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08020094 CITY OF CUPERTINO ^^ e�t '�' i- '0r' *`• � - BUILDING DIVISION PERMIT CONTfiRA.CCOR, URNN'� MA'L'"ION, t.MI � PERMIT NO. aDll.pjricl�pDaLILY CT TBD — TO BE DETERMINED 08020094 ONEO NbA.SME. PERMIT ISSUE DATE 0 QUIN H M AND MACALLISTER 02/14/2008 PHONE? T SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 3000 LICENSED CONTRACTOR'S DECLARATION IObDISCrI Description Use 1 hmcby affirm Nat 1 am licensed under provisions of Chapter 9(commeram, p Zwith Section 7")of Division]ofmcBusiness and Professions Code.and mylicensou T/O RMNDR ON HSE NII' UNDR NEW CONST,NEW ^< "ho" n full forte and effr} .s� �s �� z LkenmClua Lk.x�kC�IR� PLYWD&ASPHLT REPLC REDACT BARRIER, 1 30 B FLT,CLS Dau 2 1 ` CSDECr DECLARATION CAI7TPl ar ARCHITECTS DE CLAM TION A, 28SQ.DMK CONST PD FOR BUS LIC 2/14/8 I understand my Pk^s NJI he used u public ecnNs .. sQ Licensed Pm(ettional OWNER-BUILDER DECLARATION ZOO I h....(Sect that 1 1m aempt from Ne l a d..C s License Law for the ZOO o following meson.(Smites 7m L;Business and Ra.de oli Calc:Any tiny m mu ce 3 which equlms issuance,permit re en.wc.tltec improve,de ermit t ar epsig any amencru prior W its ensed Pehu requires ao Applicant m far such Corrosion" cls a signed ataumem 51 (commecngwitpScsines( 0)9Divismofthe ortheBusiness ruWrinkcvclaw(CMpur9 Sq.Ft.Floor Area Valuation s that he(commencing with Semfon 7(W)MDiviis n 3for the al eged eumpt and Proon.Any Code)of $4100 — Nn he u attempt a^—rrom and theor teak for a alleged m Beano to Any l porosity of Section than Iby aro'applicants ran pemait subjects Ne eppikanrta a civil penslty of Number Occupancy Type rot mare than Tiw haled dollars(5500). 35903012:V U' ❑I.as mmer of this property,or my employees with wages a Neo role mmpencaaon, will do the wank,and me strumae is not intended or offered for gale(Sec.70W,Business and Profane.Code:The Commuter's Lic o e Law does ant apply W an aww of Required Inspections property who buildsarimprnvo Neuron,and who doessuch warkhimmlf mmrough his own employees,provided that such improvements art not Intended mo@rad for oak.If. however,Ne Wilding or Improvement is sold within one year of mmpkaon.the owes- builder will have that Maden of proving that he did not Mid or Improw for puryom of ale.). ❑1.as owner of the property,am exclusively contracting with licensed mnaamon W mncuum Ne pojea(Sec.7w.Business and inefusons Cade:)Tie commerce,U- awas law dens sot apply in an owner of property who Wilds m Improw Neuron.and. who mn.cts for uch projects MN a mnuecmrt0 licensed pursant in me Conuamass License Law. 0 Ismuemptumbr See ,BAPCferNis. ner Dau WORKER'S COMPENSATION DECLARATION ' 1 hereby affirm under Moody of Perjury mu of the following decimations: haveand will msinuin aCeNOate ofCmftm ro self-mmm for Wmkeh Cooper. Ion,as p wined for by Section 7700 of the Icor Code,for W perlonesom of ars work for which this permit is issued. I1 haw and will muntain Workcls Compenutian Income.,u acquired OY Senior for the labor Code.(a me performance of the wile for which Nu pered"is ssaud. ' My Worker's Compensation Insurance carries ad Policy number ars: t Cartier. k!1 LI policy Ne,v72 ac�� k7 CER CATE�OF UEMPTON FROM WORKERS' COMPENSATION INSURANCE (Thu semlan need not he completed if the permit Is for me hundred dollars IS IM) or leu.) 1 certify met in the performance of Ne wart for which this gmnh is Issued,l shall not employ any person in my mannerso as W become subject in the Workers'Compensation Laws of Califami.Data Applicant NOTICE TO APPLCANT:If.after making this Certificate of Exemption,you should become Subject W the Worker's Compensation provisions of the Latter Cotte you mute .J O forthwith comply wit such Provulons a Nis permit shall he cleared evoked. ,zr a"" CONSTRUCTION LENDING AGENCY [ti��. Ihereby alfrm ave Nem Iso contained.lending agency for Ne forformuue of (Yi > Ne work for which this pemait Is issued(Sm.7097.Civ.C.) ' LLender's Name , z lender's Address C)Q I angry mat I law eW this application atW state mu Ne above Information is it, ^ correct.1 a{ee in comply with all city and county ordinanav and sum Im miming to . rV" Wilding construction,and hereby sumodre representatives or this city to enter upon Ne [il move-mentionid property for inspection purpose. C (We)agree to saw,indemnify and keep harmless ties City of Cup,nice agunst ws to Iubllianc,judgments.eau and expenses which may in any way aamm sgelnst aid City („)7 in con's col the pea .Over this pereelt t� APPLIC UND A SAND WILL COMPLY WITH ALL NO Issued by: Date °L�' ( L-1-6 SOUR R U 0 Lg Z-r YYJ� r Re-roofs Signature orA eu rNCoARDOr Data HAZARDOUS MATERIALS DISCLOSURE Type Of ROOF Ne applicant no Muni Wal Code. uhaptatme m handle huudanc maaety OcOned by Ne Cupertino Municipal Code.Chapter 9.It and rhe Health and Safety do.samionsss7a(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yea 9No Will me applicant or future building mmp Int use equipment or devices which If a roof is installed without first obtaining an inspection,.1 agree to remove emit haxardoust air conuminaets as defined by the Bay Area Air Quality Management all new, 'als fo ' Ores weCtion. Darkly / T haw mad the Nrandomness;underdNe Ctl not m ScWems2550,ZSyl7artaNlunddemtood usuffNe building doameaaine y ve a it u my rncpmradMiitY m roam ale«.pant or Ne requirements hie in piarat ancmaRcateafocamncy. Signature pplicant Date �te Z Owner mauNarisgcm DauAll roof coverings to be Class"B"or better ' ' anCITY OF CUPERTINO REROOF •CUlIkTINO PERMIT APPLICATION APN # Date: ao1a. ()o Building Address: Owner's Name: Phone #: 1,1t& Mks LLLtGirt(Z t54 o _ q t bLl Contractor: Phone lM^ Cr-7- 2t Q__U, Fax #: 7gI 'Z&6,7&9 Cupertino Business License #: Contractor License #: 7(ol (o E� Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles %a Asphalt Shingles w- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide LC.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Orr- J�F,m (,V-0674z ou MlO, C= TgA-7- ZS No m LkluDe2 NG-cJ Conryr�2< �Tlon)., fJ V L.s(wooP a- /asPr+c��i— SHin�6CC-5 Residential Commercial Fire Zone: Yes No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: I Have Re nder nd nd Will Comply with Cupertino's Tear-Off Policy: • Signature CITY OF CUPERTINO Gds REROOF ecu4pTiNO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF IBSEISMICRE Seismic Residential B / IBUSLIC Business License B • 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 Raid before another inspection can be scheduled IMPORTANT: 1. Flat roofs must have a minimum of Y4" 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. kms-�C- Homeowner's Name: t= MAC kkl\ S i E(2_ --/ Job Site Address: i 910 Roofing Company Name: CO4Q S CIZ u C 7 l O N Applicant's Signature: Date: • Greg Casteel Building Official Revised 11/2/04 • CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: g APN . . . . . . . . : 35903012 .00 DATE ISSUED. . . . . . . : 02/14/2008 RECEIPT #. . . . . . . . . : BS000003942 REFERENCE ID # . . . : 08020094 SITE ADDRESS . . . . . : 7863 LILY CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : 0 QUIN H M.AND MACALLISTER ALI ADDRESS . . . . . . . . . . : 7863 LILY CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4212 RECEIVED FROM . . . . : KIRK CONSTRUCTION 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 4, 100. 00 0. 50 0. 00 0. 50 0. 00 1BUSLIC FLAT RATE 1. 00 110. 00 0. 00 110. 00 0. 00 1REROOFRES SQ FEET 28. 00 364 . 00 0. 00 364 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 474 .50 0. 00 474 .50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 474 . 50 #2696 --------------- TOTAL RECEIPT 474 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • Community Development 10300 Torre Avenue {* Cupertino CA 95014 Telephone(408) 777-3228 � CITY OF Fax(408)777-3333 UPEkTINO Building De artment JOB ADDRESS: PERMIT # l L ©CFG200 OWNER'S NAME: (Z L- PHONE # 0 5! 721v 6 `I GENERAL CONTRACTOR. s FAX # I am not using any subcontractors: 2 c •o g Signature Date Please check a licable subcontractors and complete the followinginformation 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 • Ti Z-/Y-m S er/Contractor Signature Date