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08040174 CITY OFCUPERTINO "' s� BUILDING DIVISION PERMIT �`C�s 1' ' 'RtG'v'rUIZINt''a�??[ `It1','CI'© if, BUILDING ADDRESS: PERMIT NO. 1018 CRANBERRY DR R E -ROOFING & CONSTRUCTION 08040174 OWNER'S NAME: PERMIT6SUEDATE EMILY CHANG 15230 CLYDELLE AVE 04/24/2008 NE: SANITARY NO. CONTROL NO. ARCHfTELT/ENGINEER: BUILDING PERMIT INFO REMOVE EXISTING 2 LAYERS OF BLDG eLBcr PLuma MECH Z ij O p LICENSEDIAm ile sed under p DECLARATIONeemp ,•, J1313De.Scri tion 1 hereby affirm the 1 w Ilcenkd under provisoes of Chapter 9(commencing ^^--^ - ^^ - ^^•--- P viN Suction 70(118 ofDS5yysian 3oIdeauainess and Profesaou Mmylkenu is ��? Licenlm(orce and eaeeeC��� fY.g �� Deck Con r ee ARCHf12CrS E Ii in J my prisesll W Maused Ii 5v-U Licensed Pmfeuionel S OWNER-BUILDERexemptDE CLARA770N y 1 hereby.(Sm that 1 1. exempt Dum Ute Canuectar'sLicense: c Law for the i O o following tenon.(Salon IID 1.5,d.slid. and Pe,daroli Cole:Any city or county S$ which requires•permit a counted.the alit Improve,de Permit t or repair any arvetum i y prior m its iuuma,alauc In the dte inion ant forsuch ane Con permitsn rift cense Law stakmonl (cothat mmencing wit pursood In the of Dixons ofof ConuadssandPnaclaw(ChapterCode)or Sq.Ft.Floor Area Valuation $ oat Ins W exempt Section 7000)I basis cal of Uteeged exsandon.Any Cade)ser - Nn io s 31.5 b IWkfrom and Ue bub for the cis the exemption.AnY violation of Suction corer five any applicant far a permit rvhjau the applicant Io a civil penalty of APN Number Occupancy Sgt, e nm more dun fiw hundArd dalWa(53003 P Y •J'P 0 L u awear of the property,ormy employees with wages u the'v sok mmpetwUon, will do Newark.and thentmcture is notintended orGHe el forsale(Sec.7044.Business and Profesaou code:The Caricatures License Law does wt apply to an swear of Required Inspections property who bulldsorimprow them e,and whodoessuch work himulfor through his Own employs,provided that such imprevemmtu are not intended aroRered farina.IL however.the Wilding or improvement is mid within and your of completion.the owner. Wilda will have the terden of proving that W did ma Wild or improve for purpose of este.). ... 0 I,As awe a the property,am exclusively contracting with Based mnuuors in mutmct the p.Jed(See.7(1/4.Business am Prof'salms Code:)The Coouume's al- cove Law dean not Apply in an owner of property who Wilda or impmm damn.and. who conuuu for such projects with acenwctor(s)licensed gasman,to the Comrutaes Limem Law. 0 lamexamptumer Sec .B&PCfor Nsu mn 0. Date WORKER'S COMPENSATION DECLARATION 1 hereby&alta under penalty of perjury am of the following declarWaes: haw and will maintain a Cadflum,or Consent to as](4aaere for Workeh Compan- sam",u provided for by Section 3700 of One labor Code,for the performance of do work far which this permit is iuuad. 0 1 haw and will maintain WorkePs ComPenudon Insurance,an required by Section 3700 ofthe labor Ones,fm the performance ofthe work forwhich this permit is bound ' My WorMes CompeuNon hsunae carrierand Policy n berm: Cartier. Policy No.: CERTIFICATE IDES PTION FROM WORKERS COM ENSATTON INSURANCE man seeUtm need rot W completed iftlo permit is far am hundred dollm IS 100) or lou) 1 certify that In the performance of the work for which this permit is Waned,l shell rot employ any person in my mareerse u At become subject to the Workers'Compensation Laws of C.If onic Date APpOcaa NOTICE TO APPLICANP.IL after making this Cmifcak of Exemption.you should become subject in the Worker.Compensation provisions of Vex labor Code,you rant .JO faMwith comply with such provisions or Ns permit shall W dance Armond. ,zt 51 CONSTRURION LENDING AGENCY [-t wN+ I herby sfirm Um dare sa construction lending agency for the performance of lYi v�.a the ami for which this permit is iuund(Sec.3097,Civ.C.) fj7M Q Lattices Name D z Lender's Addis U Q 1 cenify than I have Aped this Application and sue Utes the Also.W.romi on Is ' coma I aper'a comply with all city and comfy ordinances and state laws relating to building construction.and hereby authorire kpmenuuws of this city in enter upon the Liz above-mentioned property for Inspection purposes. (We)agree to uw,indemnify and keep hamlet the City of Cupertino against ti y liabilitiesjudgments,casts and expenses which may in my way aaae against said City U z in consegmnce of the gaming of this permit. APP NT UNDERSTANDS AND WILL COMPLY WITH A NON-POINT Issued by: Date _Z s R Rr' DL-AT9 5 _ Re-roofs Sign aAppliwnUC90 actor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding occupant Gore or handle haurdous materia As defend by the Cupertino Municipal Cade.Chapter 9.13,and the Heath and Safety Code.Suction 25532( ❑Yca ,)7 0 All roofs shall be inspected prior to any roofing material being installed, X 90 Will the applic or/(utak Wilding aaupant esu equipment or devices which If a roof is install ithout first obtaining an inspection,I agree to remove t Wurdeus err..to nu fthw by dk Bay Area Air Gouty Managcme - all rte materials for ins Cti A.,,, t ❑Yes ONu \I ��I� Ihew real the huN amssmakriab requirements under CltApter6.95 ofthe 'for- � A ulNkAndlyyCwe,SadaLthat ,255Aanores, yindetof,the Wi Js curmntiY t.Vest my roApanahility a mtlfY tie aceupant of the cc- w ' must bq 'haus epfa Ccnifceoof sup S)gnaureo Date All roof coverings to be Class nn"or better Dor amWriv ague Daur g R CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM COPY # . : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36204056 . 00 DATE ISSUED. . . . . . . : 04/24/2008 RECEIPT # . . . . . . . . . : BS000004567 REFERENCE ID # . . . : 08040174 SITE ADDRESS . . . . . : 1018 CRANBERRY DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER EMILY CHANG ADDRESS 1018 CRANBERRY DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014- RECEIVED FROM . . . . : RE ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING & CONSTRUCTION INC ADDRESS . . . . . . . . . . : 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 7, 000. 00 0.70 0. 00 0.70 0. 00 1REROOFRES SQ FEET 20. 00 260 . 00 0. 00 260. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 260.70 0. 00 260.70 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 260.70 11959 --------------- TOTAL RECEIPT 260.70 VOICE ID DESCRIPTION _ VOICE ID DESCRIPTION -- -------------------------- ----- ------------------------- 601 ROOF TEAR OFF • 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO REROOF C Ty •CUPERTINO PERMIT APPLICATION APN # ' / 5LP Date: Z,` Building Address: � <� Owner's Name: LV Phone #: y � � q6X- 34 - 2 q44 Contractor: 5 Phone #: U Fax #: 4o�` Z� - Cupertino Business License #: .7 I Contractor License #: L `72 � � c Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof Asphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings Z ❑ Provide I.C.B.O. Report# To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: ��y� I lir LjktjW 0� CG ISI P i k 6T ffL(� cjj,4— Residential Commercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the there are any restrictions: ❑ application or if applicable, include in plan set & the sheet index. Valuation: — -� b 6V l- avead, Understand and Will Comply with Cupertino's Tear-Off Policy: ature CITY OF CUPERTINO Of as REREROOF OCUPER,TINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2 1REROOFRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 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 ppwith the above Ie (stated policy on re-roofing. Homeowner's Name: (/t ri �(� I �p/7�/{�(' Job Site Address: 6 l�lv N �15v� Roofing Company Name: N L" - Applicant's Applicant's Signa rDate: Greg Casteel Building Official Revised 11/2/04 Community Development i1 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 SFUPERTINO Building De artment JOB ADDRESS: 1 h_I 7PERMIT # N� o v I OWNER'S NAME:U 1 M I P ONE # $-66 GENERAL CONTRACTOR: Q� jZo0(j Q, 5 Cow5, We, FAX # _ �] I am not using any Subcontr ctors: Ati4 ture Please check a in applicable subcontractors and comgetDate e the followinformation: 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