06090235 CITY OF CUPERTINO 4. 16NMa�P:i ..x'nr
BUILDING'DIVISION PERMIT CQT.Rb1C,T0Rj�N�`, ,}„
S rt
BUILDING ADDRESS: Y
a OFING CO INC PERMIT NO.06090235
20625 ALVES DR
OWNER'S NAME: PERMIT ISSUE DATE
TOMOKAZU 5554 HARVARD DR 09Z25/2006
NE: SANITARY NO. CONTROL NO.
(408) 286-9990
ARCHRELT/Ey1GINEER: _ BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0
�op LICENSED CONTRACTORS DECLARATION Job Description
i 1 hereby spinet Nn 1 set licensed under provisions of Chapter 9(commencing P
wiNSuc on7OnU)OfDivdion30fihe B"n.and Pmfmium Co aMmylicenseb
inrallrareeanaer _3 2 to REROOF- REMOVE EXISTING WOOD SHAKE ROOF, INSTAL
iynz Liceclas o Low 1/2" OSB 30# FELT AND NEW LIFETIME COMP. 64
Imei❑%{5 A CHITS RSDECLARATION QIJARES, CLASS A
j S I urldemand my plans shall hu e used public records
i CCCC
u• Licensed Pnefessioml
s0 OWNER-BUILDER DECLARATION
ContrON
1 hereby.(Sort that 1 em exempt from the r Centramors License Law for tie
1
00 fallowing season.(Section 703 cove.Bull•or, and improve.
dcoae Code:My dry of county
139 wM1kA requires•permit m ennsuuet,alter.improv,demMkh."repair any sweturo
-Z s prior or its tensed p also requires Use applicant forsuch permit cto's ice a signed aw(uxmem
E G thmheklkensedpunuanUodoprovismeafNesuchmorcnxlasuamter9 Sq.F FlFloorArea Valuation
3 (commencing with Section?000)ofDivision 3ofthe Business and PrefclsinnsCoca)or $29000
c
that he k except therefrom and the bask fee the alleged exemption.Any vloleda.of
section 7031.5 by any appikom for a permit subjects the appiksot m a civil Penalty of APN Number Occupancy Type
Mt more dIN BK hundred dollars ISSIU).
❑1,as awmr of rile property a mY employm with mgrs u tc'v sok eompewUan, 1263406 1
wilidothework.andmel u .mknotkmndedoraffemd(WWo(SW.10aa,Bumneu Required Inspections
and Professions Code The Cantmcmra Liam Law dines not apply m an owner of 9 P
property who builds or im paws thereon,and who does such work himself or through his
own cenploynes,provided thatsuch improvements ase not intended"offered forssk If.
however.the building or improvement Is sold withk once year a(completion,the owtter-
builder win haw the humero of proving me,he did tet build or Improve for purpose of
sale.).
1,as owner or the property,aro exlusively contracting wire licensed commcton to
construct the project(sec.7044,Bwla ow and Pmfwians Code)The Conmsiors U.
come law does not apply to an owner of property who build,of improv themer.and
who Contracts for such prejero with a mmu iemr(s)Bounce!pursuant in the Connecters
Lice.Law.
O lamexemptundessee .BBPCf"Nktcawn
Owner Data
WORKERS COMPENSATION DECLARATION
I hereby effism under penury of perjury one of the following declaratiae:
I ham and will maintains Certificate of Consent m Self-lam-far Warkef,Compen-
sm.,as provided fee by Soction 3700 of the Labor Cade.for me performance of the
wart for which this permit is issued.
0 1 haw and will maintain Worker's Compensation leumnm,as required by Senators
3700 of the Labor Code.for the performance oft"wart for which this permit is issued.
My Workefq):oLnpen9a�esu carti and Polley nu� ar�...�.y w
�v?? lL C,. A 4 O Y
Cartier: liN FROM
CER7Ifl CO PE EXEMPTION PROM WORKERS
COMPENSATION INSURANCE �
Crus section need not Ise completed lime permit Is faraoe hundred dollars(SIM)
or leu.)
I certify the,in the performance of the work for which this perms,is issued.I shall nut
employ any person In any meaner an as m become wbject in the Worker'Compensation
Lasa of California.Date
Applinm
NOTICE TO APPLICANT:If,after making this CeniOute of Exemption.you Mould
become subject to due Woes Compensation provisions of the labor Code.you most
7�O foMwith comply with such provisions or this permit shall be deemed rooked.
CONSTRUCTION LENDING AGENCY
[•w 4 (homily M.tut mem u a construction lending agency for tet lcrimerance of
C(. the work for which this permit is issued(Sec.3077.Clv,C.)
W�Q Lenders Name
D z Lender,Address
U 0 1 certify dial I haw read this application aM state that the show information is
V, H connect.1 agora to comply with all city and county ordinances and state laws relating 10
0V building Construction.and hereby euthorim representarivet of Nis city m enter upon the
Ls( above-mentioned property for inspector proposes.
0. (We)agree to sew.indemnify and keep handless the City of Cupenim,al firs,
w-t m liabilities,judgments,comes and experuas which may in any my amhc agalet aid City
V in coesquence of the granting of thisp"mit.
APPLICANT UNDERSTANDS AND WILL COMPLY W AL1 NON-PO�yfr Issued by: Date
SOURCE REGULATIONS.
("a �� e^ �— , 2 t c Re-roofs
SiAppllanuCmumemr Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will dm applica,or for=building acupammore"handle h mmow material
defined by the Cupertino Munici Code.Chapter 9.11.and tet Health and Safety
4as1
k.section 25532()? All roofs shall be inspected prior to any roofing material being installed.
.
❑Yes o
Will the appllc future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hmadnos ale cart F
0aed by the Bay Area Air Quality Menagcormi all new materials for inspection.
DistriaT
❑Yea
I how scat the baroelsrequinuo ntsumler Chepmr 6.95 afthc Glifon
ria Hui"Safety Cad.,S.-d.25505,]5533and2M34.1undca.dthmirU building \�C�l• 1��
docs nm cumently how element,that It k my responslhilhy m noufy do o x pans of dm
mnim u.hiehmWbemelpdarmimuanacaracmtrw o(zce gna
U Siture of Applicant Date
Ouniffror auihori7.cdagent Dam All roof coverings a.0 be Class°Ba or better
CITY OF CUPERTINO
!m 2 of 3 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 32634069 . 00
DATE ISSUED. . . . . . . : 09/25/2006
RECEIPT # . . . . . . . . . : 36196
REFERENCE ID # . . . : 06090235
SITE ADDRESS . . . . . : 20625 ALVES DR
SUBDIVISION . . . . . . :
CITY . . . : . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : TOMOKAZU
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : LINDY ROOFING
CONTRACTOR . . . . . . . : RUMFORD, LINDY LIC # 3921
COMPANY . . . . . . . . . . : LINDY ROOFING CO INC
ADDRESS . . . . . . . . . . : 5554 HARVARD DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95118
TELEPHONE . . . . . . . . : (408) 286-9990
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- --------- - ---------- ---------- ---------- ----------
BPERMFEE VALUATION 19, 000 . 00 266 . 76 0 . 00 266 . 76 0 . 00
BSEISMICOM VALUATION 19, 000 . 00 3 . 99 0 . 00 3 . 99 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 270 . 75 0 . 00 270 . 75 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
----------------------------
305 FRAME 307 INSULATION
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
•
Community Development Department
Building Division
aCI0F
City of Cupertino10300 Torre Avenue
Telephone: (408) 777-3228
��PE�T'�N� Fay: (408) 777-3333
r 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 uistallation.
5. If plywood is installed, a plywood nail uispection is required.
• 6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathbig,
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.
Homeowners Name: _7Z ryl 1D �
job Site Address: e-)0 3•S A'lye5 -t>r .
Roofing Company Name:
v J
ApplicanesSignature
• Greg Casteel
Building Official
Revised 11/2/04
Pdnlod on Recyclod Pgper
Community Development
10300 Torre Avenue
O
J Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
•CUPEkTINO
Building De artment
JOB ADDRESS: 2001;5 Alves lues Z- PES CXQL9MS5
OWNER'S NAME: Q PHONE # –
GENERAL CONTRACTOR: UOQW FAX #
not using any subcontractors: ��" —`-
9 zr �7 '.
( Signature Date
Please check applicable subcontractors and complete 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
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contractor Signature Date
CITY OF CUPERTINO aoMM35
REROOF
'• CUPERTINO PERMIT APPLICATION FORM
APIC# � Dlte: S�
f
Building Address:
c90(06S r9 ltles3 fir.
Owner's Name: Phone#:
T� vKfr.Z(.L
Contractor. , / Phon License #:
I-� 2lS8�(e:7
Cont4pt: Phon Cupertino Business License#:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asph �
alt Shingles - ' Asphalt Shingles
Wood Shakes o Wood Shakes
❑ Wood Shingles . ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
'Number of existing coverings ❑ Provide I.C.B.O.Report#
CK.To be Removed ❑ Provide Mfgr.Installation Specs.
Am k I Have Read Understand and Will Comply With Cu ertino's Tear Off Poli
c
Job Description:I-a wo { i.� eye i s 1,,;� i oaa shG.,-- .oaf-, i ;- 1 2-11056/
GIOW 10
Residential Commercial Rr
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy group:
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