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10010136 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10138 COLD HABOR AVE CONTRACTOR:R E ROOFING& PERMIT NO: 10010136 CONSTRUCTION INC 'NER'S NAME: CALVIN LEUNG 15230 CLYDELLE AVE DATE ISSUED:01/25/2010 OWNER'S PHONE: 4088732271 SAN JOSE,CA 95032 PHONE NO:(408)626-9320 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB :1 License Clas Lic.# 2 � MECH RESIDENTIAL COMMERCIAL (ontrac r Date 2 0 reby affirm t�iat I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVE EXISTING 1 LAYER OF WOOD SHAKE, I he (commencing with Section 7000)of Division 3 of the Business&Professions INSTALL NEW 1/2"CDX,30#FELT&LIFETIME COMP. CLASS A 38SQ 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:$19000 permit is issued. APPLICANT CERTIFICATION APN Number:36909043.00 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, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 27 Issued by wT r ....—�.... s- �r- Date. • " 27 ature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs sh,111 be inspected prior to any roofing material being installed.If a roof is the following two reasons: install-Cd without t obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, iy1pection.�/f=-- �~`' -� will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) �gnatur of pplic Date: I,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& fety Vie; ctions 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exem ion, become subject to the Worker's Compensation provisions of the Labor C de,I mus r aut ed a' Date: forthwith comply with such provisions or this permit shall be deemed revoked.._____ 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 unify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION iff Tf m,-po i n t spm . ulations er the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. ignature _ Date Licensed Professional r CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36909043 . 00 DATE ISSUED. . . . . . . : 01/25/2010 RECEIPT #. . . . . . . . . : BS000009611 REFERENCE ID # . . . : 10010136 SITE ADDRESS . . . . . : 10138 COLD HARBOR AVE SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CALVIN LEUNG ADDRESS . . . . . . . . . . : 10138 COLD HARBOR AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-3327 RECEIVED FROM . . . . : R E ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING & CONSTRUCTION INC ADDRESS . . . . . . . . . . : 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ------- 1BCBSC VALUATION 19, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 19, 000 . 00 1 . 90 0 . 00 1 . 90 0. 00 1REROOFRES SQ FEET 38 . 00 494 . 00 0 . 00 494 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 496 . 90 0 . 00 496 . 90 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- --------------- CHECK 496 . 90 42037 --------------- TOTAL RECEIPT 496 . 90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF t �! CITY OF CUPERTINO REROOF CITYCUPEI�TiNO PERMIT APPLICATION APN # Date: � Building Address: Owner's Name: CAWW Phone#: HOA: Yes ❑ No 421 If yes, provide letter from HOA Contractor: Phone #: y 23 -IX1, �01.� �Yu,t,�T1UN� l�C � Fax #: -710 Cupertino Business License #: � `� t/ Contractor License #:� Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles F Asphalt Shingles ;;kn Wood Shakes ❑ Wood Shakes a Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other (Specify) Number of existing coverings o Provide I.C.C.E.S. Report# To be Removed o Provide Mfgr. Installation Specs. Job Description: WJ�A 2, Residential Pq 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. Valuatign: ��U LQ I Ha e nderstand and Will Compl with Cupertinds Tear-Off Policy: Signature Revised 02/05/09 1 CITY OF CUPERTINO REROOF CUPEI�TINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee iBSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee j 1BSEISMICRE Seismic Residential B 1 REROOFMRES 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 BuildingDepartment 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 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: 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 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 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 policy on re-roofing. Homeowner's Name. 1Oki Job Site Address: c�13 v Li Chu jc� '� S1FUV..__-Nver"Roofing mPanY CoName: j Applicant's Si ature: f --- .�__ Date: W Greg Casteel Building Official Revised 07/30/08 iK Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ,0 "UPEkTINO Building Depart ent JOB ADDRESS: e,�M . PERMIT # OWNER'S NAME: C' c.,v K j a PHONE # GENERAL CONTRACTOR: u.5" Ra Ia`f IFAX # +u&- G2-(O - I I am not using any subcontractors• afore _.. Date Please check ap cable subcontractors and comp ete 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 Tile Owner/Contractor Signature Date