06090028 (2) CITY OE CUPERTINO r ? ° ° .. '
BUNLDINC DWISION PERMIT CmIVTRAC',�QR T OR VIA"CIO�Nry
B UILDING ADDRESS: WING' S ROOFING INC PERMITNO.06090028
10721 CASTTNF AV
OWNER'S NAME: PERMIT 15SUE DATE
ALAN WEI 3243 SYDNEY WAY
NE: SANITARYNO. CONTROL NO.
(510) 889-9068
ARCHITEC IENOINEER: BUILDING PERMIT INFO
BLDGO ELECT PLUMB O O MECHD
loo LICENSED CONTRACTOR'S DECLARATION IOh Description
iZ 1 hmcby afri m Inst 1 am licensed under provlsiona of Chapter 9(commencing
< MIN Section 700M0 of Division 3 of the Busitea and Par..kNCede,andmylscenmis
inrullfaman efem 3 REROOF- TEAR OFF WOOD SHAKE, INSTALL 7/16" OSB
I�z umn a com AND DURALITE VILLA 5 . 80 LB PER SQ FT. CLASS A
i t-,q Dale Ga.If EK
ARCHITECTS OECLAR 1 1
i 1. rammi my plans shall be uud u public End,
IyU
s G r Licensed Professional
'h� OWNER-BUILDER DECLARATION
I hereby.(Siem o n I am exempt from the Cantmctoo s:Any city
Law for the
1pO followingMason. emit AB13L5,Buadw. and Pro(essiuns Cade:Anycity assume,
5$ which its isss n permit re connnet alcor.knryove,demrduh.or repair any sarocture
prior its issuance.Alm requires the applicant for such pcnniuo file ulgnM statement
a—Q
that he k liconed punum,to it.provisions of the Conlracmr'+License Law(Chapo9 Sq.Ft.Floor Area Valuati�Igg50
(c Announcing with Section 7000)of Division 3 ofihe Businsmand Professians COCA)at
Nat he is accept thnefom and the heads for the alleged exemption.Any violNun of
Section 7031.5 by any applicant for a permiuubjee0 the applicant In a Civil penalty of APN Number Occupancy Type
not mom than five hundred donor(SM. 32643038 . 00
❑1,As owner of the property.Or my employees with wages sa their sole eompeNadon,
will do the work and the stmdumis out intended aronerad for Asia(Sm.70/4,BNirma+ Required Ins actions
and Professions Cada:The Connemara Liceree law dean an[appy an a an"rof q P
prepmy who buildsorimproswsthmmn.and whodoessuchwork himselforthwash his
awn employees,provided this such improvements was tort intended oroReead forask.If, / 1
however,ll&,vthe building orimprovemenlb mid dust
within uNyear ofcompletion.for
the awmry
builder MB have the burden of proving Nat k did wt build m improve lar putpoe of
❑1,as Owner or she property,am exclusively contacting with licensed contractors to
=me=the proima(Sea 7044.Busines+aad Proransians Code:)The COmAs ora Li- '
cense law does not apply As an ower Of property,who Hilda or improve,thereon,and
who contacts for such projects with a comnacmr(s)licensed pursuant.the Contractor's
License Law.
❑lamexemptumearsee. .B&PCforthumsaoa
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby aM m under penally of perjury One of Ne following dttluatioN:
I ham and will..lots!.a Certificate of Consent to self-Insure for WorkeesCompen-
sWan,As provided for by Section 3700 of the labor Code,for the perfarmanm of the
work for which this permit is issued.
❑I have and will maintain Workce,Compm ado.Insurance,as required by Section
3700 of the labor Code,for the pc If ee of the work for which this permits,luted.
My Worker+ cope sa0o tante reared Policy number are:
Cartier. G Policy No,: 1o1'S
CERTIFIC TE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Tusection teed malsocornpleted lithe permit Is forome hundred da0ar+(1100)
nr leas.)
I certify that In the performance of use work for which this permit is issued,l abet not
employ any person in my murmur an it As became ubfcct.de Worker}CompeNadon -
lavn of C+lirweis.Data
Applicant
NOTICE TO APPLICANT:If.after making this couriesu of Exemption.you should
because subject As the Worker's Compensation provisions of the labor Code-you mesa
Oforthwith comply with such prov¢Mns or this permit shall he damned revoked.
Zpn CONSTRUCTION LENDING AGENCY
1hereby+ann Ous,f.is aeon+came.kndins agency far ke performanm of
(Yi Ne wick for which this Permit 4 issued(See.ID 7,Civ.C.)
W�A Lender's Natnc
M z Lmalues Address
V O 1 certify that I have fund this application and sue that the above information is
U, f~- correct.I agree to comply with all city and county ordinances and auk laws relating to
�(') building construction,and hereby amhomerepresentatives of this city to cnurumntie
rW above-mcminned property for inspecuon purposes.
91. (We)agree to save,indemnify and keep harmless die City of Cupertin.against
rF.a cA Iiabiides,iudgmcnu.cNe and expenses which may in my way&cc=against And City
V Z in consegnme of the panting of this permit
APPLICANT IUNDERSTANDS AND WILL COMPLY WITH AL NON-POINT Issued by: Date
SOUR RE LATIONS.
Re-roofs
Signal f pl n r ate
x s Au Dlsaosu E Type of Roof
WIIl tie appli or future buRding occupantrtore or handle hamrdous material
As dented by the Cup Ino Municipal Cade.Chapter 9.13,and the Health and Safety.
Cods,Section 25532(a)? JJ All roofs shall be inspected prior to any roofing material being installed.
Yes No
Will tie applicant or fu m building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hmard.N all moneraumu As dcONd by the Bay Area Air Quality Management all new materials for inspection.
D n ct7
❑Yea Tt1
No
I have cowl the haarduw mauriab equiremenu under Cluptu6.95 ofthc blifor-
nia HNIth&Safety Cade,ScNom25505,25533 aa125534.1 undersand thnirde Wilding
docs of cuneptly hoe a tenen4 Nat Il a my rupomibit y m noof the occupant of du
reLi Ahichmostheme dormuivanceaf. we Signature of Applicant Date
�01
owner ar oat Iry a e Da All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
16UPEkTINO
Building Department
JOB ADDRESS: n ! r PERMIT #
Z (tn �C� O2-
OWNER S NAME: Q� PHONE # SU eJ
GENERAL CONTRACTOR ; vt * 1 4';h FAX #
I am not using any subcontractors:_ (
Si nature 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
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner ontror lgnature Date
CITY OF CUPERTINO
!m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32643038 . 00
DATE ISSUED. . . . . . . : 09/06/2006
RECEIPT # . . . . . . . . . : 35921
REFERENCE ID # . . . : 06090028
SITE ADDRESS . . . . . : 10721 CASTINE AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ALAN WEI
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : WINGS ROOFING
CONTRACTOR . . . . . . . : CHEA, WING LIC # 21240
COMPANY . . . . . . . . . . : WING' S ROOFING INC
ADDRESS . . . . . . . . . . : 3243 SYDNEY WAY
CITY/STATE/ZIP . . . : CASTRO VALLEY, CA 94546
TELEPHONE . . . . . . . . : (510) 889-906,8
kE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 10, 000 . 00 169 . 56 0 . 00 169 . 56 0 . 00
BSEISMICRE VALUATION 10, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 170 . 56 0 . 00 170 . 56 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 170 . 56 VISA
TOTAL RECEIPT 170 . 56
•
OUoq ani
CITY OF CUPERTINO
REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# 3n ' ^ ^ 'r5 C� _ 05Q Date: C? 0G
Building Address: `tV
1072- Cis-Ft`n e UG
Owner's Name: - Phone#:
ALe,pl wt , P 83v FBG
Contractor: License#:
Contact: n Cupertino Business License #:
(/ 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 I ❑ Provide I.C.B.O. Report#
K To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read,Understand and Will Comply With Cu ertino's Tear Off Polic
Job Description: -T& woo c a derns /6"0.s.B , PC,,ra4W1_e ViNtla
iso 4 rs e larr A
Residential Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy grou
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
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 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 Y4 " 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: '�
Job Site Address: JQ7 Z I ( /, f Y1
Roofing Company Name: w(A4, 'S f I✓
Applicants Signature: Date:
*66
Greg Casteel •
Building Official
Revised 11/2/04