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06060211 ,CITY OF CUPERTINO BUILI)ING DIVISION PERMITU . j (��V Y2?i.G` f'�12I1 T`� IA•TIQN` f _z ) .., :.,+ `kin_Mf.<.a 'f?r' 3+n:$'•S5•Yrt 'xd..T"'.CS'dY rc.'I'a" BUILDINGADDRESS: ' FOUR SEASONS ROOFING PERMITNO'06060211 202C;7 NORTHRPnnN SO ER'S NAME: PERMIT ISSUE DATE NORTHP NT HOA SO HORNING ST ONE: SANITARY NO. CONTROL NO. 408) 278-0330 ARCHITECTIENGWEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O Sop LICENSED CONTRACTOR'S DECLARATION Job DPSCrIpCIOn 1 busby aRrm that I am licensed under previsions of Chapter 9(Commencing with Section 70M)or Olviskm 3afthc Business and ProfessiNs C aadmylicamels n'1 I.f.Ilfom.sed.ffect REROOF-REMOVE KE/INSTALL 30 LB FELT & o: % ' —c + AF GRAND CAN ES-CLASS A g ARCHITECTS DECLARA ON / _ I understand my pluu shall M used u public records ��yy ] U Licensed Professional 5D� OWNER-BUILDER DECLARATION AN �ssw �ryn,v Z S 1 hereby Am.Sect drat I em exempt from uact m the Conal License w for the J tf t!b i a O 0 fallowing musaa(Section 703 1.3,Business and Prefesdam Code:Any dry w County S$ which mqulru a PCrall in Cameroon,alms hmprew,dcmalW.at mpair any strwwm prior m its issuance,aim requires the applicant for such permit m me a signed atstemen Val IBt' p— c that he is licensed purmranl re the provision,of the Connector',license Law(Chapter 9 Sq.Ft.FI �5 5 0 0 y�s (commencing with Secdon 7000)of Division 3 of the Business and Professiom Coda)or Nat he is exempt themfram and the basis for the alleged es"mptmn.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant 10 a civil penalty of APN Number Occupancy Type not ream than five hundred dollen(.SM. 3163901377 . 00 ❑I.u.wnerofthepmpmy,amyemploycawlNwaguutMirmlcmmpenndon, willds the work,and thestrecmm is mtm¢nded orortered fornm(Sec.7044,Business Required Inspections and Prefessiow Code 7.Canuacbh LRenas Law does ant apply m m Owner of q p property who builds.rimproves Nemo,and who doessneh work himselfmmmugh his awn employees,provided mat such improvements are not intended oroRered fes We.If. however.the building or Impermanent Is sold within ate year orcompledon.the owner. Wilder wig haw dm burden of proving dot he did NO build a improve fa purpose of taleJ. ❑1.As Owner of the property am exclusively Contracting with licensed comractan m eoestruct tiro project(Sec.7044.Eastman and Rafasiam Cade:)The C°"oacmYs U• cewe law dao ret apply As As awns of progeny srhe Wilds Or Improves thercon.Axl who Contracts far such project.,with a eonuacmr(s)gemaed pursuant m the Comanche, License Law. ❑1 son exempt undo See .B k PC for this mason er Date- WORKER'S amWORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury ate of the following declarations: ❑Iham°nd MilmalnminaCeNOumof Comentmxlf-immmf°rWorimesCanpen- sadon,As provided fa by Section 3700 of the Labor Cade,for the performance of the work for which this permit is issued. ❑1 haw and will maintain Worker's Compensation Insurance,As required by Secdon 3700 of the lata Code,for the part..A(the work for which this permit is tuned. My GrtWiear 's CampgndCarries and Polity cy Na.: n RexCATE �� KtoIN FROM WORKERS COMPENSATION INSURANCE (ThLLmedm sad oat he completed If the permit is form hundred Callan($100) or leu.) I amity that In the pa alarm race of the work fa which this parch is iumd,I slWl not employ any penon in any manrmr An as mbWcome subject m tho WoM Compensation Laws of Caltfomi,Data Applia"t NOTICE TO APPLICANT:If,ager making this Certificate of Exanpdon,you shwW become subject in the Worsees Compensation previsions of the labor Code.you moat 7�O forthwith comply with such provisions or this permit shall M accused mucked. q CONSTRUCTION LENDING AGENCY - i--i (hereby am.that Vert 1.a construed."lending agency far the parfurmme.of iY. due work for which this permit is bound!(Sex.3097,Civ.C.) �W Q undoes Name 0en z lder's Address U O 1 aenify that I have mad thin application and state this the above wormada"I- D,F correct.l agree to comply with all city and county Ordinances and store laws mlatmg re OU building construction,and hereby aumhorim mpmsenwives of this city to enter upon the LU ahave-mentioned property for inspection purposes f's (We)aft.to saw,indemnify and trap harmless tie City of C.Nni"°aVinat w Iiabilides,juigmcns.catsmdA.pc.which may in any ray amus against said City U In cNaeguenee Of the gnndng of this permit. APPLICANT UNDER D WILL COMPLY WITH ALL NON-POINT Issued by: Date r 2L.� SOURCE RFAULAII S. Cl (so Re-roofs Sign-sum ofA li °"DOUS MATERIALS DISCLOSURE Onto of Roof Will tic pp tafmue building aeupantstare a Moulin hazardous butterfat defined by uEIZ Municipal Code.Chapter 9.13.and the Health and Safety Section 355324) All roofs shall be inspected prior to any roofing material being installed. ❑Ya 11_�j- Will the app clot or future building Occupant on equipment or devices which If a roof is installed without firs[obtaining an inspection,I agree to remove ami,hazard..air rnanu u defined by the Bay Ana Air Quality Mamgcmcnl all new materials for inspection. District? ❑Yes u I have mad the hazardassmaterials mquhcm ants udder Chapter B95 ofth.Califor. .in Health Jr SafctyCcde.Secdau25505,25533 sod 35534.i mden and autifthe building doesoat cormndy hew a ma this It a my msp.mibiiity m notify the°aupmt.f the M ' which. m res issuance.faardficauVI cU Signature of Applicant Date �^ v wner err euthor'zedcnt All roof coverings to be Class"B"or better ODau' CITY OF CUPERTINO I 2 of 6 PERMIT RECEIPT OPERATOR: suem COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31639037.00 DATE ISSUED. . . . . . . : 06/26/2006 RECEIPT #. . . . . . . . . : 35013 REFERENCE ID # . . . : 06060211 SITE ADDRESS . . . . . : 20257 NORTHBROOK SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-0501 RECEIVED FROM . . . . FOUR SEASONS ROOFING. : ` CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323 '. COMPANY . : FOUR SEASONS ROOFING ADDRESS . . . . . . : . . . : 502 HORNING ST CITY/STATE/ZIP . . . : SAN JOSE, CA . 95112. ;'•. TELEPHONE . . . . . . . . : (408)278-0330 • FEEID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW- BAL c' ---------- _____________ __________ __________ __________ __________ __________ BPERMFEE VALUATION 6, 000.00 126.36 0..00 126.36 .,,. 0.00 - BSEISMICRE VALUATION 6,000.00 0.60 0.00 0.60 _ , .:..0.00 __________ __________ __________ ---------- TOTAL PERMIT 126.96 0.00 126.96 0.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS • Community Development 10300 Torre Avenue Cupertino A 95014 Telephone(408) 777-3228 cl OF Fax(408)777-3333 qU PEf�TINO Building Department JOB�ADDRESS- PERMIT # 0 OWNER'S NAME: PHONE # GENERAL CONTRACTOR• , ^ FAX # I am not using any subcontractors: �J \If Signature Date Please check applicable subcontractors arcomplete 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 Ej• Tile ner/Contractor Signature Date 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: 00 Job Site Address: (Y 1)(9 Roofing Company Name: Applicant's Signature: Date: • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO 0 REROOF $CUPERTINO PERMIT APPLICATION FORM APN # 31 (�-3�- d Dam pZlo�O�P ildin Address: O S!s Owner's Name: , 11 Phone#: pC't oin {— O, Ac. C tractor: Phone#: License#: e,Xl y0s Z2 S -0330 /0 8' Contact: nn hone#: Cupertino Business License#: 0 1J�2n(2� a1 57 -0330 Z Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles )Z�, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles Other(Specify) (2q 16 kaKe_ ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# p To be Removed ❑ Provide Mfgr. Installation Specs. dhT Have Read, Understand and Will Com 1 With Cu ertino's Tear Off Polic Job Description: �� l 30 t C an J= Cor o.� 60,405141cyj SI.'n Its — Residential I Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning D t. if there are any restrictions: Cost of Project Type of truction: OccupanW group: Qty. if Applicable Fee ID Fee Description Fee Group 1 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