06060137 CITY OF CUPERTINO
'BUILDING DIVISION PERNHT �O1�TRACTORT�IkUAMA IOI�t
BUILDING ADDRESS: KEVIN SULLIVAN. ROOFING PERMrr NO'06060137
10656 N BLANEY AV
OWNER'S NAME: PERMrr L551TE DATE
LI WANG 1696 VALLEY
NE SANRARY NO. CONTROL NO.
(408) 842-1057
ARCIR ECTIENGINEER: BUIIDINO PER PL
BLDG FlECT PLUMB
MECH
up� LICENSED CONTRACTORS DECLARATION JOS tion
iI bemny dram that 1 am Hoon 1 w Pmvitiona of 171w 9(rammcn s
< *ith Sauo170M of DiAdoa3ofthc Bud.and Pmfutkru Code,and my frale u p
<� iicfull cnac 1. q li 3o:g TEAR-OFF EXISTING SHAK & 30 ASTM
m a ala � K ni FELT AND GUARANTEED 40 ���iill/ r+
C ARCHr1ECrS DECLARATION
I undnsuW my
Plans aalI h ucd u pubhc raved,
Liccvcd Plac .o.t JUN 1006
OWNER-BUILDER DECLARATION
if I Aacby,111.that I.m exempt from the Convaof,Baca.Law for the
iao following muga.(Sauan7(01.1,Btdraas.nd Pmfedav Cock:Any City curly
ZS� whicW mqulm,.pont to comarvct..hv.hvpto.c,dcmolL h,or mpdr any,trutum
_iy piarn is isstwnm,WamWim+Ne.pplicwt rmaxh pumitw Bh.ngrcd rwemcnt
< that heblicacd .nt to to prmvi.or the Ctwfcbr's 123E La-(CNPlc9 Sq.F[. Floor Area a Ibm 540
yF� (commeoclag with Savan70DD)of Divbbo 3 of the B.,o.and Pm(caainu Code)«
y R g that be b aawp thuefroo and the b.rb for t dicga..Pd.Any viol.N
Sccuao 7031.5 by any pillicloo fur.parch abjcm thc.pplfc.m to.ciHl pwYy N NN Number Occupancy Type
not mom tion Ow htadmd dollen($50]), 316 43022 . 00
❑ 1.uowarof the pmpmy.«my wPlvlca wiNr.guuthcirtalemmpe..ib
^inmtic"^�Ca Th'u'um"n°`inte°N°«aw o c,bot aw`7°`o• w or Required Inspections
and Prafea o W Code m Conucter,1n who Vv doe on.pqy If ad o clic of q
opm,ftywn . h,, bund,«inpow,dvma,aMwho bia
waeat.thc Wilding
thatsrch haproold M mnotl.ofc«aQerd f«are B, .
wjla thbm,c pVn of iig" *Ithm one Wim
or com in,theowmr-
Wildc vN Wwthe Wrden of pmvhlg thuhdb m.buld«ImPrme Arc parp.e or
LIC.}
Q L.o .of the property,am eaelo mly ccamling*bh Ilaued omtraoms In
cmvma the pont(See 7Ma.Bulza and Pmf..11M Cade)Th Cm=ws V- -
nata Law doe our imply to an ower a(property who Wilds m impose threw.and.
who AL.r.ack p.)e with,e«nf1G1«(1)11ccJL4d pniwnt to thC CLOI+aWfe
Liceae Law.
Qlw eemp uMa .B&PC( thittumn
bwmr
OR OMPENSATION DECLARATInOO
N
I hmby alli r Penalty al Perjury our a the falbving• -. - __
I lis w.nd will mainW n.CauBaur aCoven b ac]f-i.for Wartcf.Cmnpcn,
adm,u MA&d for by Section 3700 of the Labor Cade.for that Pe Onnamm of the
for*tach this pe.mlt b awed.
bow and will m.ioWn Warta s C«mpemim�,u mgtimd by Scctim
3
7th a the LJDeY Code,for the pufam.na of tie vent for which this Amit Is L—H
My Warbef.C«opualIcm bonr.em curia antrm .rt
d Policy ber : 7
C.oj, '^�Policy No.: 0�.(
CEIZIFIFICATE OF EXEMPTION FROM WOUSIS'
COMPENSATION WSURANCE
mens calm ted mt be.,lc%W 11th pant b faonc huedcddag,m(SIW)
«less)
I eeouf,this N th peform.nm of th.art for which thi,pmdl b lamd.I AmIl not
mpioy,vy'pnmin NY mannrsoubbr®c sbjca to da:W«YVY CmtpAmaum .
Laws of Cdifomu.Dae
App
NOnCECE TO APPIIUNP.U..fbr mini this Caufmtc of Eacnptim,you shaaW
hmdb x subject y We Worker.Compos thi, cr nit shall
of N Ne Imod Code yen mua
.,O fanhvith comply Mth wch pmridavathb pamitsbNhdcmrd mivtcd.
Z "' CONMUCr10N LENDING AGENCY
Ib,mby.IRrro that them is.ocomotkm kldiogaLeacY in,thepcf«maoa ar
a� the was f«which this permit is int,cd(Se.3091,CM.C)
6Wi Q IsnticYa Name
Q z Ledeff Adm
dr
U0 1 ardfy th.t 1 hw mW Nls.ppliraum and apse that the abo,e iofarwthm b
ty, f'" Carmel I,gree b comply with all city and cotmry aNln.n«a aM vete bn mbua[to
U buildivL mnacunim,ud hembY.utharlm mpteantatirs of Nis city mcntcr upon the
U ,bow-mentioned l .Pcay to,"'Won purpvca
(WC) e to ave,inify.ad F¢p humlev the City of Cupertino.
.LurMemLdnu
It- 6f.F.1 h IiaMliucs,Jodgmcou, Date
coact udeepeuu which may In any way.a glhiut»id City
U z IICCANT UNDSTAnLa t
AND
APPLICANT ERWILL COMPLY WrrH ALL NON-POINr Issued by:
SWR REGULAn
Re-roofs
Slgwurt of APpl "RDOUS MATERIALS DISCLOSURE Type of Roof
Will the. t r fuaaatAhaardnu
ewidingampaoL.Orhcmaed.l
u deflrrd by do Cu no Mumcip.l Code.Cb.put 9.12,and the 3 Ub and Salley
Cure,ad.15132.)7 *SN. All roofs shall be inspected prior to any roofing material being installed.
Will ft IMlioontn rUltnc building oavpa=cquipacnt«dcv which If a roof is installed without first obtaining an inspection,I agree to remove
.it bal air mntmhanu a defined by 0te Bay Aura Air Q ldlty M.a.Lcmant all new materials for inspection.
D'ananQYa btlo ^
IhawmoyC.dnN 5U5lsmquhe n5M.dcr CD.pc6.9 irft 2
m.a not co S. have S�im�11A5.3my eW251 lity urdumM N.tifth LoftWIdi-t l
d¢y Iql e«mMly'd1C. 1113 it v my mgaulldilY b OOIIfy dC OR1Qant Cf dm
mq whichm ar.Cadra.bar Signatur ofA licant Date
owner«anth«i , l m'
All roof coverings to be Class 'B"or better
CITY OF CUPERTINO
1 of 1 PERMIT RECEIPT OPERATOR: kiersaw
COPY # 3
Sec: Twp: Rug: Sub: Blk: Lot:
APN . . . . . . . . : 31643022.00
DATE ISSUED. . . . . . . : 06/15/2006
RECEIPT ##. . . . . . . . . : 34882
REFERENCE ID # . . . : 06060137
SITE ADDRESS . . . . . : 10656 N BLANEY AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LI WANG -
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : KEVIN SULLIVAN ROOF _ .
CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN. LIC # 2381'0
COMPANY . . . . . . . . . . : KEVIN SULLIVAN ROOFING
ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR. -
CITY/STATE/ZIP . . . : GILROY, CA 95020 ,
TELEPHONE . . . . . ... . : (408) 842-1057 -
IRE ID UNIT QUANTITY AMOUNT PD-:TO-DT . THIS REC NEW BAL
BPERMFEE VALUATION. 11, 000.00 180.36 0.00 180.36 0.00 ..
BSEISMICRE VALUATION11, 000.00 1.10 0.00 1.10 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT 181.46 0.00 181.46 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 181.46 3823
------------
TOTAL RECEIPT 181.46
•
Community Development
10300 Torre Avenue
it Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4�UPEI�TINO
Building Department
JOB ADDRESS: _ PERMIT #
UCo�(c� iEf>k� I (. q CICO O 134--
OWNER'S NAME: l %)4%rG I PHONE # _
GENERAL CONTRACTOR FAX #
I am not using any subcontractors:
St nature Dat
Please check applicable subcontractors and co Tete the followinginformatiorr.
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
t c� un a
ze
Own r/Contractor Signature Date
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.
Homeowner's Name: U, `YPN4 '
Job Site Address: W(0( • S�C7> 1�
Roofing Company Name:
Applicant's Signature: Date:(0J5 5.Qp
• Greg Casteel
Building Official
Revised 11/2/04
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408) 777-3228
Fax: (408) 777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
2. When the roof is torn off, the nails have been removed or driven in,
• and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off 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.
• Greg Casteel
Building Official
Revised 8/13/04
D(�o(_oDi's 4-
CITY OF CUPERTINO
Sam- REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN # r2I�o —� . rOaoZ Date: i Jr O
Building Address:
l U(o5 (Q 1--1 _
Owner'`N�mg: Phone#:
12;18 44 OZ48
Contractor License#:
t 8a37 �5
Co tact: Cupertino Business License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles NS, Asphalt Shingles
'4&— Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr.Installation Specs.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy
Job Descriptign:
`feBroq-7 lqnwt Csrs $ psw f-lax N 2•
Residential Commercial ❑
Fire Zone: Yes ❑ No 'Q, Confirmed with Planning De t. if
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy group:
10
Qty. if
Applicable Fee ID Fee Descr tion 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
•