy: Sip atu Revised 02/05/09