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08120019 CITY OF CUPERTINO + - '.aQ. 'v BUILDINyDIVISION PERMIT CQNTRACTC1RZ T`�t1T ATIaN . BUILDING ADDRESS: PERMITN0. 20010 DEPALMA LN KNIGHT ROOFING OWNER'S NAME: PERMIT ISSUE DATE Eo SA CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO RE-RF T/0 SHKRF& INSTL BO EO PLUMB D ."zLICENSED CONTRACIOR'S DECLARATION SHEATHNG, MONI ERLIFErt}2 1 bembe affirm Nu I am licensed under provisions of Chapter 9(mmrocaciaS y'��e5crlptlOn m withSetMa.7 lo)afl)M!son3of Ne Business and Pre,mssimu Code.and my licerts is °?y in full for¢and affect. C L 5�Z License Cl Let.. nip Dam i COSMO: r . e 7W ARCHITECT DECLA ATI ON 1 understand my plans shall be used ss public moths U ge.G In Licensed Professional 5 OWNER-BUILDER DECLARATION F I hereby i filree Nes 1 am asempt(mm the Contractors License Law for the D o following reason.(Scads'1031.5.Business and Professions Code:Any city or county y$� which requites a permit to construct,slim.Improve,demolish,or repair any structure _Z6 priormits issuance.elm requites Ne applicant for such pcceitmfileasigned aummem Sthat he is licensedpursuantmtheprovisionsofMeConvacmriLicenceLaw(Chapter9 Sq.Ft.Floor Area Valuation Yk,C (commumingwiNS don7")of Division3o(dw BusinmudNoressi'm Code)or y $ Nat he u exempt thcmfmm and Ne basis for Ne alleged exempdon.Any violation of Section 1031.5 by any apple=[for a permit subiccle the applicant In a civil Penalty of APN Number Occupancy Type cat mom Nan five hundred dollars(53001. ❑1,ss mwnv of the proPertY•m my employoa with wags u Netrmle cmnPensadoe, will da thcwons ands,The wreutmts Licances awdo forsa apply Owner a Required'Inspections and property who Code:The Commcmrs Liana law data Out since ir an owner is proneIYwho builds bidMet inNermgandwho suressuchworkhimselfedthrough his men employees. lding or prsuchimprovemmssart not ear ofomoQered for We.]i Wilder.thebuildingor impmvemmnu et withinons year of mmpkuon It Owner. Wilder will have saw burden of proving Nat he Did ems build or improve Ica purpose of sale.). O 1,as awmr or the Property.son exclusively contracting onto licensed contractors m mnstmct the project(Sec.7a.Business and Pmfeuiose Code:)The Consume,Li. cense law does not apply to an owner of pmpeny who builds or Lmpmwe Nemrn,cad, who contracts for such Projects with a contractor(s)Iicenned pursuant on Ne Conuacmb License law. ❑1 and uempt under See .B&PC for this meas' owner Dam WORKER'S COMPENSATION DECLARATION 1 hcmby since under Penalty of perjury am of Ne fallowing decimations, 1 have and will maintain a Certificate of Consent to self-imum far Workers Compete don.as provided for by Section 3100 of the labor Code.fm Ne Performance of Ne wart for which this Permit is issued. O 1 have and will maintain WorkeYs Compensation Insmana,a required by Section 3100 of be Labor Code,far Ne Performance of the work for which Nu permit is issmA. My Workers Compensation Intur�vlwe carrier and Policy number am: Cartier.TIATIC Policy No.:2,3/1 er CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE _ (Missourian need not be compincd if dem permit is forone hundred dollars($1010 or icsa) I unify Nat in Ne Performance of the work for which this permit Is issued.I shall not employ any Person in my mmmrse as to become subject to Ne Wohen Compensation Laws of California Data Applicam NOTICE TO APPUCANP.IL after making this Certificate of Exemption,you should become subject to the Workers Compensation provisions of the Labor Code,you muse O forthwidt comply with such pmvisi'ns or Nu Permit shall ba deemed mated. Z 7 CONSTRUCTION LENDING AGENCY l-r I hereby aloe Nat Nem iaa mnatmcdnn lending agency for Nc perfomuxxuf s Citi Ne wok for which Otis permit is issued(Sec.3191,Civ.C.) G0 Lenders Name , 0 z alders Andress V 1 citify Nu I hate read this application and sum Nat the above information is ' D.E' cocea 1 agree to comply with all city and county andnauxes and sum laws miming m - �V building construction,and hereby romance representatives of this city to caner upon Nc r Gi] ahme-mentioned property for inspection loop=& Let (We)ago to save,indemnify and keep immature;Ne City of Cupertino against (~ CA liabilities,judgmenu,cosuandexpc�ues which may in anywaysmi,we agalmim City , (,Z in consequence of the granting of A'-E! is Pecei ^t APPLICANT UNDERSTANDS A LL COMPLY WITH ALL NON-POINT Issued by: Date _Z sOURI:�REGUL�TIP /" �- / t_-Z t d Re-roofs Signa icenV 'motor HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will dm applicant m future building occupant sm.or handle hazardous material as deBoed by Ne Cupertino Municipal Code.Chapter 9.13,and she Health and Safety Code.section 15532(o1 ❑Yrs All roofs shall be inspected prior to any roofing material being installed. No Will the applicant or fuwm building Occupant use eyvipmem or device which If a roof is installed without first obtaining an inspection,I agree to remove I havardous air contaminants a defined by the Bay Area Air Quality Management all new materials for inspection. avid? //� Oyes r6 No I have mel the harardnsam ocrialsoequimments un@r Chepwr6.95 ofthe Califor- _ nu Health&Safcty Cede. 15505.255 255x.I undemandnotary dthan if Ne building does not currently have a=Nat it' Y rtapamibility m em occupant of Ne � � l' der .quiremcnu honrep' Lssumesofacenifwa'an; Signature of Applicant Date i y 'K All roof coverings to be Class'W'or better Owner orauthori egcnt w (Dow' CITY OF CUPERTINO • 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36932059 . 00 DATE ISSUED. . . . . . . : 12/02/2008 RECEIPT #. . . . . . . . . : BS000006728 REFERENCE ID # . . . : 08120019 SITE ADDRESS . . . . . : 20010 DEPALMA LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHENG RUEY-TING AND CHING-LING ADDRESS . . . . . . . . . . : 20010 DE PALMA LN CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3189 RECEIVED FROM . . . . : GREG KNIGHT CONTRACTOR . . . . . . . : DAVID RICE LIC # 27646 COMPANY . . . . . . . . . . : KNIGHT ROOFING SERVICES ADDRESS . . . . . . . . . . : 42035 OSGOOD RD CITY/STATE/ZIP . . . : FREMONT, CA 94539 TELEPHONE . . . . . . . . : (510) 438-9077 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----- ---------- ------ 1BSEISMICR VALUATION 14, 720 . 00 1 . 50 0 . 00 1. 50 0 . 00 1REROOFRES SQ FEET 29 . 00 377 . 00 0 . 00 377 . 00 0 . 00 TOTAL PERMIT 378 . 50 0 . 00 378 . 50 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -- ----------- -------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF O 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. Homeowners Name: Amber Kai - Chang-Kuo Kai Job Site Address: 20010 De Palma Lane Roofing Company Name: Knight Roofing Services Applicant's Signature: Date: • Greg Casteel Building Official Revised 11/2/04 OS CITY OF CUPERTINO REROOF •CUPER INO PERMIT APPLICATION APN# 2 �P"I 3� pDate: Building Address: 20010 De Palma L L� Owner's Name: Phone #: Amber Kai - Chang-Kuo Kai 909 510 7888 Contractor: Phone #: 510 438 9077 Knight Roofing Services Fax #: 510 438 0604 Cupertino Business License #: 27646 Contractor License #: 844108 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles A Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles o Other (Specify) j4 Other (Specify) Lightweight , Tile Number of existing coverings 1 q Provide I.C.B.O. Report# 1647 ❑ To be Removed ❑ Provide Mfg. Installation Specs. Job Description: Tear off shake roofing. INstall sheathing . Install Monierlifetile Lightweight Tile 29 Sq. Residential Commercial Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept, if there are any restrictions: ❑ Valuation: $ 14 , 720 I Have Read, Understand and WillGaniply with Cupertino's Tear-Off Policy: Signature