08050116 CITY OF CUPERTINO
BUILDING DIVISION PERNIIT CU1�iTRACTbRINFQLtMATION
.».asz,..+ .�.-f.
BUILON D FSS: PERMIT NO.
MORNING SPRING CT LOS GATOS ROOFING 08050116
ER'S NAME: PERMIT ISSUE DATE
CHEN CHIA-FU AND YEW-CHING P 0 BOX 1726 05/13/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHT EC)ENGINEER: BUILDING PI RMIT INFO
RE-RF RMV EXSTNG SHK BLDG ELECT PLUME MECIR
iNsTf:1 GAP SRH eff .111
u00 LICENSED CONTRACTORS DECLARATION '
U I hereby anirm that 1 amxn
liam under provisions of Chalncr 9(norm acing --•---^- '- Job Description
wind Soubm 70I0)of Division 3 of hW Business and Professions Code,and my license is
^ N in full farm W cffem
�z Licence Clan('"19 Lk.♦
;gyp Dao:_/A,2/-/f�_Conuxsor
Oag
7W7W ARCHf1ECCS DECLARATION
W< I undersand my plans Mall W used as public mmNs
py
k G Lumued Professional
S y 3 Os,I me eUurpt IR rmDECLARATION
a� E 1 hemby affirm
bat 1 em exempt from the Canuauoh Limve law for be
C O o following moon.(Section 731.5,Business and Pro(essinv Code:Any city or county
e_ which militias a permit in cmnumt ales,improve.demolish.or repair my ahmetum
prior to its iuvanm.user requires;the applicant forsuch permit to file a signed summons
< lou he is licensed pursuant the the provisions of be Conlmcars Lim=Liw(Chapter 9 Sq.Ft. Floor Area Valuati0l
y�S (commencing with Secdon 7000)of Division 3 of the Business and Pmfeuimr Code)ca
don he is sump thmcfrem and One basis for six Winged assumption.My violation of
Ssuuim 7031.5 by Wry applicant for•permit subject the aVplk.t in a civil penalty of APN Number OEnc TT��� e
oat mom Nan five lonked dollar's ecus(115w). P y�'7Pr
0 1,as owner of the pmpwy,or my employees with wages u their into cempevaum,
will do me work.and the mumum Is not intended or elerea for sae(Sec.7Usa,B".
and Profeai.Cade The Communes Licesue law dues rot apply in an owner of Required Inspections
propmhy who build,m improves chemun,and who doer such work himself or through his
two employees.provided lou inch improvmanu art not intended maRmed forale If,
however.be Wilding or improvement is sold within oro your of mmpkWn,be owner-
Wildm will have chs Mode of proving chat W did rot build Or improv rue purpose of
.in.).
0 1.u owner of the property,am exclusively cmumung with Bcvvnd cennnsmb m
condo the project(Sec.7WC.Business ad Prefessimu cads:)The Conmemea U. .
cave Law does am appy as an war of property who Wilds or improves banner,rod.
who censer for such projecu with a conuactor(s)licamed pursant in be Cemramers
Limnx law.
❑1 am eaempt under See ,B At P C for this rector
Dam
WORKERS COMPENSATION DECLARATION
I hereby sale under Penalty of perjury one,of be fallowing dmla uioux
O l ham and will mu matin a CeruBcamuf Coven to self-ivum fm Workers Compere
atim,as provided fm by Ssumim 3700 of the labor Cade.rue be perfermame of the '
week for which this pmntt is broad. -
0 1 haw and will maintain Workers Compensation buuranm,n rsyuimd by secure
3700ofuhe(alta Code.for be pefomance a film wort fm which this permit is bound. '
My Warkses potassium ivuranm carries and Policy number tie: ry
Grzirr. AAS Policy No.: �1 V- /-f
LERrI GTE OFEXEMPITON FROM WORKERS'
COMPENSATION INSURANCE
(ITMaNm hod rosbccmnpkald if de prmit is team hundel do0ars(SI007
or leu)
I certify that in be perfmn me of be work for which this Permit is issued,I alWl not
employ any person in any summer in u as become abject to to WodmW Compensation
Laws of California.Dam
A,U.t
NOTICE TO APPLICANT:If.after making bas Cenifhmm of Exception,you should
become subject le be Wmkcri Compensation provisions a the labor Code,you man
.J O forthwith comply with melt provisions or bio permit Nall he deemed rewked.
'ti`s CoNmucnON LENDING AGENCY
r
ul IWrewhahbdthK 11iu ood(Sectmhkmmng ageney rue the perfomame of
I>: > be work rue whine tds permit M roma(sec.3097.civ.C.)
ftl Q Larder,Name
z landeh Manu
U O 1 certify bat I have read the a"Heas m and aura lou the above m.ban is
ly P cermet I agree b comply with all city and county ordinances and sum laws relating to
O U Wilding contraction,and hereby unhOme mprevewives of this city in enter upon the
aWwtmcnuoned property for ie pnlon which ms
H y (We)agree m ave,nominally and keep harmless the City of Cupertino again.,
rex liabllinea,Jndgmenmecam and expeiaeawhich cry in anY wyamue gsivlsaid city
U'� A APPLICANT
of be[rantingof this Pcml,.
^' APPLICANT UN ANDS AN ILL COMPLY WITH ALL ON-POINT Issued by: Date J O�
SOURCE REo", S.� D�
sig IncatL v nor Data Re-roofs /rI
HAZARDOUS MATERIALS DISCWSURE Type of Roof
Will the applicant m future Wilding occupantnore or handle himsdon manna(
defhmM by the Cupertied Municipal Code.Clupter 9.It and the Health ted Sent,
e.Seeman 255324)7
OYes , All roofs shall be inspected prior to any roofing material being installed.
$ro
\\\\ If a roof is installed without first obtainingan inspection,I agree to remc ve
Will "appli a or fumes building occupant B use &Air en,or device which P
eDistriwaNnm air cmuminanu u dcGnN by be Bay Area Air Quality Management all new materials for inspection.
SYv �Nu
the Sect the asdms ma SUS,25qui 255 4.1.47upmr Q95af WikH.S ) V
nuHWth&Safety da Nmuuatiti tA33and t553d.1 W nosande occum ,or me /� DO
dam oatanent avea nam.tutI,u m! n ofa Coymmofy tWmcopan,of me 0
mquucmcnuw mutt curet ' rue" amco(aCcniOcamefOmp .Y Slg eofApplicant Date
��� /7 Q
Owner ora cd ages Dam All roof coverings to be Class'R"or better
• CITY OF CUPERTINO
2 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patj
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36652032 . 00
DATE ISSUED. . . . . . . : 05/13/2008
RECEIPT # . . . . . . . . . : BS000004766
REFERENCE ID # . . . : 08050116
SITE ADDRESS . . . . . : 11553 MORNING SPRING CT
SUBDIVISION . . . . . . : "
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER CHEN CHIA-FU AND YEW-CHING
ADDRESS . . . . . . . . . . : 11553 MORNING SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5121
RECEIVED FROM . . . . : LOS GATOS ROOFING
CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481
COMPANY . . . . . . . . . . : LOS GATOS ROOFING
ADDRESS P 0 BOX 1726
CITY/STATE/ZIP . . . : LOS GATOS, CA 95031
• TELEPHONE . . . . . . . . : (408) 298-9399
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC TEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 5, 340 . 00 0 . 60 0 . 00 0 . 60 0 . 00
1REROOFRES SQ FEET 22 . 00 286 . 00 0 . 00 286 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 286 . 60 0 . 00 286 . 60 0 . 00
L.
VOICE ID DESCRIPTION 'VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
�6o5oii (p
CITY OF CUPERTINO
'" REROOF
•CUPEkTINO PERMIT APPLICATION
APN# Date:
3GG -52- D3 Z , d o 5 L a
Building Address:
106
Owner's Name: j Phone #:
�d Cya) �s 61S
Contraic.o C,
1 ' r00 0 Phone#: L/Q 8 2`j 9S 9�1
Fax #:
Cupertino Business License #: 3 ` / / Contractor License #:
`7
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),4S= 30 ��f—
Number of existing coverings ❑ Provide I.C.B.O. Report# _
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
P4 q S
S s 2Z
�aaF cuss
Jot Description:
Residential Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
Valuation:
there are any restrictions: El�� , I�
Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
;rgrature
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 compl with the above state olicy on re-roofing.
Homeowner's Name:
lob Site Address: —
/7
Roofing Company Name:
yy n
Applicant's Signature: _ /,/,��� viGf i /, ) Date: 2- 6i
Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
REROOF
CUPERTINO FEE SCHEDULE
Number of Fee ED Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roofMulti-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
•
Community Develops tent
1s 10300 Torre Av�:nue
k �l Cupertino CA 9: 014
Telephone(408)777-: 228
CITY OF Fax(408)777-: 333
UPEkTINO
Building Department
JOB ADDRESS: /1SS3 ��e� ERMIT # SOSO/(G
_ OWNER'S NAME: PHONE # O
GENERAL CO TOR: #
I am not using any subcontractors:,
✓ Signature Date-
Please check a2plicable subcontractors and complete the followin information:
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
T`illee
Owne ontractor Signature Date