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10100143 CITY OF CUPEWrINO BUILDING PERMIT BUILDING ADDRESS: 11548 COPPER SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 10100143 OWNER'S NAME: CHAO FU-KUANG F AND LI-CHUN V 1703 CATHAY DR DATE ISSUED: 10/19/2010 .ER'S PHONE: 4082572704 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class Lic.# d r MECH RESIDENTIAL COMMERCIAL Con �_ullc _ _._.. Date � �� O I hereby am licensed under the provisions of Chapter 9 JOB DESCRIPTION:REROOF-TEAR OFF WOOD SHAKES,INSTALL#3o LB (commencing with Section 7000)of Division 3 of the Business&Professions FELT,INSTALL GAF GRAND CANYON COMP,CLASS A,16 Code and that my license is in full force and effect. SQUARES I hereby affirm under penalty of perjury one of the following two declaratioiis: 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:$7500 permit is issued APPLICANT CERTIFICATION APN Number:36654055.00 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 regulations per the Cupertino Municipal Code,Section 9.1 _ ��/%r-b Issued by: Dat Signature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for on!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, A Business&Professions Code) Signature op scant. f Date: 1,as owner of the property,am exclusively contracting with licensed contractors to O 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: HAZARDOUS MATERIALS DISCLOSURE 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 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. I 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& Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this 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 sh,.11 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&Safety Code,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 r iust Owne•or ar lo rized agent: forthwith comply with such provisions or this permit shall be deemed revoked. - Date: ZD4 O CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 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 rely ting for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to ente r Lender's Name v--n the above mentioned property for inspection purposes.(We)agree to save mify and keep harmless the City of Cupertino against liabilities,judgment:, Lender's Address c,_s,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,Sectior 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY JF CUPERTINO 3 ITEMS OF 3 PERKIT RECEIPT OPERATOR: TraciC COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36654055.00 DATE ISSUED. . . . . . . : 10/19/2010 RECEIPT #. . . . . . . . . BS000011791 REFERENCE ID # . . . : 10100143 SITE ADDRESS . . . . . : 11548 COPPER SPRING CT SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER CHAO FU-KUANG F AND LI-CHUN V ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : AUSTIN TX, 78709-0683 RECEIVED FROM . . . . : CASTILLO ROOFING CONTRACTOR JOSE CASTILLO LIC # 25850 COMPANY CASTILLO'S ROOFING ADDRESS 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE (408) 251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 7,500.00 1.00 0.00 1.00 0. 00 1BSEISMICR VALUATION 7, 500 .00 0.80 0.00 0.80 0 .00 1REROOFRES SQ FEET 16 .00 208.00 0 . 00 208.00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 209.80 0.00 209.80 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 209.E0 16701 -------------- - TOTAL RECEIPT 209.E0 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 REROOF TEAR-OFF F OLICY COMMUNITY DEVELOPMENT DEFARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•buildingCo)cupertino.org PROJECT ADDRESS APN# OWNER NAME ` ^ En ^l ') ;700E-MAIL STREET ADDRESS / GJ CIT), S JTE`,-ZIP 7 FAX or CONTRACTOR NAME „�r� //� n6 EN 4-:5I�BER LIC T L , YPE BUS.LIC.# 5-5 COMPANY NAME �J E-M NAIL FAX STREET ADDRESS -7� �� l/� Y; ATE,ZIP O O� PH -5 ZON Y 33 I UNDERSTAND ANE AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all appt cable 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 (40!;)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. An,, 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: 7:31) — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:31) — 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 whi-.h 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” pE r foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies 16r 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 iailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. T1.e re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following; is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and C;ee to comply with the re-roof policy stated abgve. Signature of Applicant/Agent: Date ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: t-( PERMIT# OWNER'S NAME: � p PHONE# �SI S GENERAL CONTRACTOR: rj BUSINESS LICENSE # S ADDRESS: Q / CITY/ZIPCODE: r fJ �j�/off *Our municipal code requires all busin sses workin; in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCO TRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: CJ Signature Date Please check applicable subcontractors d coniplete the following information: &/ SUBCONTRACTOR BUSI 14ESS 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 m /qr / Owner/Contractor Signature Date MInFoor Air Quality and Finishes 1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAQ/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 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 7.Seal d dosed Particleboard or MDF 4 IAQ/Health. pts y=yes 0 S.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 2.Use Rapidly Renewable f=looring Materials 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 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 ! 1 Total Points Available;, 1 1401 1301 57 Total Points Project Received; 1 01 O—F 0 G:data/proc s/greenbuikiinggiu, lines remodelers/greenp6intsfinal2.12.04proteoted.xls CITY OF CITY OF CUPERTINO11:1 REROOF �I CUPERTINO PERMIT APPLICATION APN# Date: IJ Building Address: Owner's Name: ,. � � Ph e #: Ci Y i(J` 2S� - Z�U HOA: Yes El No ��If es, provide l,:tter from HOA Contractor: _ Phone #: Fax#: �- Cupertino Business License #: ` Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ phalt Shingles Asphalt Shingles a- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Nupber of existing coverings _ ❑ Provide I.C.C.E.S. Report # To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Residential Commercial ❑ Green Building: Please complete relevant p:)rtion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ -applicable, include in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signa e Revised 02/05/09