07110133 CITY OF CUPERTINO ����������������'r ;
BUILDINC DSVISION PERMIT . . :;:
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pERMIT NO.
BUILDINGADDRESS: iV]j�RC� Rc)OFING 07110133 .
7532 NEWCASTLE DR
PIItMI'f LSSUE DATE
NER'S NAME: .
OKADA P O BOX 1691 11/26/2007
SANITARY NO. CONTROL NO.
PHONE: � r j 1 O� Cj r j ;-- 6 4 0 0
o ,_ ��-� v 76 '' �'
BUiLDING PERMIT INFO
ARCHITECT/ENGINEER: B� EO PLU�MB �
� p o LICENSED CON7RACCOR'S DECLARATTON JOb DCSCT1pUOf1
,� m� � h�Cby aRirm that I am liccnacd unckr provisions oC Chapmr 9(commcncing
Z� wiU� Sccdon 7000) of Division 3 of ihc Business and Profcssians Codc. and my licensc is RE - ROO F � T� � EX S TNG 2 LYR S, RE S HT � 3 � L B F LT , 3 O YR
�� y in full (orce an b d f'esX ' L L � . � T y 6 C OMP
j� Z Licensc lass C.� �1. �
= ^ Dam - Contractor
3 F' � ARCHfTECI'S DECLARATION SHNG � 2 C S Q C LA S S A
t -� l ondcrsund my plans sAsll be uaed u public rccords
?yU
� � y Licensed Pcufcssional
y e� OWNER-BUILDER DECIARATION
q � hcreby a((irm U�at 1 am excmpt Gum thc Convactor's Liccnso Law for thc
L p O Collowing reason. (Scction 7031.5, Busincss and Professions Ca1c: Any city or county
K$� which requi[es a peimit to construct, alter. impmve. demalixh, or �epair my stcucture
'� " y prior �o il� issuancc, alsu icquires thc applican� for such permit �o filc a signcd statcmen� g Ft. Floor Area Valuation
�< that he is licenscd pucsuanl to thc provisions of thc Conlractur's Uccnsc Law (ChaP�er 9 $13 7 5 0
z I = -� �(commcncing with Scction 7000) af Division 3 of ihe Busincss and Profcuions Cadc) or
y�� �hat he is exempt thecetrom and the buis for the sllcged exempdon. Any violauon of Number Occupancy Type
Saction 7031.3 by srry applicant for a pecmit subjocu ihe app�ican� w a civil penalty of 3 6 617 0 2 0.``�
not more thao five hundicd doUars (5500�
� I. u owner oC ttie prnperty. a my employces with aagea u the'v so� compensaUon,
will do 1he wark. �nd Ihe suucwee is not intended or otfered �a� sale (See• 70� B"S'"� Required Inspections
and Pmtesvona Cade: 'Rie Conusctor's Lianse Law dors not apply to sn awner of
property who builds a improves tMercon, and who does such work himself or Wough hia
own empbyees, prmided that such improvemrnu ue not intended or otfeced Cor sala If,
however, the building or improvement is sold within ane year oC compkGon, ihe owner-
builder will hsve ihe burden o[ proving that Me did not build or improve for purpose of
salc.).
❑ I, u awner o[ the property, am exclusively contracting with lianaed rnntractars w
construct �he projea (Sec. 7044. Business and Professions Code:) Tt�e Convacmr's Li-
cente I�w docs not aPPly to an oN'ner of ProP�nY who huilds ar improves U�eeeon. and ,
who contracts for such projects with a conuxtar(s) licensed pursuant to the Convxtor's
Licenae Law.
' I am exempt under Sec. , B& P C for this rcasun
. aner Date
WORKEiYS COMPENSAT70N DECLARA170N
I heroby atTirm under penalty of pe�jury rn�e o[ �he follawing declaradons:
❑ I hsve and will mainttin a CeniGcete of Consent to xlf-imure for Worke�s Compen-
ution, u pcovided for by Secuon 370U ot che Laboc Code, for the performance of �he
work Cor which Ihis permit is issued.
have and will maintain Worker's Compensation Insunrrce, as required by Scction ,
00 0( thc Labor �odc. Cor the pctformancc of Ihe work [or w6ich this permit is issued.
My Worker's Compe yRm Ins}�cance carticr and Poliry number�� �
�
C,Rju; d �74 , }{ f�/ i✓Lf Policy No.:
CER17FlCA7'6 OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
((his seetion necd not bc complaed if tde permit is for onc hunNed dollua (S 100) ,
or less)
I cenify �hat in thc performance of thc wark for which ihis permit is issued I shall na
e�ploy any pc i�� cr s u m bcc c mbject w if�e Workcn' Compensa�ion
Lsws of Calif Dam
Applicant -f � -L�
N�17CE TO APPLICAM: If, aticr making this Cc �ca� f Excmpuon. yau shouid
become subject to the Warlcer'a Compensetion provisions of ihe Isiwr Code, you must
,� O forthwi�h comply with such provisions or this permit shall bc dcemcd mroked.
Z � CONSTRUCTION LENDING AGENCY
E..� �., I hcmby alTirm Uut then is a consuvctlan Icnding agency (or thc perCortnancc ut
p�., ��c work for which �his pem�it is iuued (Scc. 3097, Civ. C.) .
W Q Lendcr's N�mc
] z L.cnde�s Add�css
V Q I certi[y ihat I have read this application and sia�e that ihe abovc infwmatiun is
w � cortcc� I agea w camply wi�h all citY md county ordina�es and suie laws cclaung to
� U buildiag consuucGon, and hercby auchorin reprcsentauves of ihis city w cn�cr upon thc
� W ahove-mcnuoncd propcnyforinspecrion purposes
a (Wc) agree to save, indcmnity and kecp hamiless ihe Ciiy oC Cupertino against
�� liabiiitiu, judgmcn�s, cosu and expensea which may in any way uaue agains� asid City
(� z in conse uence a[ the granting of �his permi6 DaLe ' Z��
APP NT UNDERSTANDS AN WILL COMPLY WITH ALL NON-POINT Issued ty:
50 EGULA77
�/`�� � � � Re-roof � .t'
Signature of App icant/Con r � T of Roof
HAZARDOUSM A CLOSURE YPe
�11 Ihe spplicant or future building accupant store or handle ha•raMous malcria!
defincd by Ihe Cupenino Municipal Cadc. Chap�cr 9.12, ond the Hcal�h and Safety
alc, Section 25532(a)? � All rool s shall be inspected prior to any roofing material being installed.
� �"� ° If a roo' is installed without first obtaining an inspection, I agree to remove
�11 ihc applicant or fuwre building accupant usc cquipment or dcvices which
emit ha•r.ardous air contaminants u dcfincd by the Bay Acea Air QualitY Managcmcnt all new materials for inspection.
District?
�y� �'Na
7
1 havc mad the hazardcws maicrials requiremcn�s undcr Chaptcr 6.95 0( ihe Califor-
nia Hcalih & Sefcty Codc. Seciianq 255�5.25533 anJ 25534.1 undcrs�v�d that �Ctlu b���ding
does not currenAy have a tenan�, U�at it ia my msponsibiliry to noufy the occupant nf ihe Date
rec�Qi�incnts wnich ���� w�o� w��� or a c�r�� ar o�N�r. S ignatu re of Applicant
(_,�/ � �l� All roof coverings to be Class "B" or better
Owncr or authar'v a6eo� �a�
0 �/ o �,� 3
CITY OF ��UPERTINO
��'�` RE:�Z�QF
CUPE�TtNO PERMIT APPI,ICATION FORM
APN # � � / � � �� � � � � Date: //, �` � � � ��
tP !
Building Address: �� � � ,� / �� � .��e �
/(f / �r':>
Owner's Name: �� Phone #: � 7 3
� d� - � � �
Contractor: Licens #: U /
C?'G:� � r✓1 Z�L 7b(
Contact: l S-�� _�� 6 �� Cupertino Business License #:
/1/l, �,�� oT (� � �� b / /
Type of �;oof Covering: ,� `rJ P�� � � l�� � ,�. � Z
/� f y ��
Existing: Proposed: Glys�� �
0 Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles � Asphalt Shingles � C�'/!' � E7 -Sy� S
� Wood Shakes ❑ Wood Shakes
,;� Wood Shingles � ❑ Wood Shingles
❑ Other (Specify) r \ e s � � e � ❑ Other (Specify)
� ❑ Provide I.C.B.O. Report #
Number of existing coverings "Z (� $ iiJ
� To be Removed ❑ Provide Mfgr. Installation Specs.
I Ha�e Read, Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description: f / '� � � �6 � �- f - �� / � ).�v��
�' � /` � : S `� � n � L- � ye ,- S . � � S-y ,� �e � � � �, ,. ' . .�
• � _.
_
Residential : Commercial Q _
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: U
Cost of Project: Type of Con�s n�Ction: Occupancy group: �_�
% 3 � �� �-
Qty. if
Applicab e Fee ID Fee Description Fee Group
BPERIVIFEE Bldg Permit Fees BLJILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BLTILDING
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 l�epartment
Subject: Re-roofing policy for the C:ity of Cupertino
1. Prior to permit issuance, you must agrE�e to comply with 1997 UBC Standards
and manufacturers specifications on re-�roofing.
2. New roof coverings shall not be applie�i without first obtaining all inspection
and written approval from the buildin�; 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 an�- roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off appr��val.
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 :=irst obtaining an inspection, '
.
will require the removal of all new ma :erial down to the sheathing,
. ,_ _
so a pr�per City,inspection can be perf�rmed. __ .: -
_ _ _--- _ __ -
7. NOTE: �f 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 �aid before another inspection car 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 abov�� stated policy on re-roofing.
Homeowner's Name: � � � g
Job Site Address: ��� Z ! v��� C� S'� / e � r
/
Roofing Company Name: ��' � d � �`!�'"'�'�"�
�, ,
Applicant's Signature: Date: ��_ �'� � �
Greg Casteel
Building Official
Revi�ed 11/2/04
CITY OF CUPERTINO
2 ITEMS OF 2 PERMI'P RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN ......... 36617020.00
DATE ISSUED.......: 11/26/2007
RECEIPT #.........: BS000003315
REFERENCE ID # ...: 07110133
SITE ADDRESS .....: 7532 NEWCASTLE DR
SUBDIVISION .......
CITY .............. CUPERTINO
IMPACT AREA .......
OWNER ............. OKADA
ADDRESS . : 7�32 NEWCASTLE DR
CITY/STATE/ZIP ...: CLPERTINO CA, 95014-5221
RECEIVED FROM ....: EL�WARD A GREGORY
CONTRACTOR .......: CF.EEDEN, MIKE LIC # 21317
COMPANY ..........: P�RCO ROOFING
ADDRESS ........... P O BOX 1691
CITY/STATE/ZIP ...: FF.EMONT, CA 94538
TELEPHONE ......... ( `_10)656 - 6400
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- --------
1REROOFRES SQ FEET 26.00 338.00 0.00 338.00 0.00
BSEISMICRE VALUATION 13,750.00 1.40 0.00 1.40 0.00
-�--------- ---------- ---------- ----------
TOTAL PERMIT : 339.40 0.00 339.40 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ---------------
CREDIT CARD 339.40 MC
---------------
TOTAL RECEIPT : 339.40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- -
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
Community Development
• � - . 10300 Torre Avenue
�;; ,�.M � Cupertino CA 95014
�, '
Telephone (408) 777-3228
, �CITY OF Fax (408) 777-3333
CUPERTINO
Buildin De artment
JOB ADDRESS: PERMIT #
' "3'Z__ ��c�..�C c�.r7�_ D "7�<� r��
OWNER'S NAME: PHONE # - fjT3-- 7�"�
GENERAL CONTRACTOR: � ,� w FAX # Slo � s" �- 3 � 2 l
I am not using any subcontractors: - ' ` � � � � �
Si enature Date
Please check a licable subcontractors and com��lete the followin information:
SUBCONTRACTOR BUSIr1ESS 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 ^; � af r���-�.
Septic Tank
Sheet Metal
Sheet Rock
Tile
� /�—� 7 d 7
Owner/Contractor Signatur � Date