06070168 CITY OF CUPERTINO to ba4,t
• PERMIT
to , f`R�IA�A"CON RACR ' ; , ABUILDNiDIVISION BUILDING ADDRESS: MARCO ROOFING P Rm T No'0 6 0 7 016 8
11082 BEL AIRE CT
OWNER'SNAME PERMrr ISG EDATE
Ak ROCKY KAO 43230 OSGOOD ROAD 07/25/2006
NE:
SANITARY NO. CONTROL NO.
(510) 656-6400
ARCHITECT/ENGINEFA B=INCI PERMIT INFO
BIRO ELECT PLUMB MECH
O O O
LICENSED CONTRACTOR'S DECLARATION Job Description
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ismBrm,o.ade jCi m a TEAR OFF SHAKES - RESHEET OSB ADD CERTAINTED
' = Win °" I pa PRESIDENTIAL T/L COMP SHINGLES CLASS A
ARCHITECTS DEfI.SRA�N
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aa3 OWNER-BMWER DECLARATION
• I hereby alarm that I,m eaanpt from do COnv,c W-Lkene fa tM
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Isms Tax. /:�Iry �j%r
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sad=•u prwldcd for by Section 1700 of de Labor Code•fa me Pearommn¢a(th
wart for which this prmit is Imcd.
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of me Labs Code.In,ttr pmrarmatce of me Tort for Nl dint,Knott is lariat
Mywarbcra Cp`ppcv}�uen lamratt¢'and Policy'o 16
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CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(TIM scelm ewd.ot to campklN Bme pctmk is fa.husdrtd dollar($100)
a ttsv)
1 certify mu th the pafamaocc Of the x ra W h Na Permit H hoed.100 not
employ am,Ixtson In any on mrw u b becarue wbjcntom.watcs'Caopatauba .
Ian of Calif. .Disc
NOTICE
NOTICE TO APPIftww If.,Ramaking Wer C.nific>teof Eumpc yousbauk
bcmrcn coop m tb.suct pa Compeoudon Pm.isiba of me labor Code.yvo mna
�ZO ronhr;m co=py soap atw porionna a m;a pasmit man ee dan><d rt.ated.
z CONSTRUCTION LENDING AGENCY
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Ga > Nc work fa whkh this p it h iss cd(SIL.3097,Cir.C.)
Gp Landers Nux
z lceders Add=..
U0 I a fy dist I lure toad this"i ation axil state that the also.mfam.dan u
la. F•' "Trot 1 agrte to comply with 311 cty and cauoty ardi.and sum Ian rtw6n1 to
OU Wildloi oanu dun,and hcrtby authonac Mp wi.c,of this 6ty to oma upon de
LTJ 31wc.menduca P any fa ivpcctiw purpow,
(we).irte to aaW'indemnify all trop Iwmlca 0th City of Capatim 3913nw
f0.jh taNt:dos.)Wgmaou,cap,and oap� wbkh soy In any way uaue against sod City
U,x In coewquame of the grvmang of this permit. y •�Z J -�/ C
^� APPLICANT UND ANDS ❑ r COMP WITHl.N
AlgQN-POINT Issued by: Date
SOURCEREGU NS.• • /
<��L /•tS/(76 Re-roofs
Sin.aurt a A,1 ,/Cont wr Dam
HAZARDOUS MATERIAL C DISCLOSURE Type of Roof
sou th,pplkint a fort.building occupsot s ore err W Mk h,ardnu mataad
as,defhed by de Cupctioo Mtmklpal Code,Ch,pmr 9.1;and the Health and Safety
Cak.Se dap 25512(87 All roofs shall be inspected prior to any roofing material being installed.
❑rna
A911 tho appllcant or fun.Wilding o 'ox aw wdlrnnx or&lemic=wldeh If a roof is installed without first obtaining an inspection,I agree to remove
emit haurdou,air cmwolnanu as denncd by the Bay Art,Aly,Quality Mapsicmea all new materials for inspection.
Disanct7 - .
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m,Hew&Way Code.Smiau 25505.25531 sa125534.1wvlvvvd thdBthe bolding rV O 6
doe not mne^tlY h,ae a roman=than it u rtgwuNl IY b aaify th oa:ttmt M de
mgah ea sod abem l tea, w.ra�p7 Signature of Applicant Dale
—_�� All roof coverings to be Class "B"or better
Wm
Oorvcda m r -Dam
CITY OF CUPERTINO
.m 1 of 2 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35616056 . 00
DATE ISSUED. . . . . . . : 07/25/2006
RECEIPT # . . . . . . . . . : 35375
REFERENCE ID # . . . : 06070168
SITE ADDRESS . . . . . : 11082 BEL AIRE CT
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ROCKY KAO
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP .
RECEIVED FROM . . . . : BONITA JENKINS
CONTRACTOR . . . . . . . : CREEDEN, MIKE LIC # 21317
COMPANY . . . . . . . . . . : MARCO ROOFING
ADDRESS . . . . . . . . . . : 43230 OSGOOD ROAD
CITY/STATE/ZIP . . . : FREMONT, CA 94538
TELEPHONE . . . . . . . . : (510) 656-6400
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- --- ---------- ---- - ----- -- --- ---- --- - ---------
BPERMFEE VALUATION 17 , 000 . 00 245 . 16 0 . 00 245 . 16 0 . 00
BSEISMICRE VALUATION 17 , 000 . 00 1 . 70 0 . 00 1 . 70 0 . 00
-------- -- ----- - ---- --- ------ - -------- --
TOTAL PERMIT 246 . 86 0 . 00 246 . 86 0 . 00
•
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 1997 UBC Standards
and manufacturers specifications on re-roofing.
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 he 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: p na�v
Job Site Address: O 4/y,
Roofing Company Name: / ctL-
Applicant's Signature: vz;. Date: 2 2 -6
• Greg Casteel
Building Official
Revised 11/2/04
w �
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
WPEI�TINO (,S /o) S-38 - 328z
/Building De artment p
b JOB ADDRESS: //D ir z PERM1 r p
�I
OWNER'S NAME: PHONE #S/D 65 66-G 16 o D
GENERAL CONTRACTOR q4,c,, FAX #
I am not using any subcontractors:�Oa a
ignat: re Date
Please check applicable subcontractors and complete 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
R.t- - 7 6
er/Contrctor Signature Date
CITY OF CUPERTINO
REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# �lA Date:
Building Address: 110F2. �t�QiC�tR
Owner's Name: Phone#:
1C Ll—b 4dl- 2-5 2 -60 6. 7_
Contractor: ��J License#: 4o2-94
Contact: Cupertino Business License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ), Asphalt Shingles
X Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings 1 ❑ Provide I.C.B.O. Report It
* To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read,Understand and Will Comply Withupertino's Tear Off Policy: ❑
Job Description: T
Residential 5�_' Commercial ❑
Fire Zone: Yes ❑ No Er Confirmed with Planning De t. if
there are any restrictions: LJ
Cost of Proj�gt, /5 S 0� Type of Construction: Occupancy group:
Qty. if
Applicable Fee lD Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
•