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10070167 CITY OF CUPERTINO BUILDING PERMIT C JNTRACTOR: PERMIT NO: 10070167 BUILDING ADDRESS: 20103 MERRITT DR DATE ISSUED:07/26/2010 OWNER'S NAME: DAVID TONG :5-;C>u �I S a� PHONE NO: NER'S PHONE: 4088393377 ' ❑ LICENSED CONTRACTOR'S DECLARATIONE UILDING PERMIT INFO: BLDG ELECT PLUMB License Class 18 Lic.# q L12 OC,1-7 MECH f- RESIDENTIAL COMMERCIAL Contractor /Ue e -Date 7�Z� �C�� JOB DESCRIPTION:RE-ROOF TEAR OFF 1 LAYER WOOD SHAKE,TEAR OFF I hereby affirm that I am licensed under the provisions of Chapter 9 (;UTTTERS FIX DRY ROT ON FACIA BOARDS;INSTALL (commencing with Section 7000)of Division 3 of the Business&Professions CERTAINTTED LANDMARK SHINGLES,INSTALL NEW GUTTERS 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Valuation:$10460 Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: permit is issued. Occupancy Type: APPLICANT CERTIFICATION APN Number:31634035.00 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)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED ss the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 180 D Y FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section ' _/ 9.18. Date: "��1 /� Issued by:. 4 Signature Date V OWNER-BUILDER DECLARATION RE-ROOFS: use Law for one ofAll roofs ed.If a roof I hereby affirm that I am exempt from the Contractor's Liceinstalleds thout first obtaining an inspection,I gree tomaterial any roofing emove all eing instanew aterialsrfor the following two reasons: 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Date: Signature of Applicant: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 oft e California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I rwer or a t7— Q��become subject to the Worker's Compensation provisions of the Labor Code,I mu:tDate: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which thisthatpermit e issued(Sec. ction Civ C.) correct.I agree to comply with all city and county ordinances and state laws relatir g Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address unify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-poi rce regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Signature _ - Date � ��e2 67/CLicensed Professional S S QgO02id-iQI 30021 :�09 t09 S09 330 avaj, 30023 30023Q2i q-,dgI3 CI QaIOA Z09 ----"--- NOIyaI�aSQQ QOOMA`Ia 30023 ri-dyOJ, QIFii�I---------"- QI 3aIOn ydl3aQd 0 0' t 6 Z HSFIa DIOIyaraOssQ - ____--- 00't6Z `�a 30 Q01-113w ygaowvlw��d zdyOy y 233gwflg 3aN3 0023323t 00- 16Z y333 b5 S32i3 aSt 5ga oo' o ---- ---- o NOIyVagvA 0 oo'T6Z __ -------- oo' ()6Z 00' 09v'Ot- - ----------- QI 333 00' oo' slRa 00' 0 o0't _ ___------ IRROWV oo_oa3� S-1141 yQ-oy-aa 3N0Hdagsl q�gIA3N d .Iz/al VIS/7'yla . . . . 553�aQK . • • ' ' - Qgy = 23oya�yNoa Q3NIw2�3y3Q 3 oy 3s3 °y _ Qgy Q3nI3a wo233 Q3gIwa3y3Q ,3Ns Rilof 7,S,Ia /3yI'S 96000 # .IrldIzV55323a(av Ka 'og-11-d3ana g3i�IMO ,itOS�Q yy�23233w SOtOZ ' OL.IOy QIn�Q ` yaaawl Fi32iK 7,y13 233ana NOISInlagns oNly . • • ' ' 3yls 23Q syI23233w SS32iaQ� Zotoz . . . # QI 3aN3�33323 . •# yaI3a32i L91OL00t Q3LISSI 3y'dQ 9560t00005g 01OZ/9Z/LO NaK 00' s5OtS9tS :any :bu2i :dMy :aaS �oZ XL Z 3° Sw3yI # Raoa ydI3a32i yIv,I2i3d F)o:�,2d :23oy-,fa3do oNIy233ana 3O Ryla CITY OF CUPERTINO FEE ESTIMATOR-- BUILDING DIVISION ADDRESS: DATE: 07/26/2010 REVIEWED BY: APN: BP#: 'VALUATION: Iso PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex S TOTAL APPLICATION OLREROOF USE: ROOF AREA: 3,000 f TYPE: as p0 3 � FEE ID 1 RERC OFFRES J 77 1 F FA I NOTE. Thesefees are based on the preliminary in ormation 41tvailable and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (hee Resolution 0.9-051 LL. 7/0.9) FEI QTY/FEE MISC ITEMS Permit Fee: $390.00 Work Without Permit? Q Yes (D No $O.00 Strong Motion Fee: $0.00 Select an Administrative Item I31d�_, Stds Commission Fee: $0.00 SUBTOTALS: $390.00 $0.00 TOTAL FEE: $390.00 Revised: 7/22/2010 REROOF TEAR-OFF PO-ICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR,P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•.)uilding(@cugertino.org PROJECT ADDRESS '3 ��/ APN# OWNER NAME a �J/ PFION '_Q JCS f�9 77 E-MAIL STREET ADDRESS G7 CITY, ST\TE,ZIP / FAX CONTRACTOR NAME ,:' " /J�� LICENSv.2oc R� LICENSEhI'PE BUS.LIC.# COMPANY NAME fji / +J,y� J.fYE-MAIL C� FAX STREET ADDRESSri/} ,4-11 CMIT /�E,ZIP PHO_C -� - I UNDERSTAND AND AGREE TO THE FOLLOWING: J 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 mini num of one day before the requested inspection date. Please schedule inspections online or call (408)717-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please ca 1 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 availabl;within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspe,:tion is required. 5. In-Progress roof inspection is required. Call f)r an 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 applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the follow ng items will be verified: a. Flat roofs shall have a minimum of/4" per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for.ill pre-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 nai ing inspection and the work is not complete, you will be charged a re-inspection fee of$126.00. The r;-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understa ree to comply with the re-roof policy stated above. Signature of Applicant/A Date: 7-Z6 �/L//� ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: '201e>3 W,,?/ G�',2• G ter�.vC1 PERMIT# 100 D OWNER'S NAME: "V,�5, PHONE# y6,f—r -33�7 GENERAL CONTRACTOR:,,,-7,&-k,,,, BUSINESS LICENSE# " ADDRESS:j� �ie yf�.".-� �,Q. JI✓�,v�(Ee� CITY/ZIPCODE:,o* -c C y "3 *Our municipal code requires all businesses working it the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTP:ACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 1 am not using any subcontractors. ?nd i;nature Date Please check applicable subcont mplete 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 Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date