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07060078 CITY Ot♦'CUPER.TINO BUILDING DIVISION PERMIT PERMIT 9 ��'* z PERMIT NO. BulLpjrt 991"9XRNHART PL MICHAEL LUNNEBORG ROOFING 07060078 OWNER'S NAME: PERMIT ISSUE DATE PING RUN AND QUI YING ZHANG 1328 WHITE OAKS RD 06/11/2007 )NE: (831) 278-1837 SANITARY NO. CONTROL NO. ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH p p LICENSED CONTRACTOR'S DECLARATION Job Description VI hereby affirm that 1 am licensed under provisions of Chapter 9(commencing z with Section 7000)of Division 3 of the Business and Professions Code,and my license is TEAR OFF WOOD SHAKE AND REPLACE WITH 40 LBS FELT, n. in full force and effecL z License Class / 7a Lic.# L-701-7Z BATTEN SYSTEM, INSTALL METAL TILE. t W Date (4—t1 X61 Contractor ARCHITECTS DEC i a< I understand my plans shall be used as p tic ccord >yU U.y Licensed Professional y OWNER-BUILDER DECLARATION } 1 hereby affirm that 1 am exempt from the Contractors License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or county 1.rt which requires a permit to construct.alter,improve,demolish,or repair any structure ?Zy prior to its issuance,also requires the applicant for such permit to file a signed statement < that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation is (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $18500 5 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 36624022 �Number Occupancy Type not more than five hundred dollars($500). ❑I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intendedor offemd for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law docs not apply to an owner of q P property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If. however,the building or improvement is sold within one year of completion,the owner. builder wilt have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- ccnse Law does not apply to an owner of property who builds or improves thereon,and. who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec B&P C for this reason OwnerDate WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑I have and will maintain a Certificate of Consent to self-insure for Workees Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance,as required by Section 700 of the Labor Code,for the performance of the work for which this permit is issued. My WorkersC1�o�m__p/Ien__sation Insurance carrier and Policy number are: //_` Carrier:—ITA'7'�-�P9400 PolicyNo.:17 H/ELI CERTIFICATE OF EXEMFIION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Califomia.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. Z' CONSTRUCTION LENDING AGENCY Ho-r I hereby affirm Wit there is a construction lending agency for the performance of ai✓ the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name Z Leader's Address U 0 1 certify that I have read this application and state that the above information is V. correct.I agree to comply with all city and county ordinances and state laws relating to CU building conswction,and hereby authorize representatives of this city to enter upon the W above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against liabilities,judgments,toss and expenses which may in any way accrue against said City U 2 in consequence of the granting of this permit. APPLICANT UNDERSTANDS D WILL COMPLY WITH ALL NON-POINT Issued by Date SOUR E REG cATT N Re-roofs S Oldul AIicanL ntraetor Date HAZARDOUS0.1d AIS DISCLOSURE Type of Roof Will the applicant or future bcupantstorcor handle hazardous material as defined by the Cupertino MuniciChapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs ;hall be inspected prior to any roofing material being installed. ❑Ycs No Will the applicant r future building occupant use equipment or devices which If a roof i;installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? E3 Yes I have read the haz ous materials requirements under Chapter 6.95 of thc Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building does of current a�utStt that it is res risibility to notify the occupant of the rc tremens tc �`be ri a Certificate of Occupancy. Signature of Applicant Date Owner rant rircd agent Dare All roof coverings to be Class"B"or better CITY OF CUPERTINO 2 ITEMS OF 2 PERMI`[' RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl-.c: Lot: APN . . . . . . . . . 36,324022 . 00 DATE ISSUED. . . . . . . : 06 /11/2007 RECEIPT #. . . . . . . . . . BSI)00001609 REFERENCE ID # . . . : 07060078 SITE ADDRESS . . . . . : 7538 BARNHART PL SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : PING RUN AND QUI YING ZHANG ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : CUERTINO CA, 95014-5239 RECEIVED FROM . . . . : MICHAEL D. LUNNEBOR CONTRACTOR . . . . . . . : MICHAEL LUNNEBORG LIC # 25896 COMPANY . . . . . . . . . . : MICHAEL LUNNEBORG ROOFING ADDRESS . . . . . . . . . . : 1328 WHITE OAKS RD CITY/STATE/ZIP . . . : CA+IPBELL, CA 95008 TELEPHONE . . . . . . . . : (831) 278-1837 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- BPERMFEE VALUATION 18, 500. 00 266 .76 0. 00 266 .76 0. 00 BSEISMICRE VALUATION 18, 500. 00 1.90 0. 00 1.90 0. 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 268. 66 0. 00 268. 66 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 268. 66 VISA --------------- TOTAL RECEIPT 268. 66 (907& CITY OF C UPERTINO REROF CITY or CUPEkTINO PERMIT APPLICATION FORM APN# -3 P 6 a OAP o 0O Date: // 7 Building Address: n 1 / 7 S'tfb' 6,41,- X /- Owner's Name: Phone#: Qti, y,N Zhu - 4C)s"3 9��`t Contractor: _ License#: Contact: Cupertino Business License#: /47ttA.14 4011,�VT LAA n ne Type of F. 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)-Miey l Number of existing coverings ❑ Provide I.C.B.O.Report# 4-1 ❑ To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read,Understand and Will Comply With Cupertino's Tear Off Policy: Job Description: Residential C;�— Commercial ❑ Fire Zone: Yes ❑ No ❑ Confirmed with Planning Det. if there are any restrictions: LJ Cost of Project: Type of Constru-,tion: Occupancy group: k racy 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 agrc e 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 bu'.lding 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 f irst 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: C'"do—If Q'^' /^^S Job Site Address: Roofing Company Name: Applicant's Signatur Date: (/1l'-07 Greg Casteel Building Official Revised 11/2/04 Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department REROOF TEAR OFF POLICY 1. You must schedule an inspection for the tear off the day before you wish the inspection to be made. The procedure is to call the Building Division (408) 777-32.28 between the hours of 7:30 a.m. and 3:30 p.m. to request a next-day inspection. 2. When the roof is torn off, the nails have been removed or driven in, and all of the dry-rotted wood has been replaced, you must call the City Building Division. An inspector will be there within one hour. There are special hours for this service: from 7:30 a.m. to 10:30 a.m. and 1:00p.m. to 3:30 p.m., Monday through Thursday and from 7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note: Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m. and will not be called during that time. City Hall is closed between 12:00 and 1:00 p.m. daily.) 3. If you call for a tear-off 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. Greg Casteel Building Official Revises 8/13/04