The URL can be used to link to this page

05120098CITY OF CUPERTINO -^� kCCONTRACT,OR INFURMATIQNNNN- BUILDING DIVISION PEST 1d 9.$cg.�. BUILDINGADDRESS: 985 BETLIN AV MBROWN CONSTRUCTION, INC PERMITND-05120098 OWNER'S NAME: PERMrr ISSUE DATE AM SHU-HONG CHEN 702 S. DANIEL WAY 12/15/2005 NE: SANITARY NO. CONIROC NO. (408)260-1260 CHI'IECf/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH p LICENSED CONTRACTOR'S DECLARATION Job Description I hereby BIT= that 1 ton I{aaad unM pm viau aCNpa 9 (mmmcncln[ th Scnion]000)af Dirision] ofthe BuuixuarHmfcemeu La Nd f me Wef _ tI �D �Z REROOF-T/O COMP., INSTALL COMP. i Liavc Clan !, Dine ConIr ro rS DECLARATION AR"Ir ors spoWc, I urdem.rk my pbnl awl M1e usM u public remtla �� L4rnaI Pm4sdow OWNER-BUILDER DECLARATION 1 htehy 1 law for th atmd from uc Camaanm'I , 0 O a: My following mason. (Saxon ]031.3, Busruu uq Pmfaucw Cade: MY cltY a tamty . Sact on 1. whkJt rWinto • pamit to cwumhcL altar. impmoac dvnolid, m rtivir any n urc . f� I / 7' 4 9 '<that pno b its icuma. abu reguims tc aWI=for such permit to fie a sigad atrocrocm dte Cattuacbrt Lice. Low r _ Sq. Ft. Floor Area .O W ulimucd F...ubthe pmrisimu of (Otaptc9 ,Valugtson � a0ioodofr oflhagctl and Prafawm Codc) ar rming withSrafooc/ Y6 � this h a aempt thxfiom and ah bob for th dkpd eaemWlart My HalatlaR a ata the anti Seamon ]031.5 by my appliau for. purolt mbjecu Ih apptant b a,MI pwafy of oat mac Nan f. hundred dollus(5500). lr.. ! l &1;6pancy'4Type &� O Lu..of die prop". a my cmpkyea with wages u tau ab corepar mon, ryl+ Required Inspections wiB da the work, and Ih mudure is not lduMed or oRercd fatale (Ste. ]OU, Busrcaa and Profc dna Code The Cmuacmfs L: law dna nm appy to an owner of progeny what bulks a lmpt. dertm,md who d arab work himxlfa Waugh hi. own emplmyac a, pmWdad that.Rch tmpro emmu art not InuMW or Wend for ale If. Eowew, th building a imron.am b cold wlthln me ym of caai rhe owar- W ldar will Nae the busdm a pmvleg than h did int x0d or huprarc for pcpan of aka). ❑ 1, a owmr of the property, w emJudwly conrrusin[ with Ik®ed Cm U=,r1 b cum otn the Wolin (Sec. 7014. fl s and Rofcssma Code) The Coavacw U. - ceweLaw dnanaapply bmownerapropcst wbo Wilda or improtea the. and, w W eanhaeta for mach projam with. eomueaov(s) Ikeeh¢d pmtaanr m the Contractor', Lka. Law. ❑ l . ammW under Sec B h P C or this rcaaov WORKERS COMPENSATION DECLARATION " 1 hnebyaRrm undar partially of perjury me of rhe ulawiry h mttiara 1 Nva and x111 maintain aCW fr*r• of Cameo b xlf Wine for WmteYSCampcm , a pruvldod for by Semon 3900 of the labor Cade, for the pedamanon of do wmrk fa which this permit u iasved. O 1 lave and will rmIn= Worte . Compenatbn Immo., unclotted by Section 3]00 ata labor Coda. for the PNfarmanee of We wag fa which Wu pemtir is indmo& . My Workda/C�a1npeuatim Tomato aster W Policy nmobcs art: alio. _ 1' / C. L.GH17b 06 / a N O �'Zi - CF.RTIFlCAIE OFEK ON FROM ORKERS COMPENSATION INSURANCE Crab xulm raed nor hnanpla" 0th .it Is for.. huMrtd dolt s (510)) a kis) 1 ccNly INt In the pcoformanca of do wort for which dN permit u hued, 1 shd) M employ any pcuon to my c m¢r m u b becvloc subject b rhe Wortm' Comp houdm laws of Cdi(orma-Date Appli NOTICE TD APPLICANT: IL attar mating bb Catifcau a Esmnpuoo' yin should ,carne abjm b th Wakds Cmnpatutkn proridom a Ina labs Code, you muu z forthwith comply with ach pittmoru or this Permit shill h drentth rtvokcd Q M CONSTRUCTION LENDING AGENCY T hroby affI m and there is. congrvction landing atenry forth perfamaac a tW work fa which tW pumir b iaurd (Sc. J09'1, Clr. C.) Q Lendcr'sNmhc , sAdd. z Q I aNfy rho 1 Nsc rad this apPliaim W win rho thc.W,c iaamaaw b colmet. 1 agree to comply with dl city arch catbty mdloamaa W state laws Nuint to WIkin[coRWUedoN ark hucby amhadhe rtpraanuh of tW city to mac upon Ila, mono mend oad properly for Iupenlon prop 6 (WO) sync bare, lodcmnify and keep humku the City of Cvpnliw.gust y lublluka lNVacnam cwt, W apcera which may In my way moue agdnu Said City Z '—' in cumcq . of W granting of this pump APPLICANT UNDERSTANp$ AND V/JCL COMPLY W fTH ALL NON-MINT SOURCE REGULRIONTS//,//'i/1J/ Issued by: Date Re-roofs Signs,... cdApplimmoConqW Doc HAZARDOUS MATERIALS SURE Type of Roof tnom or WI0 thee Baldingasupmt9.1 a" haardouad Cupanta(Mune u defend by the Safy m Muvclp,l Code. CNpur 9.13, attl the HW N and Safuy Wc, Sccaon 35333W] 32T.), All roofs shall be inspected prior to any roofing material being installed. ❑ Ya g,4. If a roof is installed without first obtaining an inspection, I agree to remove c applinnt or (court disking orcupmm tax cyui,octo a darlas which J,o dr contannomns a cicfmd by the Bay Arta Air QWity Mmagcmeni all new materials for inspection. o rod he ha srdm a muvubrequemem arab Cbm=&95 of rhe Cdifa %.qu�m arnYCoda,r 7uk2Jara'd rNtlflhWildingaw23arand Watl(dcWildingNly remy raprudaility b mlfy tic r op ofdxmy raprhdhility b notify UC r opmrofdxamKea.Cadwd or .�0Signature of Applicant Date0Signature of Applicant Date 1 All roof coverings to be Class 'B" or better Ca • Ic Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: I PERMIT # OWNER'S NAME: U _ o vt PHONE # GENERAL CONTRACTOR pv, �, - FAX # q09. (o p I am not using any subcontractors: U )' Signature Please check applicable subcontractors and complete the following information Owner/ Contractor Signature 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 Owner/ Contractor Signature Date i� CITY OF UPEkTINO Community Development Department Building Division City of Cupertino 10300 Torre Avenue Building Department Subject: Re -roofing policy for the City of Cupertino Telephone: (408) 777-3228 Fax: (408) 777-3333 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 be 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 Nar Job Site Address: Roofing Company Applicant's Signat Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Peyer h v CAIC_ GC CITY of CUPEII;TINO CITY OF CUPERTINO REROOF PERMIT APPLICATION FORM J j7 2 APN # "5 /D `n� Z -7 Q 2 Date: 12 6/0E Building Address- Owner's Il Owner's Name.`ve Phone #: - . 5d 6 F C ar: Phone #: Ltcens O : �6�-J1'� �o1�S 3 [ � ✓� . 7I 2- Cnc t t:. Phone #: Cupertino Business License #: r �61-3D z(no z5 1 o8 Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof Asphalt Shingles ❑Xsphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Num f existing coverings I ❑ Provide I.C.B.O. Report # e Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Comply With Cupertino'§ Tear Off Polic J Description: iCe WId\Je ca 5 e�kce LJ) 30 saw 2B Residential Fla-' ommer Mal ❑ Fire Zone: Yes ❑ No ❑ Confirmed with Planning Det. if there are any restrictions: LJ Cost of Project: Type of C struction: Occupancy group: e — r— Qty. if Applicable Fee ID 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 Qty. if Applicable Fee ID 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 I1