06050145 CITY OF CUPERTINO
BUILDING DIVISION PEIZjyIj'I' CONTRACTOR INFURNIATIgN =._
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BUILDING ADDRESS: LUKE ' S ROOFING - PERMIT NO 06050145
6327 BOLL PERNUT ISSUE DATE
OWNER'S NAME:
BERT HENDERSON 951 S
SANITARY NO. CONTROL NO.
(408) 446-0149
ARCHTTECT/ENGIN — BUILDING ELECTPERMIT INFO
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ANT ND RSTAN d Wer D mil. Date /� r ge-
^ APPLICANT UNDERSTAND ND WI COMPLY WITH All NON-POINT Issued by:
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Re-roofs
In•turtdAOP DODue
OUS MATERIADISCLOSURE
HAZADLS Type of Roof
WW de wWlaaa fdao bulbi°;o..pant vac a h�hsudaa Inaerial
u d cod by the Cupenlno Municipal Code.ClaWr 9.1Z W de Hold,and Way
Cale,Sccdav 15533(.)! All roofs shall be inspected prior to any roofing material being installed.
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1, If a roof is installed without first obtaining an inspection,I agree to remove
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cmll huudaa air conumlunua u Jcflad by Ido Bay Arta Aa 121W1ry Maru;emcx all new materials for inspection.
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rtqu�a��/_ n doro�l�aay(7� Signature of Applicant Dale
a.udwrvN. n C'��(o�,b. - All roof coverings to be Class'B"or better
CITY OF CUPERTINO
1 of 1 PERMIT RECEIPT OPERATOR: suem
COPY # 3
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 3619001.00
DATE ISSUED. . . . . . . : 05/17/2006
RECEIPT #. . . . . . . . . : 34439
REFERENCE ID # . . . : 06050145
SITE ADDRESS . . . .. : 6327 BOLLINGER RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BERT HENDERSON
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : LUKE'S ROOFING
CONTRACTOR . . . . . . . : LUKE TELESKE LIC # 22981 . .
COMPANY . . . . . . . . . . : LUKE'S ROOFING
ADDRESS . . . . . . . . . . : 951 SARATOGA AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95129
TELEPHONE . . . . . . . . : (408)446-0149
0EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
BPERMFEE VALUATION 6, 000.00 126.36 0.00 126.36 0.00
BSEISMICRE VALUATION 6, 000.00 0.60 0.00 0.60 0.00
BUSLIC FLAT RATE 1. 00 105.00 0.00 105.00 0.00
TOTAL PERMIT 231.96 0.00 231.96 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CASH 231.96
TOTAL RECEIPT 231.96
•
SCO
' F mmunity Development
10300 Torre Avenue
Y
Cupertino CA 95014
Telephone(408) 777-3228
CRY OF Fax(408)777-3333
GVUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
632? 1 060so( ,-( S'
OWNER'S NAME: eql Tp PHONE # y 20 Co 7917,
GENERAL CONTRACTOR: e FAX # g
I am not using any subcontractors: f 1P 7 /C9 4
Signature Date
Please check applicable subcontractors 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
1
CITY OF CUPERTINO
REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN# Date:
t12 0/ S�// 7 43
Building Address:W/ ',2 I
k� m r� r'
Owner's Name: ' Phone#-
t5 Llo� q% 01y
Contractor: License#:
Contact: Cupertino Business Lic se #:
ype of Roof Covering:
Existing: Proposed:
>i Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles 1K Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O.Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑
Job Description: Ll Iz o rr C�nc R
�e� o f --r— '� a e nsQ\\ C.
Residential P, Commercial ❑
Fire Zone: Yes ❑ No �] Confirmed with Planning Det. if
there are any restrictions: LJ
Cost of Project: / ,&-m Type of Construction:�t//� Occupancy group:
lD vvv `t\Cfodr�ef ko '�
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
j 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 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.
Homeowners Name: l��t� k\re y-�Ve—C G Od\
Job Site Address: - —� 11� ^S2�V_. C d`_
Roofing Company Name: \ ��Vy )r\j 1Zr,
Applicant's Signature: ef, L WP-Date:
• Greg Casteel
Building Official
Revised 11/2/04