The URL can be used to link to this page

09070011uoc ?�u D C6 ;p,F N. i pC Km �> ro Z CITY OF CUPERTINO DIVISION PERMIT�� BUILDING BUILDING ADDRESS: PERMIT NO. 7481 PLUM BLOSSOM DR LINDY ROOFING OWNER'S NAME: PERMIT ISSUE DATE TITT�CCHEG'NG uISN ONE: W T-�YLGR SIP fm in A 6 0 9 CONTROL NO. (4 08) 28 i-9990 ARCHITEC (ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 a 0 LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. cels)- Z61RE-RF R14V EXT WDSHK INSTL 1/2 OSB W/RADIANT License Class /' Lic. S Date ,34 Contractor BARNER ARCHITECTS DECLARATION I understand my plans shall be used as public records &30# FL' [' UNDERLAMNT INSTL 3 2 SQ 4 0YR DI IM COMP SHNGLS ILS A Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure Sq. Ft. Floor Area Valuation prior to its issuance, also requires the applicant for such permit to file a signed statement License law 9 that he is licensed pursuant to the provisions of the Contractor's (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code) or $20000 O 0 that he is exempt therefrom and the basis for the alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). 3661804-3 . Q 0 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, ns Required Inspections P will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of q 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.). ❑ I, 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: I have and will maintain a Certificate of Consent to self -insure for Worker's Compen- .hion, 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 Worker's Compensation Insurance ca er and Policy number ate: r � 'I / f Carrier. 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 forthwith comply with such provisions or this permit shall be deemed revoked. ) a CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of y the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name L.endees Address 1 certify that I have read this application and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to " building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes (We) ag to save, indemnify and keep harmless the City of Cupertino against 7 liabilities, judg n costs and expenses which may in any way accrue against said City r in consequence granting of this permit. 4 Issued by9Date APPLICANT RS DS AND WILL COMPLY WITH ALL NON -POINT SOURCE REG S. 2 Re -roofs Type of Roof Signature o t/Contractor Date HAZARDOUS MATERIALS DISCLOSURE 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 Cede, Section 25532(a)? All roofs ;hall be inspected prior to any roofing material being installed. ❑ Yes ❑ No If a roof i; installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which L harardous air contaminants as defined by the Bay Area Air Quality Management all new m 'cels for inspection. ,trict? �t ❑ Yes ❑ No aterials requirements under Chapter6.95 of the Califor- building 1 have rearaam �%.- nia Health & Safe25505, 25533 and 25534.1 understand that if the docs not currentlhat it is my responsibility to notify the occupant of thejrequirements Z whirior to issuance of a Certificate of Occupancy Signature of Applicant Date _? All roof coverings to be Class "j4'' or better Owner or authariugent Date CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk:: Lot: APN ........: 36E18045.00 DATE ISSUED.......: 07/02/2009 RECEIPT #.........: BSC100008108 REFERENCE ID # ...: 09070011 SITE ADDRESS .....: 74E.1 PLUM BLOSSOM DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER HUI;HENG CHIEN ADDRESS ..........: 74E,l PLUM BLOSSOM DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5322 RECEIVED FROM ....: LIirDY ROOFING CO IN CONTRACTOR .......: RUD[FORD, LINDY LIC # 3921 COMPANY : LIirDY ROOFING CO INC ADDRESS 47E. W TAYLOR ST CITY/STATE/ZIP ...: SAN JOSE, CA 95110 TELEPHONE ........: (4(18)286-9990 FEE ID UNIT QUANTITY --------------------------------- 1BCBSC VALUATION 20,000.00 1BSEISMICR VALUATION 20,000.00 1REROOFRES SQ FEET 32.00 TOTAL PERMIT METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 889.40 --------------- 889.40 INOUNT PD -TO -DT THIS REC NEW BAL ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 2.00 0.00 2.00 0.00 416.00 0.00 416.00 0.00 ---------- 419.00 ---------- 0.00 ---------- 419.00 ---------- 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- #4056 VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CUPERTINO: R.l�ROOF CUPEf�TINO PERMIT�APPLICATION 09070 c-_-, 1 I APN # �j (P Date: Building Address: -- -7 y � I Plt)r n 61 ossUn-) t)r, . Owner's Name: Phone #: USILe� CA qv$-9� c:?, 1,7(� Contractor. Phone #: i1a Confirmed with Planning D�t. if Fax #:. Cupertino Bu iness License #: - Contractor License #: Existing: ❑ Built -Up Roof x. 4s ood Shak ❑ Wood Shingles ❑ Other (Specify) Type of Aoof Covering: Proposed: ❑ Built -Up roof L<' Asphalt Shingles O Wood Shakes ❑ Wood Shingles O Other (Specify) • •.... .. n.a.aa.b vv.vaaubu ❑ To be Removed u _ r1VMiuO L.I...D.V. r spun ff ❑ Provide Mfgr.Installation .Specs. Job Description:,re SCJ () r�'L�. �y��ri �- ' CIE,: V2 " 0 +� W t h t`�td.c.uw - 3 c; tic- �� Coo st Residential ctazS Commercial Fire Zone: Yes ❑ No ❑ Confirmed with Planning D�t. if there are any restrictions. Valuation: I Have Read, Understand and Will Comply with Cup -rtino's Tear -Off Policy: CornIII Lill it�' twvelopmernt Departing°int 13LI MIMI )-iiit� i)rr� A'.r..._ l cicrhonc (IU Fax (lUj77 Building Department Subject: Re -roofing policy for the City of Cupertino i. 1�I'lor to pt -,milt issuance, you must agree to comply with 1997 UBC St,md,,rds a!1�1 I11a11L1taCtUrl I's speC11ICatlUnS o11 ;C-1i)ofIII g. ?. _A'cw roil coverings shall not be applied without first obtaining all inspection and written approval from the budding inspector. A filial inspection and approval shall be obtained from the tuilding inspector when the re -roofing IS completed. �. All roofs shall be inspected prior to any roofing installation. -I. To receive a final sign off from the Ci:y, the following steps are required: 1) Pre -inspection and/or tear off approval. 2) In -progress inspection approval. �) Final inspection approval. a) Spark arrester installation. If plywood is installed, a plywood na.1 inspection is required. U. Any roofing which is applied withou . first obtaining an inspection, will require the removal of all new miterial down to the sheathing, so a proper City inspection can be performed. 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. IMPOR`I'ANT: 1. Flat roofs must have a nninimum of 1/4 " per foot slope and denu�nstr)t�� that there is no ponding. An I.C.B.O. report is required to be ori the job site at the time on inspection. I understand and will comply with the abo% e stated policy on re -roofing. Homeowner's Name:I \"P lob Site Address: q l (Uri; Roofing Company Name: Applicant's Signature. _ �"--�'-- � �--' Date: Greg Casteel Building Official RwI't2d 11/2/U-1 CITY OF C UPERTINO al REROOF UPEkTINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Seismic Commercial B 1REROOFRES Re -roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1 REROOFMRES Re -roof Multi -Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1BUSLIC Business Li,;ense B CITY OF TPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: �7k 8 1 plum, �f a �, a PERMIT 6 q'0`7 00 d OWNER'S NAME: ftll6h PHONE # U GENERAL CONTRACTOR: ` c�uc'. FAX # I am not using any subcontracto 1 Si ,nature Date Please check applicable subcontractors and com>>lete the following information: er/ Contractor Signature Date 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 er/ Contractor Signature Date