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10020028CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10271 BONNY DR CONTRACTOR: ABOVE ALL ROOFING PERMIT NO: 10020028 RUP ST DATE ISSUED: 02/04/2010 OWNER'S NAME: KUO CHING S AND LEE KUEI C 700 NORTH .ER'S PHONE: 4087816908 AN JOSE, CA 95126 //LICENSED CONTRACTOR'S DECLARATION License ClassCCatl Lic. # 7Contractor atI hereby affirmm 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. Signature Date4e*� OWNER -BUILDER DECLARATION PHONE NO: (408)292-4188 BUILDING PERMIT INFO: BLDG r— ELECT [_ PLUMB r— MECH r— RESIDENTIAL F_ COMMERCIAL JOB DESCRIPTION: RE -ROOF TEAR OFF EXISTING COMP & WOOD SHINGLES, NSTALL NEW RADIAT BARRIER 7/16" OSB. INSTALL NEW ;0# FELT UNDERLAYMENT. INSTALL NEW CERTAINTEED hereby affirm that I am exempt from the Contractor's License Law for one of he following two reasons: , as owner of the property, or my employees with wages as their sole compensation, All do the work, and the structure is not intended or offered for sale (Sec.7044, 3usiness & Professions Code) [, 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 relatinl to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save -nnify and keep harmless the City of Cupertino against liabilities, judgments, , 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. Signature Sq. Ft Floor Area: APN Number: 35913002.00 Valuation: $10000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issuj�b - Date. RE -ROOFS: kll roofs shall be inspected prior to any roofing material being installed. If a roof is nstalled without first obtaining an inspection, I agree to remove all new materials for nspection. Signature of Ap licant%�-11 /v 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(a) 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. Ow �,r�i��-r--- _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 I understand my plans shall be used as public records. Licensed Professional 3 ITEMS OF 3 CITY OF CUPERTINO PERMI" RECEIPT Sec: Twp: Rng: Sub: B11;: Lot: APN ........: 35:313002.00 DATE ISSUED.......: 02,/04/2010 RECEIPT #......... BS)00009688 REFERENCE ID # •..: 10)20028 SITE ADDRESS 10271 BONNY DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER KU3 CHING S AND LEE KUEI C ADDRESS 10271 BONNY DR CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2905 RECEIVED FROM ABOVE ALL ROOFING S CONTRACTOR KEN SULESKY LIC # 23092 COMPANY ABOVE ALL ROOFING ADDRESS 700 NORTHRUP ST CITY/STATE/ZIP ...: SPN JOSE, CA 95126 TELEPHONE ........: (408)292-4188 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT --------- THIS REC NEW BAL ----------------------- 1BCBSC VALUATION ---------- 10,000.00 ---------- 1.00 0.00 1.00 0.00 0.00 1BSEISMICR VALUATION 10,000.00 1.00 0.00 1.00 1REROOFRES SQ FEET 22.00 286.00 0.00-- ---------- -286.00 --- --0.00 TOTAL PERMIT ---------- 288.00 0.00 288.00 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 288.00 --------------- 288.00 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- #18206 VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CITY OF CUPERTINO 01 REROOF CUPERTINO PERMIT APPLICATION APN # L> , Date: 21-51 j/ v Building Address: /Q 2 7/ Owner's Name: G/,,,(S' � �o Phone #: cl/lov HOA: Yes No If es provide letter from HOA Phone #�yO ) 292 - Contractor: � 2 /// 144� /,' 0A_$ Fax #: - y3 s`y Cupertino Business License #: � � � Contractor License Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof o,"'Asphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes o�Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) of existing coverings 2 ❑ Provide I.C.C.E.S. Report # :Nu,nber To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 7"4,, dAr 2A -)s �� c;o A f ¢ wood i /yew 30* A_-/4 7�/G 0.S6 . S.i sem/ 2 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 inclex. Valuation: 1411,110, Ov0 I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature Revised 02/05/09 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 a&-ee to comply with 2007 IBC Standards and manufacturers specifications on r roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be appli :d without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the b wilding 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 pe -formed. 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 $176.18. The re -inspection fee must be paid before another inspection rm be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of liE " 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: �� `� �'` O Job Site Address: /4) Z % &,7, Roofing Company Name: �Dv� C Sa ��.117`o✓t --�- Applicant's Signature. Date: *ze-1 Greg Casteel Building Official Revised 07/30/08 CITY OF -UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Buildin De artment JOB ADDESS: PERMIT # D ZOO L OWNER'S NAME: S PHONE # 092 7S/ GENERAL CONTRALTO - FAX # S�6 Z r2 - clS- -" I am not using any subcontractors: Si;nature ate a„tl rnM1.11PtP the fr lowinq information: . ledbC LILULIS, a 11%-GLUic J{ii✓l V1LLL..t �Vi✓ SUBCONTRACTOR ... a.- - v-------- --- --- 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 Tile Owner/ Contractor Signature Zi� �� Date