The URL can be used to link to this page

07100186 CIT�' O�� CUPERTINO : < � T ': BUILDING DIVISION PERMIT ��VT�� :�L�T1QN� : BUILDING ADDRESS: � PERMIT NO. 7478 FALLENLEAF LN D& D�;ONSTRUCTION 07100186 . ER'S NAME: PERMIT LSSUE DATE CHUA, ROY AND TAN, KNG KER 1447 H�IMPTON DR 10 26 2 07 PHONE: SANITARY NO. CONTROL NO. (408) 6E�6-5298 ARCHI'fECT/ENGINEER: BUiLDING PERMITiNFO BLDG ELECT PLUMB MECH � � � � � O p LICENSED CON7RACTOR'S DECLARAT[ON � V� I heccby afficm �at I am licenscd unJcr provisions aC Chaptcr 9(commcncing IOIJ DCSCI7pC10I1 ; Z� wiih Scction 7000) af Divicion 3 of thc Busincss and Profcssions Codc, and my licensc is �i ?� y in fuli Corce andeffect RE—ROOF' � PLAYWOOD 1/ 2 � 2� SQS � 1/ 3 0 LB � CLASS A �� ? Licensc Class Lic. # ; E., O Da�c Conuactor � � ARCHITECI'S DECLARATION �� U 1 undcrstand my plans shall hc used as public rcrnrcfs ,a � � y Liccnscd Pcufcssional � y � OWNER-BUILDER DECLARATION j a� I hcrcby alTirm that I am excmp� from thc Canvactor's Liccnsc Law Cor thc : p O [ollowing rcason. (Sccdon 7(131.5, Business and Profcssions Codc: Any ciry ar rnun�y e°� which requires a pertnit to cansuuc4 alter, impmve, demulish, or �epair any swcwre ? Z} prior to iLC issuancc, also rcquiccs �hc applicant Cor such permit ta filc a signcd siatemcn� � x � �hat hc is liccnscd pursuant to thc provisions oC lhc Conlractor's Liccnsc Law (Chaptcr 9 iq. Ft. Floor Area Valuation u F- �(commencing wi�h Scction 7000) of Division 3 of Ihc Busincst and Profcssions Codc) or � 9 O O O ,, �.. �hat he is exempt thercfrom and the bazis Cor the alleged exemption. Any violadon o( Section 703 t.5 by any applicant Cor a pem�it subjects �he applicant to a civil penalty of A Number Oeeupaney Type not morc than five hundred dollars (5500). 3 r j g 2 g � 2 �.$� ❑[, as owner of tlie proper[y, ar my cmploycrs with wages u their solc compensadon, will do �hc work, and the suuaure is nae in�ended or offered far sale (Sec. 7044, Business and Peofessions Code: The Conuactor's License Law docs not apply w an ownu of Required Inspections praperty who builds or improves thereon, and who das such work himulf or �hrough his own emplayccs, providcd that such improvemems are rwt in�ended or olieced for sak. IC, however, the building or improvemrnt is wld within one year oC completion, the owner- builder wilt have the burden of proving that he did nat build or improvc for pmpo,u of salc.). ❑ I, as awner of the propetty, am exdusively conhacting with licensed rnnuutors to construct the projett (Sec. 7044, Husiness and ProCessians Cade:) The Coolnctar's Li- ccnse Law docs not appty to an awner of propeny who builds or improvas the2on, and , who convacts [or such projects with a conuactor(s) licensed pursuant to the Convactor's License Law. vn exempt under , B& P C for �his rcason _..,,« :� oa� 07 ORKER'S G PENSATTON DECLARA710N - � I hereby affitm under penalty of perjury one of U�e folbwing declarationz ❑ I hsve and will maintain a CeniGcatc of Consent to self-insure for Workcrs Campen- sation, as provided for by Section 37a0 of the Labor Code, far �he performance a[ the work far which Nis permi[ is issued. ❑ I have and will mainwin Worker's Compensuion lnsurance, as required by Section 3700 0[ Uic Labor Co�, for thc performancc of the work for which Nis permit is issiud. ' My Worker's Compensation Insunnce carricr and Policy numbcr are: Cartier: Policy No.: CERTIFICATE OF EXEMP!'[ON FROM WORKERS' COMPENSATIONINSURANCE (1'his scctian nced not bc comple�ed it the permit is for onc hundred dollars (E I00) or Icss.) I ani(y Ihat in thc performancc of c w fw which �his permit is issucd, 1 shall not employ any person in any �qyy� o c ortw ect w die Workcrs' Campensauon Laws oC Califomia Datc L(� V Applicant NOTICE TO APPLICAM: If, a(tcr making this Ccrtificaic of EzcmpGon, you shauld become subjcct a thc WorkcPs Compcnwtion provisioas of thc Lshor Codc, you muu . O forthwi�h comply wi�h such provisions or this permit shall bc dccmcd revokcd. " z � CONSTRUCI70N LENDMG AGENCY [-� � I hcrcby atlirm Ihat there is a consuuctinn Icnding agcnry Cor the performance uf 4�i � �hc wurk Cor which �his permit is iuued (Scc. 3097, Civ. C.) a Q Lendcrs Namc � z L.ender's Address U Q 1 certify �ha� I havc rcad �his applieuion and statc �haz Ure abovc infortnauon is w� correct. 1 agrce to comply with a11 city and county ordinances and sute laws relaang w p U building conswction, and hcrcby au�hori�e rcprescnutivcs of �his city to cntcr upon thc abovc-mcntioncd propccty for inspcction purposes. E ,'�"„� a (Wc) agrce to save, indcmnify and kecp harmless ihe Ci�y of Cupertino agains� y H � liabilidu, judgmen�s, cos�s and expenses which may in any way accruc against said City (� ,'� i� conxqucncc oC �he granting of this permi� ""' APPLICANT UNDERSTANp AN I L MPLY WITH ALL NON OIM' Issued by: Date Z�! ; ,L SOURCE REGULATI � � O Re-roofs � Signawrc af Applicant/Conuactor � Hnzaxnous ATERIALSD[SCLOSURE Type of Ro��f Witl the applicant w future building accupant store or handle haiardous mau:rial :fincd by Ihc Cupenino Municipal Code, Chaplcr 9.12, and thc Hcalth and Safety __.�. Scction25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑ Ycs Q No w�n u,� a��r�� o� mw� m,,;ias� «�Pa�� „� � o� �ri� .,nkn If a roof is i nstalled without first obtaining an inspection, I agree to remove • emil harardous air con�aminants az defincd by the Bay prca Air Quality Managcmcnt all new mat �rials for inspec�ion. District? �'� ❑ Ycs � Nu / / � C L- � 1 havc rcad the iwardrnu maicrials requircmcnu undcr CNaptcr 6.95 of ihc Califor- �� q� nia Flcalih & Safcry Codc, Scctions 25505 25533 and 25534.1 undcrsiand �hat iCihe building ---"' � (J � does not curten�ly have a ih t't my responsibility to no�fy U�e occ t of ihe � reyuirc mus � o wissu o(aCcnit'ica�co� ' Signature o} Applicant � Date ;� rD � Owncrorauthori�.cdagcm D ,� All roof coverings to be Class ��B" or better . -r- .D� �o�� C� - .� :-. CITY OF CUPERTINO '�` `� -- • � �,,, REIZOOF CU�'ER PERMIT APPLICATION FORM APN # Date: �,��-2� --�=2 �;,�� 2� 1 � Building Address: , '�4".�� F�� .�r c�:rc�?i� , �� 9 �vl � Owner's Name: Phone #: � 0 Y C� /a l t�F a 2 s ��1 Contractor: r License #: ^ $ � � , / � � Cl'ivi Sfi�'k c fr� �`� Contact: Cupertino Business License #: �� a , ��: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ ,Built-Up roof ❑ Asphalt Shingles �� Asphalt Shingles �W ood Shakes 0 W ood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) O Other (Specify) Num,ber of existing coverings i ❑ Provide I.C.B.O. Report # �To be Reinoved ❑ Provide Mfgr. Installation Specs. I Ha�e Read, Understand and Will Com ly With Cu �ertino's Tear Off Policy: Job Description: � u w ' ° � 3° "" � - � � ��; �,, �- � Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De�t. if there are any restrictions: LJ Cost of Project: �� Type of Construction: Occupanc gr ��: Qty. if Applicable Fee ID Fee Description Fee Group BPER1Vg'EE ]31dg Permit Fees BUILDING BENERGY Energ BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING ' � Community Development Department � Building Division � � City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building I)epartment Subject: Re-roofing policy for the C'ity of Cupertino 1. Prior to permit issuance, you must agre � to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be appliec. 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 :nspection is required. 6. Any roofing which is applied without f:rst obtaining an inspection, will require the removal of all new mat��rial down to the sheathing, so a proper City inspection can be perfc rmed. 7. NOTE: If you call for a plywood nail ir�spection and the job is not ready, you will be charged a re-inspection fee ��f $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: R�� C H `� � Job Site Address: �� L �� L � A�` L r-► Roofing Company Name: � �-- t O r 2�� 2 t��- Applicant's Signature: Date: Greg Casteel Building Official Revise � 11 / 2/ 04 CITY OF CUPERTINO 2 ITEMS OF 2 PERMIZ RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 35928020.00 DATE ISSUED.......: 10/26/2007 RECEIPT #.......... BSG00003091 REFERENCE ID # ...: 07100186 SITE ADDRESS .....: 7478 FALLENLEAF LN SUBDIVISION ....... CITY .............. CUFERTINO IMPACT AREA ....... OWNER ............: CHi;A, ROY AND TAN, KNG KER ADDRESS ..........: 74%8 FALLENLEAF LN CITY/STATE/ZIP ...: CUFERTINO CA, 95014-5805 RECEIVED FROM ....: KNCKER TAN • CONTRACTOR .......: ENLE WLT LIC # 23939 COMPANY ..........: D & D CONSTRUCTION ADDRESS ..........: 1497 HAMPTON DR CITY/STATE/ZIP ...: SUI�NYVALE, CA 94087 TELEPHONE ........: (4C8)666-5298 FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 9,000.00 158.76 0.00 158.76 0.00 BSEISMICRE VALUATION 9,000.00 0:90 0.00 0.90 0.00 TOTAL PERMIT : 159.66 0.00 159.66 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ' ----------------- --------------- -------------------- CREDIT CARD 159.66 MC --------------- TOTAL RECEIPT : 159.66 Comxnunity Development � 10300 Torre Avenue ` ' Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 CUPEt�TINO Buildi�n De artment JOB ADDRESS: PERMIT # —� �( 2 � �- t,�.Q-� �S� Z �,, �� l �� c �' � OWNER'S NAME: v �e PHONE # `7 Z.l -- �� ' GENERAL CONTRACTOR: � , � FAX # I am not using any subcontractors: Si�nature Date Please check a licable subcontractors and com lete the followin information: SUBCONTRACTOR BUSI1� ESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing IIectrical 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 �' �?IS� /0 ��] Owner/ ntractor Signature Date