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08050183 CITY OF CUPERTINO ��a �rt*� .� �a'mi�'an>s��"�t'° `"-''>�' �'•�e � � BUILDING:DfVIStON PERMIT CONTRA.C�T�,�RaI�Q,.,,.ItMATIO.IV�� BNL 1 �RFSS: PERMRNO. ��l�D� BELKNAP CT ALL SEASONS ROOFING 08050183 , W NER'S NAME: PERMI'f ffiUE DATE FROLICH GORDON W AND JANET S 1720 SMITH AVE � OS/23/2008 ONE SANffARY NO. COMROL N0. (408) 971-4455 ANCHIIECf/ENGINEEA: � BUItDING PERMR INFO �BLOG EIFL'I' PLUMB MECH � � 0 0 �Op LICENSEDCONfRACi00.5DECURATION ' � . IOSD05Cp UOII � 1 kmby affirm Uc�1 am li¢nxE mulcr pmvisiona of C�ep¢r Y(commrncina p .�� viiASec�on]OfU)afDivltlon7efNe6ud�xvandPrafeuwmCode,uWmyliccnxu RE-RF RMV2 LYRS EXSTNGSHKE SHNGL INSTL 35SQ CLSA _�,� nfullfarte�nEertct" ;qzuu�a�. �e.. OSB INSTL DAVINCI (SYNT3-IETIC SLATE)RF e�� Dab A CH�IECI'S�ECLARATIO , �S�J\P e$ � � 1 unticnunJ my plw NNI�e u¢J u puElic rtcor�4 Ld �o� LicmueG fiufessiaiul 5 OWNER-BUIIDEROECIARATION .�t� 1 hertlry oR�m Nn 1 am uemp�fmm Nc Convecmfs Licrnu law for Nc p Q followin�mvoa(ScNan 111]I.S.Bueincss�nE Rofcsiniu CoJc:Any ei�y ar coumy �$Yi wM1ic��rqulms a prmiii w co�wc4 al�er.impmve.demall h.nr rtpvr anY�ctuie ' 'Z�, priarbiuiuwncc.ilw�cquimsWc�pplinm(orwchpermitwNeaeii��mcni E o NUAeislicc�ucd(rurnunttoNeporivmuofNeConuacwr'ilJavef�v(Clu�icr9 Sq.F[.FloorArea Valua[ion x�s (rnmmcnrin6���uon7000)o(DivuienJafNeBusiKssvWPrafessiniuCadc)or �Z6��� ��� Nat he�exempt Ncrtlmm�nE Ne Euu fm Ne allegcE eaempuon.Any vialauon o( Sution70JI.3Eya�ryaPV�iuntlar�pnmiimbjecuNcapplinnuoacivilpenel�yaf Number � Occu anc e �amoRm�rKnweReeo��ctsoo7. 36210028 � P Y�'P ❑1.u owxr af IAe pmpmy,a mY�V��Y�`^�'�'+W L�'v mlecampevNm. willdo iAc wa�lt mE We swcwrt u notin¢nEcd maRertd forsdc(See.]ON.Hmi� md Rofrsdam Cadc:The Convaml�Liaive I�w Ercs iw��pply b an owner ol Required Inspections piopeny wM builN oe impeowNercon.�ndwho dwrue�warkhim�el(or Wvu`h hu mvo cmployees•pmviEeG Na�.wch imp�aamrnu m nat imm�drd moRcrtd for.vle,if. � horcw.Ne EuildinC��^V�^K�^�^���IE ciNin orc yw of rompleuan.Ne awixr- EuilEer vi0 M�e Ne WNco of pmHnp Nu he Lid im�bti10 m imp�oro(or puryo,¢of umJ. ❑1.u wner a(iAe propenY.�m uclmivelY conm[tine wiN IittveE ronu¢mn m � comwcl Ne Vmjm(Sec.10a..BUU�av vk PraRsdom Cade:)The Cwv�ewf�Li. . [CNC lJa tlOCI oOtlpply b N OYMlOf pl0pfllY w11p b1111E!m implp�C]I�ICROn.LII�. wM con�acLL far such pmjecu wiN arnnuxioKs)liuved purswnt w We Convanof� Lieeve I�w. ❑Iamuemp�unAerSee .B&PCforNuwon rcr Da¢ . WONKER'SCOMPFNSATIONDECI.ARAIiON � . 1 hereby�rm undcr pc�ulty of perjivy ane of Ne follawin`Eecluuiorts: � ❑IhareoiMwillmunuin�Cenifim�eofCoiuemioslf-iiuurtfarWarkef�Compcn- •. ,. ue auon,u pmvidcE fm by Secuon 7'100 0(ihe I�bm Code,fm We peRarmarcs of Nc wak(or M�ieb Ni�permi�u isueE. ❑I M�e vM will munuin WorkcYi CampevNon Insurvia,u rtyui'eE by Section S]00 of Ne L�Eor Ce$,for J�c peRo�m�n¢af Ne work for whic�Ni�peemit ii IaueA. ' . My WorkeY�Compnuauon I yveuia a 'cr mE Poliey number ve: � Gmer. PoliryNo.:�o4� "O� CER77FlCA7EOFECE� ONFltOMW RKQtS COMPENSATION INSfIMNCE , (ITu xctirn rceE imtEecample¢�if Ne pertni�i�(oranehunEmA EMvs(Siql) ' arleul 1 cutih W�in Ne perfwmuKe of tM wah for wpic�Nis pamii u issueE.I slWl no� employanYV��ninenYmenKrmubbccomcwbla��^�H'orlxnCompenuYon � l�we af Califamia.Da¢ Applianl NOIICE TO APPIlCAM:If,�Ocr m�kin{Nu Cenifinm o(ExempGan,yvu shaultl � become�uEjm m Ne WohcYe CompcwGan pmvifioiu of Ne IaCw CoOe,you muu .J O faMwiN cOmply wiN Mh pmvitiortt ot Nu pevnil N�11 Ee AcmcO mrokcQ ,.'�.i y CONSfRUR10NLENDINGAGENCY [-+� IlembY+R���rtu�cowrvcuonknEin{a�cnryfarNeperfurmvuxaf W� Ne roh fm r�ie�Ni�pe'mit u issueE(Sa.1041.Civ.C.) . � Q lsndch Nune . ] Z u�a�r,naam.. [J Q 1 anify 0u 1�rvs rtW We�ppliation and fu¢Na�iAc eEow inlomnuun u ' �y� co�rtct I�6�b comply wiih YI cliy�nd countY oNinencr>>n0 N�e laat rtlmin{b � .Q Wi1Eio�mmuuc�an.anEhe¢bymNorirzrtp2xn�G�.sofNucitywamrupnnNe F a �lore-mcnuoME pmpcnYlar impectim purymei (IVcJ a6�lo vre.indcmnify and 4ecp humless Ne Ci�Y af Cupc�tino�6diut �.,�y Iiabiliuo,Judgmcnp.coNendexpaue�whic�marinanY�+'ey¢nue�gvm�uiACi�y („)z in ce�uryucMc af iAe jrmun`of Nu permi6 y /��� ^� APPLICANT UNDERSTA S AND WILL COMPLY WIiH ALL NON-POINT Issued b : Date .�.— -� ' SOUR R TIO �}J� s��u Ra',��u���a, I�p,�� Re-roofs �,,:.'_" HAZARDOUS MRFRIAIS DISCLOSURE Type af Raof' . � WIIINeapPlinnimlu�u�ebWlEin�em�pan�sto�eorlunEle��udausmaieriJ . . , . u Cc11neA AY�Cupeniw Munici0�1 Code.map�cr 9.13.uitl Ne HnIN vb Safc�r � «m.s��aa�xss3zc,�+ � All roofs shall be inspected prior to any roofing ma[erial being ins[alled. ❑Yu u If a roof is installed wi[hou[firs[obtaining an inspection,I a ree to remove Will Ne�pplicant or(uiu�e Wi1Ein�oceupant ux Wuipmem ar Jevia�Mieh � emii 1uru�ous�ir cwumimnu u JefiuM 4y Ne Bay Arta Air Qudl�y Mwpcmcm all new ma[erials for inspection. o�w;m ❑Ya �Nu I hm'cv�ihe hv�NNaus muerial�rtqu'vemcnu uMcrChap¢r695 olNe Califor- . nuHalNh S�fuyCaM,Savras 25505.2SA1 wl ZSSX.1 wNemvW ilu�i(Ne Wildine dma rot eween�y haw�¢vnl Nu i�u my mpo�uipiliiy w mufY��upani ef Ne � 1 cnuwhichm xm«�o,w�v�,�,«ar.c�rK,�oraNP,�. , SignamreofApplicant Da[e anefonuNomrA��rni ,�� Ali rooFcoverings to be Class'%g."or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: pdtg COPY # : 1 Sec : Twp: Rng: Sub: Blk: Lot: . � APN . . . . . . . . : 36210028 . 00 DATE ISSUED. . . . . . . : OS/23/2008 RECEIPT # . . . . . . . . . : BS000004886 REFERENCE ID # . . . : 08050183 SITE ADDRESS . . . . . : 1202 BELKNAP CT SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO � IMPACT AREA . . . . . . . � � OWNER . . . . . . . . . . . . : FROLICH GORDON W AND JANET S ADDRESS . . . . . . . . . . : 1202 BELKNAP CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4904 � RECEIVED FROM . . . . : ALL SEASONS ROOFING � CONTRACTOR . . . . . . . : GORSHTEIN, VLADISLAV LIC # 21035 COMPANY . . . . . . . . . . : ALL SEASONS ROOFING SERVICES ADDRESS . . . . . . . . . . : 1720 SMITH AVE CITY/STATE/ZIP . . : SAN JOSE, CA 95112 � • TELEPHONE . . . . . . . . : (408) 971-4455 FEE ID UNIT � QUANTITY AMOUN`i' PD-TO-DT THIS REC NEW BAL —- ------------ --------- ---------- ---------- ---------- --------- 1BSEISMICR VALUATION 26, 000 . 00 2 . 60 0 . 00 2 . 60 0 . 00 1REROOFRES SQ FEET 35 . 00 455 . 00 0 . 00 455 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 457 . 60 0 . 00 457 . 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ---------------- --------------- ----------------- CHECK 457 . 60 #23885 TOTAL RECEIPT : 457 . 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- ------------------------- ------- ------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • � " � ` CITY OF CUPERTINO ��b� � I � 3 ' � ���' REROOF •CUPEf�TINO PERMIT APPLICATION APN # � I ,� I �� ��. D � Dat� a� lo Building Address: q50\y �2-02- (�e���n�.P c-� . C�(��.c--ti�o,C�., Owner's Name: Phone #: �p�C�O� F�c���G/\ �,�-�OTS� �-��j -�j�--�S� Contractor: Phone #: �\\ �rnsol�S �-�C3�C:r� Se.���C.e_S l�-+r��s) �i'1� -��s`s- Fax #: �lo� �13�- �-1���1 Cupertino Business License #: ��� �� Contractor License #: � ��� � Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles � Wood Shakes ❑ Wood Shakes �'Wood Shingles ❑ Wood Shingles ❑ Other (Specify) � Other (Specify) �j��k�c�C, S�c,,�, Number of exisring coverings _� ❑ Provide I.C.B.O. Report# � To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: �Lc.w�o.�e. � �o.y�,r5 ex�`�:.� S�•a.k e �SV��+�\e. i i�s�-o•�� 351� OS('� 3���ns �o.�� 35121 OaJ�.�C;, (Sy�n�ne.{�c.S1a.'�e.� r�c� Ctcs1 /� Residential Commercial ❑ Fire Zone: Ye� N� Confirmed with Planning,.�ept: if there are an resri-ictionsU Valuation: � a�`p� O I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: . ���.e:�— �Lc�.c✓� Signature � Community Development Department • ' Buffding Division City of Cupertino • 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Subjec� Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standazds 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 installaHon. 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 obtairung 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 vaid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of�/a" 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: l'C7C"�O�!\ �m��C � Job Site Address: � o���- ����� ,n -� � )(�p .� '�.� � �1�j\� Roofing Company Name: /-��\ Se(n�J V�S �pt3���nc� ��' �� C S ApplicanYs Signature:���(�-- /Yi�tio Date:��3`��S • Greg Casteel Building Official Revised 11/2/04 ' ��p��7 ,' • Community Development �'(g��4t � � � 10300 Torre Avenue ��i �__ Cupertino CA 95014 �� CITY OF Telephone(408)777-3228 ^^��I�O Fax(408)777-3333 ��� Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The tcvo most common conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: IYs up to us In northern Santa Clara Valley, storm dreins flow directly to local creeks and San Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife � dependent on our waterways, for people living near streams and baylands, and for the . Iocel water supply. Common sources of stormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicies and heavy equipment; • • Construction debris, including dirt, concrete and paint; � • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains ,. The property owner and the contractor share ultimate responsibility for adivities' � � . . occurring at a construction site and will be held responsible for any environmental damage caused by subcontrectors or employees. • For more information on construction-related stormwater requirements, see the' Stormwater Quality Regulations section of the City of Cupertino web site at: htto://www.cuoertino ora/city government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residentiai daytime noise levels from complaint site - 60 dBA • Nonresidential daytime noise levels from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at htt�://www amleaal com/cupertino ca/ • Greg Casteel Building Official .,,, � Community Developmen[ " 10300 Torre Avenue ��*;�y,:"1 CupertinoCA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �UPEt�TINO Buildin De artment JOB ADDRESS: PERMIT # ��-��-- �e-\1�Y�C.Q�J�C O �D S�( �3 OWNER'S NAME: ` PHONE # ��o$ �1 — c{� GENERAL CONTRACTOR: \\ Y�S FAX # � o � � --� /1 Sc�c-��ce S �+ I am not using any subcontractors�Y�,��j�y Q e4� -�1 a"'��a � Signature Date Please check a licable subconiractors and com lete the followin information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Elecirical Fxcavation Fencing Flooring: Carpeting aLinoleum/ Wood Glass / Glazuig Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing SepticTank Sheet Metal Sheet Rock A Tile �� � Q� � ���o� Owner/Contractor Signature Date