06070094 CITY OF CUPERTINO -T r �y��sr•� +,*+ �`�`,�t♦ moi
CLIILDING DIVISION PL`RAUy �Q l\.-1� rO" l O,�Yin`T �ii v.�
BUILDING ADDRESS: MICHAEL LUNNEBORG ROOFING P"""NO06070094
7445 BOLLINGER RD
OWNERS NAME: PERMTI�EDATE
10 CHIH CHE LIN 1328 WHITE OAKS RD 07/14/2006
NE SANITARY NO. CONTROL NO.
(831) 278-1837
ARCHRECT/FNGIN'FFA: BUILDING PERMITINFO
BLDG F�C< PLUMB MECH
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1 LICF1fsEDcorrlRAcroasoEcuRAnoN Job Description
hvcby affirm UW I am ll¢Md undo Poo—of apR19(—Ent
i� i,Sccimo700y)OfDiridonJorftBuurratuWPrafucWMCodc,ardmylkcnala TEAR OFF WOOD SHAKE INSTALL SHEETING AS NEEDEDIn full rents anile S L(^ .
Coni--Con FELT AND INSTALL LIGHT-WEIGHT METAL TILE
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OW BUILDER DECLARATION
I kmhy asirm Noi am uempi from the Cain-C :Any law far the
po folkrint mason.(S Uon 7D313,Bosh—and Pmlaaiam CoJc:Any illy mmoaniy
<m which rmlu'v,a pnroit is ttroR Limo.mnp dcmolLsh.m rtPw any mumurt F1 Al F;n
'0, PRIX w its issuance.aim mquirm f appliam for inch pewit in Bk a sltnod autmimt
p < ,I„rkirliaron, 0mtmmwcVovisin,arfConr.:ia ,L La.,(Cbapnr9 Sq.Ft. FloorArea al &5000
FFG (rnomeridnt riN Sande 711110)of Dfwion 3 of tk BudWss and Prafesdom Code)IX 11 i—
Li s,ism h esempi Nemfmm and Ne bash for the alletd msampdon.A"Aol don of
sanon7mlSMwwW� it
rloraPermso a+Itawr�nttoaCon)w�ya 359230u11ei00 uP�cY�'Pe
tl
oro room Nan five huedrtd dollars(SM
1,as awrra of ft Pmputy,or my raaployeu WIN water as drJr mk taopmadmt
ViU do lhe'/ait,aril the aaumartoeminsended IXaf(erd fIXsak(Sa.l(M4,Badiltla
nq1ii :L1n
W Professions Code Mac Cvevcmrs Llxnx Law don WE apply n an Damm of �+l
pmpeny V ba bwda IX Imports dereon,grid whodouvch amt htmselfm Nmutb bas
vivo emfdoyrru prwiori trowh nt is Mioe",•ase rotInkndedmplmind fm tak IL
hoex,r
One:bdkjst boson a pmeoihhalt whhioar/ n ofitnt lion�amr- .
bwTaer wLB e.rt ik aaamn or porins that k wa mi Iwla IX"v4posm rIX pnpam err
aak.L '
❑L as menu of Ne pupvty,am sort M wly coaoamint rich li n x tomuctas to
tuvvum Ne pa}m(Sec 7814.Buainm and Pmf=moa Cade:)The Coaanenra L4
¢nm Law don not apply or an antro of pmpeny abo Wits IX imam, Uaosnn,and.
rho covuuu for such pajeen wiN a aonixi co)Uunacd pratunt in Ne Cmmactnrs
Llum tar.
❑lent eumPt undok .B&PCfIX dds rtason
0. Dal,
WORKERS COMPENSATION DECLARATION
1 hereby alllara urder prWy of pmjmy..f Jr fdloarint
1 have and WU maintain aCo B ofCarimiu io rJf-Insve fIXWOM1e(a Comps
satlan,as pmvihd for by Secdnn 3M()Ed ik labor Code-fIX Ne Indormaem of Ne
wast for rhkh Ihh prmlt is lnucd.
he o ad r U maintain Wurlies Cmnp®adon lasurmcs.as nn mid by Saurian .
780 d as,Mbar Coda,fm le pdormarmc of the ash for w I,bb ihh pemh in;haudi.
My Winters Compemadm Tom•"^,Trim N Policy r ombcr art: .
ardmrt St�F-4-C!- PmkT Na:/7F7/To—o(.
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Ibis scelvv Wod not on e Pknd U Ne pcmu Is fm.bmdted dodam(1100)
orless)
1,illy Thu N Nc puformarrc of ik cork rIX rhim tris pmmh h IaQd 1 shall am
Lara
prmiaIn mI roao^c+masnbttomc mbjnlm Nc Wartrn'CmpnotLiaa
Apra of CaGlUamia.Due
Apr,A
NOT
ICni
NOTICE TO APPLICANT:EbOWoIL afmrnutlntthisnPr GrodnS of Lam C you,hood
buome s"mP m the worker,Campor Bron po vimu M Ne labor soh,you mm
�O fmNwiN rnmply vIN such Provisions or Nis fermis shall k dumd rewkcd.
zN CONSMUCr10N LENDING AGENCY
[-n.-. I hcrtby LMma Nu Ncrt is a mwmaLns Iadiot spray fIX the pvfarr^. _of
:X> Ik work for which dila pants h luucE(Scc-3097.Civ.C.)
LA F) lsndcri Name
7 z toilers Adres
U O 1 certify dui 1 ha,m read Nice appllotkn rd sum Nu Nc abort iNarvudon h
W fes' cart(..I an so n comply aim all dry and ct IXdi of and6tym It nt rtladnt ,
U albon-mnoildingeotioncd pm,on art horin auuonfo rtprxnutivca of Nis city is cnkr upon Ue
04 alnvc-(WE) cd por.r forINpccdonpurpov_
(WE) C.to 1.indcmNfy roil bitb hannkv die CITY or Cup(.1s against
� IBbillUn,JWt.u.sous mdealr,i¢a which may bmy ray accrue ataiMiseid City
U Z in cmwgw=of Ne tmntint of this pmmit.
^' AP CANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date /
SO CE REGULATIO '4
�f`o'G Re-roofs
Si ure of Appy JCwvuamar Oak
Il,7 RDouS MA ISCLOSURE Type of Roof
WiU lk appUmiEnt fu.�..bumnt care IXbanAe ha>mdom maavial
u deMd by Nm Cupnina Municipal Code.Cbapw 9.12.and ick Had aid Sofa
Code.Seminn 25532(,)7 All roofs shall be inspected prior to any roofing material being installed.
❑Y.
Will Un applkani (.tart buiwint oavpant.equipment IX dcvimna wbkh If a roof is installed without first obtaining an inspection,I agree to remove
emit h,Erdaus 00,CaOlaridMR1 0 hfiixd by Ne Bay Ata M,Quality Mansterr. all new materials for inspection.
Dui T
❑m
I hart rad Na mucdalaiaphcncmti urnb Cbapu 695 orUc Caifnt- �1-7
da Fkulth&S4my code SCder025505.M533 and 21531.1 uehrnard that f Ne buBtWit `U
Jon rot curtmly hart a v"•"t Nu It b apmO1,01, n oaupmi a(Ik
mgri whkh k tpimla ora araoaPmygigna(ure of AppliclInt Date
mmNarved. nt ink All ro v rings to be Class"B"or better
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CITY OF CUPERTINO
�m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35923021 . 00
DATE ISSUED. . . . . . . : 07/14/2006
RECEIPT # . . . . . . . . . : 35271
REFERENCE ID # . . . : 06070094
SITE ADDRESS . . . . . : 7445 BOLLINGER RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHIH CHE LIN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : MICHAEL LUNNENBORG
CONTRACTOR . . . . . . . : MICHAEL LUNNEBORG LIC # 25896
COMPANY . . . . . . . . . . : MICHAEL LUNNEBORG ROOFING
ADDRESS . . . . . . . . . . : 1328 WHITE OAKS RD
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (831) 278-1837
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- - - - - - -- - - ------ --- - --- -- ------ -- ---- - --- --- --------- -
BPERMFEE VALUATION 15 , 000 . 00 223 . 56 0 . 00 223 . 56 0 . 00
BSEISMICRE VALUATION 15 , 000 . 00 1 . 50 0 . 00 1 . 50 0 . 00
--------- - ------- --- --- ----- -- ------ ----
TOTAL PERMIT 225 . 06 0 . 00 225 . 06 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
---------------- - --- ------ ------ -----
OTHER 225 . 06 MASTERCARD
TOTAL RECEIPT 225 . 06
•
Community Development Department
L 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$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: 64914A.- L "�
Job Site Address: e r—
Roofing Company Name: Xle., ,ii :�g—rlef�^
Applicant's Signature: - Date:
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINOV
' REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# vN��D� Date: - / y z,
d
Building Address:
Owner's Name: Phone#:
Ch;x-C4e 41"v 1/0P zs'7 ss/3
Contractor: License#:
-Ivej4,� Aaor,Nj s sle^j G7s72r
Contact: Cupertino Business License #:
/r/�4e�414nGbar
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
Wood Shakes ❑ Wood Shakes
�j Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify) Mei—t `f�E
Number of existing coverings ❑ Provide I.C.B.O. Report# 1574 z(�
�90 To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description: / L
ti� a"� ua>✓ lro.r� i�r�e// s�e/F As a..te�.� �.'F � ...rel /�s��ue �-fMet/ 7`+/a
Residential/$ Commercial F-1Fire Zone: Yes ❑ No ❑ Confirmed with Planning De t. if
there are any restrictions: LI
Cost of Project: o� Type of Construction: Occupancy group:
, --
/f
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