06050109CITY OF CUPERTINO
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• BUILDING DIVISION PERMITGONTRA.G"(3R
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BUILDING ADDRESS:
FOUR SEASONS ROOFING
PERMFND'O6O5O1O9
23028 CRICKET HILL RD
OWNER'S NAME:
PERMIT ISSUE DATE
DEANZA OAKS HOA
502 HORNING ST
05/12/2006
IV E:
SANFARY NO. CONTROL NO.
(408)278-0330
ARCHI]ECVENGINEER:
BUILDING PERMIT INFO
BLDO ELECT PLUMB MECH
0 0
LICENSED CONTRACTOR'S DECLARATION
lob Description
1 hereby aflbm Nal 1 am licensed under provisions Of Chapter 9 (commencing
p
wits Section 70010 oDivision 3 of rite Business and Protestations CMde.and my license is
in full ferecand ercrna
TEAR OFF SHAKES INSTALL 1/2" CDX AND GAF GRAND
Lion a r D
De¢ �_��,y Contracts,
-gEo
F UOIA SHINGLES 50 YEAR CLASS A
DECLARATION
DEC
i undersranJ my plans Hill be used a public retards
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby a(nrm faro the Contractors Lkrna Law far the
11. exempt
I�®
fallowing an Bedroom Code: Any or county
(Scotian ]1131x, and lundsm.
dresan. mity
which requima permu m cd dere li sig Rnmum
1, alcor, hnprove, demolish. a
L shm,.
issuance. res th e a ed
dual heor its prucoom to the lbeappns,ofant esuchpcnnrmcarm aw(Cha mem
licensedpursuantmtheofDiviomofthe 9
l Y
Q
S9�VIe o
Valuati
eBuacm/siJanmrawIsrode)
(commencing Season7W0)Of exempt Professions Code) of
(cin
u�
basis Br the alleged
Nu he ts exempt therefrom and an bash for an alleged emmpdon. Any violation of
he is exempt
Occupancy 'Type
Season 7031.5 by my applicant fm a permit subjects the applicant to • ebil penalty of
not mare than Ove hundred dollen (SSW).
s
MW
❑ I,uawnv of tse property,ermy wpbyett sults wgnutln'v sole cmnpuwtion.
will do NewaN. and thestrumum B natiam d maRCRA forsele(Sec. 7044 Business
Required Inspections
and ProrWIMN Cock The ConYYmr's Licam : Law doe, Out apply 1e m owner of
-1 p
property who builds or im proves duc con, andwho dos such wmk himself u throaih his
awn employers, provided that such Improvements arc not InnuMd aroBered for mak, If,
however, the building or improvemml Isseld within not Year of ampkdan. Me owner -
builder will have the hurden of proving that he did out dtik u improve for purpose of
❑ 1, a Owner N the property, am exclusively connecting with licensed mntractora m
come tran the project (Sec. 7044. Bmilmss and Prof ew a Cade:) The Conlratmh Li -
came Law doa not apply m an Manu of property who build; Or improv thrown. and.
who contracts for such projects with aanuacmr(i) licensed pursuant m the Contractors
'
L ;Law.
❑ I mn exempt under See . B k P C for Lids mann
Owner Date
W ORKER'S COMPENSATION DECLARATION
I hereby aRi n under peully of perjury oro of M e following declatdonc
I have and will Maintain a cmtificam.f cannot ro self-InsumfuworomesCompen-
sdon, a provided fu by Section 3700 of that lather Cade for W performance of the
work fee which Nis permit Is word.
0 I hm and will maintain Workers CompetuWon laurana, a required by Section
3700.17 the Labe Coda. far the pertmeraa.fthe work for which Nis permit 4 issued
'
My War es CompeaWonWurancecartier and Policy number am:
Cartier �PIky NO.:� z47 u U
csi TWICA P'RON FROM WORKERS'
COMPENSATION INSURANCE
v
(This section road notbecompknd if the permit k ruone hundreddellars (5100)
m las)
I CMU(Y that In the performance of tho work for which Nb permil4 blued I shsil not
employ any person in my mmncrm u m bewm.subject m do Wartui COmpmatirn
Lawn of California. Dam
,
Applicant
NOTICE TO APPLICANT: IL after making this Ce ti0cam of Exemption, you shouts
become subject m the Woreces Compensation provisions of the Labor Cde you marl
comply with such provisions or this permit mall be dared mveked.
CONSTRUCTION LENDING AGENCY
1 hemby LM m that Nem k a coruuuction lending agency for the performance of
the work fur which this permit b issued (Sec. 3097, Civ. C.)
'
Lender's Name
Lende's Address
1 certify Nn i Mw read this aalication and mm Nu the above inf.rmatlun is
I same to comply with all city and county oNinances and mm law; mining m
building convection, and hereby authorize representatives of Nis city 10 enter upon the
mevc-mentioned property for impcedoo puqutes.
(We) agree to ave, indemnify and keep harmless tse City .f Cupertino gaiesl
Iimilides,judgments, casts and expenas which may in my way acme against aid City
in Of the graffling of this iL
APPLICANT UN EYTAkDS ANuence
D WILL COMPLY WITH ALL NON -POINT
Issued by: Date
SOUR ULATI NS.
'5ri 2.-00
�--
Re -roofs
Type of Roof
Slgnu MFAi nVacmr Drs.
OUS MATERIALS DISCLOSURE
Will the appllnnt or future building occupectstore or handle between. mamdah
a claimed by due Cupenino Municipal Code. Chapter 9.12. and the Not ad Safety
Code. Section 255320)
All roofs shall be inspected to any roofing material being installed.
❑Ya Na
prior
If a roof is installed without first obtaining an inspection, I agree to remove
Will the.pputmM or revere building Occupant and Mgo)Pt or devices which
cmlt haruMa air comammnn as defined by the Bay Ams Air Quality Management
all new materials for inspection.
DimiCl7
❑Yes �fa
I have mad the hnadaa materials requirements under Chapter 6.95 orae Califor-
nia Halts A SafetyCode, Section 25705.25533 and 25534, I understood NU Iran building
dRJ Out CWRndy half a Itllml Nn Il' mapane'bility m of, an eSupmt Of an
require= hloIt tnbe Met prior as of nlficamoroccupancy.
6
Signature of Applicant Date
-�.-� /Z'�f0
All roof coverings to be Class "B" or better
Owner or sureorixed ag Dam
CITY OF CUPERTINO
!m 5 of 7 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 34240030.00
DATE ISSUED.......: 05/12/2006
RECEIPT #.........: 34375
REFERENCE ID # ...: 06050109
SITE ADDRESS .....: 23028 CRICKET HILL RD
SUBDIVISION ......:
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: DEANZA OAKS HOA
ADDRESS ..........:
CITY/STATE/ZIP ...:
OPERATOR: amyw
COPY .# : 2
RECEIVED FROM ....: FOUR SEASONS ROOFING
CONTRACTOR .......: DIAZ, ALFRED LIC # 21323
COMPANY ..........: FOUR SEASONS ROOFING
ADDRESS ..........: 502 HORNING ST
CITY/STATE/ZIP ...: SAN JOSE, CA 95112
TELEPHONE ........: (408)278-0330
�EE ID UNIT QUANTITY AMOUNT
-------------------------------------------
BPERMFEE VALUATION 6,000.00 126.36
BSEISMICRE VALUATION 6,000.00 0.60
TOTAL PERMIT : 126.96
•
PD -TO -DT
THIS REC
NEW BAL
----------
0.00
----------
126.36
----------
0.00
0.00
0.60
0.00
----------
0.00
----------
126.96
----------
0.00
aClOF
IOUPERTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
artment
JOB ADDRESS:,, '' 1'` PERMIT #
L
n? � Cr, C,� 4A w C DQ leo 06os'G a
I OWNER'S NAMET�,o 1--.� . HONE #
I GENERAL CONTRACTOR: C S. 2 1 FAX # I
I am not using any subcontrac or- s: C�Ea-O(0
Signature Date
Please check applicable subcontractors omplete the following information:
/Contractor Signature
Iz-() lo,
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
/Contractor Signature
Iz-() lo,
Date
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
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: �� I—�Y1ZCti a1-5 1�1 ,D A
Job Site
Roofing Company Name: l
Applicant's Signature: Date: t— 7'0 L.P
• Greg Casteel
Building Official
Revised 11/2/04
�XC)
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: �� I—�Y1ZCti a1-5 1�1 ,D A
Job Site
Roofing Company Name: l
Applicant's Signature: Date: t— 7'0 L.P
• Greg Casteel
Building Official
Revised 11/2/04
�XC)
0(00501CA
CITY OF CUPERTINO
REROOF
• CUPEKTINO PERMIT APPLICATION FORM
APN #
Date: (�
buildingAddress:I I tJ
Owner's Na�me:
Contractor:dJ/���� �s �� A
2i20,20n% Rc�ofli r
Contaot.r.h a Piedra
40? -a7 a -03-30
-arm v. "uui a uvenng:
Existing:
❑ Built -Up Roof Proposed:
Cl Asphalt Shingles ❑ Built -Up roof
O" Wood Shakes O Asphalt Shingles
O Wood Shingles ❑ Wood Shakes
❑ Other (Specify) tr Wood Shingles
Number of existing coverings ❑ Other (Specify)
❑ Tobe Removed ❑ Provide I.C.B.O. Report H
❑ Provide Mfgr. Installation Specs.
I Have Read, Unde stand and Will Com 1 With Cu ertino's Tear Off Polic
• Job Description: 0 ) tic,as t n
s b CHS z a �L D x and A
r1 �rti..-ted rq Joh'..
h � � _ L
Residenti ❑ Commercial ❑
Fire Zone: Yes ❑ No I
Confirmed with Planning Det. if
Cost of Project:there are any restrictions: Ll
T e of Construction: Occupancy group:
Qty. if
C1