10030068 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10439 STELLING RD CONTRACTOR:DONE RIGHT INC PERMIT NO: 10030068
nWNER'S NAME: MIKE&CHRISTY LIN 1129 LONG FELLOW AVE DATE ISSUED:03/11/2010
,JNER'S PHONE: 5105575829
CAMPBELL,CA 95008 1 PHONE NO:(408)377-8777
LJ
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
�jzlr�Z RE-ROOF POWERWASH,SEAL SEAMS PRIME SPRAY
License Class �v� Lic.# TWO
Contractor Date WHITE TOP COATS REPLACE TWO SKYLIGHTS
I hereby affirm that I am icensed 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 Valuation:$7584
performance of the work for which this permit is issued. Sq.Ft Floor Area:
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 APN Number:32628091.00 Occupancy Type:
permit is issued.
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 FROM 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 Issued by: Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source egul tions per the Cupertino Municipal Code,Section
9.18. // RE-ROOFS:
Signature Si Date `< /� All roofs shall be inspected prior to any roofing material being installed.If a roof is
g installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
the following two reasons:
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) HAZARDOUS MATERIALS DISCLOSURE
1,as owner of the property,am exclusively contracting with licensed contractors to
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. I 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
will maintain compliance with the Cupertino umcipal Code,Chapter 9.12 and
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by 33,and 25534•
the Health&Safety Code,Section 2 5,
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date!
�/O_
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 CONSTRUCTION LENDING AGENCY
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 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.)
forthwith comply with such provisions or this permit shall be deemed revoked. 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
-non the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
demnify and keep harmless the City of Cupertino against liabilities,judgments,
posts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point sour a gulations per the Cupertino Municipal Code,Section Licensed Professional
9.18. /
Signature Date 6
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 32628091. 00
DATE ISSUED. . . . . . . : 03/11/2010
RECEIPT # . . . . . . . . . BS000009917
REFERENCE ID # 10030068
SITE ADDRESS 10439 STELLING RD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER MIKE & CHRISTY LIN
ADDRESS 10439 STELLING RD
CITY/STATE/ZIP CUPERTINO, CA 95014
RECEIVED FROM DONE RIGHT
CONTRACTOR LENKER, GLENN LIC # 17272
COMPANY DONE RIGHT INC
ADDRESS . . . . . . . . . . : 1129 LONG FELLOW AVE
CITY/STATE/ZIP CAMPBELL, CA 95008
TELEPHONE (408) 377-8777
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------------
---------- ----------
---------- --
00
1BCBSC VALUATION 7, 584 .00 1 . 00 0 .00 1 . 00 0 •
1BSEISMICR VALUATION 7, 584 .00 0 . 80 0 .00 0 . 80 0 . 00
1REROOFRES SQ FEET 18 . 00 234 . 00 0 .00 234 . 00 --- -- -
---------- ---------- ----------
TOTAL PERMIT 235 . 80 0 .00 235 .80 0 . 00
METHOD OF PAYMENT AMOUNT --REFERENCE-NUMBER-
----------------- ---------------
CHECK 235 . 80 1408
---------------
TOTAL RECEIPT 235 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
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601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF
CITY OF CUPERTINO
[I REROOF
CUPERTINO PERMIT APPLICATION
APN# Date:
Building Address: kq3L7 /
Owner's Name: Mliv11-CA P/V Phone-#: -�
HOA: Yes ❑ No �If es, pr vide letter from HOA C 7� ��
Contractor: Phone #:�O�J
' Fax#: 3 71 SSO 2
Cupertino Business Licens #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
o Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
�
. Other (Specify)�xd f3'U ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S. Report#
❑ To be Removed .eProvide Mfgr. Ins`tCalllation Specs.
Job Description: is cS C✓�'
Residential Commercial-0—
Green
ommercial ❑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: q L/1�0 /
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09
CITY OF
CITY OF CUPERTINO
REROOF
CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BCBSC Ca1'Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
} 1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLR00F
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 2007 CBC Standards
and manufacturers specifications on re-roofing. All roofs are Class"A" per Cupertino
municipal code 16.04.080.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City,the following steps are required:
Pre-inspection and/or tear off approval.
a) AT TEAR OFF PULL OUT ALL ROOF FASTENERS.
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$126.00. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated polifc_y' on re-roofing.
A//�<
Homeowner's Name: t CAA N!/
Job Site Address: 0 l U ;
Roofing Company Name:
Applicant's Signature: Date:
Albert Salvador
Building Official
Revised 3/09/10
INPUT Resources Energy ,Q
M.Indoor Air Quality and Finishes
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes. 0
3.Use Low/No VOC Adhesives 3 IAQ/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
0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
4 IAQ/Health pts y=yes
7.Seal all Exposed Particleboard or MDF 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 IAQ/Health pts y=yes 1 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly 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=yes 0
1 ! !
Total Points Available: 1 1401 1301 57
Total Points Project Received: 0 0 0
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