The URL can be used to link to this page

09070193I CITY OF CUPERTIN O BUILDING PERMIT I BUILDING ADDRESS: 1007 JUDY AVE CONTRACTOR: WESTERN ROOFING PERMIT NO: 09070193 SYSTEMS n"'NER'S NAME: YINING YANG U., NER'S PHONE: 4083935355 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie. # G 717-ZY' Contractor ate 2— 2OC-0 1 hereby affir that am li ense er the provisions of Chapter 9 (commencing with Section 70 ivision 3 of the Business & Professions Code and that my license is in u11 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. Si gtur Date ❑ OWNER-BUIL/DE) DECLARATION 1-11 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 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 relating to building construction, and hereby authorize representatives of this city to enter 11 he above mentioned property for inspection purposes. (We) agree to save ii., nify 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. 1328 WHITE OAKS RD -AMPBELL, CA 95008 DATE ISSUED: 07/28/2009 PHONE NO: (831)278-1837 3UILDING PERMIT INFO: BLDG r ELECT T_ PLUMB I— MECH RESIDENTIAL COMMERCIAL IOB DESCRIPTION: RE -ROOF TEAR OFF TAR & GRAVEL ROOFING, NSTALL "IRESHEET, 2" INSULATION, IINSTALL 50MIL WHITE PVC tOOFING MEMBRANE CLASS A 18SQ sq, Ft Floor Area: kPN Number: 37507056.01 Valuation: $10000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. ssued by: - Date: J , 2- d� Z l RE -ROOFS: \II roofs shall be inspected prior to any roofing material being installed. If a roof is nstalled without first obtaining an inspection, 1 agree to remove all new materials for nspection. signature of Applicant: Date: 7 — ALL ROOF COVERINGS TO CL S "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE have read the hazardous materials requirements under Chapter 6.95 of the alifornia Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain •ompliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air :ontaminants as defined by the Bay Area Air Quality Management District 1 will naintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I[ealth & Safety Code, Sections 25505, 25533, and 25534. ),wner authoriz d agen / Dater TRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's or which this permit is issued (Sec. 3097, Civ C.) .ender's Name .ender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Signature Date I .icensed Professional CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT' RECEIPT Sec: Twp: Rng: Sub: B11: Lot: APN ........: 37507056.01 DATE ISSUED.......: 07/28/2009 RECEIPT #.........: BS000008297 REFERENCE ID # ...: 09070193 SITE ADDRESS .....: 10177 JUDY AVE SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OWNER ............: YINING YANG ADDRESS ..........: 10177 JUDY AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: MIC".HAEL D LUNNEBORG CONTRACTOR .......: MIC',HAEL LUNNEBORG LIC # 25896 COMPANY ..........: WESTERN ROOFING SYSTEMS ADDRESS ..........: 13:8 WHITE OAKS RD CITY/STATE/ZIP ...: CAMPBELL, CA 95008 TELEPHONE ........: (8:1)278-1837 FEE ID UNIT QUANTITY INOUNT PD -TO -DT THIS REC NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 10,000.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 0.00 1BSEISMICR VALUATION 10,000.00 1.00 0.00 1.00 0.00 1REROOFRES SQ FEET 18.00 234.00 0.00 234.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 236.00 ---------- 0.00 236.00 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 576.60 --------------- 576.60 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CUPERTINO CITY OF CUPERTINO RI;ROOF PERMIT APPLICATION C)qo-j 0 19 2D APN #Date: 3� 3) 0-7 0 5 A p 0 _ Building Address: Owner's Name. y,N,� Phone #: -r 'f Oe- 3s.�- �3 S - HOA: Yes El No E?"If yes, provide letter from HOA Contractor: Phone r �JF 3 T f! � Fax #: Y-4- / 33 Cupertino Business License #: Contractor License #: 6 Type of hoof Covering: Existing: Proposed: Built -Up Roof ❑ Built -Up roof ,c /❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Other (Specify) ❑ Wood Shingles Other (Specify) Z-8 Number of existing coverings ❑ Provide I.C.C.E.S. Report # fyy t— o To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: , Residential Commercial El 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: I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Si nature Revised 02/05/09 CIN OF CUPEkTINO CITY OF CUPERTINO REROOF FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1 BCBSC Cal Bldg Standards Commissic n Fee B ALL PERMIT TYPES 1 BSEISMICO Seismic Cc mmercial B 1 REROOFRES Re -roof Re 3idential B 1 SFDWLROOF / 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICRE Seismic Re 3idential B 1 REROOFMRES Re -roof ML lti-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1BUSLIC Business Li.-ense 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 re -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 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 City, the following steps are required: 1) Pre -inspection and/or tear off app: -oval. 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 mitterial 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 ca:1 be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/ " 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. t Homeowner's Name: Job Site Address: Z: / ."r Roofing Company Name: Applicant's Signature: Date:��—C)7 Greg Casteel Building Official Revised 07/30/08 M. ndOor Air Quality and Finishes 1 • Use o-VOC Pat 1 IAQ/Health pts y --yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes 3. Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/Health pts y=yes 6. Use Exterior Grade Plywoodfor Interior Uses 1 IAQ/Health pts y=yes 7. Sea] d Exposed Parti eboard or MDF 4 IAQ/Health. pts y=yes S. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health pts y=yes N. Flooring 1. Select FSC Certified Wood Flooring B Resource pts y=yes 2 -.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Haalth Pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes Total Points Available: Total Points Project Received: G:data/pmgsl e 101 1301 57 51 0 0 7, 2r-01 nbuil oguidelin /remodelers! ointsfinal proteoted.xls Community Development '` 10300 Torre Avenue ' Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 XPEkTINO Building Department i I am not using any subcontractors: Signature Please check annlicable subcontractors and comi:)lete the following information: Date JOB ADDRESS: l J r 94Jy � PERMIT #q0,70 0,?0 BUSINESS NAME OWNER'S NAME: ,. - ,4,. PHONE # 3f-? -5-3fRr Cabinets & Millwork GENERAL CONTRALTO ,;.,, .,�,, FAX # i I am not using any subcontractors: Signature Please check annlicable subcontractors and comi:)lete the following information: Date Owne /Co ctor Signature 7- 2F -o 1 Date 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 Owne /Co ctor Signature 7- 2F -o 1 Date