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08040073 CITY OFC UPERTINO BUILDINDIVISION' PERMIT A+o1l+l �QA� C.}Y,Z. ta.TTf)� " PERMIT NO. BU"'YWRTE'LINDSAY AVE LINDY ROOFING CO INC 08040073 OWNER'S NAME: PERMITffiUEDATE NEWTON DONALD E TRUSTEE 5554 HARVARD DR 04/10/2008 F— (408) 286-9990 SANITARY NO. CONTROL NO. ARC HITECTIENGINEEK: BUILDING PERMIT INFO BLDG EIYCf PLUMB MECH 0 0 0 0 woo LICENSED CONTRACTORS DECLARATION Job Description 1 bunchy arrive that 1 am Ikaned under provisions of Chap cr 9(commencing n willb Secdon7")ofDivision 3 othe Business and Prorcumns Code.and my license is RERF, INSTL 30#FLT 28SQ CLS A ARCH DIM COMP 30YR in full race am e8 jy. Wcenso e W Dam Canuect.r LS ARCHRECI'S DECLARATION e 1 understand my plana shall bo used u N1,11!mord 1y {red Licensed Professional S N OWNER-BUILDER mDECLARATION 0 1 hmu .(Sero than 11. exempt s a the ContractorssCoLivens Law for the ❑9 which mum.(Section 7o L3,Business tad an.demolish.moll Cade:My miry or county -.. 5$ which m-yulms a email re cnmuun,dime.improve, ormiLLor mesh ed nnoutum Z_Y pn.aiucensecc,alsontto to the ovisiapplicant altar ouch crmLicaasLadatatemem that he is licensed pursoam to to provision,allude Connector',Business $7000 Law(Chapter SQ.FI. Floor Area ,7000 Valuation (commencing with Section 7000)mf DiH,ian Sof Ute Busine4 and Pro@uiovu Code)or .. than he is exempt therefrom and Ue basis for the alleged exemption.Any violation of Section 7071.5 by any applicant fora permit subjees the applicant a a civil penalty of - yy7af Number - Occupancy Type hat man than Eva hundred dollars(6300). 3691201,!V CI' ❑1,u owner of to property,or my employees with wages as their solecompewtion, wind.the work,and thesbucture iaa,inended..R.ed forsake sax.7044.Business Required Inspections and Profession,Coda:The Comments License Law d.not apply a an own.of til p property who builds.improves thereon•and who does such work haself or through his own employees,provided that such improvements are notintended ea@rod f.ule.if. bowevea the Wilding or improvement is sold within ane year comnitled.e,thd urnal Wilder will have the Wreen of proHng mat he did ant Wild or improve for purpose of Limy ❑1,as owner of the prepany am emulatively convecting with licensed contractors a c.asinM the project(Sec.7016,Business and Profession,Code:)The Conuaeer's U. «ne law does not apply he an owner of property who Wilds or improves thereon.and, who contracts far such pajecu with a corma ctugs)Keened pursuant in the Canuacmrs Lkene Law. ❑Iamesunplund.sx ,BAPCf.Ihtseasan Owner Data WORKERS COMPENSATION DECLARATION I hereby afore under penalty of perjury aro of Lou rollewing declandons: I lux ve and will noaintsin a CeNftcate,of Contest o.1 Wash.for Worker,Compere satire,as provided for by Section 7700 of the labor Code-fm the pevfarmence of the work for which this permit is issued. ❑I base and will maintain Workers Compensation Insurance,a required by Sudden 3700.1'the labor Cade,rear to pevfemace of the work f.which this permit Is issued. My Workers Compeasadas Imsunalrtie�r sand Policy number CERTIFICATE EKEMPI70N FRo.: RKERS' COMPENSATION INSURANCE ('Nis sectim need not be completed if the permit is for attic hundred dollars(5IM) or Mss.) 1 certify that In Lou performance of the work for which this permit u issued.I shall net ` ..play any person in any msonerem as m become subject a the Workers'CompensWon Law,of Califomis.Data Applicant NOTICE TO APPLICANT.If,after making this Ceniftcau of Exemption,you should become subject to tW Workers Compensation provisions of the Labe CtHe,you most wJ 0 (oMwilh comply with such provision,or this Peed shall be deemed revoked. CONSTRUCTION LENDING AGENCY I,) [—h Iherehy afRve tut Nen is a commuednn lending agency far the performance of CYi> Lou work for which this permit is issued(Sec.3097,Civ.C.) lyl 0 Lender's Name z Lenders Address V 0 I certify that 1 haw read Nis application and sum that the above Information is w f� comom I agree m comply with all city and county ordinances and Ilse laws MINA{t. Wilding construction.and hereby authoned representatives of this city to enter upon the 4i7 above-mendoxd property for Inspection purposes LL (We)agree to taw,indemnify and keep harmless the City of Cupertino against ww cal liabilides,Judgments,casts and expected,which may in any way served against said City t.)Z in consequence of the Boosting of this permit. H APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NN-POINT Issued by: Date SOURCE RE ULATIONS. � iw— 1m Re-roofs �--_. sigleftuattrApplicanvotearractuar JD.tc HAZARDOUS MATERIALS DISCLOSURE Type.of Roof Will the applicant or future building uccupaul.e arhandle in Mous material as de0ncd by the CupevOa Municipa rods.Chapter 9.13,and use Health and Safety Com.Seen,..Zs3334)? All roofs shall be inspected prior to any roofing material being installed. Yu a Will the applirat or forum Wuildiog occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it huNus emsic cmeminan"u fhned by the Bay Ama Air Qualify Management all new materials for inspection. District? ❑Yes u Ihave read the h donsMriatsmquand255undert]ourod d93afthd Wilding ria HealthkSalelyCode,sredms otitis 3A 3and753J4.landentade occupant tofthe does not currenllY Nos a IenanL Nu It u my mryon,ihiliry a notify�¢cupanh of the requirements which must W metpd.rta measurers Certificate of 10 Pan SI of Applicant Date L_ ,�,��•--- 0 All roof coverings to be Class'n"or better honored agent m CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36912011 . 00 DATE ISSUED. . . . . . . : 04/10/2008 RECEIPT # . . . . . . . . . : BS000004436 REFERENCE ID # . . . : 08040073 SITE ADDRESS . . . . . : 10369 LINDSAY AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NEWTON DONALD E TRUSTEE ADDRESS . . . . . . . . . . : 10369 LINDSAY AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4517 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, 000. 00 0.70 0. 00 0 .70 0 . 00 1REROOFRES SQ FEET 28. 00 364 . 00 0. 00 364 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 364 .70 0. 00 364 .70 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- . CHECK 364 .70 #3497 --------------- TOTAL RECEIPT 364 . 70 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF o�u� 003 CITY:OF C,UPERTIN_O. -. REROOF !: CUPERTINO PERMIT APPLICATION APN # � � O � � � � Date: —yam o O Building Address: 10-369 Linclsa fie: Owner's Name: Phone #: T6AG , LID 49- .3h(�?- 6aS8 Contractor: Pho e #: (!�� v6f7✓) Co Fax #: o _ Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ' ❑ Built-Up Roof _ ❑,,.,Built-Up ,roof W Asphalt Sh nglgs "Built Shingles ' ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles - ❑ -Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings�_ ❑ Provide I.C.B.O. Report# rql To be Removed _ ❑ Provide Mfgr. Installation.Specs. 37 -0 / -Job Description: I-eMGZ /_ (nsl4/lrn5 3a �`l (� Ct�d , a8 Syvare� Djc- Gt.e"� Residential Commercial Fire Zone: Yes ❑ No ,� Confirmed with Planning Dept. if there are an restrictions: [5 Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: La Si at e CITY OF CUPERTINO REROOF �UPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B Z� 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B r 1RER00FMRES 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 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 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: Job Site Address: +[03 h Lf Roofing Company Name: L—I n a L1 R p 6 4/l d - Applicant's Signature: Date: Greg Casteel Building Official Revised 11/2/04 x - Community Development k✓ 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 UPERTINO Building Department JOB ADDRESS: / 036' / �� PERMTT0 � k o DO-)-3 OWNER'S NAME: :7-6 /7p L ,0W PHONE # GENERAL CONTRACTOR: L j hO G FAX #V0 O - C� 0 I am not using any subcontractors: .Lo Q C_._ ature 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 J� Owner/Contractor Signature Date