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08120020 CITY OF CUPERTINO Te ' e BUILDING DIVISION PERAIIT �CON�CRAC' QRIN�`O", , Z :N-,,' BUILDING ADDRESS: ' PERMIT NO. 7635 DE FOE DR KNIGHT ROOFIN OWNER'S NAME: PERMIT ISSUE DATE SNE: S Y CONTROL NO. ARCHITECDENGINEER: BUILDING PERMIT INFO RE-RF T/0 SHKROOF, INSTL BLDG ELECT PLUMB MECH 0 0 0 0 'a'oo LICENSED CONTRACTOR'S DECLARATION SHEATHNG, INSTL DURAL TfWDescrition 1 Mrcby a l m Wt 1 am iia under pmvuiom of cmpwr 9(commercing _ _,.........-.�....... .-.__ .._ _ ....P viNSmuon7O'MBof Division3ofde ButineeUdRafesaiam CCo .aMmyIkeau j tg i uLrfcunlx Ural aM eff 5 Lk. • J3 H I�V s7 h, Dao: L Contractor f NIIIAI-17 " , yy ARCHITECTS DECLARATION WU 1 uMersuM my pines shall be used u Public meords g� LLo Licensed Professional OWNER-BUILDER DECLARATION Coo hereby drim 11. emmpt from M Contractors :MY c taw fou the O o following mama.(Section 7 ensu Business aM n,derom Code:My city err aunty e m� whish mquinm a permit re ansvueL eller.hnpron,m permit ore a sig ed strumum °zi priortois iawna.alw requires the applicant for such pcomittofilcasigncd statement x< wt he is licensed pm,mm,to the pmviumss of the Convector,License U.(Chapter 9 Sq.Ft.Floor Area Valuation Y!-g (commencing with Section 7(00)of Division 3 of to Beat.and Prefesdoru Code)err y _ Out he is exempt therefrom and she Isis for the alleged esemPuon.MY violauon of Seton 7031.5by any applicant for a Permit subjects the applicant to a civil penalty of APN Number Occupancy Type rot mart than fin huMrtd dalurs(5X10). ❑Luaw wofolepmpaty,amywnl dwithwetsu Ne'vmsco44.B a n, will m Wewors,andel,he meumtinwbede aw does,set 1014,Boer of Required Inspections std Pmfeaaiom Code The Canuxmr,Umec law dam tot apply lf an owner of q P ow.mi Mycet. Naimpronachimn.aMwho dwcwhwmkhim¢Irar Wrsamhu owee r.theen,provided Wtsuchimpmnd witareact ear ofcdall mo0ered fwans, however,the building a on ovsmmt V sold within et year unisonion,for the ownv- builder will hers the burden of proving that he did tot ddW or imprvn for WTom of ale I. ❑1.n awrer of de Property.am exclusinly concocting with liem anus contractors to comemct the project(Sac:7014.Business and Professions Code:)The Coneracmr,Li- ao,law does not apply er an owner of property who Whom improv Nemo..and. . who emacs for such pmjees witha contractor(s)Seemed pursuant to Neeonu semn I ha mO law. ❑I tors meropt under See .B&P C for this mason Oweer Dam WORKER'S COMPENSATION DECLARATION I hereby aflum under penalty of perjury one of the following decurWom: 41I hart and wdi maintain a Cenifiam Consent of Coene he mhf--husum for woron sCoupon- on,n provided for by Section 3700 of the labor Cade.for the perfOommce of d, work for which Nis permit is issued. 1 ban and will maintain Workers Compensation Insurance,as mquired by Section 3700 of d,Labor Cade,for the performance of the work for which this permit is issued. My Workers Compensation human carrier and Policy number me: �7 /I Carrier.�'7G}1'6 K61010 Policy No.:7.3 10L1316:0y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu scales need Out be completed if the Permit Is forom hundseddellan($1010 or loss) 1 certify that in the Mr....of the work for which this perMt is issued.I shall rat employ any person in any mmnerso as to become subject to tK Workers'Camponsmort Laws of California.Dam Applicant NOTICE TO APPLICANT:If.after making this Certificam of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you most ,J Q mi forthwith comply with such provisions or this pert shall be dcomcd rno4 d. zrnCONSTRUCTION LENDING AGENCY [-+ IWroby.M.thst Nem isscomuucthm lending.gency,rar the perfrromme.f ai r�-v the week far which this permit in issued(Sec.3097,Civ.C.) fed Q lenders Name _ = z Lo mes Address U O 1 certify that I hen mad this appliceio.aM some thss the man Waterstiun in coectt I agme to comply with all city and county ordinances and sum laws reaung to -C) Wilding consuuction,and hereby aumorine representative of Nis city to enter upon the Lgl above-mentioned properly for inspection proposes (We)agree to an.indemnify aM keep harmless 0,City of Coconino against i..i raA liabilities,judgments.costs and eapemes which may in any coy aces agalm,said City /I U ,Z in comequerme of dm g.fi.g of this pcmeiL. ^ APPLICA?fr UNDERSTANDS A ILL COMPLY WITH ALL NON POINT Issued by Date (i V SOUR GU ON . 7l(/ Signuum of tian weactor "— Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Oe applicant or(muro building nascent ttoro orhaMle hanNaw mamriai as defined by the Cupertino Municipal Code,Chapter 9.12.and de Halth and Safety Cam.Session 25532(a)7All roofs shall be inspected prior to any roofing material being installed. ❑Ya Na Will the applicant err fu use Wilding oaupam um equipment or dcvlw which If a roof is installed without first obtaining an inspection,I agree to remove It Wanda.air contaminants m defired by the Bay Ana Air Quality Managcmcnt all new materials for inspection. st im7 ❑Ya A7 Na 1 hen mad the Handws'Tmamrials mquimmau undcrCNPmr 6.95 of the Califor- nuHalth&SafctyCem.Sczi= 5505.25533a Z5M.1uMcmn ifthe building dna tot curou dy han a hatutt.due n u Meryomib'Jhy m rosy tl,nascent err d, mqulmmehehhmutttto at '°`ssrmuanccar.Ccmr.am.1Occupf�`y. Signature of plicant Date zY`T , All roof coverings to be Class'W'or better Owner orauthamM agent I 0mc — CITY OF CUPERTINO 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: pdtg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35925023 . 00 DATE ISSUED. . . . . . . : 12/02/2008 RECEIPT #. . . . . . . . . : BS000006728 REFERENCE ID # . . . : 08120020 SITE ADDRESS . . . . . : 7635 DE FOE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TONY CHU ADDRESS . . . . . . . . . . : 7635 DE FOE DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4348 RECEIVED FROM . . . . : GREG KNIGHT CONTRACTOR . . . . . . . : DAVID RICE LIC # 27646 COMPANY . . . . . . . . . . : KNIGHT ROOFING SERVICES ADDRESS . . . . . . . . . . : 42035 OSGOOD RD CITY/STATE/ZIP . . . : FREMONT, CA 94539 TELEPHONE . . . . . . . . : (510) 438-9077 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------ --------- ---------- -------- - 1BSEISMICR VALUATION 19, 270 . 00 2 . 00 0 . 00 2 . 00 0 . 00 1REROOFRES SQ FEET 38 . 00 494 . 00 0 . 00 494 . 00 0 . 00 TOTAL PERMIT 496 . 00 0 . 00 496 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 874. 50 AMEX ----- --------- TOTAL RECEIPT 874. 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- --------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • 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. S 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: Tony Chu Job Site Address: 7635 De Foe Dr . Roofing Company Name: Knight Roofing Services Applicant's Signature: Date: OGreg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO REROOF CUPERTiNo PERMIT APPLICATION APN# 35q �I\ O Date: 11-12-08 Building Address: 76635 De Foe Dr . Owner's Name: Phone #: Tony Chu 408 446 1111 Contractor: Phone #: Knight Roofing Services 510 438 9077 Fax #: 510 438 0604 Cupertino Business License #: 27646 Contractor License #: 844108 Type of Roof Covering: Existing: Proposed: o Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles x Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) 9 Other (Specify) Lightweight Tile Number of existing coverings 1 u Provide I.C.B.O. Report# ER 1647 ❑ To be Removed o Provide Mfgr. Installation Specs. Job Description: Tear off shake roofing . INstall sheathing. Install Duralite Lightweight Tile . 38 Sq. Residential Commercial Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if there are any restrictions: Valuation: 19, 270 I Have Read, Under tand and Will Comply with Cupertino's Tear-Off Policy: Signature .