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10080051 CITY OF CUPERTINO BUILDING PERMIT DY WAY CON rRACTOR:STONERIDGE ROOFING PERMIT NO: 10080051 BUILDING ADDRESS: 7570 NORMAN 0WNER'S NAME: GING WONG 2798 3LENFIRTH DR DATE ISSUED:08/06/2010 NNER'S PHONE: 4088936224 SAN LOSE,CA 95133 PHONE NO:(408)729-5101 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL Lic.# ?65T RE-ROOF INSTALL 1/2" OSB,30 ILB FELT COMPOSITION License Class — LANDMARK 27 SQUARES Contractor Sbnr ri .. Date 71' 6'-/U I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the S Ft Floor Area: Valuation:$1100 performance of the work for which this permit is issued. q I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this API1 Number:36617063.00 Occupancy Type: permit is issued. 1550 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTS correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTIO indemnify and keep harmless the City of Cupertino against liabilities,judgments, >�(1" costs,and expenses which may accrue against said City in consequence of the Issued by: '�-�� Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. pRE-ROOFS: Signature nf!/ ��L�� _Date p'6' d Al'roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. J OWNER-BUILDER DECLARATION Signature of Applicant: Date:�� f!!/ � �� I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER the following two reasons: I,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.7044, Business&Professions Code) HAZARDOUS MATERIALS DISCLOSURE 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). I ►ave read the hazardous materials requirements under Chapter 6.95 of the C ilifornia Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's rr aterial. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the aIlcontaminmaintainants as defa ce wiinedth the Cupertino Municipaly the Bay Area Air Quality Management Chapter District and performance of the work for which this permit is issued. the Health&Safety Code,Sections 25505,25533,and 25534. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 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 Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm hich at therethis is is construction s (Sec lending 3097,C gen)for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Name APPLICANT CERTIFICATION Lender's Address I 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 ^n the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION mnify and keep harmless the City of Cupertino against liabilities,judgments, cs,and expenses which may accrue against said City in consequence of the i understand my plans shall be used as public records. sfanting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION 10 ALBERT SALVADOR,P.E., C.B.O.,BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildin �cupertino.orc APN# PROJECT ADDRESS 10 My PHONE A _�R� E-MAIL OWNERNAME Qh �' 4j C CITY, STATE,ZIP FAX STREET ADDRESS O LICENSE NUMBER C6•y / LICENSETYPE7FAX7] CONTRACTOR NAME Q j h v � O G E-MAIL COMPANY NAM ' PHONE f�� CITY,STATE,ZIP,- + STREET ADDRESS � Q� 1 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3,,,28 between 7:30-3:30 (Mon-Fri). 3. Tear off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available wit nin one hour. There are special hours for this service: 7:30 — 10:?Oam and 1:00— 3:30pm(Mon—Thurs); 7:30 — 10:-Oam and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection, is required. 5. In Progress roof inspection is required. Call for ar in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections and written approvals from the building inspector. Any roofing which is aI plied without first obtaining an approved inspection will require the removal of all new material down to :he sheathing so a proper inspection can be performed. 7. A final inspection and approval shall be obtained fro n the building inspector when the re-roofing is complete. To receive a final sign-off, the following-tems will be verified: a. Flat roofs shall have a minimum of 1/4" per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all i re-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 8. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is tru,;: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re-roof policy stated above. e.Date: — Signature of Applicant/Agent: �� ReroofPo1icy_2010.doc revised 05/17/10 18300 iORRE AVE CUPERTINO, CA 95814 TERIINAL ID: 888876638 NER:HART N: 324118162998 CITY C UISii ##Xxxxxxxxxxxx7005 ITEM 1 OF 1 PERK SALE AERATOR: patg BATF H: 888878 INVOICE: 8787378188 DATE: AUB 18, 18 TIME: 88:13 'PY # 1 SA: BBl AUTH H0: 419518 Sec: Twp: Rng: Sub: l APNTOTAL $126.00 DATE ISSUED. . . . . . . : i CUSTOMER COPY RECEIPT #. . . . . . . . . b,,VVVU111 ,U REFERENCE ID # . . . : 10080051 SITE ADDRESS 7570 NORMANDY WAY SUBDIVISION . . . . . . CITY CUPERPINO IMPACT AREA . . . . . . OWNER GING 'GONG ADDRESS 7570 NORMANDY WAY CITY/STATE/ZIP . . . : CUPER`CINO, CA 95014-5223 RECEIVED FROM . . . . : SERGIO GONZALEZ CONTRACTOR . . . . . . . : SERGIO GONZALEZ LIC # 25625 COMPANY STONERIDGE ROOFING ADDRESS 2798 GLENFIRTH DR CITY/STATE/ZIP SAN JOSE, CA 95133 TELEPHONE . . . . . . . . : (408) "29-5101 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----- --- ------ ----- ----- ______ ---------- ---------- 1BCBSC VALUATION 1, 100 . 00 1 .00 1. 00 0. 00 0 .00 1BSEISMICR VALUATION 1, 100. 00 0 .50 0. 50 0. 00 0 . 00 1INSPREIFE HOURS 1. 00 126 . 00 0.00 126 . 00 0. 00 1REROOFRES SQ FEET 27. 00 351 . 00 351.00 0. 00 0. 00 TOTAL PERMIT478 .50 352 .50 126. 00 0 . 00 ---------- ---------- METHOD OF PAYMENT AMOUNT REFERENCE NUMBER --------------- -------------------- CREDIT CARD 126 . 00 VISA --------------- TOTAL RECEIPT : 126. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- --- ------------ ---------------- 01 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO PERMIT RECEIPT OPERATOR: SylviaM 3 ITEMS OF 3 COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36617063 . 00 DATE ISSUED. . . . . . . : 08/06/::010 RECEIPT #. . . . . . . . . BS0000:.1110 REFERENCE ID # 100800"l SITE ADDRESS 7570 NORMANDY WAY SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER GING WONG ADDRESS . 7570 NORMANDY WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5223 RECEIVED FROM • " STONER: SERGICIDGE GONZAOEZINGLIC # 25625 CONTRACTOR . . . . . . COMPANY STONEFIDGE ROOFING ADDRESS 2798 CLENFIRTH DR CITY/STATE/ZIP . . . : SAN JC,SE, CA 95133 TELEPHONE (408) , 29-5101 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC- --NEW-BAL- ---------- ------------- ---------- ----- 1BCBSC VALUATION 1, 100 . 00 1. 00 0 .00 1 . 00 0 . 0 1BSEISMICR VALUATION 1, 100 . 00 0 . 50 0 .00 0 . 50 0 . 00 1REROOFRES SQ FEET 27 .00 351. 00 0 . 00 351.00 ------ -- -- TOTAL PERMIT 352 .50 0 .00 352 .50 0 . 00 METHOD OF PAYMENT AMOUNT----- REFERENCE NUMBER ----------------- ---------- -------------------- CREDIT CARD 352 . 50 VISA --------------- TOTAL RECEIPT 352 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION _ ------- ----- -- -------------- __ -------- - ----------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CUPERTINO CONTRACTOR/ SUBCDNTRACTOR LIST PERMIT# o JOB ADDRESS: cfin y OWNER'S NAME: PHONE# o8 ^ Z GENERAL CONTRACT R: , in BUSINESS LICENSE# ADDRESS: / ;r CITY/ZIPCODE: o5e CA *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY ORS INSPECTION(S) OBTAINED A CITY OF CUPER INO UNTIL THE GENERAL CONTRACTOR AND ALL SUBCO BUSINESS LICENSE. /�� ¢7 5 —f d I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete tae following information: t/ SUBCONTRACTOR BUSINESS 1`iAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile 8 -5 -l0 Date .01 Owner/Contractor Signature CITY OF CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION Date: APN # , Building Address: Phone#: Owner's Name: ( in9 W p h� HOA: Yes ❑ No [� If es, provide letter from HOA yob- s�3- 622y Phone#: you - Z Contractor: �� Fax#: O erg` Contractor License #: ?6&11 Cupertino Business License #: Type of Roof Covering: Proposed: Existing: ❑ Built-Up roof ❑ Built-Up Roof ❑ Asphalt Shingles r�Asphalt Shingles �Wood Shakes ❑ Wood Shakes Wood Shingles ❑ Wood Shingles ❑ ❑ Other (Specify) ❑ Other (Specify) Provide I.C.C.E.S. Report# Number of existing coverings ❑ ❑ Provide Mfgr. Installation Specs. ❑ To be Removed Job Description: oo t �� S elt Co PcSi�i6h � c T Commercial Li Residential 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: 777:77=iln set & the sheet index. I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signatu Revised 02/05/09 CITY OF CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER06FC MM Re-roof Commercial B ICOMMLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B ISFDWLROOF �1 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission 1,ee 1BSEISMICRE Seismic ResiCential B 1REROOFMRES Re-roof Mult.-Family B 1MFDWLROOF 1BCBSC Cal Bldg StandardsJ:q ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residentia B 1BUSLIC Business Lic-,nse M.Indoor Air Quality and vintshea D 1.Use bowft-YbC Paint 1 lAQ'Health pts y�yes is es Y=y D 2.Use Low VOC,Water-based Wood Finishes 2 IAQ'Health P - D 3.Use tjov"YOC Adhesives 3 IAC/Health pts yeses 4.Use Salvaged Materials for Interior Finishes 3 Re,iource pts Y--Yes D 5.Use Engineered Sheet Goods with no added Urea D Formaldehyde 51ACMealth pts y-Yes D 5.Use Exterior Grade Plywood for Interior Uses 1 IACUHealth pts Y--yes D 7.�eal l °j.MDF ___..-- - 41A(>IHealth is - es . =Y D B.Use FSC Certified Materials for Interior Finish 4 Resource pis Yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Re source pts y=yes D 10.Install Whole House Vacuum System 3 IAO/I••lealth pts Y--yes N.Flooring B Resource is es 0 1.Select FSC Certified Wood Flooring P Y--Yes 0 . Use1Re(;te' tloodpg$.Aaterials 4 Re'Durce pts Y-Yes 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 5IA,)/Health is es D 4.Install Natural Linoleum in Place of Vinyl P Y--yes D 5.Use Exposed Concrete as Finished Floor 4 Re3Wrce pts Y--Yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Re source.pts y--yes Total Points Available: 1401 1301 57 Total Points Project Received: 01 0 g - s-l0 G;daWpmogreenbL ldingguidelineshamodelerslgreenp6inMnal21264pnADDIsdAs