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07110006 CTTY OF. rUPEBTINO = ` BUiLDING DIVISrON PERMIT �� '��' .,, .... �:r ._. ::.�: ., .,_.. _ :.. ..:.....:. BUILDING ADDRESS: PERMIT NO. 10380 STERN AVE YOUNG'S CONSTRUCTION 07110006 . NER'S NAME: PERM1T LSSUE DATE CHEN LIN 14839 Cc)NWAY AVE � 11/01/2007 PHONE: SANITARY NO. CONTROL NO. (408)37'�-6839 ARCHITECI7ENGINEER: BUILDING PERMITINFO BLDC ELECT PLUMB MECH � � � � y o p LICENSED CONTRACCOR'S DECLARAT[ON � I hcrcby affirm Ihat I am liccnscd undcr provisions of Chaptcr 9(commcncing Job Description � z � W��h Sccuon 7000) of Division 3 of ihc Busincss and Profcssions ode, and my Iicensc is NEW HOU �� E PREW I RED ; I N S T L AC °� y in full forec and effxL �� 2 Licensc Class �• M � F, � Da�c ConUSCtor � H CCS DECLARA ON �� U t undcrstand my plans shall hc uscJ u pubtic rcconls e. L p y Liccnscd Pmfcuional n y � OWNER-BUILDER DECLARATION � `� I hcreby nl7irm U�at 1 am cxcmpt from �hc Contractors Liecnsc Law for thc L p O following rcason. (Scction 7p31.5, Busincss and Profcssions Cak: Any city ar county K m� which tcquims a pertnit to consuuc4 alter, impmvc. dcmolish, or repair any swctu�c y�} prior w ils issuancc, alw requircs Uic applicant Cor such pertnit to filc a signcd sta�cmcn� £= o iha� hc is IicenscJ pursuant to thc provisions oC thc Conuactor's Liccnsc Law (Chap�cr 9 iq. Ft. Floor Area $ 3 O O O Valuation y i- $ (commcncing wiih Scction 7000) of Divuion 3 of thc Busincss and Profcssions Codc) or y �... ihat he ia exempt Neretrom snd We bazis for the allegcd exemption. Any violauon o( SecUon 70313 by ury applicant for a pertnit subjecu the applicant w a civii penalty of -�� NUi11beT Oceupaney Type not mme than five hundmd dollars (5500� 3 7 514 0 2�. ❑ I, u owner o[ Ux property, or my empioyces wi�h wsges u �he'v sole compensatlon, will do �he wo�1c., and �he stcuctwe is not intended or o(Cerod (or sale (Sec. 7044. BusiMSa and Professiona Code: The Contncwrs License Law does not apply w an owner of Required Inspections property who builds or improves �hercon, and who dxs sucA work himaelf or thmugh his own employces, pmvided Uwt such improvemen�t are not in�ended or otfercd (or sale. I[, hawever, the building or improvemenl ia sold wilhin one yeu a[ compleaon, lhe owner- buiider will have the burden o[ proving �at he did not build or improvc for puryax o( sak.). ❑ I, as owner o[ che property, am acclusively �onuacting wi�h ►icensed rnnvuwrs w consuuct �he prnjea (Sec. 7044. Business and Profcssions Cade:)'Rie Conuacwr's Li- cense [aw docs not apply �o an owner af property who builds or improves theieon, and , who contracts for such pmjects wilh a canwctor(s) licenxd pursuant co Ihe Convactor's Licenae Iaw. I am ezempt under Sec. . B dc P C for ihis reaton �ner Daie WORKER'S COMPENSATTON DECLARATION I hercby affirm under penalty of perjury one af �he following declaradons: ❑ I hsve and will mainuin a Cenificam of Cansent lo xlbinsurc for Workcr's Compen- sation, u providcd for by Section 3700 of the [abar Code, (or Ihe petformance ot thc work for which Nis permit is issued. . ❑ I havc and will maintain Wwkcr's Compcnsation Insurancc, as required 6y Scction 3700 of �hc [abor Codc, Cor thc performanu o[ the worlc for which this pertni� is iuued My Worke�s C ens , ion nsu e carti and Poliry number u� Cartier: f liry No.: CFRITFICA7E F EXEM ON FROM W S' COMPENSATION INSURANCE • (Chis section rccd not bc completed it the pecmit is for onc hundred doltars (S 100) or Icss.) . I cenify that in thc performancc of thc work for which U�is permit is issucd, [ shall not employ any person in any manncr so u m becomc subjec� w ihe Workcrs' Compcnsauon Laws of Califomia. Datc Applicanl -- NOTICE 7'O APPLICANT: If, aftcr making �his CcrtiGcate of Excmption, you should bccome subjcct to lhc Worlccr'� Campensatian ptovisions of Wc La6or Codc, you muu . O fonhwith camply with such provisions or this peGmit shall bc dccmcd mroked. z "'' CONSTRUCfION LENDING AGENCY E+�-�+ 1 here6y a�rtn that thcm is a conswcdon Icnding agency (or ihc perCormanix of p; � ihe work for which ihis pertnit is issued (Scc. 3097, Civ. C.) W� A L.endcr's Namc � � z Lcnder's Address () 0 1 certifY Ihat I havc tesd 11tis applica�ion and sla4 Ihat 1hc above in[ortnadun is w�' cortcc� I agrce to comply with all city and county ardinances and sute laws reladng w � U building consuuction, and he�cby authoria representadves of �his ciiy to entcr upon ihc � a atwve-mcntio�d properry tor inspectian purposes (Wc) agree to save, indcmnify and kecp harmless We City of Cupertino against �� liabilitiu, judgmenu, cos�s and expensca which may in any way accnie agains� said City V z in consequence oC Uic granung of this permi4 �"� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATION � 1 t � � 3� � 7 Re-roofs , Signawre of ApplieanUConuuwr Da�c HAZARDOUS MATERIALS DISCLOSURE Type of R� �of �11 �hc applicant or fuwrc building occupant scorc or handlc hvardous matcri�l :Fincd by the Cupectino Municipal Code, Chapter 9.12, and the Health and Safcty .�, s�uoo zsssz(a)? `� All coofs � hall be inspected prior to any roofing material being installed. ❑ Ycs J[J No \ If a roof is installed without first obtaining an inspection, I agree to remove VVill thc applicant or [uturc building occupant usc cyuipmcnt or dcvices which cmi� harardous air conwninan�5 as Jcfincd by the Bay Area Air Quality Managcmcnt all new m��terials for inspection. Disuict? ❑ Yes u I havc road �he Iwardous ma�crials requiremen�s undcr Chap�er 6.95 of ihc Califor- nia }Icalih & Safcry Codc. S�xtiions 25505, 25533 anc125534. I undcrstand ihu iCthc building clocs not currcnuy havc a mnan4 ihat it is b�liry w rrouf thc occupant nf Ihc rcyuire hich must bc me� pcior w i ancc of a Ccnificatc p� 1� S ignature ��f Appl icant Date l V Ow�c raumorizedagcm p„� All roof coverings to be Class "B" or better CITY OF CUPERTINO 5 ITEMS OF 5 PERMI�' RECEIPT OPERATOR: pdtg COPY # : 1 Sec: Twp: Rng: Sub: B11:: Lot: APN .. ....... 37�>14026.00 DATE ISSUED.......: 11,'01/2007 RECEIPT #.........: BS()00003140 REFERENCE ID # ...: 07:_10006 SITE ADDRESS .....: 10:580 STERN AVE SUBDIVISION ....... CITY .............. CU]'ERTINO IMPACT AREA ....... OWNER ............. CH]�N LIN ADDRESS ..........: 10_380 STERN AVE CITY/STATE/ZIP ...: CU]?ERTINO, CA 95014 RECEIVED FROM ....: BU]ZTON YOUNG CONTRACTOR .......: BA]ZTON YOUNG LIC # 22763 COMPANY ..........: YOIJNG'5 CONSTRUCTION ADDRESS ..........: 14 �339 CONWAY AVE CITY/STATE/ZIP ...: SA]1 JOSE, CA 95124 TELEPHONE ........: (4i)8)377 FEE ID UNIT QUANTITY ��'IOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BREMAIRHAN NO.UNITS 1.00 10.26 0.00 10.26 0.00 BSEISMICRE VALUATION 3,000.00 0.50 0.00 0.50 0.00 EPERMITFEE FLAT R.ATE 1.00 ' 40.79 0.00 40.79 0.00 MPERMITFEE FLAT R.ATE 1.00 40.79 0.00 40.79 0.00 PPERMITFEE FLAT RATE 1.00 40.79 0.00 40.79 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 133.13 0.00 133.13 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 133.13 MC --------------- TOTAL RECEIPT : 133.13 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 301 ROUGH PLUMBING 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL � CITY OF C'UPERTIl�TTO �� Z i �c�c� � `� � ` ` ��1��`�/�.� �;UPE�TINO PERMIT APPL:[CATION FORM APN # � � � I � �� ` � � Date: LO--� i- �7 Building Address: ��. � c� 1� r� ��.. Owner's Name: Phone #: � �--�-Y ��-r� -- . - _ �-2� Z - �b� C:ontiractor: � �� Phone. License . ��1 rL , � v�_ � �? 7 � `� Contact: Phone: Cupertino Business License #: n t,� c� ) � � --�-�� :�.� (L , Building ermit Info: Bldg ❑ Elect 15 F'lumb� Mech� Job Descri � � ' ��W V1�'� � �Q-LL' �� a �iv� � �'.� � �. Residential � Commercial ❑ � For R s dential Installations: Attic � 1 St floor � 2" floor � _dhere to min set back requirement . For Commercial Installations: Replacement same weight ❑ Additional weight (st-uctural calcs) � Structural Calculations required for new installation �� New installation Planning Ap roval Required ❑ Cost of Project: �� p � Type of Construction: Occupancy group: � Strapped ❑ On latform ❑ Bonded ❑ Sq.Ft. Floor Area: New Location � Replacement � Qty. if Applicable Fee ID Fee Description Fee Group BENERGY E�iergy BUILDING BREMFURN Furnace MECHANICAL BREMACOVER A,'C Unit > 10,000 cfin MECHANICAL BREMAIRHAN A,'C Units <= 10, 000 cfin MECHANICAL BREMRECEPT R�cptl, Switch & Outlets ELECTRICAL f BSEISMICRE S�;ismic Fee Res BUILDING BSEISMICOM S�;ismic Commercial BUILIDNG EPERMITFEE E: ec Permit Issuance ELECTRICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING BPERMFEE B'. dg Pernut Fees BUILDING BPLANCHK Plan Check Fee BUILDING BPGAS Ga.s Piping System Fee PLUMBING BUSLIC B �siness License BUILDING � Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building l�epartment Subject: Re-roofing policy for the C'ity 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 appliecl without first obtauvng all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the bui lding 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 apprcval. 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 f irst obtaining an inspection, will require the removal of all new mat �rial down to the sheathing, so a proper City inspection can be perfc►rmed. 7. NOTE: If you call for a plywood nail u�spection and the job is not ready, you will be charged a re-inspection fee �f $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 ihe job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: �icfan' � ��" Job Site Address: 7 S�b'' �'r4^'S fj✓� Roofing Company Name: ��t,�Rl��-vin.st`� Applicant's Signature: Date: �/`�� Greg Casteel Building Official Revised 11/2/04