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08120079 CITY OF CUPERTINOa >naarac .c ,r »i �'- - 13UILDING DIVISION PERMIT £GONITR.iCTaOR INF,�OItMAT OI BUILDING ADDRESS: PERMR NO. 11601 ORCHARD SPRING CT CASTILLO' S ROOFING OWNER'S NAME: PERMIT LSSUEDATE NE: A O. CONTROL NO. (408) 251-3565 ARCHTTECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMBMECH D o p LICENSED CONTRACTOR'S DECLARATION Job Description i�u 1 hereby affirm dui 1 am mvi licensed under psiow of Chapter 9(commencing -Tj wiNSection'loomafDiAsion 3ofthe Budrcuand Profcuiow Code,and,eylicwcu n❑r`n inFall fa'eeandert>'' g•1'SO�ISb RE—ROOF T/0 EXTNG WDSHKS INSTL 30LB FLT INSTL GAF jrAz License Class C LIc.g Dae 1�• -o� Comramr C'o.<t' De n I, n COMP SHNGLS CLS A 21SQ eq 704 A0.CH1'IECTS DECLARATION W U 1 uMrsnand my plans still W usad u Public moods Die g G� Licensed Forrestal - . 1 OWNER.BUIIDER DECLARATION i�E I hereby affirm that I am esempt(rum the Centranmrs License Law for the i O o following meson.(Sadao 703 1.5,Business and Profesi Code:Any city or county $ which mquirw•permit to consuue4 alter,improv,demolish,or repair any structure _Z< pries as its issuawe,atsu requires the applicant for such permit m Ole a signed Jtmment ss thubculicensed pumun mtaprovisions ofthe ConuamrsLice= aw(Chapta9 Sq.F[. Floor Area Valuation yF 9 (commencing with Section 700D)of Division 3 of the Business sod Pnef mons Cade)or 1 5 0 that M is eumpt demotions and the huts for the alleged exemption.Any violation of Scion 7031.5 by any applicant fora Permit subjects thc apptleanrto a civil porosity of APN Number Occupancy Type not mom than Ow hundred dollar,(5500). 36654027 . 00 ❑I,as owner of Ne proprny,a my wplayw wide wage u Ne'v role cenpcnsadm, will do Ifournmr,and the he Com ts rots Li ens e.Reved s not a(Sec.TON, cone,of and property who obu Cade The Comrxmrs License Iso dew not apply m rt awns of Required Inspections propertyloyebeiidswimpmws Neiman,&rodcoma doesawmwork mattered mf. , own h..,. ft bu,provided than soh impmwmenu in nmintendcd mo0.red forsaicthe owner. Wilde, however.the urn de,welve of mem ts cold within are year of mmpleaa r the ownuf buedw HO hese Ute buNa.f pvHng that he did not dtild or improve far puryase of sale-). 0 1,as owner of dee property,.m exclu mly...trading wide Ik eroud canmcmra to construct the preject(Sec.7044.Business and Pmfo cions Cade:)The Comacmes Li. cense Law don not apply to an owner of property who builds or impuws theman,and. who contracts for such projects with a com anw(s)licensed pursuant m dm Contractors License Isco. ❑I am exempt under See .B&P C for ants reasen Owner Dam WORKERS COMPENSATION DECLARATION 1 hereby air=under penalty of perjury one of the following declensions: I hsw ant will msimant•Cenifiwmof Comm.,to self-iwum fns Warkm's Compere 'w,as pmvidW far by Sado.3/00 of the Labor Cade,for dee Performance of use work:for which this permit is issued. 1 have and will maintain Warker's Compenwtian Insur&nce,w received by Section 37M a the Lm rCode.for Be performance of the wart for which this permit is issued. My Worker.Compensation Insurance order and Policy number use: carries. S+or e FU.,C( PolseyNo.: 2380009R9 CERTIFICATE OF EXEMPTON FROM WORKERS' COMPENSATION INSURANCE (ITlsrsdon need not be completed Bthe permit of s.hundred dollars(5100) or less) 1 unify,that in Use perfwmaree of the wort fns which this permit is Wood I shall am employ any person in any moue,as as he bomme subject to tha Warton'Compen t a e. Laws of Cslifomia.Dam Applicant NOTICE TO APPLICANT:IL alter making this Cenifiwte of Esempion,you should become subject to the Workers Compeesadon pmvisiwts or the Isbw Cade,you mute O forthwith comply with such provisions m ermsh this pit all de naroweled. med z► CONSTRUCTION LENDING AGENCY 'r I hammy aRm that there ins en flon lendingagcay for the peofmn...f a > the work for which this permit is issad(Sec.3097,Civ,C.) QLender Name , 7 z lenders Address U O 1 certify that I haw read this applieuion and team des the.hove information is U. ^ cones 1 agree to comply with all city and county Ordinances am soon,laws mhting m p fr.'7 building construction.and hereby auNome repmxnmiws of this city to enter upon Ne &how-mentioned pmp,rty,for inspection purywea F 6. (Wer)agree in aw,indemnify and kap harmless,the City of Cupertino against h liabilities.IWgments,cwts and expenses which may in any way amu,against said City U z in onma rme of the gra.ung of this permit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCERE TIONS. 2-9-0 cr Sigmea ar�inxar mm Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant m future building occupant owe or handle hamdow m tcrud as dented by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Cade.Section 255324)+ All roofs shall be inspected prior to any roofing material being installed. ❑Yes Will th .ppileant or me to building«uwnt ecoipmmt e de m whichIf a roof is installed without first obtaining an inspection,I agree to remove :mit harvMw air co moriwnu at defined by the Bay Aura Air Quality Management all new materials for inspection. DisuicR Oyer dN. I haw read t e huaNrw mucdats requirements under Cbapmr Q95 orIM C&lifor. nu HoaWBSalwyCodc.Sockets MM.25533 m125534.1 unhraand Nuifte building �.� G� J2 —q-08 door not currently haw a u um,des it u my responsibility to ratify the=Want Of the requirements which mus,hemet missaumcor.ccrtifiwmorocapanry. Signature of Applicant Date 12-9-0g Ower r ancon°.g.m ''- Dam. All roof coverings to be Class'W'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36654027 . 00 DATE ISSUED. . . . . . . : 12/09/2008 RECEIPT # . . . . . . . . . : BS000006788 REFERENCE ID # . . . : 08120079 SITE ADDRESS . . . . . : 11601 ORCHARD SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : FAN, PEI-CHU ADDRESS . . . . . . . . . . : 11601 ORCHARD SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5122 RECEIVED FROM . . . . : CASTILLO' S ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO' S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 251-3565 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 10, 500 . 00 1 . 10 0 . 00 1 . 10 0 . 00 1REROOFRES SQ FEET 21 . 00 273 . 00 0 . 00 273 . 00 0 . 00 -- ---------- ---------- --- TOTAL PERMIT 274 . 10 0 . 00 274 . 10 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 274 . 10 #15540 --------------- TOTAL RECEIPT 274 . 10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF 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 2007 IBC Standards and manufacturers specifications on re-roofing.All roofs are Class "A"per Cupertino municipal code 16.04.080. 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/a "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: Pei Ckly Job Site Address: _M001 SOr v, C-V Roofing Company Name:�_Casy-,&'Syo Applicant's Signature: l r Date: 12 4 Greg Casteel Building Official Revised 07/30/08 CITY OF CUPERTINO 0079 ` �`` REROOF CIT�CUPERTINO PERMIT APPLICATION APN # A �� '/p�7. v J Date: Building Address: 7 G f II (0ol orG Ar J rn Q4 Owner's Name: Phone #: Pei Cku Fan C�bs� 218 ((ogY Contractor: Phone #: �� I Og)25 i - 3S65 C +_i 0 'S Qoxl,) Fax #: Cupertino Business License #: Contractor License #: q 3045 b Lf3bySb Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles d Asphalt Shingles m' Wood Shakes a Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings .2 ❑ Provide I.C.B.O. Report # To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: r T2Ar• oT� EXisf�n9 Woods(1a�e5 � =hs�a1\ 3016. 1=e1-� ZnSEa�� 779F Cean�. In9ft5 00,55 Residential Lv Commercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: SID Seo . I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO REROOF CUPEIZTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2 r 1RER00FRES ' Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08