08030057 CITY OF CUPERTINO
BUILDING DIVISIONPERMIT v I;
BUILDING ADDRESS: PERMITNO.
934 BLAZINGWOOD AVE ERIC S WU 08030057
OWNER'S NAME: PERMITL4UEDATE
ERIC S WU 934 BLAZINGWOOD AVE 03/12/2008
NE: SANITARY NO. CONTROL NO.
ARCHREC TENGINEER: BUILDING PERMIT INFO
BLDO ELECT PLUMB MECH
0 0 0 0
3bF uCENSEDCONIRACIORSDECLkRAnON JobDescription
1 hactivity.70 )of Wt i an Ilse Business
under pmvWoos oft Code. 9(commencing
wfullto n70g0or01 aan3armaaaanmamdPmre.eiuo,code.endmylkenm, RE—ROOF,ASPHLT SHNGLS,CLS A 18SQ
in full forte uW eff.L
Z Lamont Clue Uta.P
sDam Contractor
ee ARCHIW use DECLARATION
K 1uMereaWlboumtanJ my planeJupeM1lk nxnNs '
hvd
Licensed Professional
OWNER-BUILDER DECLARATION
j�9 I hereby anion that I am exempt from the Contractor's Licence law for the
M o fallowing moon.(Section 7031.5.Business and Pmfesslou Cade:Any city or county
$ which mquhu a permit to construct,slur.improve,demolish,or repair my addclum
ZS° prim ho its issuance.sus requires the oplkanlfarsuch permit m rile a signer statement
< du W is licensed pursuant to provisions of the Coercmr's liarut Law(Chapter 9 Sq.Ft.Floor Area Valuation
5e (commencing with Section 7o W)of Division3orNeB.A.andProlissm.Code)or $7745
$ that M W eampt themfors and the basis far the alleged exemption.Any vinWion or
Section 7031.5 by my applicant rm a permit subjects the applicant to a civil penalty ofNumber Occupancy Type
out tame than live hundred dollars(Isom. 3 6 917 011 Ag
❑1.u ower of thn propmy,m my wploycu wW mgrs u Nub tale campewtion,
and PPrroma�C�The Cs��,Leaned,La does.1 apppply'i�'awn of Required Inspections
property who Wild,or impmwt that end who daexach work himself.Waugh his
awn employees,provided that tach improvements an,not Intended or offered forsake IL
however.the building or Improvement is old within am you of completion.the owner.
builder fl hew:that Wrden of provin3 that he did not Wild or improve fm purpose of
lc y
u owner of rhe property.Me exclusively conducting with licensed contractors in
comtmct the project(Sec.7044,Budmess and Pool a fi es Code)The Coademr's Li.
sue Law does not apply to in owner of property who builds orimproves themon.and
who catncu far such projects withaconucmr(e)licensed p somm,to the Condcmes
Lktme law.
❑larm exempt wdo.Sam. ,B S PC fm this moon
Data Nl/t01v{l-d
WORKER'S COMPENSATION DECLARATION
I hereby affirm renter penalty of perjury one of the following decimations:
❑I hint and will maintain a Certificates of Consent to xekf-Wort fm WorkcesComp n-
mion,u provided far by Secu.n 3700 of the Labor Code,fm the perfmmen a of the
work for which this permit is blued.
❑1 have and will maintain Workefe Compensation Iruurma,as,mqubcd by Section
3700 of the labor Cade.for m performance of the work for which this permit W iaued, '
My Workees Compeasuiam Wurance anis and Policy number are:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSA71ON INSURANCE
(This mla reed nmbocompitm d trust permit is foram hunthe idolW(SIM)
or leso.)
1 cmufy drat In the perfmmarce of the wworrkk°fm which this permh is
issued.Ipa"IIVnot
LA.ofCYpe.on inanym=mulprbgco6`V Ig1a Nebo
emwear ypers n Da• �l
Amn
pplicant �—�
NOTICE TO APPLICAND If,tarter making this Certincam of Exemption,you should -
beemne subject in the Worker's Compensation povidone of the Labs Costs.you muss
.,Z forthwith comply with such provisions m oris permit Mail M domed naked.
E'--' CONSTRUCTION LENDINGAGENCY
(•r.�. I k.hy err,.that there ie a canmmctiom knding aFncy far m Md...of
rl W work for which this permit is issued(Sec.3097,Civ.C.)
aLender's Name
Z I adeesAdd.
V O 1 certify wt I have mad We application and same this de above mmnnam.I.
u.E amen.I ag m m comply with all city and county ordinances and sunt laws missing he
C) rUbuilding construction,aM hereby authoda repmxnutivra of this city to enmr upon the
{2] abo e-mmmmool property for inspection purpooa
C (We)agree he save,indemnify and keep harmless the City of Cupertino almost
ww rA liabilities,judgencas.costa and expenses which may In any may acme all said City
t>',Z in consequence ofthe Starting of this permlL
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCERECUfATIONS.
Re-roofs
Sighoodurcol'ApplicaresCocionschor Data
HAZARDMATERIALS DISCLOSURE
Type of Roof
WIII happlicant or rut=Wilding .Chant slam sirnanomalous material
u dencd by Use Cupertino Municipal ode.Chapter 9.1;and ¢Halth
and Safety
Code.SeNon 15533(07 All roofs shall be inspected prior to any roofing material being installed.❑yes myi
40 Will the applicant or future building occupant use equipmmt or devices which If a roof is installed without first obtaining an inspection,.1 agree to remove
emit hanknus air contaminants a deMcd by the Bay Arm Air Quality Management all new materials for inspection.
Da t
❑Yes u
1 hese mol W hasardous mamrialsmaradmmmots on l.,CMpmrd.95.rule Califor-
nieH.I"SafctyC.M.Smtimn75505,25533wb;5534.1undcrsenduwifNe Wilding
dna tet currently,hew a mnm4 than It is my responsibility in way the occup r,or Nc
mgaimme wnmhmuubemmpriortoiuvaccofaeaifeamofOcapuey. Signature of Applicant Date
o IVIN 11-0�Owner or mthamnd talent Dam All roof coverings to be Class'2r'or better
CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:-
APN . . . . . . . . : 36917011 . 00
DATE ISSUED. . . . . . . : 03/12/2008
RECEIPT # . . . . . . . . . : BS000004137
REFERENCE ID # . . . : 08030057
SITE ADDRESS . . . . . : 934 BLAZINGWOOD AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO .
IMPACT AREA . . . . .
OWNER . . . . . . . . . . . . : ERIC S WU
ADDRESS . . . . . . . . . . : 934 BLAZINGWOOD AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4619
RECEIVED FROM . . . . : ERIC WU
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : ERIC S WU
ADDRESS . . . . . . . . . . : 934 BLAZINGWOOD AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4619
TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ------7--- --------- ---- ----------
1BSEISMICR VALUATION 7, 745. 00 0. 80 0. 00 0. 80 0. 00
1REROOFRES SQ FEET 18. 00 234 . 00 0. 00 234 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 234 . 80 0. 00 234 . 80 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 234 . 80 AMEX
---------------
TOTAL RECEIPT 234 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
O�o3 005
CITY OF CUPERTINO
D` REROOF
0
•CUPERTINO PERMIT APPLICATION
APN# `Pn , O ' 0 Date: M Y _ Z L
Building Address:
934 WCA-8 00 Ave_, CLL r 'ho C,�
Owner's Name: Phone :
Epi c S'. W LA_
Contractor: Phone #:
0 v v Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
b,"Asphalt Shingles V' 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 Mfg. Installation Specs.
Job Description:
les- CIOVS5 /A-
Residential U z1 �yf) Commercial
Fire Zone: Yes ❑ No 0 Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation: 4T
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO
REROOF
•CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B . 1COMMLROOF
1BSEISMICO Seismic Commercial B
Ga 1RER00FRES Re-roof Residential B 1SFDWLROOF
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$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: /J
Av
job Site Address: / `t l a� �17W� �p�°� e (f'la eA
Roofing Company Name:
Applicant's Signature: ` t Date: /'V (AV
® Greg Casteel
Building Official
Revised 11/2/04
p.2
.FROM GRFMC-Jay FAX NO. : 408-241-5334 Feb. 05 2008 02:40PM P1
°fi' -•_ TM
February 5,2008
Al Lopez
D&M Quality Roofing
1067 South I I' St.
San Jose,CA 95112
Mr. Lopez,
This letter concerns the ELK shingle roof installed at 934 Blazingwood Ave„Cupertino,
CA 95014.
On Monday,Feb.4,2008 I did a visual inspection with you at the above referenced
address. I did verify that the roof is an Elk Sablewood roof. In addition,.' ..ade a brief
visual inspection of the installation of the roof; and from what was obse ,able,and in
those areas I did inspect,the roof is installed within the guidelines of our.��quirements for
• a shingle roof system.
This letter is not intended as a warranty nor replaces or supersedes the Elk Corp.shingle
warranty against material defects.Please see the actual warranty for coverage against
material defects.
The intent of this letter is to satisfy the local inspector that the shingles were installed as
to Elk's requirements,which I confirm has been achieved.
Sincereln,
Jay Smith
GAF/ELK Territory Manager—San Francisco Bay Arra
408-813-2118
iasrrlithCa CiARcom
p.3
02/28/2008 11:50 4086531501 BRIONTECH PAGE 01/01
® Attn:
D&M Quality Roofing
1067 S. 11`h.Street
San .Ioae, CA 95.112
Offce: 408-729-4848
Cell: 408-313-1108
Fax: 408-275-1366
141
Thank you for helping us to get the final inspection approval. We will Wait until your
meeting With Inspector Larry.
Regards,
Eric.Wu
Property for Rooting Permit.
934$lazingwood Ave
Cupertino, CA 95014
Current Property Owner.
Eric S. Wu & Eeigi Gu
Home: 408-774-1229
Cell: 408-636-8267
Fax: 408-774-1229
E-Mail: erimu2stwoo gmail.com
Community Development
10300 Torre Avenue
it Rd Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
A*UPEkTINO
Building De artment
JOB ADDRESS: 3 $�Gliz l C Jc�c� (-� PERMIT #
OWNER'S NAME: PHONE # — 6
GENERAL CONTRACTOR: vs Y jRLA FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
® Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Omamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
lie Tile �vt
Owner/Contractor Signature Date