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06020070300 4ZDZ�=Z t- �ii5 wLL� 0 qyN iS`OO � yyZ•� �c3= G CITY OF CUPERTINO INFORMATION,, BUILDING DIVISION PERMITXCONTRACTOR 0 T¢?^i BUILDING ADDRESS: 18960 NEWROM AVE GUTTER WORKS INC PERMIT NO. 06020070 ER'S NAME: PERMITLSUEDATE P" JULIA ABRAMS 22434 THUN 06 P ONE: SANITARY NO, CONTROL NO. (510)887-6964 ARCHITEC (ENGINEER: BUILDING PERMIT INFO ' BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION lob Description 1 hereby affirm Nat 1 am lismnxd under provisions of Chapter 9 (commencing p with Semion 7008 of Division 3 of the Businemand Frofeslons Code, and my license b In fall face Rod off" �9 -REMOVE 1 LAYER OF TAR GRAVEL oaea cl"` Lia l»racurn- INSTALL CLASS A MODIFIED BITUMEN DECLARATION As ps 6.11 bound 1 understand my plans Nall bo used u public mcorN � �� s�.�gr�"�'y$�J MAW) Licensed Pnttessional DECLARATION Ous IWl (gfN'ArFie—""rgyg#/ I em exempt from me Canlnaoo License Law for the 1 hereby .(Sere I am exempt from on t 7031.5. B. ARM, and P e, dem ns Code: Any city or county fallowing moon. Permit pima improve, demolish,oror repair and structure which mqusea • Permit cores Fr'� R116 Tf prior mits issuanCo,rso re requires the applicant forsoch U. stsmmem re the mammencing Revealed U.. U. (Chapter Sq. Ft. Floor Area Valuati$15000 Pursuantin the7OXR Provisions3 the nems T7 (commencing with Smtion7nndth basis 1)3 of thea exemt Professions Code) or tt pp l CP"A �, the alleged Nal he b exempt therefrom and the bob for Ne silegcd exemption. Any violation of Is exempt f: � e, -N {'I 4 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number lam' Y LL, Occ'tipari� ^ not mom man five hundred dollen (5500). 37535013, 0 0 u ^ ❑ I, o owner of the property. or my employees with wages As their sok compensation, Required Inspections will do the wark. and the a rectum b not Intended or offered for ole (See. . But ness and Professions Cadc: The Countesses License Law does net apply m an Owner of pmperty who builds or impmves thereon. and who does such work dentists through his own employees, provided that such Improvements are not Intended ora@red for Axis. If. however. Ne building or improvement is sold within oro year of completion, the owner- bullder. MR have am burden of proving this k did nm build o Improve for purposa of sale.). ❑ 1, as owner of the Property, am =elusively contracting with licensed contractors; 10 construct the project (See. 7044, Business and Professions Code:) The Canumtor's Li. come Law does not pply in an owns of property who Wilda or improves Merton. red, who convects for such projects with a contsacnds) licensed pursuant to the ControxYa License Law. ❑ I am exempt under Sec. . B k P C for this mason er Dam WORKERS COMPENSATION DECLARATION 1 hereby aiRmt under penalty of perjury oro of the following declensions: 1 ham and will maintain a Certificate of Consent to self -insure forWorkch Compcn- ,,Ron. As provided for by Section 3700 of the Labor Code, for the perhmnanCo of the work for which this permit Is issued. ❑ 1 have and will maintain Warkcrs Compensation I... as nMMmd by Section 3700af Ne Labor Code, for We ofarmancs ofdm work for which this permit is blued. My Work�eh C�omMusadon 1psunmce cannot and Policy number art: Carder. Polity I%.5i —,?.V� ,'IJ^rte vh/ No.: CERTIFICATE OF EXEMP ION FROM WORKERS' , COMPENSATION INSURANCE COds Amlion need not W comple ed If the Permit is for onchundend dollen ($101)1 1)r Ina.) 1 century mos In me performance of the work for which oris permit if issued, I shall not employ any person in my manncran As in bommesubjem in the Workers' Compcwdon Laws of California. Dam Appliesm NOTICE TO APPLICANT: If. after making this Cer ificam of Exemption, you should become subject m me Worker's Compensation provisions of the Labor Code, you muss forthwith Comply with such provisions or this Permit hat[ W deemed revalued. CONSTRUCTION LENDING AGENCY I hereby a(nnn that Nem is a construction lending agency for the Perfurmmce of the work for which this pemnil Is issued (Sec. 3197. Civ. C.) Lattices Nene - Lenders Address 1 cerdfy that I haw mW this application and AMC mat the above inlormmlon 13 correct, I agree to comply with all city and Canty ordinances and slate laws ndalml he building construction, and hereby mtharin MPrtaemaiWs of this city I0 corer upon IN, shove -mentioned property for Inspection purposes. (We) agme n lam, indemnify and keep hornless the City of Cupertino again liabilities, judgments, costs and expenses which may In any my accrue against laid City in <onxquenu of the ng of this Permit. APPLICANT U A S ILL COMPLY WITH ALL NON -POINT Issued by: Date 50 U Re -roofs Type of Roof Si Canentree Dam HAZARD S MATERIALS DISCLOSURE Will the applicant or future building occupant Bart or handle hondous material as dented by int Cupertino Municipal Code. Chapter 9.13, and the Health and Safety Section 35533(x)? All roofs shall be inspected to any roofing material being installed. QYti 0 prior If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future Wilding Occupant use equipment or devices which emh hasardma air contaminants As defined by the Bay Ales Air Quality Managemcns all new materials for Inspection. District? ❑Yes u r� Ihow theh.,Sted materials requirements under Chapter G95 of the Glifnr• �—" -1610 41, &Safel mu 15, 35533 and 25534, 1 undersand that if the Wilding tie HcelNkSefetyCade, Scctirz /O dors not cannily ham i mRaltY in nxRIY Re omupant of to w a dowiss ceofaccrenamof a r. oat reo Applicant Dat td All roof coverings to be Class "B" or better owner/r sGuiagent Dam CITY OF �JPERTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: / QC) PERMIT OWNER'S NAME:p S PHONE # — L GENERAL CONTRACTOR: ` FAX # I am not using any subcontracto Stgnature Date Please check applicable subcontractors and complete the followini; information: . ontractor Signature /o ate 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 . ontractor Signature /o ate a 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37535013.00 DATE ISSUED.......: 02/10/2006 RECEIPT #.........: 33182 REFERENCE ID # ...: 06020070 SITE ADDRESS .....: 18960 NEWSOM AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: JULIA ABRAMS ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: suem COPY # : 3 METHOD OF PAYMENT ----------------- OTHER TOTAL RECEIPT : 0 AMOUNT NUMBER ------------ ------------------ 116.06 VISA 116.06 RECEIVED FROM ....: MICHAEL FAZIO CONTRACTOR .......: MICHAEL A FAZIO LIC # 27531 COMPANY ..........: GUTTER WORKS INC ADDRESS ..........: 22434 THUNAERBIRA PL CITY/STATE/ZIP ...: HAYWARD, CA 94545 TELEPHONE ........: (510)887-6964 • FEE ID ---------- UNIT QUANTITY ------------- AMOUNT PD -TO -DT THIS REC NEW BAL BPERMFEE ---------- VALUATION 5,000.00 ---------- ---------- 115.56 0.00 ---------- 115.56 ---------- 0.00 BSEISMICRE VALUATION 5,000.00 0.50 ---------- 0.00 0.50 0.00 TOTAL PERMIT ---------- 116.06 ---------- 0.00 116.06 ---------- 0.00 METHOD OF PAYMENT ----------------- OTHER TOTAL RECEIPT : 0 AMOUNT NUMBER ------------ ------------------ 116.06 VISA 116.06 i.. • CITY OF CUPEkTINO • 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: s fob Site Address: ivt Roofing Company Name: Applicant's Si gre. • Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper w r L CURIJINO CITY OF CUPERTINO REROOFD�aa��1�o PERMIT APPLICATION FORM APN # 2 7 Date: t'ee Cirou BUILDING BUILDING BUILDING BUILDING BUILDING BUILDING Building Address: 60 Alpi,14fChe o c o/ Owner's Name: Phone #: U IG S Contractor: C v o s License #: 651-/ Cl L-, Contact: Vq/�% 5/0 _ D D GG 7 _- Gl l / Cupertino Business License #: X75 3 Type of Roof Covering: Existing' Proposed: '0 Built -Up Roof ❑ Asphalt Shingles -B Built -Up roof ❑ Wood Shakes ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shingles ❑ Other (Specify) ❑ Wood Shingles Number of existing coverings ❑ Other (Specify) ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: Job Description: �eVOOVQ I a\,19_V' C4 'C V- Residential N- Commercial ❑ Fire Zone: Yes ❑ No 3. Confirmed with Planning Dept. if Cost of Project: of Construction: lie there are any restrictions: LJ Occupancy -Type group: n 6f" Re -VOU 3 Qty. if ADnlicable - — BPERMFEE BENERGY BSEISMICRE BSEISMICOM BPLANCHK BUSLIC roc ucscn uon Bld Permit Fees Ener Seismic Fee Res Seismic Commercial Plan Check Fee Business License t'ee Cirou BUILDING BUILDING BUILDING BUILDING BUILDING BUILDING