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10110029 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6435 BOLLINGER RD CONTRACTOR:TRAN ROOFING& PERMIT NO: 10110029 LANDSCAPING (...NER'S NAME: PRINCE WONG 531 MEKLER CT DATE ISSUED: 11/04/2010 (. AER'S PHONE: 4083907108 SAN JOSE,CA 95111 PHONE NO:(408)892-3215 ❑ LICENSED CONTRACTOR'S DE/CLARATION_ BUILDING PERMIT INFO: BLDG r ELECT r PLUMB License Class _ Li .# 7 F/ MECH RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:6435-6437 BOLLINGER RD(DUPLEX)-RE-ROOF TEAR OFF (commencing with Section 7000)of Division 3 of the Business&Professions WOODSHAKE BUILD DECK BY 1/2"OSB PLYWOOD REROOF BY Code and that my license is in full force and effect. 30 YEARS LANDMARK COMP CLASS A 28SQ I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$8000 permit is issued. APPLICANT CERTIFICATION APN Number:36920030.00 Occupancy Type: I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulatio per the Cupertino Municipal Code,Section 9.18. S��rature /It �- Issued by: _ Date: ��• �� CC�� � � � Date �,- -r ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&SafetyCo e,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner `d= d agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name V, the above mentioned property for inspection purposes.(We)agree to save reify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228 FAX(408)777-3333•building(a)cupertino.orp PROJECTADDRESS /_ /�1 j/ .- APN# OWNER NAME l' /J/7 W V 7 PHONE E-MAIL STREET ADDRESS / CITY, STATE,ZIP FAX CONTRACTOR NAMEA� LIC SE N�I,1MBEi LIC SE_TYPE BUS.LIC.#COMPANY NAME '��/'�/ /')��/ •` E-MAIL FAX STREET ADDRESS ((/ �1�1 /-� 4�+ CITY,STATE,ZIP r�-Lye e7 PHONE /C,)X �i�3� I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00— 3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of 1/4"per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 8. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the follo ing;s true: I am the property owner or authorized agent to act on the property owner's behalf. I un to a 'ee to comply with the re-roof policy stated above. Signature of Applicant/Agent: Date: _ _y)0 _ ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: Cr ? - i�� �'�' �' c PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: 4 li- —711�---� BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY IN ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBC NT n ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. _ -- I am not using any subcontractors: Signature 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 Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date 10CI � v2�, CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: U b�A(I Q:OATE: REVIEWED BY: APN: BP#: *VALUATION: 1$8,000 q*PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY 07 l i. PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 SFDWLROOF WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,800 Ch, n, 1 af�c1? T'f�Pn C'.reck r'/��l>�_1�crii� ta�<�"L Alf""',r<_ ifsa C`r�rc F�,r'1. 1"'rnfa F0", ���1un�1 r�rtr;t l'i'e°. I�;f�r t'c'w)il 1"I"c: tali, / ,ft f,";'-'> ki,( !'?Sj:!. hl.v" 1"11C. Itas'f! PL"), NOTE: Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh 7 in o. FEE ITEMS,(Fee Resohatioli 09-051 Elf. 7'T,.I()) FEE QTY/FEE MISC ITEMS Plan C'hec'k Fee: S?1p1,1. PC1,(A' phlnah.'.11cIf. 11c c P/01? 01C,A": Permit Fee: $364.00 Saallh/. hl'�p Fee F-1 .1couslical" !�'cviuw VC(", C'oT?sJl'llt'Ft >t7 lCl,i Work Without Permit? 0 Yes E) No $0.00 1'lcanlfir 'z f'cc; I 1-1-kilcl 0c1t_ifnicniol1t�o Strong Motion Fee: IBSEISMICR $0.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $365.80 $0.00 TOTAL FEE: $365.80 Revised: 10/17/2010 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36920030 . 00 DATE ISSUED. . . . . . . : 11/04/2010 RECEIPT #. . . . . . . . • : BS000011921 REFERENCE ID # . . . : 10110029 SITE ADDRESS . . . . . : 6435 BOLLINGER RD SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : PRINCE WONG ADDRESS . . . . . . . . . . : 6435 BOLLINGER RD CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : KHANH CONG TRAN CONTRACTOR . . . . . . . : KHANH TRAN LIC # 32053 COMPANY . . . . . . . . . . : TRAN ROOFING & LANDSCAPING ADDRESS . . . . . . . . . . : 531 MEKLER CT CITY/STATE/ZIP . . . : SAN JOSE, CA 95111 TELEPHONE . . . . . . . . : (408) 892-3215 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 8, 000 . 00 1. 00 0 .00 1. 00 0 . 00 1BSEISMICR VALUATION 8, 000 . 00 0 .80 0 .00 0 .80 0 . 00 1REROOFRES SQ FEET 28. 00 364 .00 0.00 364 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 365.80 0. 00 365. 80 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 365.80 VISA --------------- TOTAL RECEIPT 365 .80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF C) c) CITY OF CUPERTINO 10 1 REROOF CUPERTINO PERMIT APPLICATION APN# � r � 4 � Date: /0 Building Address: 0 Owner's Name: Phone #: Z HOA: Yes El / No If Yes, provide letter from HOA Contractor: Phone #: 4 Fax#: Cupertino Business License #: () Contractor License #: 6-3 Type of Roof Covering: Existing: Proposed: • Built-Up Roof u Built-Up roof • Asphalt Shingles A! ' Asphalt Shingles X Wood Shakes o Wood Shakes • Wood Shingles o Wood Shingles • Other (Specify) o Other (Specify) Number of existing coverings .1 u Provide I.C.C.E.S. Report o To be Removed o Provide Mfgr. Installation Specs. Job Description: < Residential Commercial Green Building: Please complete relevant portion of the Conr,,.rmed with-Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: El applicable, include in plan set & the sheet index. Valuation: I Have Read, Understand and,Will_C//Omply with Cupertino's Tear-Off Policy: Signature Revised 02/05/09 M.lndODr Air Quality and Finishes �• 1 IAQ/Health pts y--yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y--yes 0 4.doLM*v=moo= 3IAQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y—yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood.for Interior Uses 1 IAQ/Health pts y--yes 0 T:sew4w M 4 IAQ/Health. pts y=yes D B.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes D 9.Use Fnger-Jointed or Recycled-Content Trim 1 Resource pts y--yesD 10.Install Whole House Vacuum System 3 IAQ/Health pts y—yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Fooring 8 Resource pts y--yes 0 y8 ]ooririg dais 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y--yes 0 5.Install Recycled Content Carpet with Low VOCs 4 Resource pts y--yes 0 ! ! 1 Total Points Available: L_1401 1301 57 Total Points Project Received: 01 0 0 G:datalprogslgreenbuildngguidelines/remodelersJgreenpointsfina1212D4protected.xis