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08040030 (2) BUILDING DIVISION PERMIT ,CONTRACTkORNk£ORNMAT.<>¢ BUR.pnsQ,AQ 'E :UNSET SPRING CT WESTSHORE ROOFING INC 08040030 OWNER'S NAME; S PERMIT ISSUE DATE HO YU-LAM AND YEN-PING L 2814 AIELLO DR C 04/07/2008 ONE: SANITARY NO, CONTROL NO. (408) 694-0060 ARCHI ECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH .0Zp LICENSED CONTRACTOR'S DECLARATION Job Description rd 1 Mrtby".Nal 1 am Restated under pomis mu of Chapter 9(rommcncing with Section 70M)of DlWtlonlof Ne Business;and Prafrssiom Cade,andmylicemcie RE-RF, GAF GRAND CANYON 17 SQ, RMV 1LYR WD SHK ^nn infull forcean _ CJy.2 Lf. Cin.N O W Dau Convector e ARCHTITC75IDECLARATION e 1 understand my pave shall be used as public mcorJs Jy g ted Licensed Profusaional Sy OWNER-BUILDER DECLARATION t a 9 I hereby.(Seco that 1 1. exempt from No Contractors a License law far On O yo- following mise..(Section c.1.5,Business and improve. dkoaes Calc:Any city m county .rt$LL Whorl itsis requires reCares ft atter,mtpmsl,h permit rie a sig edmuce'Wm Pier to its issuanm,Wu repo On the applicant for Cork p actor's Tccuse,sew(Cl tome= that be ts licensed Purwanllr the provisions of Contractor's law(Chapur9 Sq.Ft.Floor Area Valuation F�$F (commencing wish Settlors 7")of Division 3 of Ne Business and Professions Calc)or $9000 Nu lis b esempt therefrom and On bub for the alleged campJan.Any vlolaJan of Section 7031.3 by airy applivan,for a permit ubjects Ne applicant to a civil pxmlty of �,p�Number OGGO Ty not mare Nan five hundred dollars($5001. 36652020 .'17'11' Occupancy -+pe 0 1,u owner of dm popery,m my wploym wIN wags a Noir solecompemedon, will do Nc work,and desouctu eb notNunded aro@rand for ask(Seo.Must.Business and Professions Cada:Tax Condenoh Live law dm not apply to an owner of Required Inspections property what Wildamlmpro es theroon,atd who d=suclewmk himvl(mNmugb his Own employ=,prodded Na such improvements art ml immnd,nd oralrered for ale.if. ' hmvever,Ne Wilding m impmvement ie old within am y u of mmpkdm.Ne owmr Wilder will lute she burden of paving that he did not Wild or improve for purpose of ale.), ❑1,as awns of Ne property,am exclusively contracting with licensed contractors to answm the projen(Sec.70aa,Business std Professions Code:)The Contractor's Li. came law dm not apply to an owner of property who Wilds or improves,Ne=on,and, who ceam=far such projects wish a conuxmor(s)licensed pursuant to dm Contractor's License law. ❑lanexcmmuearSee .Bk PCfmthbrtason owar Dau WORKER'S COMPENSATION DECLARATION I hereby,alRrm under pemlty of perjury am of On following declensions: I he.and will msinuin a Cerdlicatoof Cement to aINnsum fm Workers Compere on,as provided for by Section 3700 of the labor Code,for the performance of Ne rt for which this remit is issuend. p�I ban W will maintain Workces Compemsdon Insurance,u required by Section ?W e(the Letter Code,for the performance of Ne work for which the permit is Instead. My Workers Companion lnsunece caviar and Policy number are: I� Carder. S{'R'��•� Policy No.: 100 CERTIFICATE OP EXEMPTION FROM WORKERS' COMPENSATION INSURANCE malt urian need cot W campleud trust permit Is froom hu ufteddealle s(2100) or less) I certify that in the performance of the work for which this permit a issued.I shall not employ any person in any customer an as to became subject to On Workers''Comp:nsadon Laws of Ca fomia.Dau Applicant NOTICE TO APPLICANT:IL after making NB Carillons:of Exemption,you shouts become subjat he the Workcr'e Compensation provision of Ne Labor Code,you most .J O forthwith comply with such provisions er Nb permit shall be doomed emolmd. Zy CONSTRUCTION LENDING AGENCY 1 Mackay arrirnt Nu Vert u e aa.mnn lending agency fm dm performance of , !X w>. the work for which this permit is load(Sm.3097,Civ.C.) ' Q Lender's None z Lenders Address U I certify that 1 hen rad this application awi suis Net the also.informed.ie LU^ correct.l agree to comply with JI city and county oNinama and suis levee mining m .0 sr.'J Wilding construction.and hereby anNadm mpmanullm of Nis city to enter upon the - W sin-mentioned property for Impaction purposes. fY (We)agme to ave,indemnify and loop harmless the City of Cuperdno against N Ilabililimjudgments.amu and apemu which may In any way ensue against said City fJ Z in Cmusam once of the fronting of Nis pcmd. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N N-P INT Issued by : Date sourtfa ONS. �IAdfRe-roofs opt HAZARDOUS MATE DISCLOSURE Type of Roof Will the applicant or futum Wilding nccepent am or Media hamdouf mamdal as darned by the Cupertino Municipal Code.Chapter 9.12,and the Ho1N and Safety Cobe.Semi=25532(x)? All roofs shall be inspected prior to any roofing material being installed. ❑Ym o Will Nc applicant or mum building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it houNnus air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. Vim? ❑Yca �Iu I have mad the hauNtws maudab requirements under Chapter 6.95 of the Califon- me Health k Safety Code,Seed=25505,25533 stud 255M.1 undrnund that ifthe building does.fume dy bew a mnane that it b an nuMI I,to no. dm mmupat of On requirements wh' to IPia, miketw serq a Si attire Of ppll ant Da ea . ga 7 oam. All roof coverings to be Class'W or bette CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36652020 . 00 DATE ISSUED. . . . . . . : 04/07/2008 RECEIPT #. . . . . . . . . : BS000004369 REFERENCE ID # . . . : 08040030 SITE ADDRESS . . . . . : 11525 SUNSET SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : HO YU-LAM AND YEN-PING L ADDRESS . . . . . . . . . . : 11525 SUNSET SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5134 RECEIVED FROM . . . . : BEN FOWLER CONTRACTOR . . . . . . . : PAUL FOWLER LIC # 21417 COMPANY . . . . . . . . . . : WESTSHORE ROOFING INC ADDRESS . . . . . . . . . . : 2814 AIFLLO DR C CITY/STATE/ZIP . . . : SAN JOSE, CA 95111 TELEPHONE . . . . . . . . : (408) 694-0060 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- --------- ------ ---------- ---------- -------- 1BSEISMICR VALUATION 9, 000. 00 0.90 0. 00 0 .90 0. 00 1REROOFRES SQ FEET 17 . 00 221. 00 0. 00 221 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 221. 90 0. 00 221 .90 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - ------------- CREDIT CARD 221 . 90 MC --------------- TOTAL RECEIPT 221 .90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • (Voll 06-36 CITY OF CUPERTINO REROOF CUPEIs,TINO PERMIT APPLICATION • APN # Date: 36b5 � o2 D . d0 Y V o -2 Building Address: ' I 2 5 St✓h Sit Seri ryq < �, Owner's Name: M r• Ho Phone #: &0$ 2$3 _`14133 Contractor: wP1Sj_5h0f'_- goof jyY 5 [p C. Phone #: U61 )6q41-r;060 Fax #: you 6 71 -ov 51 Cupertino Business License #: Contractor License #: fi ZZ � 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 # .1( To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: f—t w1UC /ay-G✓ wfio 6k1�Q t 3p 1 f Ava Ca •A . r Urcwj l cmv%r 1 1,Dao Residential Commercial Fire Zone: YesEl No ❑ Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: 0�I Q 0 U I Have Read, Understand an Will Comply with Cupertino's Tear-Off Policy: WSi nature Z(�%;guk, CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F i 1BSEISMICRE Seismic Residential B 1REROOFMRES 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: 'Y�t1 { l I 0 Job Site Address: J ( 525 Sun vitt 5priyih h/� Roofing Company Name: l2no q Applicant's Signature: Date: �0 • Greg Casteel Building Official Revised 11/2/04