06070031 CITY OF CUPERTINO ' . vaov.
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BUILDING DIVISION PERMIT �.CONTj2A, T HINI?O�RMQTIQN
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I01-DINGADDRESS: BAKER ROOFING PERMITNO06070031
10293 NOEL AV
OWNER'S NAME: PERMITISUEDATE
MATERSE BERNICE 2067 LA CON CT, 07/10/2006
NE: SANITARY NO. CONTROL NO.
(408) 559-5105
ARCHITSCT(ENGINEER: BUILDING PERMIT INFO
'BLDG EIFCT PLUMB MECH
0
100 LICENSED CONTRACTOR'S DECLARATION Ib DOSCrVOA
1 botchy anhm that 1 em licensed under provisions of Chapter 9(commencing IODescription
wide Section 70M)of Division 3o(Ibo Businow W ProfessionsCode,and my Ikenm u
+� in fullforeeandef(em. �� >' REMOVE OLD SHAKES INSTALL 1/2" OSB SHEATHING
iqz Lieenmclau • _moi 50# PER 30 YEAR COMP CLASS A
�p
DOW COS DECL
7W7W As shall CTSDECLAR BAKER ROOFING RENEWED AND PAID FOR BL 7/10/06
I underuanJ my plain shill bo used u public records
3o'D
eG Licensed Professional
OWNER.BUILDER DECLARATION
iy I hereby,affirm that 1 am onpt from dee Canmmors License Law for the
o. following reason.(Section 7031.5,Business and Profusions Code:Any city or county
329 which requires a permit to construct.slur,improw,demolish.lir repair any structure
prior to its issuance.also requires tWapplicant for each permit to file,signed suument
�< that he In licemed pursuant to the provisions of dee Con"ocmri Lions LAW(Ompkr 9 Sq.Ft.Floor Area Valuation
g $ (commencing with Scetim 7000)of Division 3oldee Business and Professions Code)., $6990
— Nu las is exempt thomfrore and dee basis for But alleged evmption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
not mom than live hundred dollars(5500).
1,uawmrof Ne propmy,ormy employer with wguu Neh ink compewtion,
worm thewurt.and Jastmnam isnmmuadaaoa offside fmaak(Stc.70M,Business Required Inspections
and ProfeuloN Cade The Co unster's License Law don me apply In an,war of 9 P
Property who Wild,aimprowes Nercon,and whomessuchwork himmlfordunugh his
..employ..provided that each Improvements am ml intended wagered ferule.I(. ��
huilde, the haWilw
wirh;not Build of completion,thrpose of Nyi (q n �
W;Ider wall haw We burden a!proving thin he ilia not build or imlwow far purpose or fff{/fl/fllflj{XV'I]aj('^f!//�t/�I�Mfi fd' N .
ask.). /LL✓//
❑1.as owner of the pmpeny am exclusively contracting with licensed commkm k
constmu the project(Sec.7041.Business aced Profusions Code:)The Conuamor's Li-
cense law does not apply to an owner of property who W;Id,or imprmo:n thereon,ark, J1/ J
who contracts for such projects with a contractor(.)licensed pursuant k the Cuntracmr's 4 I �hjy[t
License Law. Ilfl
El er
excpt u P C(or thss mama
WORKERS COMPENSATION DECLARATION
ar
I hereby IMM under penalty of perjury,oro of the following dedemdoss:
I base and will maintain•Cenifnmm of Consentluselyimurt far mpm
WudkrsCa -
urian,u provided for by Secmn 3700 of the LAW,Com,(or the part-- co of Owwort for which this permit is iumd.
❑1 Mw and will maintain Warkers Compensation Warrants,as required by Section
3700 of On labor Cade,for Ne performance odes work forwhich this permit's issued
My Workee,Compensation lnsurama carrier and Policy number a m: w
Camey. ,..fpr7�itl /-4MA Polley No.: ��O""
7 GTEI� OF EXEMP170N FROM WORKERS
COMPENSATION INSURANCE
('ILk ucdoe recd nut boeomplekd if the permit is foams hundredmllan($100)
ar leu.)
1 comfy that In the performance of Be work for which this permit is Inucd.I shall ms
employ any person in my manner an an u become subject m the Workers'Compmesdan
Lawaofr'Ifomi,.Dale
Applicant
NOTICE TO APPLICANT:IL after making this Ceninute of Eacmption.you should
Woman Subject as the Workers Campensadm Provisions of the Labor Com you mut
.J O forthwith comply with such provisions or this permit Nall be domed revoked.
z CONSTRUCTION LENDING AGENCY
Fv W
I mbym N
affirat Vert las conar atim lending agency for Lkperformce anof
ai
the work for which thio permit is items(See.3097,Cih,C.)
QLeader,Name
z Lenders Amroe
U O 1 mnify,that 1 haw mad this application and mm dem the above infomatim k
Ly(r" comm.I agmet m comply with all city and county ordinances and mm laws relating on
U building construction,and hereby authorise repre¢emadvu of this city to enter upon the
LQ ahovcmcntioncd pmNrly for impcedon purposes.
gy (We)agree to ave,indemnify and keep harmless the City of Cupertino against
rr tol Iiabilides,judgmenu.cuss and e,pensu which may in any way accrue against said City . D
U z in consequence of the growing of this permit O
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR R ONS. -7 JD
Gam/ Re-roofs
Sign a(ApplkaHAZARDO oak
HAZARDOUS MATERIALScopmeaSCLOSURE Type of Roof
Will Be a Cupert or forum Wilding e.Chapter
9A or handle h eardons material
as de0md by the Cupertino Municipal Cade.CTapkr 9.13.and the HeaIN and Safety
cam.Seedawx553z(a)7 All roofs shall be inspected prior to any roofing material being installed.
Oyu 0Na
Will the applicant or futture building use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit huardon air<muminants to defrmd by tie Bay Aro Air Quality Mleagemem allnew materials for inspection.
OismnT
❑Yeshu
I ban mad the h read.materials requirements under Chapter 6.95 ofthe Califon
nia Hcaldt&Safety Com,Section 33505.35533 and 25334.I undereund that lithe Wilding
dos not oily haw a tenant that It u my mapouibllitY k notify tle aoupant of Ne
mquimm w bm berempriarlaismarkcofacmil'. pflOccawr Signature of Applicant Date
own audeorbtedegcnt / d6LSoak All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
Cupertino CA 95014
' Telephone(408) 777-3228
CI OF Fax(408) 777-3333
OPEkTINO
, Building De artment
JOB ADDRESS: oopjY� PERMIT # b�-JWE�\
OWNER'S NAME: PHONE # SQ-
GENERAL CONTRACTOR: #
I am not using any subcontractors: _ V
Signature Date
Please check applicable subcontractors and complete the followinginformation:
7 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
71���aG
Owner ntr ctor Signature Date
JUL I 0 2006
CITY OF CUPERTINO
�m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . 1 . : 32647071 . 00
DATE ISSUED. . . . . . . : 07/10/2006
RECEIPT # . . . . . . . . . : 35149
REFERENCE ID # . . . : 06070031
SITE ADDRESS . . . . . : 10293 NOEL AV
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : MATERSE BERNICE
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : JAMES BAKER
CONTRACTOR . . . . . . . : JAMES 'BAKER LIC # 25384
COMPANY . . . . . . . . . . : BAKER ROOFING
ADDRESS . . . . . . . . . . : 2067 LA CON CT.
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 559-5105
*EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 7, 000 . 00 137 . 16 0 . 00 137 . 16 0 . 00
BSEISMICRE VALUATION 7 , 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 242 . 86 0 . 00 242 . 86 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ --------------- ---
CHECK 242 . 86 614
TOTAL RECEIPT 242 . 86
,� CITY OF CUPERTINO w •V I
AL REROOF
• CUPo t ERTINO PERMIT APPLICATION FORM
APN# 2�' ^—/1—t, Date: 7
Building Address-,
e�
moo ' D
Owner's Name: Phone#•1 ,
4
Contractor: License#:
Contact: Cupertino Business c use #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles 51 Asphalt Shingles
4k Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify) rNii.
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr.Installation Specs.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description: o )
41d2Fvues 044 .Ci14Kk"s !(�lSr/Z-[_ Al
OSss' s't!/�/�°Yi �^fbzt ��.Zl=fit A
Residential [7J. Commercial ❑
Fire Zone: Yes ❑ No [J/- Confirmed with Planning Dept. if
there are any restrictions: IJ
Cost of Project: //� Type of Construction: Occupancy group:
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
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: aA
Job Site Address: / g3 41-"�
Roofing Company Name:
Applicant's Signature: Date: 7!1,01
Greg Casteel
Building Official
Revised 11/2/04
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off 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 infection can be scheduled.
• Greg Casteel
Building Official
Revised 8/13/04