08010162 CITY OF CUPERTINO �`/'�ryn�,y'rxw xc �i:.,b PP]g�*' �°'y r'
BUILDING DIVISION PERMIT �+'vt\':1.� �4P,
BUILIADIG.AFTIESTA LN KEVIN SULLIVAN ROOFING PER08010162
NE/R2S5 ME:P 1 PERMIT ISSUE DATE
GRACE CHUANG ' 1696 VALLEY OAKS DR 01/29/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHCIECI'2ENGINEER: BUILDING PERMIT INFO
RE-ROOF,T/0 EXTNG SHAKES&WD HIMELECT PLUMB MECH
u00 LICENSED CONTRACTOR'S DECLARATION -•---�Bb•DesCrl II00
1 hereby affirm that 1 em licensed under provisions of Chapter 9(commencing """ ""'•-'_ ""'-•"' _' p
t `.f wide Ecdion]OfllO olD viAon Jaf Ne Bu.Wau an mfa%dWhSida,a ylicense is
ny in lull tome aM ac
C�,Z License Class
DemCantracmr
?q HITECI'S DECLAR TI N
C 2 1 undenunJ y plans shall be used u public accords
a.
50 Licensed Profce.fonal
M
OWNER-BUILDER mDECLARATION
0 F I hereby affiant on I (. .Bump[faces Pr Contractors License Law forme
o O following massa.permit
t 7031.5,eLBusiness and Pro.demes Code:Any city or county
S which requires a permit re rnrsrm4 dmr.intfrove,demsliil airs asir ed anomuac
i ry^ prior mita issuance,also mquima the applicant for such parmiva file aligned stammem
G (c mace icensedpursuant. D)ofDisionaofdeaWBusi r'sLicenselaw(CMpmr9 Sq.Ft. Floor Area Valuation
3 (commaming with Section 70W)ofDivision3nf the Busimatand R°(msinos Cnda)ur
Nat be u esempt therefrom and the basis far the alleged esempti°n.Any Aota bon of
Section 7031.5 by any,applicant for a permit subjects dee applicant to a civil penalty of APN Number Occupancy Type
not more Nan five hundred dollar($500).
❑I,a owner of tlooproperty,m my employes with wages as Nab role compeesedon,
will Professions
and Na he Con umtinLntlnse Law ed last apply in an Bosinesa Required Inspections
proend pmIGW°N Cade:The Camnatara ndwim live dear net apply lf rt rough is q p
aws any who builds orireprove chicon,andwho dossuchworkhimsel[ter through his
awn employees,provided deatwch improvemanrs are not ear of d moRered forsole.own If. -
huilder,the have
th g.Improvemant is seld awithini =I I year of completion,theowner.of
salewill have Ne burden of proving Nat be did act build or improve for purpose of
ale.)•
❑1,as mvner of the property am eaclusinly contracting wide licensed cor aacmr to
construct the project(Sec.7014,Business and Pmfessi°ru Cade:)The Contractor's U.
came law does not apply to an owner of property who builds or improve thereon,and,
who contracts for such pmjecm wide a conuacmr(s)licensed forecast in Na Contractors
License law.
❑l am exempt under See ,B&PC far this Hasten
oper Data
WORKER'S COMPENSATION DECLARATION
1 hereby inm under penalty of perjury aro of use following daclandmis:
❑I haw and will maintain a Certifinmaf Consent to self-i"sumfmworksrscamper.
sailor,as,provided for by Scotian 3700 of the Labor Code,far dent performance at dee
work for which this permit is issued.
❑1 haw and will maintain Wmkers Compensation Insurance,as required by Section
3700 of the lab.Code,fm the performance of N.work for which this permit is issued.
My We, sacPlatinum slna...a artier and Polity nu
Carrier. Policy
No.:
CERCIFICA E EXEMPTION FROM WO RS'
COMPENSATION INSURANCE
(Th4sacti°n need not W complemd If Ibe permit is farms hundred dollars($I00)
or kat)
I certify that in ft performance of Ne work for which this permit Is issued.l shall not
employ any per°°in any manner.u te became subject in the Warken'Campensadon
Laws of Califamia Data
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
Im ame subject he the Worker's Compmuation provisions of dm labor Cade.you most
.J O foMaith comply wide such provisions or mil permit shall W decanted rewked.
,z., r.� CONMUCnON LENDING AGENCY
ti
[-+ Thar Which
Nat dmrtkacoaswc.3M.Cleading agency for the performenee of
asi i theLe work fur which thk permit k earned(Sec.3t]9],Civ.C.)
W� Lenders Name
z Lenders Address
V Q I sonify that I have mad this application and scam that the above information is
I].
coma I agree in comply with all city and county entireness and sum laws mining to
Wilding convection,and hereby aumarin reprosemative of this city an enmr upon deo
til above-mentioned property for inspection purposes
ty,a (We)agree to sew,indemnify and keep harmless In.City of Cupertino against
Ly y Iiebilldes,Judcis-
gmenk.coats which may in any wyaeenre against sold City
(„)rZ.a IAnPoesegmncaUNDE gDS At,, W t L CO PLV WITH LL NO -POINT Issued by: Date -
50
Re-roofs
sign ter tie 'Ce m
HAZ USMATERIA[SDISCLOSURE Type of Roof
WIII applicant. fumes building occupant some m head].henrdoes mamCd
deRnad by Cupert] Municipal Code.Chtpmr 9.12•and dee Health and Safety
5cc6on zs All roofs shall be inspected prior to any roofing material being installed.
Y. a
Will the applicant or future building ocmpem use pquipmmt.devices which If a roof is installed w' first obtaining an inspection,I agree to remove
..it haraNnes air canuminanu p denwd by the Bay Area Air Quality Management all new materials OC pecti
District? l�j,'/,NhJ�
❑Yes
I haw at Ne hasskrrr amdalsmquimma.m.ner Chepmr6.95ufdeo Calif.- ^
nit Healthdisaletycado, am 505.25533m Z5534.1undermndthatifdeebeilding c�lb
does not Came 'IY haw ant, at it u y po 'h1111Y m notify Na owup ret of the
mq ' uwhicham at 'orloi of asthma cupaimy. Signa A plica)[ Date
Owner or author.etla m Oa - 11 roof coverings to be Class"B„or better
090/ of C-0 ,�
CITY OF CUPERTINO
REROOF
•CUPEkTINO PERMIT APPLICATION
APN # 3 a 3 o a 3 0 0 at
.
2-9 Gn
Building Address:
Owner's Name: Phone #:
G-at-ac0, C,hJ 4o�N?��73- 85
C�on�tr`actor: Phone #: z— �7
V�/y b�� \`�1'U I CQS Fax #:
Cupertino Business License #: Contractor License #:
I
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles `X 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.
Job Description: VY\
7`ib �g 30'� H' Cir bth Lanc�w�ar� 30- ` P_
Residentiat Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation
•I Have Read, Under t nd a-Zrnply with Cupertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO
�(d, REROOF
CITY OF
• CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B ICOMMLROOF
1BSEISMICO Seismic Commercial B
Z4 1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
IREROOFMRES Re-roof Multi-Family B IMFDWLROOF
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: &ak CQ (locna
lob Site Address: 79 99
Roofing Company Name: 1 �S
Applicant's Signature: - Date:
Greg Casteel
Building Official
Revised 11/2/04
• CITY OF CUPERTINO
2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36213023 . 00
DATE ISSUED. . . . . . . : 01/29/2008
RECEIPT # . . . . . . . . . : BS000003796
REFERENCE ID # . . . : 08010162
SITE ADDRESS . . . . . : 7899 FIESTA LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GRACE CHUANG
ADDRESS . . . . . . . . . . : 7899 FIESTA LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4118
RECEIVED FROM . . . . : ROOFSERV ROOFING SV
CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN LIC # 23810
COMPANY . . . . . . . . . . : KEVIN SULLIVAN ROOFING
ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR
CITY/STATE/ZIP GILROY, CA 95020
• TELEPHONE . . . . . . . . : (408) 842-1057
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ------7--- --------7- ---------- ---------- ----------
1BSEISMICR VALUATION 8, 000. 00 0 . 80 0. 00 0.80 0. 00
IREROOFRES SQ FEET 24 . 00 312 .00 0. 00 312 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 312 . 80 0. 00 312 . 80 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
•
_ Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
l UPERJINO
�y / L BuildingDe artment
JOB 11 E7 S. r/e S c� L.4— PERMIT #
OVINE` R'S NAME: �(nCu. PHONE # —
GENERAL CONTRACTOR eV ,\ FAX# —
I am not using any subcontractors: Z�
Si ature Date
Please check applicable subcontractors an lete the followinginformation:
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
O er/C tractor Signature Da