06060101 CITY OF CUPERTINO b =�.w�,. %%a'-' " 'k k�""x=" ', ' _
BUILDING&;VISION PERMIT w.JCONTRi3�CC�,ORS-N�„�ORMA�TION���,".
BUILDING ADDRESS: WINTER ROOFING, INC PERMrr NO.06060101
5975 BOLLINGER RD
R'S NAME: PER,R WI LSU DATE
JIANPOU CHEN 151 WYANDOTT DR Of;/11 /2006
PHONE: SANITARY NO, CONTROL NO.
4083638052
ARCFVfER/F.NGiNEEJt: BUILDING PERMrr INr-0
BL.DO ELECT PLUMB MECH
.0� LICENSED CONrRACIDRS DECLARAnON of A
1lioJob DeBCrition
FC hmcby,Irmo wII am l urdcr orlv'ars ch-P.9(mmnleWhg
�W with don 70M of Di m3oldrt Busle ud Pmfuuw Code,.,i my Ik.b
nfailraramde TEAR-OFF WOOD SHAKES INSr rj)D [ C bomer LIGHTWEIGHT TILEa®s
crs DEcunwnoN
? V 1 m,dcman l my plmnt ahW be utrd u public sada Jut
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_zr�' P^°rbiuiuuma.W°rtquirt.We,pglic.vtrmacn permit io fik,Y{rcd wtetrcn 2340
baby he is li •pn punu.nl m Ba:pmriwant of d Coevacmri lima law(Ch w9 Sq.Ft. Floor Area
YFG lcommcoclag with
70W)Of Drvwon 3 a thc Bunncu m,I Pmfctvau Code)err
Ihn he b enwp,thuefmm and the Wilt fa w wWgcd--pd.Aar•krninn of
Semlm 70313 by my.pp In,a p=lt Akjttu bW appdwlt m a c ]penalty Or ppNN Occupancy Type
Wl mem than fiw bmdrtd ddbm(5500). 37535024,00 cu anc
❑Luav¢r ofth PWt+(Y.amr wpbyea wkh wgn ulhe'v mkemepewtlm.
wBlw We work,and tEeWatmem not lotcndcd Or onemd ferule(Scc.'/M.,Butiav dRequired Inspections
and Prof,,l Cade:The Cnmr s Lhrns law xa W t apply to u ewer N
propenr who bulWs a impr, therWtc and who dauaabwart bioMfWtNmQh hla
awn empjy pmvitrd thu tae impm,emenn art Wt inrdcd aorfertd forO&If.
hove v.the huWiag a impro vouu is sold within arc you of mmPbdon.the awm-
bull w Ww the EONW of patdg thtt M did not hind or tnp fa puryoa of
sale.).
❑1,a.weer o<thc 0-I'My.—otluaHwy cOnuactint vW Brmrd mbuanmt n
Wrutrvm the Ponj=ISM 70W.Butinw std Pmfeation Code:)Tbecoo m Li.
<Wae law dao Dotapplym m Dora a(X. ny who Wilda m bttr t1w..and.
wbo muracufa sab pmjeem*Ob aconU.WT(.)Ikemcd pwrea.m to We Camra .
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WORK COMPFNTA ONDECLARATION
I bmeby>Q o ,peaaRy or Perpny Oa of lW Rdlaring 4.d
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utlan,n poo i for by Swroot]'1(10 or the L.bm Cade,I.IW pcnf—of do
work forr whkb hit P ubi .
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Trop of Ne Labs Code.for the d..f th wart fa wblch Wv permit u caved
My Workefa Co peu.am artlm and M.,number art:
Carrkr ' ' Palley Na-
CERT]Fl (EMPnON FROM WORKERS'
COMPENSATION INSURANCE
Mb scmim 000�.a be cmvpkmd Ifthe permu Is raom hmctoul pus($'am
a len)
I atify wt to iW pafmmaae of the tort fa which Nu p:rmit u itartd.IID trot
uup[oyuryperWninanyw.narsourobecon sobjcnmd.:Workw'C r—
Laws of Cwiforda.D.Ic
App wu
NOMExub APPLICANT:B.arbor making n Canlllc+c of Esempdn.rob ahoaW
hvcomeb Mone y the Waheta Compcet th VI po lei err the tabor Code.yw mm
.,z foMwith campy w'uh tan providmsaNu pamitshwl he d¢mN mcvkra
Z O CONSTRUCnON LENDING AGENCY
[-.�-- I hereby arRrm my d la a cannroclkm kbding.peaty fa the Pmfamuwc or
a the work fa which thu p:Imit It W.i(Ser.X141,Ch.C)
1 Q Iandcft N.
.7 z Lenders
U0 I an y wt l W,c rod to,appl .and aur wt the Wo,c Inrarm.t u
U.P came.I at=on c®ply with dl city and cmmty on krum a and w¢b a mining to
OU Wilding corvuuctim,mrd hemby auth m n,=nutiw of Nu city to cnkr upon Ne
a ahovc-mnaoncd pmpcny for intpomim porposc.v
(Wa).gro ma,<•iodcmrufY and keep h [Otni the oty or Cupm.agww
Erb Iabifi&L judgmcou,cow sada whim m.y to my wayamaaNut teid Cuy
U Z APPLI UNDERSTAN or AND ILL COMPLY WITH ALL NON-POINT Issued by: Date
SW ECU
7 —d Re-roofs
S' w er x DOUSMA7tTIA1SDISCLOSURC o.k Type of Roof
ed Ih CupavtafuurabWiC ocnpp=g.iaWodk hoar I Wc'Y
dcfioed br the Cupeni W MuNclpal Cock.CWpbm 9.1;and the Hewlh uId Sa(cty
Senwn 25532(4? All roofs shall be inspected prior to any roofing material being installed.
❑Y. r ro
If a roof is installed without first obtaining an inspection,I agree to remove
Wdl do applicant or comm building W"PW=equipment or�.nieh
emit Wmtnu car cmlanir mi,t u d Rmd by tK Bay Amo Alt QuwitY Manapuwm all new m terials for inspecti
D ukt7 �
❑Yo
Ihrve cad do hauNrua mueria!{fc9ulremew undo Groper 6.95 afbh Glifor. .
nb Holbhh rmyCode S.7d.251LQ'235]1an1255N.lumkrtnd Jm'JJc htild3rbf 7. ��
loo Wt curly W,eatoast, tvmy regboulNlitym Wwfr Ilse aaupant of lf[
rtaU wn;e moa 'aMuamar¢oraCmtilbtarOccvpay. Si na re ofAp cant Date
—n All roof cover ngs to be Class "B"or better
W m Dm
a,
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
1Cfry OF Fax(408)777-3333
UPEkTINO
Building De artment
JOB ADDRESS: PERMIT #
66D6o ( oI
OWNER'S N PHONE #
GENERAL CONTRACTOR: ' FAX #
I am not using any subcontractors:
i e Date
Please check applicable subcontract and complete the following ' ormation:
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
Owner/Contractor Signature Date
• CITY OF CUPERTINO
Item 1 of 1 PERMIT RECEIPT OPERATOR: kiersaw
COPY # 2
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37535024.00
DATE ISSUED. . . . . . . : 06/13/2006
RECEIPT #. . . . . . . . . : 34829
REFERENCE ID # . . . : 06060101
SITE ADDRESS . . . . . : 5975 BOLLINGER RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JIANPOU CHEN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED .FROM . . . . : WINTER ROOFING ..._- . ... .
CONTRACTOR . . . . . . .: MARTINEZ, JAVIER LIC # 21207 . :
COMPANY WINTER ROOFING INC
ADDRESS . :-'. . . . . . . . : 151 :WYANDOTTE DR ,. .
CITY/STATE/ZIP . . . : 'SAN JOSE, CA 95123
TELEPHONE: 1'... . . . . : 4083638052
FEE ID - UNIT QUANTITY AMOUNT PD-TO-DT' THIS REC NEW BAL . .
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE ' VALUATION 13, 000.00 201.96 0.00 201.96 . :'0.00 1 . . '
BSEISMICRE-VALUATION 13,000.00 1.30 0.00 1.30 '70.'00
TOTAL PERMIT 203.26 0.00 203.26 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 203 .26 MASTERCARD
------------
TOTAL RECEIPT 203 .26
•
CITY OF CUPERTINO
REROOF
CUPEkTINO PERMIT APPLICATION FORM
APN#375^ 35_ 001--t Date: /
Building Address-
0 Wwn
ddress:Owner's Name: Phone#:
G Cyt a'
Contract r: _ License#:
14,11 Ui
Contact: Cupertino Business License #:
/ Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
(dam Wood Shakes ❑ Wood Shakes
❑ Wood Shingles —❑/Wood Shingles /
❑ Other(Specify) W Other(Specify) �( %/�i
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfg. Installation Specs.
• I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description:
1 civ aN We i
Residential Commercial ❑
Fire Zone: Yes ❑ No 8--- Confirmed with Planning Dt. if
there are any restrictions:
Cost of Project: Type of Cons on: Occupancy group: ^�
Qty. if
Applicable Fee ID Fee Description 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
•
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 Y4 " 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: �1x110011 5)W
Job Site Address:
Roofing Company Name: .
Applicant's Signatu Date: d J.7ZE�
• Greg Casteel
Building Official
Revised 11/2/04