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06100179 -77777 77777777777 CITY OF CUPERTINO R T BUILDING DIVISION � �^' A.PERMIT BUILDING ADDRESS: SAN NOSE ROOF MAX PERMIT ND.06100179 7655 DUMAS DR PERMIT ISSUE DATE OWNER'S NAME: PAUL CHENG 1352 CHIPLAY DR. 10/26/2006 /NE: SANITARY NO. CONTROL NO. (408) 929-7663 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 1 O p LICENSED CONTRACTOR'S DECLARATION Job Description U r— I hereby affirm that I am licensed under provisions of Chapter 9(commencing Z w with Section 7000)of Division 3 of the Business and Processions Code,and my license is REROO F- TEAR OFF SHAKE, INSTALL OSB BOARD y in full force and cC ecL,� z r iM0 License Class Lic.# V2Z?i4 T 30LB FELT COMP SHINGLES, CLASS A, 35 SQUARES F,� Date /G •7 •-CG Contractor 53+7.c:SF�lX+f/r/�I.X ARCHITECTS DECLARATION C< 1 understand my plans shall be used as public records dui o H Licensed Professional n OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the p O following reason.(Section 7031.5,Business and Professions Code:Any city or county �$g which requires a permit to construct,alter,improve,demolish,or repair any structure z} prior to its issuance,also requires the applicant for such permit to rile a signed statement Valua$ih6 9 3 8 _ that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area t- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or L 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 �PN Number Occupancy Type not more than five hundred dollars(SSW). 3 925-047 . 00 ❑1,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7041,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of 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 will 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. cerise 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. ❑1 am exempt under Sec B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1]I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My WoriccesCoompensation Insurance carrier and Policy number are: Cartier._S//t7 C Af4J Policy No.: CERTIFICATE OF EXEMPTION 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 California.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 ,Z forthwith comply with such provisions or this permit shall be deemed revoked. z O CONSTRUCTION LENDING AGENCY (~ ►�. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name az Lcndees Address V 0 1 certify that 1 have read this application and state that the above information is 4>~ correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned property for inspection purposes. a (We)agree to save,indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs and expo s which may in any way accrue against said City V Z in consequence of the granting of s permit. Date ►" APPLI N, UNDERST NO AND WILL COMPLY WITH ALL NON-POINT Issued by: Z 6,'C� SOU ,ULA ,a -10,—1`1(1 Re-roofs gnature of ApplicanUC for Date H DOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. C3 Yes �1Qo Will the applicant or future building occupant use equipment or devices which S4�� If a roof is 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? ❑Yesu I have read the hazardous materials re iremens under Chapter 6.95 of the Califor- nia Hcalth&SafctyCodc,Sections 25505, 33 and 25534.t understand that if the building does not currently have a Lena th t it i y responsibility to notify the occupant of the require w be or issuance of a Certificate of Occupancy. Signature of Applicant Date !0•26"c41 All roof coverings to be Class"B"or better Owner or authorized ag nt Date CITY OF CUPERTINO 3m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN 35925047 . 00 DATE ISSUED. . . . . . . : 10/26/2006 RECEIPT # . . . . . . . . . : 36560 REFERENCE ID # . . . : 06100179 SITE ADDRESS . 7655 DUMAS DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : PAUL CHENG ADDRESS . . . . . . . . . CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : VICTALIANO ARTACHE CONTRACTOR . . . . . . . : VICTALIANO ARTACHE JR. LIC # 25318 COMPANY . . . . . . . . . . : SAN JOSE ROOF MAX ADDRESS . . . . . . . . . . : 1352 CHIPLAY DR. CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 929-7663 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - - - -- - - - -- --- - - - --- - - - - ---- ------ ----- ----- ---------- - - ----- --- - ---- - -- - - BPERMFEE VALUATION 17 , 000 . 00 245 . 16 0 . 00 245 . 16 0 . 00 BSEISMICRE VALUATION 17 , 000 . 00 1 . 70 0 . 00 1 . 70 0 . 00 -- ------ - - ---------- - ------ --- - ---- --- -- TOTAL PERMIT 246 . 86 0 . 00 246 . 86 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER - -- - ---- - - -- - ---- --- - ------ - - - ----- - ------- - - - - CHECK 246 . 86 1500 TOTAL RECEIPT 246 . 86 Community Development 10300 Torre Avenue z Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 7UPEkTINO Building Department JOB ADDRESS: PERMIb#� S" Z)ce -2 s fir. OWNER'S NAME: 0 Clle,? PHONE # 97?�' 6-f GENERAL CONTRACTOR: FAX # I am not using any subcontractors: ' ` Signature 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/Contractor Signature Date 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: Job Site Address: Roofing Company Name: S vl -3, S M�� Applicant's Signature: °` Date: Greg Casteel Building Official Revised 11/2/04 OL01001gq -� CITY OF CUPERTINO ��' - RE ROOF Ify OF CUPEkTINO PERMIT APPLICATION FORM APN# -�S 15 n 25-l J — 71 Date: j0 - �L ,G C-;,Building Address: : Owner's Nam 1 Phone#��_0 � -a Contractor::. -: License#: ao 55E=_ ter=} Contact: ; 1 gon_r7&1.3 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 ❑ Provide I.C.B.O. Report# be Removed ❑ Provide Mfgr. Installation Specs. I Have Read,Understand and Will Comply With Cupertino's Tear Off Policy: Job Description: 'TC'444 56*ke- TAS-firlt 050A��,e-d 30 f e 1�4 C/- 2 2 �. e S Residential.-a— Commercial ❑ d JY /t' Fire Zone: Yes ❑ No El" Confirmed with Planning Dut. if there are any restrictions: LJ Cost of Proj ec: Type of Construction: ` S Occupan1grou�: 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