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10020059 CITY OF CUPERTIN O BUILDING PERMIT BUILDING ADDRESS: 7589 BARNHART PL CONTRACTOR:QUALITY FIRST HOME PERMIT NO: 10020059 IMPROVEMENTS 0- 'NER'S NAME: KUO CHING-HORNG AND LI L 6545 SUNRISE BLVD STE 202 DATE ISSUED:02/10/2010 O vv NER'S PHONE: 4084461367 CITRUS HEIGHTS,CA 95610 PHONE NO:(916)788-2921 ❑ LICENSED CONTRACTOR'S DECLARATION I f- � _ BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class l Lic.# 975 77(.�f�-�-�/ � �S� Date-2—lo-10 MECH I— r-RESIDENTIAL COMMERCIAL� Contractor / �-/ I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF W/DECK ARMOUR W/OSB RADIANT BARRIER (commencing with Section 7000)of Division 3 of the Business&Professions 30SQ GRAND CANYON COMP CLASS A 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:$29000 permit is issued. APPLICANT CERTIFICATION APN Number:36616079.00 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 construction,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, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-poin ource regula' ns per the Cu ertmo Municipal Code,Section 9.18. , -yU_0 Issued by . �� -�� Date: c ^atur Date z" ❑ 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 b 'n installed.If a roof is the following two reasons: installed without first obtainin insp ction, re o remov 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 _....Date:2 1,as owner of the property,am exclusively contracting with licensed contractors to 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& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. 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,Secti "s505,25533,and 25534. 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 ed age Z--1 O-6 L/0 forthwith comply with such provisions or this permit shall be deemed revoked. Date: 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 the above mentioned property for inspection purposes.(We)agree to save nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address s,and expenses which may accrue against said City in. sequence of the granting of this permit.Additionally,t e applicant pn6rstanQand will comply ARCHITECT'S DECLARATION with all non-point s e regulations er the Cu rtino Muni ipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk : Lot: APN 36E16079 . 00 DATE ISSUED. . . . . . . : 02/10/2010 RECEIPT #. . . . . . . . . BSC00009730 REFERENCE ID # . . . : 1OC20059 SITE ADDRESS 75f9 BARNHART PL SUBDIVISION . . . . . . . CITY CU'ERTINO IMPACT AREA . . . . . . OWNER KUO CHING-HORNG AND LI L ADDRESS 7589 BARNHART PL CITY/STATE/ZIP CUPERTINO CA, CA 95014-5238 RECEIVED FROM . . . . : ER"C SCOTT TOWNSEND CONTRACTOR GC ANDERSON LIC # 30398 COMPANY QUALITY FIRST HOME IMPROVEMENT ADDRESS 65,65 SUNRISE BLVD STE 202 CITY/STATE/ZIP . . . : CI'CRUS HEIGHTS, CA 95610 TELEPHONE (916) 788-2921 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- -- 1BCBSC VALUATION 29, 000 . 00 2 . 00 0 . 00 2 . 00 0 . 00 1BSEISMICR VALUATION 29, 000 . 00 2 . 90 0 . 00 2 . 90 0. 00 1REROOFRES SQ FEET 30 .00 390 . 00 0 . 00 390 . 00 0 . 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 394 . 90 0 .00 394 . 90 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 394 . 90 MC --------------- TOTAL RECEIPT 394 . 90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ------------ 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF EO; CITY OF C.UPERTINO REROOF CUPEkTINO PERMIT APPLICATION APN # Dated. - Building Address: &WLfftq-- Phone #: Owner's Name: �y le j a - - /-367 HOA: Yes ❑ No If yes rovide letter from HOA Contractor: Phone #: -9S-'�F- 7 Yy 0,j " +�I- V-ST Fax #: ?11,-72-i- O re6C) Cupertino Business License #: Contractor License #: 8777 2- Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles < Asphalt Shingles XWood 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: _ gx ve- Residential [ Commercial Lj Green Building: Please complete relevant portion of the Conifirmed 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 in lex. Valuation: Zpj I Have Re , Understand and Will Comply with Cupertino's Tear-Off Policy: t Signa re Revised 02/05/09 CITY Of CITY OFCUPERTINO [a RIKROOF CUPERTINO FEE S CHEDULE Number of Fee ID Fee Dei cription Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 11COMMLROOF 1BCBSC Cal Bldg; Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICO Seismic Commercial B / 1REROOFRES Re-roof Residential B 1SFDWLROOF I 1BCBSC Cal Bldl; Standards B ALL PERMIT TYPES f Commission Fee 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 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 IBC Standards and manufacturers specifications on r a-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 b gilding 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 Ciiy,the following steps are required: 1) Pre-inspection and/or tear off approval. 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 nai'. inspection and the job is not ready, you will be charged a re-inspection fee of$176.18. The re-inspection fee must be paid before another insvection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of I/i " 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 policy on re-roofing. Homeowner's Name: �-ttf -75 job Site Address: �efq Roofing Company CoName: i42 ' I f`5� �/1'l �kf Applicant's Signature: Date. Greg Casteel Building Official ReNised 07/30/08 M.Indoor Air Quality and Finishes 1.Use ianw41110-VOG Paw 1 IAQ/Health pts y--yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Lou*VOG 44dti13 VM 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 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0 7, f.d, 41AQ/Health. pts y=yes 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 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 1 t Total Points Available: 1 1401 1301 57 Total Points Project Received: 01 01 0 2 � G4 gr+:enbuil mg lines/remodelers/greenpointsfina12.12.04pro a Is Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 IPEkTINO Buildi:n De artment JOB ADDRESS: PERMIT # S-7 OWNER'S NAME: PHONE GENERAL CONTRACTOR: Mt FAX# I am not using any subcontractors: Signature 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock ' e Date Owner/Contractor Signature