The URL can be used to link to this page

080301721 z v BUILDING DIVISION PERNIITCUNGRtIiCTQR,�RMr� µTQz '— BUIL� MTEYiANFORD DR TBD TO BE DETERMINED PERMIT NO. 08030172 , ER'S NAME: PERMIT ISSUE DATE DUMITRU CHOACA 03/28/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITEC UENOINEER: BUILDING PERMIT INFO BLDG PLUMB MECH O O O O LICENSED CONTRACTOR'S DECLARATION JOT) Description hereby affirm Nat 1 am licensed under provisions of Chapter 9 (commencing with Section 70110)efDiv on 3ofiw Businansand Pmfessium Code,aomyliccnseis RE—RF,T/O SHK& REPLC TF]/PLYWD,CLS A, 20.SQ• - in full force a ff I.icenseclass Lica g� - CONTRACTOR CAL PRO ROOFING PD FOR BUS LIC 3/2008 Dam O as r1Comncmr ARCHE('I'S .OECLARA 10 1 understand my plans shall he used as public records Licensed Prefu.m.al OWNER -BUILDER DECLARATION I hereby anion that I am exempt room the Contractors License Law for the following mason. (Section 7071.5, Business and Prefassione Code: Any city or county which mquiren a permit to Construe. almr, improve, demolish, m repair any simulate prior m its issuance, also requites the applicant fwsuch permit to file a signadsummem he of Commuter's U.. Law (Chap er 9 Sq. Ft. Floor ATea Valuation the, he is licensed passe nt the pmvismne the $ 6 0 0 0 (commencing with Sutton 7") of Division 3 or the Business and Profusion, Cade) or that he 4 attempt therefrom and the but$ fw the alleged exemption. Any violation of Number Occupancy Type Section 7031.5 by say applicant far a Permit subjects the applicant to a civil penalty of not mase man five hundred dollars (SSW). 3 2 6 3 0 0 61 ❑ 1, u owner of the propary, or my employees with "go as their sole compcwden, Required Inspections e will do the work, and themiudun Is not intended or offered fonale(Sec. 7014, Business and Prefealans Code: The Canuecures License Law dean am apply m an owner of ,, q P property who build, orimproves there ,and wodwssuehwarkhimselfor duvugh his •- ownemplayua, Provided that such improvements are not intended ore@red fm We. if. .. however. the building orimprowe ent is sold within can year orompletim, the owner - builder will have the When of proving that he did net Wild or improve for purpose of ale.). ❑ 1, as ower of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044. Baines and Professions Code:) The Coruscate. U. cents law dust not apply to an owner of property who Wilda or improves dmseon, and. who contracts for such projects with a comramor(s) licensed pursuant te the Contractors Liana Law. - ❑IamuemptunderSee ,B@PC far this noon ur Data WORKER'S COMPENSATION DECLARATION 1 hereby alRmt under penalty of perjury am of the following decimations: ❑ I ham and M]I mama n a cert riimw or Consent m wlf-alum for Work esCompo"- mttm, a provided far by Section 37W of me lair Codc far the performance of the work for which this Permit is issued. 0 I have and will maintain Worker's Compensation Insurance, a rumored by Section 3700 of the Labor Code, fume peRarmanee of the wort for which this permit is Issued My Workers Ce'wu cadpis lmunm9 Carlo and Polity numherrm: I 0-!�j b Carrier; V�/f 1 P '1 I� AI (] Polity No.: 9_1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th4section wed mthecamplemd ifthe permit 4 forum hundreddallars ($100) or lea) 1 certify dist in the performance of the work for which this permit is issued. I shall not employ any person in any manner an an m become subject to the Workeri Coreper adon Laws of California. Data Applicant NOTICE TO APPLICANT' If, After making this Certificate of Exemption, you should become subject m me Workers Compensation provisions of the labor Cade. yes main ' forthwith comply with such provisions or this permit shall he deemed revoked. CONSTRUCTION LENDING AGENCY I woury ren them 4 a construction lending,Cagency for me perfurmaree of which 30 theLa work for which mist permit 4 issued (Sec. 7097, Civ. C) lenders Leader'sLeader'sAdd Add. 1 certify that I have read this application and ma that the move infmmadun 4 comem 1 agree to comply with all city and county oNinmua and east laws miming m Wilding consauction. and hereby .theria representatives of this city in enter upon the mme-mentiawd property for inspection puryowa 4 (We) agree in ave, indemnify and keep harmless the City of Cupertino against limilides, judgments. cats and expneran which may in any wry accrue against said City in consequence of the grunting of this permit. i APPLICANT UNDERSTANDS AND WILL COMPLY WITHLL NON -POINT Issued by: Date S URCE REGULA 0 S, 3 2Oa8 7.6 Re -roofs Type of Roof Sign urea Appllanm/Corinclar I D ic HAZARDOUS MATERIALS DISCLOSURE Will the applicant or forum Wilding occupm sloue ar handle heallous material defimd by the Cupertino Municipal Code, Chapter 9.13, and the Health and Safety Seeman 2"3x(a)7 yy tg No All roofs shall be inspected prior to any roofing material being installed. ❑Yu If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building accupent use equipment or devices which .mit honudau air cmmninmts as defined by the Bay Area Air Quality Management all new materials for inspection. - Dimict7 [3 Yen ZN. I have mad the husrdens materials requirements under Chapter 6.95 of the Cables. n4 Health@Safety Caw. Saetians35505, 25577 ond25534. 1 understand dwifto Wilding dean not currently have a anent- mat it 4 my responsibility m notify de au,.t of m. m inmentswhichmnstW pdarmi eracenirl' Zag 2�� Signa reofApplicant Dale All roof coverings to be Class ")�" or better Ownfmtharirrdsent Dam • 11 CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32630061.00 DATE ISSUED.......: 03/28/2008 RECEIPT #.........: BS000004298 REFERENCE ID # ...: 08030172 SITE ADDRESS 20846'HANFORD DR SUBDIVISION ....... CITY ......... ... .. CUPERTINO IMPACT AREA ......: METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 260.60 --------------- 260.60 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER --------------------- MC . VOICE ID ' DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN -PROGRESS 605 FINAL REROOF OWNER ............: DUMITRU CHOACA ADDRESS ..........: 20846 HANFORD DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: JAMES,D HERSCHBEK CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ------------- ---------- VALUATION 6,000.00 ---------- ---------- 0.60 0.00 -------------------- 0.60 0.00 1REROOFRES SQ FEET 20.00 260.00 0.00 260.00, 0.00 TOTAL PERMIT ---------- ---------- 260.60 0.00 ---------- ---------- 260.60 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 260.60 --------------- 260.60 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER --------------------- MC . VOICE ID ' DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN -PROGRESS 605 FINAL REROOF •CUP.EWTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION O�o3 of7a APN #(o n O 0 ��pP v Date: 2g 2 0 g Building Addres;�� r, , /� A N D Owner's Name: Phone #: (0L( M i�R U Cko A c0, Contractor: Phone #: o T— q4 o 0 7 C/AI— Pio (Roof ,N Fax #: Cupertino Business License #: Contractor License #: -16 7 8 0 Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles ;K Asphalt Shingles Wood 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: f e S4 k� VV Residential Commercial Fire Zone: YesEl No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: o o v I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature 1 CITY OF CUPERTINO REROOF 1*CUPEr'T1No FEE SCHEDULE F_ L_ Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 6 1RER00FRES Re -roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roofMulti-FamilyB 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 0 • • E 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 $176.18. The re -inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of r/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re -roofing. Homeowner's Name:'v! Job Site Address: �g �V � Roofing Company Name: �p, I— u fJkd Applicant's Signature: Greg Casteel Building Official Revised Revised 11/2/04 [OBJ Date: 2 - 01 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOBADDRESS: -Z0zCf6 PERMIT # 0doz6r-r-7- OWNER'S NAME: y I p PHONE # tjoFC �2 55 GENERAL CONTRACTOR: C Al-fko FAX # I am not using any subcontractors: 3 Z$ Zoo& Signature Dat Please check applicable subcontractors and complete the following information: I � Owner/ 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 I � Owner/ Date