06080199 CITY OF CAJPERTINO $
BUILDING IIIVISION PERMIT CC11�I' ItAC' .R#I t, U.. IA. .'1�f�N',,•.
Bu1LDINC ADDRFss: LINDY ROOFING CO INC PERMITN0.06080199
2098 FAIRWOODS C
OWNER'S NAME: PERMIT ISSUE DATE
5554 HARVARD DR 08/24/2006
NE: V
fpn 1aavtj' SANITARY NO. CONTROL NO.
�Y.1 1 (408) 286-9990
ARCHI'rECLENGINEER: BUILDING PERMIT INFO
0 EO PLUMB 0
loo LICENSED CONTRACTOR'S DECLARATION lob Description
FF I h reby".that l aro lkcnud utak,provluou of Chapw 9(mmmemlag
with Sudan 1")ofDivision 7 ofthe Businev and Profeasiou C .and my lkaox4
oro I.full ram&adall REMOVING EXISTING WOOD SHAKE ROOF & EXISTING FL
`1 am CounselorROOF. INSTALLING 34 SQUARE 1/2" OSB 30# FELT
AR HITECTSDECLARATIO 34 SQUARES OF LIFETIME COMP. 5 SQ 3 PLY. CLASS {1g
i I understand my plans man be used as public words
t6
.tt; Licensed Prorase.nal
,rt3 OWNER-BUILDER DECLARATION
ConTION
1 Wreby.(Stem that 11. tumpt from IW Cosa l Co License law far the
g O (allowing moon. panda i 703Rd Business and ne.duration,uum a,My eiy or roomy _
'$ wbicb its isu a permit re constdoL alter Wprow, ermittri enaig any smmmnt
1Zi dustki demon paces,som to re iheapplid,ofcan,Me suehpctor's nleuL ed w(Chap em Valuation
?SC Nnma ngwitSto Me of DivW. 3thee Buumr and Prol Law(Chap=9 Sq.Ft.Floor Area
3o-$ (butWI.tioatithadon 7000)mandMebasisfrartheegedeuanoJon.MinuCade)of $20000
that io u campy therefrom and em aper for the alleged asemam 10 My l pennon of
Semon 7031.7 five
any applicant fora ), subjects de applkam yo a civil penalty of APN Number Occupancy Type
Ow mom Nan five hundmd dollen(S500k
I,peownv o(tbe popeny,mmy employcv with wageudmuxle campewtion,
will do Mewo&and the smumure 4 fmtimmmGAmaBered formic(S.C.7044.Business � Required Inspections
and proredoe Cade:The Conoseme,License Law does rot apply m an owner of q P
property who Wilds mimgrowa thereon,and who doesamh work himunorthrough his
awnemployms,provided Charmer improvements are not im,lded monced forsale.IL
however.the building or Wprowamet is said within am you of compkuon,the Owner.
builder win have de buNm of proving Nn he did ant Wild or improve fu,purpose of
ask I.
❑1,as Con.of the property,and exclusively conu is ing with licensed mnuaemfa to
Construct the projem(Sec.Tilde,Business and Prorwion$Code:)The Conuacim's U.
,mm Law does nut apply m an own,of property,who Wilds or improves demon,and
who conuacm for such projects with a mmvacter(s)licensed pursuant to de Commuter's
Licence Law.
❑1 sm uempt under see. .B&P C far lhla roam
Mr Data
WORKER'S COMPENSATION DECLARATION
1 hereby anion under penalty of perjury am of the following declarations:
I have and will mumein•CecdBem or Camara in self-loom for WmkcrsCerritos'
sedan,as provided for by section 3700 an the Labor Code,for the Perfam sue of the
work which Nis pcemit Is luted.
haw and will maintain Workaes Compensation Insurance,u required by Section
700 of de labor Code,for me performance of the wah for which this permit 4 issued.
My WaAet 9mpepeadanI mnca or and Policy numbcraJ g m: Y.2gq
Cartier. Paley No.: 'O
CERTIFICATEOFEX PIONFROMWORKERS'
COMPENSATION INSURANCE
(TW;=ran need notbecornpleted If the permit Is forane hundred dollars($100)
or)ess)
1«nary day in de perlofmanm of de work for which this permit is issued.I shall not
crept,my perma in any mum,so as or become subject as de Werken'Comnemsadme
Laws or Caiifomis.Data
Applicant
NOTICE TO APPLICANT:If.afar making d4 Certificate of Escapism You should
become subjat an the wars Compensation provisions of the Loam Cade.you am
vJ fon iwith comply with such provisions or this permit"W dominateewked.
Z_0CONSTRUCTION LENDING AGENCY
EIWebyanion the dart is a mnsuuctim lending agency far f lsrfarmanm of
E
> tW work for which this permit 4 raved(Sm.3097,Or.C.)
4 Q Lendels Name
LeMees Address
7 z
U O 1 coolly that I haw read this applkarm and stem Maine aWw inromarim r
W F canna.l agree to comply with W city and county ordinances AM sum laws totaling to
QU building convection,and hereby authonno rcpresemmiws ofdis city to enter upon do
W maw-memomd property for inspection purposes.
0. (We)agree to pew,indemnify and keep harmless de City of Cupertino against
rFiy liabilities,judgments.cess and expense which may in my way We=agaimt aid City
U 2 in cauegueme of f granting of this Penne.
UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCER ULATIONS.
1'\• 2`� Re-roofs
tg oro Iicasuc Uzue, am 'type of Roof
HAZARDOUS MATERIALS DISCLOSURE
Will de applicant er futmc Wilding Occupant stere or handle hmardau material
u de0md by the Cupertino Muni'pd Code.Chapter 9.13,and the Heald and Safety
Cade.Sudiom 255324)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes No
WIII de applicant r rumen Willing mcupent on equipment car devices which If a roof is installed without first obtaining an inspection,l agree to remove
ami,hnrsNmu air contaminants as alcOmd by to Bay Area Air Quality Management all new materials for inspection.
District?
[D Yes Nu /^�
Ihavc mal the has Car Ticdaistarlithommis
under
Chapter 6.95Of the Caliroo-
eia Health&Safety Code,SeNou25505,25533md25534.1un&c dthatlrthc building
Elms not cartendy haw a tenant,that It is my responsibility te notify doµµµµµpsxupant r the
fCpoixrncnta�wh`hfmust be met prior to issuance ofa nincatc tt�eab C. h Sig atUof Applicant Date
b// Da V All roof coverings to be Class"B"or better
owudarizc0 agent
CITY OF CUPERTINO
sm 2 of 2 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35913106 . 00
DATE ISSUED. . . . . . . : 08/24/2006
RECEIPT # . . . . . . . . . : 35750
REFERENCE ID # . . . : 06080199
SITE ADDRESS . . . . . : 20988 FAIRWOODS CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . :
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4200
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 20, 000 . 00 277 . 56 0 . 00 277 . 56 0 . 00
BSEISMICRE VALUATION 20, 000 . 00 2 . 00 0 . 00 2 . 00 0 . 00
---------- ---------- ---------- ---- - - ----
TOTAL PERMIT 279 . 56 0 . 00 279 . 56 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------- ----- ------------------
CHECK 559 . 12 2185
TOTAL RECEIPT 559 . 12
•
Community Development Deparnnent
Building Division
City of Cupertino
• 10300-Torre Avenue
CITY OF Telephone: (408) 777-3228
Far: (408) 777-3333
CUPEkTINO
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 sheathbng,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection andthe 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 1.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: r!jrn�4rnrn Wim.
job Site Address: a4 F4rit�UJds
Roofing Company Name:
Applicant's Signature:
• Greg Casteel
Building Official
Revised 11/2/04
Prinlod on Recyclod Piper
CITY OF CUPERTINO WOOU(�A
REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN.,# Date:
Building Address: cpo 88 RCLtr=tJxxk1S C_—T.
Owner's Name: Phone#:
$tnJavntr� f,Ju . yU8- 7;L5-815
Contractor: Phone#: License#:
L ,:ctR �o F.� Yop-,q(9-?'qc'0 . 3t i y
Contact: P ne#: Cupertino Business License #:
c;LS(o-g9g0 a 1581
Type of Roof Covering:
Existing: Proposed:
O Built-Up Roof ❑ Built-Up roof
O Asphalt Shingles ..t_ Asphalt Shingles
'Id Wood Shakes ❑ Wood Shakes
O Wood Shingles O Wood Shingles
%�f Other(Specify) /6w btap<- ❑ Other(Specify)
Number of existing coverings O Provide I.C.B.O.Report#
To be Removed ❑ Provide Mfgr. Installation Specs.
. I Have Read, Understand and Will Comply With Cu krlmcls Teaz Off Policy:
Job Description:ran.uu'nS e1-,5,-ht woad
aIC¢ g Lear
3 yo / 1" OS8 u,,r,i;(a, a a,,c 5s urwes 36
Residential Commercial ❑
Fire Zone: Yes ❑ No ® Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy group:
Gtr e-2v r Zc
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISNHCRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING