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08040013 CITY OF CUPERTINO •sn r '':'vf"' ''-" ""^�l> �'�' - BUILDINoolvlslorv'' PERMIT h,C`ONT"O'T',in �Ux rA`rIor . BGILQIHYDDRFENTW00D AVE LINDY ROOFING CO INC '08040013 OWNEWSS NNA.7ME:K PERMIT MSUE DATE BILL BRUCE 5554 HARVARD DR 04/03/2008 PHONE: SANITARY NO. CONTROL NO. (408) 286-9990 CHITEC(ENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH 0 0 0 0 Sop LICENSED CONTRACTOR'S DECLARATION lob Descrl ti 1 hereby affirm that I em licensed under provisions of Chapter 9(rommcncing uF P u� wlNSecJon'/QM1)of Divielonlof the Business aM�yPrafeviuv Cade.ene my license in RE-ROOF,RMV E%9TNG CMP RFr 289Q CLS A 30YR CMP a LIfull tomo roti cmtg Lt. I `t Licenw CI ll•,''�� O er Dam Con nctorDECLARATION� ARCHf1EC1'S ARATION O 1 undrnunJ my plana shall be uetl u public rtcorJs t. Licensed Professional `y5 OWNER-BUILDER DECLARATION I herthy air,.that I am exempt from Ne Contractor's License law for the 20 fallowing mown.(Smile"70015,Business and Prefessio.Cade:My city or..aty I_F which requires•permit in o.4 alms,impmw,doom W,Or repair any structure poor to its issuance.also nNuira the applicant for such permit to file a sinned stateroom p€< not,he it 0cemed pursuant m the prvisimu of cite comranne.U..Law(Chapter 9 Sq,Ft. Floor Area $7300 Valuation y (eamerand,with Sedco 7000)of Division 3 of had Ro e Business too Code)or e g 9— that he b exm and therefrom the bull for alleged exemption.Any vialadan of Section 70315 by any applicant for a permit wbjccu the applicant to a civil penalty ofNumber Occupancy Type w,...than IIs hundred dollau(SM 35931005 ❑L o the work. Ne p.pary,or mY employcn wih wags u hetr suds W,Business will Pr lesion and e: he Carmine,tomindr.iffenodLivens Law do farss apply 70art ewtlwf Required Inspections and Profession Code:The Carmine,Liaise Law don not apply lf rt owner of q P ampemywhobisIlia i Mprowahereon,andwho ansasuchworkh tuffs mhrm{h his awn employees,the p.Wded mil such Improvements see not u ofa oraedred fm asie.if. however,mebue ftheimpswmensbsulciwithinaroyouofmprovefrheowner- saildeswin have Ws burden of proving mat he aitl not huiW or Improve for pumore of tale.). 0 1,as mora of he Property,am exclusively contracting was licensed roa..m comma the project(Sec.7044,Business and Professions Code)The Conmaor'a U. cave Law dons not apply in an owner of property who builds at improves Jwmon,and who contracts for such projects with aconuactor(s)licensed pursuant to Jae Contractor's Litton:Taw. . .. 0 dun exempt uncia See ,B&PCformiamuan Owner Dam WORKERS COMPENSATIONDECI RATION 1 hereby sales under pemiry of perjury am of the following dadamdom: I mve.rui will maintain a Carolinas of Consent to self-Insure far Wortrr's Compen- n,as provided for by Section 31M of six labor Code,for lie performance of hon fork for which this pewit is issued. I have and will maintain Worked.Compensation Instance.as required by Section 3700 of the Labor Coda,for the performance of Use work for which this permit is issued. My Warkcr'a Con In Cartier. hitnm c cr rod Polity num are' lo 111 STA'eE " CERTIFICATE OF EXEMPffON FROM WORKERS' COMPENSATION INSURANCE (This scalar neetl Out be completed lithe permit lsforom hundred dollen($100) or less) I cerol)y mat in de Mr...=or the work far which his permit is lulled,I shall not employ layperson in any mmmrs as as became subject in he Worker'Compc uanon Laws of CAifomu.Data _ Applicant NOTICE TO APPLICANT:If,afar making this Certificate of Exemption.ym should become subject to the Worker's Compensation provisions of me lahm Coal You muse .JO roMwith.amply with such provisions,or his Permit Ault W domed aroused. z y CONSTRUCTION LENDING AGENCY EI hereby afrm W,hart is a caruucdon lending spray for the performance of > he work for which this permit b usued(Sec 3007,Civ.C.) igQ Lender's Name ev Z)Z Lender's Address U 0 1 aNly mat 1 have read this application and sum that the above information is II. contact.I yre.to comply with all city and cowry ordinances and,mm 1..1.1m,to -C) building construction,and hereby authoom repmannmivel of this city to crater upon he W show-mentioned property rot inspection purpmn. (We)agree to sew,indemnify and keep harmless the City of Cupertino against F,y y liabilities,Judgments.casts aW expeun which may in any myattse alsint said City U Z in constmumce of the granting of this permit r.m APPLICANT UNDERSTANDS AND WILL COMPLY WITH AgL N NN- INT Issued by: Date _ '�-_- EOULArIONS. , a- IRe-roofs of AppllaeVCmuscmr I rome HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will tie applicant or future bull 'ng 07pant stwc orhandle haraedous rums iod as dcOned by than Cupertino Munici Co@.CNpm 9.1x and he Health awl Safety Cattle.Section zs332(s)1All roofs shall be inspected prior to any roofing material being installed. o ❑Yn Will the 4pplicant a room building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove mi,hvsNous air conumintou ss do Med by he Bay Area Air Quality Management all new materials for inspection. ' trial �re a ` 3l Ihaw rtWthehu mmdabmWimmemunder ChapW6.95ofthe Califor- fir` ilia Noah&Safety Code,Section x5505,25533 and 75534.1 undecond the If&Wilding �.. Jaen not sum rad,have.unNt,that It'll my rnpmuibility m nodl'y he aaupant nr me _ ts which muse be ma piormissf=Cwfinem of Ocapsry. Slgnat5re0 pplicant Date Owen,Aguth9lbeed ager, DamAll roof coverings to be Class'1W'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35931005 . 00 DATE ISSUED. .. . . . . : 04/03/2008 RECEIPT #. . . . . . . . . : BS000004339 REFERENCE ID # . . . : 08040013 SITE ADDRESS . . . . . : 1115 KENTWOOD AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BILL BRUCE ADDRESS . . . . . . . . . . : 1115 KENTWOOD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5807 RECEIVED FROM . . . . : LINDY ROOFING CO IN 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 - --------- -------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 7, 300. 00 0. 80 0. 00 0.80 0. 00 1REROOFRES SQ FEET 28. 00 364 . 00 0. 00 364 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 364 . 80 0. 00 364 .80 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 364 . 80 #3492 --------------- . . TOTAL RECEIPT 364'. 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35931005. 00 DATE ISSUED. . . . . . . : 04/03/2008 RECEIPT # . . . . . . . . . : BS000004339 REFERENCE ID # . . . : 08040013 SITE ADDRESS . . . . . : 1115 KENTWOOD .AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BILL BRUCE ADDRESS . . . . . . . . . . : 1115 KENTWOOD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5807 RECEIVED FROM . . . . : LINDY ROOFING CO IN CONTRACTOR . . . . . . . : RUMFORD, LINDY LIC # 3921 COMPANY . . . . . . . . . . : LI14DY 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 ---------- ---------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 7, 300. 00 0 .80 0. 00 0 . 80 0. 00 1REROOFRES SQ FEET 28. 00 364 . 00 0 . 00 364 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 364 .80 0 . 00 364 . 80 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- ------------------ - CHECK. 364 . 80 #3492 --------------- TOTAL RECEIPT 364 . 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF, TEAR .OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF , CITY.:OE CUPERTINO " D�v q D� 3 REROOF CUPEk-TiNO PERMIMAPPLICA_TION APN # - -- Date: Building A dress: - � Owner's Name: Phone #: ��l/ C3ruc � y'0 � - 35'0- ��I Contractor. ) Phone #: LID 9 L— I VIG 9;�-Cj Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Root _. ..ST-Built-Up roof." Asphalt Sh nglgs s _ :¢t,'.'-Asphalt Shingles t ❑ Wood Shakes ❑ Wood Shakes C3Wood Shingles " o °Wood Shingles ❑ Other(Specify) ❑ Other(Specify) f Number of existing coverings ❑ Provide I.C.B.O. Report# �(To be Removed ❑ Provide Mfgr. Installation.Specs. of rf a� O nH U aJob Description: (KI -i e )cCs7hvfS 01C fl-¢-w :30 1lr-_ Con-7/0 Residential Commercial Fire Zone: Yes ❑ No [j�-- Confirmed with Planning Dept. if there are an restrictions: LJ Valuation: 4 3 0� I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Si at e CITY OF CUPERTINO REROOF CUPEfZTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Segsmic Commercial B 2� 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Pax: (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. Homeowner's Name: )&I I , /Ar(,f CJ?__ Job Site Address: ' I I S lit'/l-I-W UUcQ Hruv Roofing Company Name: Lt►\,d Roo4ri Ca Applicant's Signa tu .W Date: ( Greg Casteel Building Official 1 11� b' Revised 11/2/04 ,,,,� Community Development 10300 Torre Avenue ;i : I FJ' Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 UPEkTINO Building Department JOB ADDRESS: PERMIT # 6 co ,-t o a r OWNER'S NAME: PHONE # X-P- (p-c!? GENERAL CONTRACT - nnnFAX# LtO 8 c} (o I am not using any subcontractors: _ •1.J X� ��'�_ Ll 7 Z1 Signature Date Please check applicable subcontractors and complete the following information: 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 f Owner/Contractor Signature Date