08030094 CTTY OF CUPERTINO .5� ^+ yY+�Sar*`ilk
BUILDINGDIviSION PERMIT aCQ RACT(TRINFUItMATI�, ..Y
BUIE�n'?'t-"s :O196-20186-20206, 20216 FOUR SEASONS ROOFING MT3094
PERMIT MSUE DATE
O
ld PML AMANAGEMENT P 0 BOX 1210 03/18/2008
E; (406) 278-0330 SANITARY NO. CONTROL NO.
ARCHITECTfENGINEER: - BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
Q 0 0
uO0 LICENSED CONTRACTOR'S DECLARATION
Job D0aCr1 IIOO
rd YI 1 hereby affrm IMI I am licensed under prevision of Chapter 9(commencing
U� with Section 7")ol'Divblon 3 of the Business and Prefewuu Code,and my licenc is RE—ROOF, T/O CAL SHAKE, INS GRAND CANYON
]n in fall lance and Caa /GAS ASPHLT,
C 3 Lkene C�rte. Lk.I
` q Dak ARCHOECIS DECLARATION 5 8 SQ
I unMraand my plans call be used as While records
sea Licensed Profenarul
OWNER-BUILDER DECLARATION
aI W.by maim Inn IM aemp,from the Commmaars License Law for the
OO
following,eaen.(Section 7031.5.Business and Profession Cade:Any city orcaunly
9 which requires a permit to constroe,Aer.Improve,demolish,or repair any suunum
�S^ prior in its issuance.aim requires the applicant for such permit o file a signed sucueni -
g�< that ha n ee is licensed puruant to the provisions of as Conuear'e LicanLaw(Chapter Q
9 Sq.FL Floor Area Valuation
r2 g (commencing wide Scedon 7000)of Division 3 of the Basin=and Profession.Coca)or �2300
that M U exempt therefrom and dee bub for are alkyd easmpuon.Any violation of
Section 7031.5 by wary applicant in,a permit subject,dee applicant e a civil penalty of 316 3 9 0 2 8 AfnNgmber Occupancy Type
not mom this five hundred dollen IS5o0I.
❑1,u caner ordie plmpvry,a my atnPlaYen with wga u deem sole e.mpeauwon,
win do ftwork.and IMsu sch n la notinlended oronered farssk(Sec.7004,11mumen
and Profewalu Cade:The Consumers License law does ret apply in an owner.f Required Inspections
prepeny who Wndsorimpmveath men.and who donsslcnwerthimself ar Waugh his
own employees,provided that such Improvements tie ret intended arortneA foraale If.
however,dee Wilding or improvement is sold within an year of compkum,the owner-
builder will have the When of proving dist M did Out Wild or Improve for purpose of
isle.).
❑1.as mance a Ore rapeny,am amuively cuntractint with Iicaned c.nuutan in
convect the Pmjee7(Sec.7004,Business cad Profew.n Code:)The Ommanarl Li-
cense law dean not apply to an owner of prolrety who Wilda.,Unproven ancon.and. '
who contracts for arch projects with a mnuacer(s)Leaned prsuunt a the Conururs '
License law.
Cl IamaemptunderSee ,BapCforabnuon
Owner Dale
WORKERS COMPENSATION DECLARATION
I hereby same under penny of perjury an of the following Connotations:
I have and will maintain a Cer lfiesw.(Cm ama a self-roue for Workers Comped
urian,as provided fu by Section 3700 Of dee labor Code.for ane peRormarc of the
wart for which this permit is issued.
oave and will m inuio Warier,Compensation Iwmnce,u sequined by Section
f oe laWr Calc.far ane Performance of ane were for which chis permit is bound.
My Workers Cooperate.lose.canner sed Policy number tie: y
Canny' r� Policy No.:•'u - 5�'r� ' �G T
,/� � CERTIF� � I A�E OPTION FROM WORKERS'
COMPENSATION INSURANCE
CITU shim reed ret sec conpkmd if the permit b farane Mndnd dollen(51(10)
or leas)
1 certify Out in ane perfomarea of ane antic far which this Permit is bussed,I shall not
employ any person in my mannere as to became subject in dee%rkm'Compensation
L...1 California.Dun
Anil.,
NOTICE TO APPLICANT;IL eller m a ng thin Cenifrcae of Exemption.you should
become subject a ane Workers Compensation provisions of ane Lobar Cole,yen main
Oforthwith comply with=it provislnn or this Parent shall be deemed revoked.
�� CONSTRUCTION LENDING AGENCY
'ry r 1hanbyaaim deet sem is a construction lendintagmxy,for the performance of
Gv> due work for which dtU permit U tissued(Sec.3W7.Cih,C.)
QLanders Name
Z)Z Landers Addass
UO I certify vel 1 haw had this application and sou that the care information b
U.^' canecL 1 rya a Comply will All city and county on harems and awe Was slating e
OSV^ Wilding construction.Wthereby authorize minum aivesofthiscityasameruponft
t21 shave-menu tned property for Inspection puryuea
(We)agme to Care,indemnify and keep hamlet/be,City of Cupertino again
„y CM liabilities,juegromm.costs and expenses which may In any way accrue again,midCity
(„)7 in eonsquence of the greming of this permit.
r7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS. q
sig a Re-roofs
AppltanHAZARDOUS MATERIALS DISCLOSURE Date Type of Roof
WIB the applicant or future Wilding oceupe,uoro Of studio huardou material
as deReed by Ose Cupoum Municipal Cade.Chapter 9.12,and the Hesla and Safety
Can,Section 25532(a)7 a� All roofs shall be inspected prior to any roofing material being installed.
❑yon veno
Will IW applicant or
future building Occupant on equipment or devices which If a roof is installed without first obtaining an inspection,l agree to remove
iL arat&.ser communities as de0ned by dee Bay Area At,Quality Management all new materials for inspection.
Wctt
❑Yes Nu
I have read the auNnus mumbo mquinments under Clap ce6.95 ofae Glifor.
.is Health a SafetyCode.sections Z5505.25533 and 25530.1 mrdGLatid aeaOe building
dou on,cumn,ly have a sews.dust It U my respunuNlily a notify Oc Camper of ane
rogmro n art9,apa�.r.catinnearamuy Signature of Applicant Date
�- (,�-- ----�//4/GS
Owner or wdear'uod agent J Dwm' All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31639028.20176
DATE ISSUED. . . . . . . : p3/18/2008
RECEIPT #. . . . . . . . . : BS000004184
REFERENCE ID # . . . : 08030094
SITE ADDRESS . . . . . : 20176-20196-20186-20206, 20216
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PML MANAGEMENT
ADDRESS . . . . . . . . . . : 655 MARINERS ISLAND BLVD
CITY/STATE/ZIP . . . : SAN MATEO, CA 94404
RECEIVED FROM . . . . : JAMES CALDERON
CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323
COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING
ADDRESS . . . . . . . . . . : P 0 BOX 1210
CITY/STATE/ZIP . . . : ALAMO, CA 95407
TELEPHONE . . . . . . . . : (408) 278-0330
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 23, 000. 00 2 .30 0. 00 2 .30 0. 00
1REROOFRES SQ FEET 58. 00 754 . 00 0. 00 754 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 756 . 30 0. 00 756 .30 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 756 .30 AMEX
---------------
TOTAL RECEIPT 756.30
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
ogo 3
p+ CITY OF CUPERTINO
. or
CUPEkTINO PERMIT APPLICATION FORM
APN# J O 0(� (p Date:3//
Building Address: /
Owner's Name: Phone #:
AWL- C,s°1
Contractor: p Phone#: ya8 ,;2 q-g -a 33 C--
Fax #: f- a -033 3
Contractor License#: Cupertino Brusiness License #:
y
Contact: Phone#:
// aft- �33�
c7Zu -r l�L +Ori Fax #:
Building Permit Info:
Elect ❑ Plumb ❑ Mech ❑
Residential Commercial LJ
Job Description: 7/0
For Residential Installations:
Attic ❑ I" floor ❑ 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations-
Replacement same weight Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
4,�2 30�o —
Strapped On Platform BondedEl New Location n Replacement El
Valuation:
reen Building: Must attach Green Building Check list to this application
CITY OF CUPERTINO
FURNACE/AC
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
IMCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install & not incl in an app] permit.
a
Q CITY OF CUPERTINO
REROOF
�CUPER,TINO PERMIT APPLICATION
APN # Date:
Building Address:
Owner's Name: Phone #:
Contractor: Phone #:
Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built Up Roof c3 Built-Up roof
phalt Shingles Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
Other (Specify)C/�L S!✓ ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfg. Installation Specs.
Job Description:
Residential Commercial
Fire Zone: Yes ❑ No H Confirmed with Planning Dept. if
there are any restrictions: ❑
Valuation: Z3 DQ Q
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Ah
� gnature
CITY OF CUPERTINO
a REROOF
•CUPEf1 ;TINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
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 c ly with the above
stated policy on re-roofing.
Homeowner's Name:
Job Site Address: fi(6r,%,I4
Roofing Company Name:
Applicant's Signature:�__� �� Hare 3�9
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 inspection can be scheduled.
Greg Casteel
Building Official
Revised 8/13/04 _
Community Development Depai tment
Building Di vision
City of Cur ertino
10300 Torre A venue
Telephone: (408)77 -3228
• Fax: (408) 77 -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: ��JJ
Roofing Company Name:
J
Applicant's Signature: Date:
• Greg Casteel
Building Official
Revised 11/2/04
Community Development Depai tment
Building Division
City of Cur ertino
10300 Torre A venue
Telephone: (408)77 -3228
• Fax: (408)77 -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:
Roofing Company Name: «dungyf/ice_
�y /1
Applicant's Signature: ( ��_Date: 3 / G8
Greg Casteel
Building Official
Revised 11/2/04
Community Development
10300 Torre Avenue
fi Cupertino CA 95014
ilM Telephone(408) 777-3228
CITY OF Fax(408) 777-3333
*UPERTINO
Building Department
JOB ADDRESS: PERMIT #
i?Y,; - 20/96 A64�06'-.2Gz/4- .-%hr� Xj,-
OWNER'S NAME: plc PHONE #0 3W /3
GENERAL CONTRACTOR: P oi. FAX #
I am not using any subcontractors:
Signature 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
Owner/Contractor Signature Date