08060047BUILDING DIVISION PERMIT
BUI 1 O D RESS: rmsmu nU.
H}�]iaSo3 CHERYL DR CASTILLO'S ROOFING 08060047
OWNER'S NAME:PERMIT "'u". DATE
AhDAVEY HOMER C AND LONA M TRUST 17.03 CATHAY DR 06/06/2008
ARCHITECDENGINEER:-
1 hereby slimes Nat I am licensed under pmnsions of Cla p er 9 (commencing
with Section ]pMl) of Division 7 of Ue cosiness and Profession Code. and my license is
in fun coma and elft)%. 3 �
t:tcenso Cc. w S;L Lk.
I undersand my plans.hall W used
OWNER -BUILDER DECLARATION
I hereby urims that 1 am exempt from the CommcmYs license Law for the
following mason. (Section 7031.5, Business ns and ProftmioCode: Any city Or county
which requires a permit m crossmcL alcor, improve, dcmolLaM1, re reins, any ,vudurt
Print
m its issuance. ales requires the applicant for such permit to file a signed statement
Ono W is licensed pursuant m the provisions of the Comment's Iacene law (Chapter 9
(commencing with Section 700() of Division 3 of the Business and Profession Cade) or
that he is eaunpt tiandro , and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty, of
nor mom Nan Eve hundred dollars ($50(3).
❑ 1, u mvnv of tfr papery, a my moployem with mgea u the'vsok emmpensaton,
will do the work and the snmum is not intended of offered for she (Sec. TOsa, Business
and Profession Code: The Communes License Law don an, apply m an awrer of
propenywho Wildsorimprom Numn,and whodaessuch work himselforthough his
own employes, provided Nat such improvements art not intended aroffemd forsale. if,
however, the Waking or impant h sold with. ore year of compkuon, the owner.
builder will have the burden of proving dont he did not Wild or improve for purpose of
] 1, as owner of the property, am eaclimind, contracting with licensed romranors to
consmmt the project (Sec. 70". Business and Professions Code:) The Contractre's U.
cense taw Emco not appy n an owner of property who builds or improves demon. and
who contracts for such projects with aconametor(s) licensed pursuant to the Con oactofs
License Law.
❑ lamexempunderSic ,B&PCf.ffii. n
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 Iemby affirm under penalty, of perjury one of the following declarations:
1 have ark will maintain a CertiOcem of Convent in self insure for Warkafs Compen-
sation. as provided for by Section 3700 of the later Code, for the performance of the
1 ban and will maintain WorlreYs Compensation Insurance, as required by Section
0 of the labor Code, for the performance of the work for which this permit is Issued.
Warke(s Compensation lmm. earlier and Policy number am: OD 99
<%l�y L,,1",1 ,_,:_. _.2a,Y oar 9
COMPENSATION INSURANCE
mthecmnplehed if thc permit is free= hundred dollars (SIM)
I tinily that in the performance of the work fm which this permit is issued. I Ou11 not
employ any Person in any manner so as to become subject in the Workers Compensation
Law, of California. Dam
Applicant
NOTICE TO APPLICANT: If. after making this Certificate of Exemption, you should
become subject in the WOrkeri Compensation previsions of the Labor Coda, you in=
.,. ,7.' forthwith comply wit such Provisions or this permit than W deemed revoked.
z CONSTRUCTION LENDING AGENCY
[-+ (hereby aft that Nem is a consuectkn lending agency for theperformance of
fli the work fur which this pemhit is issued (Sec. 3097, Civ, C.)
QLcndch Namc
a.Unders Address
fJ Q I certify that 1 have and thio application and all that the above infarmadet is
!' comseL l agree m comply with all city and county ordinances and sum laws mlaung n
.0 SV^ Wilding construction, and hereby audurire reprtaentatisv of this city to enter upon the
above-mentimmd property for infection purpoes.
E�„ W (We) agree to save, indemnify and keep harmless th City of Cupertino against
rn
liabilities Judgments. costs and expemas which may in any way accrue against said City
(„) Z in consequence of to granting of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
S RCE U TIONS.
HAZARDOUS MATERIALS DISCLOSURE
Will theapplicant or future Wilding oceuP.L atom rehandle harallon material
as deflned by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
Cote, Section 25532(.)? /
❑ Yea Bft
Will the applicant or future Wilding occmPant use equipment or devices which
Lmit hanNnus air contaminants as &I'mand by the Bay Arca Ail Quality Management
Davie'? /
❑Yrsu
I have read the hnatdws mzeriahmqui..m, under Chapkrd.95 of the Califar-
hisHcalth&Safely Code. Seetiorts 25505.25533 arW25574. 1 understand thmifthe Wilding
dura not currently have a WWL Nat it is my rmponihility in notify the occupant of the
rtyuirtmcnts soh' h muss W met prior m issuanu of a Cutifin¢yf Occupancy.
REMOVE EXISTING WOOD SHAKES,
Job.Description
Sq.
Required Inspections
Issued by:
Re -roofs
Type of Roof
Date
e`
t-UNIKULNU.
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signature of Applicant Date
All roof coverings to be Class '%¢" or better
2 ITEMS OF 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35915038.00
DATE ISSUED.......: 06/06/2008
RECEIPT 4.........: BS000005023
REFERENCE ID # ...: 08060047
SITE ADDRESS .....: 20653 CHERYL DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: SylviaM
COPY # : 1
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
274.10
---------------
274.10
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
0
REFERENCE NUMBER
--------------------
15129
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
OWNER ..............
DAVEY HOMER C AND LONA M TRUST
ADDRESS ..........:
20653 CHERYL DR
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014-2909
RECEIVED FROM ....:
CASTILLOS ROOFING
CONTRACTOR .......:
JOSE CASTILLO LIC # 25850
COMPANY ..........:
CASTILLO'S ROOFING
ADDRESS ..........:
1703 CATHAY DR
CITY/STATE/ZIP ...:
SAN JOSE, CA 95122
TELEPHONE ........:
(408)251-3565
•
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT. PD -TO -DT THIS REC
NEW BAL
1BSEISMICR
VALUATION 10,500.00
-------------------- ----------
1.10 0.00 1.10
----------
0.00
1REROOFRES
SQ FEET 21.00
273.00 0.00 273.00
0.00
TOTAL PERMIT
---------- ---------- ---------- ----------
274.10 0.00 274.10
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
274.10
---------------
274.10
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
0
REFERENCE NUMBER
--------------------
15129
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
-� CITY OF CUPERTINO
F REROOF
•CUPEkTINO PERMIT APPLICATION
APN #
sq 1 -- 03 L,
0
Date:
to -,6
Building Address: CX)�3
Cher
l/
Owner's Name:
Phone #:
Lone bave
Contractor:
Phone #: a5 -� SzoS
�R�T'11.1(95
NbrWq
Fax#:
Cupertino Business License #:
Contractor License #:
L4 75 b 0 S`O
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑Built -Up roof
❑zAsphalt Shingles
'Cr Asphalt Shingles
o/6dood Shakes
❑ Wood Shakes
❑ Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Number of existing coverings
❑ Provide I.C.B.O. Report #
❑ To be Removed
❑ Provide Mfgr. Installation Specs.
Job Description: �4e010Ve, 2yu`s��»`� 1r�6e) Sllak 2S l Irl g+,O, ItUse
u oia aI S
Residential
Commercial
Green Building: Please complete
relevant portion of the Confirmed with Planning Dept. if
Green Building
Checklist & attach it to the there are any restrictions: ❑
application or if applicable, include in plan
set & the sheet index.
Valuation:
io 6o
• I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
cin of
1 SnIx
�CUPERTINO
CITY OF CUPERTINO
REROOF
FEESCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFC0M
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
i
1RER00FRES
Re -roof Residential
B
1SFDWLROOF
'
1BSEISMICRE
Seismic Residential
B
1RER00FMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
0
Community Development Department
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.
l
Homeowner's Name: W no b
Job Site Address:
Roofing Company Name:
Applicant'
• Greg Casteel
Building Official
Revised 11/2/04
Bale.- & - 5 ' U If
,a
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
0?0(053 DPL
PERMIT #
OWNER'S NAME: Lpnp —V-) hjaL4
PHONE # a5 _ C[t(-j�
GENERAL CONTRACTOR:
FAX #
u /
I am not using any sut E v CrJ S— C�
Signature Date
Please check applicable subcontractors ancomDlete the following information -
Owner/ Contractor Signature
Date
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