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09070166 CITY OF CUPERTIT40 BUILDING PERMIT BUILDING ADDRESS: 7429 WILDFLOWER WAY CONTRACTOR:WING'S ROOFING PERMIT NO:09070166 INC OWNER'S NAME: YI CHEN 3243 SYDNEY WAY DATE ISSUED:07/24/2009 K_ BUILDING NVNER'S PHONE: 4083430703 CASTRO VALLEY,CA 94546 PHONE NO:(510)889-9068 LICENSED CONTRACTOR'S DECLARATION f— r- r PERMIT INFO: BLDG ELEC PLUMB License Class G i Lic.# ` r MECH RESIDENTIAL COMMERCIAL Contractor Ito C lkJ01(14r 114ate 'L 1 hereby affirm thatJam license u er the provisions of Chapter 9 JOB DESCRIPTION: TEAR OFF WOOD SHAKE,INSTALL 7/16" (commencing with Stion 7000)of Division 3 of the Business&Professions OSB AND ASPHALT Code and that my license is in full force and effect. SHINGLES CLASS A 23 SQUARES 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. Sq.Ft Floor Area: Valuation:$6950 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 APN Number:36618036.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. 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 IssuedDate: _ with all non-poiTiu a regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER UILDER DECLARATION Signature of Applicant: I / /Date: —7/1, I hereby affirm that I am exempt from the Contractor's License Law for one o1 the following two reasons: ALL ROOF COVE INGS TO BE CLSS"A"OR BETTER 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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with th Cupertino Municipal Code,Chapter 9.12 and S d C f &Safety aety oe, ecti s 2 05,25533,a 25534. I have and will maintain Worker's Compensation Insurance,as provided for by the Health � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: Date: 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I mus I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 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 relatin€ to building construction,and hereby authorize representatives of this city to enter -n the above mentioned property for inspection purposes.(We)agree to save nnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION wits,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date Community Development 10300 Torre Avenue ' Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 rUPEkTINO Building Department JOB ADDRESS: PERMIT# jj(4W 1 � � OWNER'S NAME: PHONE # _ 0 GENERAL CONT CTOI � //U FAX # U { I am not using any subcontractors: Si a vre Date Please check applicable subcontractors and co Mete 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 � _ 7 Owner/Contract r Signature ate CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36618036 . 00 DATE ISSUED. . . . . . . : 07/24/2009 RECEIPT #. . . . . . . . . : BS000008268 REFERENCE ID # . . . 09070166 SITE ADDRESS . . . . . : 7429 WILDFLOWER WAY SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER YI CHEN ADDRESS 7429 WILDFLOWER WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5309 RECEIVED FROM . . . . : WIAG CHEA CONTRACTOR CHEA, WING LIC # 21239 COMPANY WIAG'S ROOFING INC ADDRESS 3243 SYDNEY WAY CITY/STATE/ZIP . . . : CAETRO VALLEY, CA 94546 TELEPHONE . . . . . . . . : (510) 889-9068 FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- 1BCBSC VALUATION 6, 950. 00 1. 00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 6, 950 . 00 0 .70 0. 00 0. 70 0 .00 1REROOFRES SQ FEET 23 . 00 299 . 00 0. 00 299. 00 0 . 00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 300 .70 0 . 00 300 . 70 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 300 .70 AMERICAN EXPRESS --------------- TOTAL RECEIPT 300 .70 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF ae�- , CITY OF CUPERTINO on REROOF CUPEkT1NO PERMIT APPLICATION Rb-7(Dl APN # Date: BuildingAddress: /��I �, I , � 74,) Wa..� IN Owner's Name: Y (Nen 1i\ ``'n lU Phone #: v HOA: Yes ❑ No ❑ If es provide letter from HOA � _ o 3 Contractor: / S 1'- N � Phone #: ��,pg�_q o6k . 4 3�43 ' r) Fax #: 0-->G0Ie, Cupertino Business License #: Contractor License #: 6q3 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles X Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings mQ. — ❑ Provide I.C.C.E.S. Report # cTo be Removed ❑ Provide Mfgr. Installation Specs. Job Description: —r/0 v S / �v SW 0 5 -6 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 index. Valuation: q�0. I Have Read, nderstand and Will Comply with Cupertino's Tear-Off Policy: / Signature Revised 02/05/09 CITY OF C'UPERTINO REIROOF CITY OF CUPEkTINO 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 Commissio-i Fee 1BSEISMICO Seismic Commercial B 2� IREROOFRES Re-roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commissmi Fee 1BSEISMICRE Seismic Residential B 1 REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1 BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commissio:l Fee 1 BSEISMICRE 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,�-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-Alding inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to ar y 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 mz.terial 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 Raid before another inspection can 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. ti Homeowner's Name: ez\ Job Site Address: Roofing Company Name: Applicant's Signature: 1 - Date: Greg Casteel Building Official Revised 07/30/08