05040094 CITY OF CUPERTINO
BUILDING DIVISION PERMIT r CONTRAGTOR''INFORMATION ;�
BUILDING ADDRESS: FALCON ROOFING 1ER111NCb5040094
10112 ADELHETD CT
I OWNER'S NAME PERMIT ISSUE DATE
S OHLER PETER C AND LYNNE D 13088 POTTS_ DR _ 04/1812QQ5.
NE' SANITARY NO. CONTROL NO.
(408) 225-1705
ARCHITECDENGINEEK: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
°00 LICENSED CONTRACTOR'S DECLARATION
Inin7 affirmthis1amf ft Ha under itNolInsofCMde. 9(commencing lob Description
�Zw w'ths«bon 7")of Division loftM BUmnea and Profecaiov Code.and my license is
f��' in.full force and / REROOF W WOOD SHAKES
O Ell Z License Class Le,.4
Z F p Dam !.I—/ Conuanor
ARCHGEC'S DECLARATION
I tied retand my plans shall he used as public records
OaU
Zwp Licensed Pmfcsonel
5 OWNER-BUILDER DECLARATION
.�<f 1 hereby affirm that I am axcmpt from the Contramots License Law for the
00 following mason.(Second 703 1.5,Business and Pmfmiums Code.Any city or county
y$ which mquims a Permit in construct,altar,improve,dcmuhvh,or repair any structure n n n
F-Za
prior to to issuance,also acquires the applicant for such Permit to 0lea.aigned statement
< thvthcisbcenscJpursunnuo the previsions o f she Contractor's Limmi,Law(Chapter 9 Sq.Ft. Floor Area Valuation
(commencing an th Section 7")Of Division 3 of the B usmess and Professions Cuddy or
i $ that he.s exempt therefrom and the basis far the alleged exemption.Any violation of
Sidon 7031.5 by any applicant fw a permit subjects the applicant to a civil penalty of 3!DA4W3l(y(j}ry�et0 0 W Occupancy Type
not more it ran hundred dollars(5500).
❑1,as owie,r of she propenY.w mY cmPloym with wages as their sob romp:nsssion,
will do the work,and the swcwm is not amended or affened for sob(Sec.7044,Business
and Profession Code:The Contiactofs License Law does not apply m an owner of Required Inspection
prePeny who builds or improves thereon,and who does such work himselfor through his
own employers,previded thm such improvements tie not intended or offered for sale.IL
however,the building or improvement is said whin one you of completion,the owner-
builder will nave the burden of proving that he ilia not ddid or improve far puryose of
sale.) /OC
❑1,as owner of the Sm.704 ,B exclusively conoactmg wM licensed ronti tot's i- rev
covmin the es a., (Sec.7044,Business and Professions Code)The vet thecmYS Li- .�\
cove Law does not apply e ts owner ofpropeny who licensed rs rmprow thereon.and V _
when.La contracts for such preKCU with a contractor(s)Irecnsed pursuant to the Contnnors
Licence Law.
I am cacmpt under Sea .B k P C for Nis reason
Owner Data
WORKERS COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following decimations:
1 bam and will maintain a Ccnifam of Consent to self-ivum for WotrclsCompen-
saoon,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this p:rmit is issued.
❑1 have and will maintain Worker's Compensation Ivumn¢,u required by Section
37W of the Labor Cade,for the performance of the work for which this permit u Issued.
My Workcls Com Pensadon Iinuanee carrier and Pohry number art�f
Came,. C" s.Tt '(�/,R/A Policy No. //1/O(
CERTIFICATE OF EXEM1TPnON MNOM WORKERS'
COMPENSATION INSURANCE
(Thrs section need not be maipice,d dthe Permit is formal hundred dollas($100)
or less.
1 mmfv that the performance of the work for which this perms o issued.I shall not
employ any person In any manoerset as m become subject to the Workers Compensation
Laws of California.Da°
APPliesa,
NOTICE TO APPLICANT:IL afar making this Cenifica c of Exemption,you should
become subject at the Worker's Compensation previsions of the Labor Code,you must
,Jz forthwith comply with such provisions or this permit shall be decreed revoked
z O CONSTRUCTION LENDING AGENCY
(-. 1 hereby MOO Nat then its construction lending agency tar the Performance of
C the work for which this Permit is alum(Sic.3097,CO,C.)
0.
0 Z Undoes Addw
U O 1 comfy that I have read this application and sbm Nat the above mfmrmmmn is
(y (" cmmct I agree to Comply with all city and county ordinances and sum laws relating to
building conswcuon,and hereby authorae mprcsenaav Of this city to enter upon the
OV
W.mentioned property for ivpauon purposes.
(We)agree m save,indemnify and keep handless the City of Cupemno against
f r4q
liabilities judgments,costs and expenses which may in my way scene,against said City
U z in consmuci cc of the granting of this permit.
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
—G7 FRe-roofs
S umo Apphcan Cmmractor Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant store or handle hvar lmus memnal
as define4 by the Cupertino Municipal Code.Chapter 9.12,and the Health and Saha,
S we.SC 0mn2s53z(a)7 """"""��J��J All roofs shall be inspected prior to any roofing material being installed.
0 Yes %E Nm
Will the applicant or m``wm building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
con hanrduus air contaminants as defined by the Bay Arta Air Quality Management all new materials for inspection.
DwncO /
t]YCs /ALN.
lhavema Lbel 7e, wsm_amiialsmqulm=nuunder Chapwr6,95orthe Caltfw- ,7/
nice Health&entlSafety Code.Sccuov2ut it myamo1255341 wnotify to amum,of ing ���iii-sssA /
Dora not currently have•tananl the,it u my mspmvihility ire notify iM aauP>nt of I
mquiremeou which must Lm met poor w usuan¢yf+�ata of cupaney A QjgY_°6ure of AppTicant ate
'"-E 1 -ref 7 _" /f�'7/ All roof coverings to be Class " 'or better
Owner tar m cmd agent D
Community Development
; 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
OWNER'S NAME: P,e%� 1,VA,,v cn jlev- I PHONE #(1b4fI 2-62
GENERAL CONTRACTOR: �� /r �� /9� j FAX #L✓f/p ZZ7—y6
I am not using any subcontractors:
Signature to
Please check applicable subcontractors and complete the following information:
® SUBCONTRACTOR BUSINESS NAME I BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
( Excavation I I J
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
�I Tile I I I
Owner/Contractor Signature Date
Page 1 of 1
Trankle Family
From: Lynne Ohler[lynne @ohler.com]
Sent: Monday, April 18, 2005 12:56 PM
To: trankles @sbcglobal.net
Subject: Fwd: Roof replacement APR 18 2005 I
Begin forwarded message:
From: "John Buenz" <j.f.buenz @worldnet.att.net>
Date: April 13, 2005 7:24:19 AM PDT
To: "Lynne Ohler" <lynne @ohler.com>
Subject: Re: Roof replacement
Lynn Without having an Architecture chair, I suppose you and I are the
committee. If what you propose for roof replacemenrt is what we have been
doing (and it sounds like what you propose) , then you have my ok for that
work. And thanks for honoring the Hiles and checking. And we will miss you
in the association. JB
----- Original Message -----
From: "Lynne Ohler" <lynne @ohler.com>
To: "John Buenz" <j.f.buenz@worldnet.art.net>
Sent: Tuesday, April 12, 2005 8:42 PM
Subject: Roof replacement
Hi John,
I am trying to get approval for getting our roof replaced with the
same shake with the fireproof treatment. Everything in the roof should
be the same as the rest of the roofs in the neighborhood. We're
planning on selling the house in a few weeks and would like to get it
done quickly.
Thanks!
LYNNE
4/18/2005
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
U P E RT I N® 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'inspec66n`appr6Sal:
= i 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,
I., so a'proper City-inspection can be performed.'i;- -
•
--,,7,: . NOTE:.If you.call fora plywood T-ail'inspection and the job is not ready,
you will be charged a,re-inspection fee of$176.18. The re-inspection fee must
be vaid before another inspection can be scheduled.
IMPORTANT:•-
1. Flat roofs must have.a minimum of.l/a " per foot slope and demonstrate
that there is no ponding.
2. An L(f.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above state`d/policy on re-roofing.
Homeowner's Name: �c/ed' �'Ln� tJ �/! 4--y-
! I.
Job Site Address: /0//V- Ade-t1h eir) ca— T
Roofing Company Name: /C o n J c>{'�G N y
Applicant's Signature: � i A,A 4..5�;WDate:#0
-Greg Casteel _.
Building Official
Revised 11/2/04 '
••�•�� •-. �.') Pnntod on Recycled Paper.
CITY OF CUPERTINO
q c
I ' RER®®F
UR�CUPERTINO PERMIT APPLICATION FORM
APN # .j s--7 01-® O 27 Date:
Building Address:
/o//z- A dc°- e-Jc7/ c������� � r,4
Owner's Name: _ / Phone ff.
/tea A= e% t/.t / ,f/ Of,Ao'u-
Contractor: <-- - Phone#: License#: 7o3Z
Contact: Phone #` Cupertino Business License#:
. f/lil� �^i/�� G��>*-I� �Y�l7zzi=/rod' •
Type of Roof`Covering:
Existing:. Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
1< Wood Shakes -MM Wood Shakes
❑ Wood Shingles - ❑ Wood Shingles
• ❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings 2 S, �� ❑ Provide I.C.B.O.Report# G r s yo 44
e. To be Removed ❑ Provide Mfgr. Installation Specs.
I Have Read, Understand and,Will Comply With Cupertino's Tear Off Policy:
i '
:Job Description::
nr � :.z'iSl: ,t: .�•.� .�t'.TC'a>r ��-1� Y f OdLa. �hA/CP 8?A1d Y1_0,14 i
Residential . • F-1 :=,,.:.:_..
Commercial .
Zone: -'. Yes ❑_._No ❑ -_L Confirmed with Planning Dept. tf
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy group:
/� Sao • Y� Fs rsP ; ,3q_ c
J
Qty. if
Applicable Fee ID Fee Description Fee Group
/ BPERMFEE Bldg Permit Fees BUILDING
' l BENERGY Energy - - BUILDING.
/ BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
� BPLANCHK Plan Check Fee BUILDING
l / BUSLIC Business License BUILDING