06040104 CITY OF CUPERTNO
BUILDING DIVISION PUMT ,xCONTR�iC�TORI
BUI
acvV War..e_T'� Tx 4w
BUILDING ADDRESS: MONKS ROOFING PERMrr no' 06040104
10577 S BLANEY AV
OWNER'S NAME: PERMIT ISSUE DATE
KUNG SHARON ET AL 794 BERRYESSA ST
ONE: SANrrARY NO. CON-MOL NO.
(408) 262-4797
ARCHITECr/Pla(.TNEFA: BUILDING PERMR INFO
BLDG ELECT PLUMB MECSI
3�o
UCENSED CON ACTORS DECLARATION
Job Description
u 1 ho oby WLom
s«tldn?ow) w( d9(mnr
wioDlaa. w �md .. .
my lfero,.b
igiqto
wlc�o L.f / ,o TEAR OFF ROOFS INSTALL OSB INSTALL COMP SHINGLE
'C W< D.z ARCHrrEZrS DECURAnON
4 U IOMcraurW my PWU"II be uadupublic records FIN®�IDLE®
:GIS Lucncd Pmfasioul r �L7
OWN .BUILDER DECI..RATION
f ER
I hcreby.1PIru Nu I.m tempt f—Ne coo.w,w,licrrue Lw for the MAY
10 6 $10000
10 O O O
white m
°° rollamnl mean.(scmim s an
M 1.5,BuJr d Pmravon Cade:My city or county
$ gow.Permit to eeMr«Y,Sher.orrom dwaliN.or repair.oy suum«e
Prier 0 as uouaree.aim mquims tbeawteantf«s«h pcnnittu Nc aJemal as,^mmt Ft.Floor Valuation
< Nu bebllueouoi Pwanttotbepro.islmuarthe comr.cter"I-,Uw(cutra9 Sq.
EEC (c«nemming wild S«gm?000)of Diridon 3 of NC Bu arld Pmfo.sims Code)or
Nu be b..r.Nearmm"Ub baLLs for Ne Jkvd—Pit—Mr violation of
saaanwal.5by,fry.PPlfa.nr«.pamitrlin)<a.Ne.Poli�m.m.awPwayarIII&thbtr, uccupancy type
m.mere Nfi
ae R haafmA adwa($50)4
❑I,u owtc of Ne POPmr.a err wploleea vah wager u Nei.am mmpean0on.
.,wmm.wmtwme.r,«o�mbmtlm.ma«aRrmrarwefs.�rou.B<d�+
Required Inspections
.M Pmrewntu cod_The Ca.gcmrs Limta Uw don out alrply n an owner of
Naperty who builds or impro%Ihrmv.trod who docs mch wk himalfor WO*bb
ovo enployvy p,Akd Oar tete impmvemenu are out imcodrd ar-Bard fade B.
havoc.Na brilaeg or Improvement I.sold v tbdn a«See 4eomPkgea the owar-
bwltrr wW bare the bnden of Pomd"that,he dk rot WW a fto a fa PI.Poa m
O L as ester of Ne WaPerty.am aeldwy mnu rl wild B<eoad wnoaetas to
croswcs Ne prom(Sec.r05a.Businm and Proresdaru Cade)The Congx+oh Li.
ova l doer ret apply W m owmn of popeny wire bWlds or improv,ire.,.d.
wbo comracu fur u Projects withomevaew(s)Bmtad p«.vam to Ne cuou.mars
I ate
❑ w eae vumW under See .BdPCfor Nla mum
6 u
Date-
WORKERS
aeWORKERS COMPENSATION DECLARATION
I hereby arOrm Imder Pe..ity of Per}my ooe of Ne rnlbwinl(ietluuta
❑ o,as pa will f.by . 37)()or dba l. code,for
fe r(OmmL Cmtpen-
sagm, r Wbich thus
r,o hr ss Issued.a JT00 w Ne Labe code.fa Ne per(amut«N Ne .
wart
for rhid Nb permit u I..ved.
1 have and will ma .in Watch Immno:.at rtfu rN by Senim
dude Labbr cote,for Nc PeormotE,ofate work for whiN
My Work d 'm a ad Pdky b r
Cori Pd" Ne:
FlCATEOE SAMN1INSU ORS.ERS
COMPENSATION INSURANCE r '
(not,aee,im¢We.be eomPiered if Ne pelma b for ere homrecl a 13100)
«lav)
I certify,tbu ie Ne Prof..of the avrk for w quit Pnmt is Lmsd.l sh.6 our
m.ploy arty paten u ary.1 a u b bcvmc abler W the w«trn'Coe peaual an
Uwe N UIilli Due
Applkma
NanCE TO APPUCANI.U..(er making Nis Ccalkae of Eawpgat,ym shmll
Wv,ume so)cm to Ne Wortcrs Comwou0an p W ooa or Ne Labs Code,you nun
,J O t
faNwiN wmply wild smA provb{an a Nu permit shJl h deemetl outed.
? � CONSTRUCTION LENDING AGENCY
IlembyaRnm"dere lit...dm leedinl.leoey f«qe lerfarmanm of
p:7 Nn w«k for which tout Pelt U b,vad(Scc.W.Clv.Q
aQIsndcs Name
7 z Irndee:Adan.
V O 1 aNr' ba';buR oa,t this.P0L=1oo and sue Nu Ne.bo,e Infam.u.b
U. corrtaI.gree to emptywild JI city andcounty ardin.nca ad,uo laws relating
U Wilding couwedm,and hemby auouriae remeteawiR of Nb city W enter upas the
�Icm
r a ahwcmcmioncdrtua. faoi eaieoaea udue,m.
(Wc).gme m AR.indwufy and keep bum)ea ur city of Cu'r ire Si.
t)z WbOiga,)ud ,cmuad sputa..wekb m.rlo,tory w,y,mta.Nwaid Cay
AM
c o!Nc g=amin Nb puma.
^ APPLIC UNDER37AN D ILL co PLY W NON INT Issued by: Date
SOUR n
Re-roofs
silvrwcApp HDWS MAiFaIAIs DISCLOSURE Ue Type of Roof
WIB Ne apWkant«future Wgdiog oe put nom a lundlehardw.—WW
u def r ed by Ne cupntLe Muoicipai Code.6aWer 9.11.SrA the HoBb ad safety
Code,S« 15531(.)? All roofs shall be inspected prior to any roofing material being installed.
❑yea t
If a roof is installed without first obtaining an inspection,I agree to remove
W111 Nc.IR11u.M a r«me bdldbl«capan cgwPeent a amdca womb
emit na ard«u air mtumtueu as defined by qe Bay Are.Nr otwty M.nacnneor all new materials for inspection.
D mkt?
❑Ya �No\
I matl Ne ha>Ydau materl.brm,iremema under Ch.per 6.95afthe Ullfer- -
JaHa1 SJGYCdc,Sou..25505.25333 antinS34.Imdrrnpd"if Witching
Jae rtdy bate.o-... du itbmyt mibihty non ytheo p orue a
myw nuwWhmube to aneeer.cutk fg�, ya� Signature of Applicant Date
no d cm t / j 0�� All roof coverings to be Class"B"or better
Community Development
.10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CfiY OF Fax(408)777-3333
OCUPEI�TINO
Building Department
JOB ADDRESS:. PERMIT #
r ( 4
OWNER'S NAME: LVotV r Lk,1 PHONE #
GENERAL CONTRACTOR: a �f }/ FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
60 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 fi�0 hl S i '
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
CITY OF CUPERTINO
gem 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36933003 . 00
DATE ISSUED. . . . . . . : 04/19/2006
RECEIPT # . . . . . . . . . : 34051
REFERENCE ID # . . . : 06040104
SITE ADDRESS . . . . . : 10577 S BLANEY AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KUNG SHARON ET AL
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : SAN FRANCISCO CA, 94109
RECEIVED FROM . . . . : MONKS ROOFING.
CONTRACTOR . . . . . . . : MONKS, DAVID LIC # 22117
COMPANY . . . . . . . . . . : MONKS ROOFING
ADDRESS . . . . . . . . . . : 794 BERRYESSA ST
CITY/STATE/ZIP . . . : MILPITAS, CA 95035
TELEPHONE . . . . . . . . : (408) 262-4797
EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ----- ---- ---------- ---
BPERMFEE VALUATION 10, 000 . 00 169 . 56 0 . 00 169 . 56 0 . 00
BSEISMICRE VALUATION 10, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
TOTAL PERMIT 275 . 56 0 . 00 275 . 56 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
------- - --------- ------------ - --- --------
CHECK 275 . 56 1565
TOTAL RECEIPT 275 . 56
•
CITY OF CUPERTINO
REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# _ Date:
I
Building Address
S E I CliJ
Owner's NaQ IA P) #�
J
Contractor: �I� '�,ry License
Contac �n J 1^I�/ f Cupertino e�s License #:
,9\,v
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles Q!� Asphalt Shingles
da Wood Shakes ❑ Wood Shakes
�q Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings�� ❑ Provide I.C.B.O. Report#
Q11 Tobe Removed ❑ Provide Mfgr.Installation Specs.
• I Have Read,Understand and Will Comply With Cu ertino's Tear Off PoliCY7 El
Job Description:
oLC
Residential Q Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Deft. if
there are an restrictions: E
Cost of Project: Type of Construction: Occupancy group:
D v �
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
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 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.
Homeowners Name:
job Site Address: 05 - V D11/101 A,- /`
Roofing Company Name: bOkf o"O /
Applicant's Signature: Date: w
• Greg Casteel
Building Official
Revised 11/2/04