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06070031 CITY OF CUPERTINO ' . vaov. - §` BUILDING DIVISION PERMIT �.CONTj2A, T HINI?O�RMQTIQN .421k,w lila 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