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07100225 CIT�' OF CUPERTINO � ' BUfLD.NGDIV1�iON PERMIT ��O��f��0�� : -., < ;.: PERMIT NO. BUILDI �rci��ss:SEVEN SPRINGS DR �CASTILL��' S ROOFING� 07100225 . :R'S NAME: PERMIT LSSUE DATE SUN MEI—KUEI ET AL 1703 CA'PHAY DR � 10/31/2007 PHONE: SANTTARY NO. CON7ROL NO. (408)25L-3565 ARCHI'[EC[7ENGINEER: BUILDING PERMiT INFO BLDG ELECT PLUMB MECH . o 0 0 0 i p p LICENSED CONTRAC7'OR'S DECLARATION � v� 1 hcrcby afGrm that I arn licenxd unAcr provisions of Chaptcr 9(rnmmcn�s Job Description ;z� wi�hScction700U)ofDivision3oCUuBusincssandPr CcssiansCodc RE—ROOF , RMV EXSTNG COMP � INSTL 3 �LB FELT & NEW � a a �n futl Coccc and cf t i�z [,icenscClus�3`j I.ic.# S COMP �CL.�SS A�ZOSQ : �, � Da�c //�/�f O � - T'� r ARCHifECCS D ATI N i a a 1 undcrs�anJ my plans shall hc uscd as puAiic recorcis >yU ' w y Liccnsed Prufcssional � y � OW NHR-BUILDER DECLARATION j } I hcrchy aCfirm that I am cxcmpt Gom �hc Cantractor's Licenx Law for �he p o (ollowing rcuon. (Section 7031.5, Busincss and Profcssions Codc: Any city ur caumy �°� � which rcquires a pertnit to canswct, altcr, improvc, dcmolLsh, or rep:tir any stcownc ? Z y prior to ils istuancc, alsu rcquires thc applicant Car such permit w filc a signccl sul�omt � � x o tha� he is liccnxd pursuant to thc provisions o[ �hc Conuactor's Licensc Law (O�apia 9 q. Ft. Floor Area Valuation � F^ �(commencing with Scction 7000) of Division 3 of Ihc Busincss and Profcssions Code)a � 7 4 � � L �'3 .. that he is exemp� thcrefrom and the basis (or U�e allegcd eumptian. Any violation ot Section 703 (.5 by arry applicant [or a permit subjecu Uie applicam to a civil pmaltr at � �R Number Occupancy Type noc more man f �c hundred douars (SSOO). 3 G 6 S 1 O 6.�`.�J� ❑[, as owner o( ttie property, or my cmploycrs with wagu az the'v solc compmsrio�, willdatheworlc.andthesuucwreisnotintendcdorof[etedforsalc(Sec.7044.B�nesa Re uired Ins eCtI0i1S and Professions Codc: The Conuactor's Licence Law docs wt appty tu an avrcr a( 9 P prapeny who builds or impraves Nereon, and who does such work himulf or Wcoaah his own employccs, providcd that such improvemenLS are not intended or o[Lered far ale. lt. however, the building or improvement is sold within o� year of compledon. �e owoer- builder will have the burden o[ proving �at he did not huild or improve for pmpoe d salc.). ❑ I, as awner o( the property, am uciusivdy convacting wilh licensed coouacta�s �a conseruct the projea (Sec. 7044. Business and ProCctsians Code:) The Contraaa�Y I�- ccnse Law does not apply to an owner of propeny w6o builds or improves t6eieoo, ad . who conuacis for such projec�s with a convactor(s) Iiansed pursuan[ a We Camcaetar's L'uense Law. f"1 I am uempt under Sec. , B& P C for Wis �eswe : r Date WORKER'S COMPENSATION DECLARATION I hetcby atTicm under penalty of pery'ury one of the folbwing dalaratiaaz ❑ t hsve and will main�ain a Cenificatc of Conscnt to sclf-insure far Workcrs Campw- sacion, as providcd for 6y Sectian 3700 af the labor Code, (or the performance d ihe work for which Ihis pertni[ is issced. ❑ I have and will maintain Workeri Compensation Insurance, u required 6y Seoiaa 3700 oC the Labor Code, for the perfortnance oF the work for which this pecmit is issue� My Worke Co pe Insurance c�am and Policy numbcr u Cartier. J�7 � ��/1y Policy No.: ��o D� �� CERTIFICATE OF EXEMPftON FROM WORKERS' COMPENSATiON INSURANCE (I'his scction necd not be completcJ i( the pertnit is for onc hundred du0us (510� or Icss.) , I cenify th�t in the performance a( the work for which �his permit is issued. 1 shalii aa employ any person in any manncr so az m bcwmc subject ta the Workcrs' Compmsmim Laws aC Califomia Datc Applicant NOTICE 7'O APPLJCANT: I!, a(tcr making this CcrtiGca�c of Excmption, you s6wN bccome subjcct to thc Workcr's Compcnsatinn prorisions of �hc LaAor Codc, yau mast � O forthwith comply with such pravisions or this permit shall hc dccmcd awola�. � ' "' CONSfRUCT10N LENDING AGENCY F r � 1 hereby atTirtn ihat there is a consvucdon knding agency 1or �he per[� ai �!, � U�c work for which this permit is issucd (Sec. 3097, Civ. CJ w A Lendcr's Namc • � z L,cnder's Address U � I certify ihat I havc read this applieation and siatc ihat Uic abovc infom�atiaa is ��-" corrcct. I agrce �o comply wi�h all city and coun[y ordinances and s�ate laws ¢la�i� to .J U buildiag conswction, and hcrcby authori�e represcntativcs of ihis ci�y to cn�cr upcm Urc � a aAovc-mcntiuncd property for inspccuon purposes. ( (Wc) agree to save, indcmni(y and kcep hazmless ihe Ci�y of Cupertino abai�t „�� liabilities, judgmen�s, cos�s and expcnscs which may in any way accrue agaiostsaid 6ry J z in consequcncc oC ttic granting aC this permit. y Date ` ;�� "'� APPLICANT UNDERSTANDS AND WILL COMPI.Y WITH ALL NON-PCHNC Issued b: 6�' SOURC RE LATIONS � 7`!� 3� O Re-roofs / nazu f Appli ontrxtor D le �a+� HAZARDOUS MATERIA[S DISCLOSURE Type of Rc of Will thc appticant or futurc building accupmtsrorc or handlc haiardous �ar.rial 'cfincd by the Cupertino Municipal odc. Chap�cr 9.12, and [hc Hcalth and Safa� :,Scction25532(a)? All roofs s'iall be inspected prior to any roofing material being installed. ❑ vcs ❑ w��i �n� a��,�� o� m��rc e��a�� upa�� a� �.�n If a roof is installed without first obtaining an inspection, I agree to remove - cmit harardous air contaminants az defipcd by �hc Bay Area Air Qualily Mauagmmt all new ma terials for inspec*ion. 0�5«;�� i ❑ Ycs ' f I havc rcad the ha�ardous maicrials rcquircmcn�t undcr Chaptcr 6.95 af t6e Calif /� _ _.. nia Hcalih & Salcry Codc, Secdons 25505. 25533 and 25534. I undcrs�and thaz if tM /�� v docs noi currently havc a tenan4 that it is my rcsponsibitity w notil'y the occzqan[ of �he � � � rcyuirem nts w' h me� Qrior w issuancc oCa Ccnifica�c of Occu Sig atur f Applicant Date .._.- / O ncrorauth ize agcnt p, - _ All roof coverings to be Class ��8�� or better o� � � o a� s CITY OF ��UPERTINO ��°`� �E�ZQQF Cup��t��[O PERMIT APPL�ICATION FORM APN # ��5 V�� v v Date: I/1 .� r, , V,� 1.,� �.� Building Address: � ' �( � • Owner's Name: � Phone #: �u.i� �� -251- �� Contractor: �• � ( � ; �� License #: � � r � Contact: J i ( � � � Cupertino Busine � �e - �_ �' Type of Roof Covering: E�usting: Proposed: ❑ Built-Up Roof ❑ Built-Up roof 9f Asphalt Shingles '� 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 Com ly With Cu��ertino's Tear Off Policy: Job Desc ion: , �� v e � � � � . � 1 � ?�4 , a Nei,� C �. Residential Co ercial ❑ � �� ,� 2 b � 0. Fire Zone: Yes ❑ No Confumed with Planning D�t. if there are any restrictions: Cost of Project: Type of C struc;tion: , Occu�ancy roup: �, `�1 � ��Z� -�51 c�x� h �=`� > Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE 131dg Permit Fees BiJILDING 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 I�epartment Subject: Re-roofing policy for the C'ity of Cupertino 1. Prior to permit issuance, you must agre � to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be appliec'� 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 f_ rst obtaining an inspection, will require the removal of all new matE�rial down to the sheathing, so a proper City inspection can be perfc rmed. 7. NOTE: If you call for a plywood nail irspection and the job is not ready, you will be charged a re-inspection fee ��f $176.18. The re-inspection fee must be �aid 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. Homeowner's Name: ��1 J ob Site Address: ' l� V ��ti--eivz ! � v l . Roofing Company Name: � ' r � _ � ` � Applicant's Sign - Date: I O �v/� Greg Casteel Building Official Revise�i 11/2/04 CITY OF CUPERTINO 2 ITEMS OF 2 PERMI'I RECEIPT OPER.ATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk.: Lot: APN ..... 36E51062.00 DATE ISSUED.......: 10/31/2007 RECEIPT #.........: BSC00003130 REFERENCE ID # ...: 07100225 SITE ADDRESS .....: 11F83 SEVEN SPRINGS DR SUBDIVISION ....... CITY .............. CUF'ERTINO IMPACT AREA ....... OWNER ............: SU1`f MEI-KUEI ET AL ADDRESS ..........: 11E�83 SEVEN SPRINGS DR CITY/STATE/ZIP ...: CUF'ERTINO CA, 95014-5128 RECEIVED FROM ....: CA7'ILLO'S ROOFING CONTRACTOR .......: JO:�E CASTILLO LIC # 25850 COMPANY ..........: CA;�TILLO'S ROOFING ADDRESS .......... 17U3 CATHAY DR CITY/STATE/ZIP ...: SAr1 JOSE, CA 95122 TELEPHONE ........: (4(i8)251 FEE ID UNIT QUANTITY �LMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- ---------- ---------- BPERMFEE VALUATION 7,400.00 147.96 0.00 147.96 0.00 BSEISMICRE VALUATION 7,400.00 0.80 0.00 0.80 0.00 --�-------- ---------- ---------- ---------- TOTAL PERMIT : 148.76 0.00 148.76 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 148.76 #14796 --------------- TOTAL RECEIPT : 148.76 � ` '*, Community Development , �,� 10300 Torre Avenue %�' . .' _ _�� ` Cupertino CA 95014 �'� Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 CUPERTINO Buildi:n De artment JOB ADDRESS: PERMIT # c� � � 7l � � 2,�� OWNER'S NAME: PHONE # -,�r'- I� 3.j GENERAL CONTRACTOR: -I . I I v 5 - �� FAX # I am not using any subcontra _ �0 /� �� Si�;natu.re Date Please check a licable subcontractors and com ►lete the followin information: SUBCONTRACTOR BUSIrfESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Fini.shing 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 � � , �---.,- - _ � �� j-�- Owner/Contractor Signature Date