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08020022Y I- -I ERR CITY OF GUPERTINO ��7rgv sa. _. '` T' BUILDING DIVISION PERMIT"C�4l;J.11fif.1�1tYk"oQ.�y.A��v. auaq� �gZD3x-s 0133,20143-20153 FOUR SEASONS ROOFING P08020022 ER'S NAME: PERMIT ISSUE DATE PML MANAGEMENT P 0 BOX'1210 02/04/2008 PHONE: SANITARY NO. CONTROL NO. (408)278-0330. ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH t� C= 0 0 LICENSED CONTRACTOR'S DECLARATION MmbChapter 9 o Job Description 1 aI am licensed under previsions of (commencing y (firm that wiM Section 7010 of Division 3afthe Business and Professions Code, mQ my license is RMV & REPLC EXSTNG CAL SHAKE RF SYS AND INSTL NEW in full fame and art oZ�O Lle.0 GAF GRAND CANYN ASPHALT COMP SHNGLS W/30#FLT De¢ ARCHITECTS DECLARATION CLASS I understand my plana shall W used u public mends A - Licensed PmMssubmal OWNER -BUILDER DECORATION ' I omhy aRrm Net l am exempt form the Communes License Law for me following mason. (Section 71131.5, Business and PmR.mions Codc: Any city at county which requires a permit or consWel, slur, improve, dcmnllsh. or repair any structure prior i%I omen, also mquires the applicant forsuch permit to file a signed stsumem that he is licensed pursuant to the provisions of the ConuacturS Licese Law (Chapter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Beat. and Profwims Cade) or $18975 mat he is exempt therefrom and We basis far Me alleged "•,option. Any violation of 316 ?fI111$pber Occupancy Type Section 7031.5 by any Applicant for a permit subjects the applicant to a civil penalty of Om mom man five hundmd dollars (5500). 3 8 0 7 7 ❑ I,ummrofthopmpwyumywploywwithmMuduirmic a peuadon, Required Inspections will do thewor6 and destruction, is nolinended oroRered formle, (Sec. 7W. Business and Prefectures, Code: The Contramrs License Law docs rot apply m m owner of Q p property who buildsorimpmvea nheceun, and who doessuch workhimselfordwugh his can employes, provided that such improvements me not InmndW oroRered forade If. however, me building or improvemenl4 sold avidin ore year acompletion. Me awner- builder will have me burden of Proving that he did nal Wild or improve for purpose of tale.). ❑ 1, As owner of the property. am uelusively contracting with licensed centraman to construct the project (Sec. 70". Business and Professions Code:) The Contractors Lt. cents law docs not apply to An owner of property who Wilde or Impact. Menson, and who contracts for such projects with aeanmcmr(s) licensed pursuant m the Conmacures Lice. Law. ❑ I Am exempt under See ,B&P C for this memo Date WORKER'S COMFBNSATION DECLARATION 1 hereby AM. under penally of perjury one of the following declarseloa: � Ihave sad of L'a (at WINrCrlee Sam providedLmor Code,fYR urian, u provided for Section 3700 0( the Tabor Cade, far the peRonnma of the forSectionof Me work for which this permit is issued. mi I have and will maintain Workers Compensation Insurance, As mquined by Section 37M of the Labor Code, for the pafomlmce of the work for which dis permil is issued, ' My Workers Compensation Insurance canner and Policy number - 57/1 Cartier.' s� %jw L+-S�Poliry No.:1� 02 7 ts` CERTIFI ATE OF EKEMPr10N FROMWORKERS' COMPENSATION INSURANCE , Misactlon need not M complcud If IM Permit Is foronehun lsed causes (5100) or leu) 1 cerdfy that in Bre perfomtmce of the work for which this Permit is issued, I Mall not employ any pafsen in any meaner an a1 m Marron, subject to de Worseci'Compenaadmt laws of California. Data Applkssm NOTICE TO APPLICANT. If. after making this Certificate of Exemption, you should become subject b the Worker's Compenmlion previsions of the labor Code, you mut forthwith comply with such provisions or this permit shall Ise decreed nevoked. , CONSTRUCTION LENDING AGENCY 1 thereby affirm that dem Is a construction lending agency for the performance of the work for which this permit ts issued (Sec. M. Civ, C.) Lenders Name Lenders Address I certify that l haw read this application and sum du the move information is ' corma l agree m comply with all city and county mn inamxs and Auto laws relating to building construction, and Mreby suit representatives of this city m eater upon the above-mentioned property for inspection purposes (We) agree to taw, indemnify and keep hmmlw the City of Cupertino against Itabilidw,judgmems, coats and expenses which may in anyway acme against mid City in consequence of the of this gcaoting permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N N -POINT _ p Issued by: Dateys SOURCE REGULATIONS. _ Re -roofs Type of Roof G ig um of ADplicanVConuecmr Dau HAZARDOUS MATERIALS DISCLOSURE Will the applicant or forum Wilding xuncertain. arhandle huardou material defirmd by the CupertinoMu icipal Code. Chapter 9.13. and de Health and Safety le. Section 35572(,)? All roofs shall be inspected prior to any roofing material being installed. ❑Ya Na If a roof is installed without first obtaining an inspection,agree to remove Will Me applicant or future Wilding Occupant use equipment or dcviw which emit havardou air contaminants As dcfiad by the Bay Area Air Quality Management .I all new materials for inspection. District? ❑Ya I haw mad the h".2am materials requirements under Chapter 6.95 of the Califor. nia HmILK&Safety Coda Sxd=25505,25533md25534.IundcrsundthaiMc Wilding does em omrendy have a u u m, Math u my mapoudilily Mondry the eceupmt of me reyuimmcnu which rmjumnarco of a Certifiam0y yry. / Signature of Applicant Date - All roof coverings to be Class "B" or better Owner or authomad agent Dow a •flrY OF CUPERTINO IN CITY OF CUPERTINO REROOF PERMIT APPLICATION Q� L o o� APN #3 i Y J ?) � . cn ( Z� Dater ` Building Address: .-.v/S3—.�GI�f 'a.v��3 - ao(a3 ,U Vh Owner's Name: : 7t: 9i Contractor: W� i t� ✓I S Fax #: Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles )k Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings I ❑ Provide I.C.B.O. Report # To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: ve t- Z42A 6e e.,Ll_+4 •��/6_ ky �nele X yi moi, / Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are qnv restrictions: ❑ V luation: 0 I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: E CITY OF CUPERTINO CITY OF CUPERTINO REROOF FEESCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re -roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1REROOFMRES Re -roof Multi -Family B 1MFDWLR00F 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. is 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: /p't3'�u L?.01 Roofing Company Name: Applicant's Signature: • Greg Casteel Building Official Revised 11/2/04 2 ITEMS OF 2 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN 31638077.20123 DATE ISSUED.......: 02/04/2008 RECEIPT #.........: BS000003846 REFERENCE ID # ...: 08020022 OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 625.90 --------------- 625..90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF • REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS SITE ADDRESS .....: 20123-20133,20143-20153 SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: PML MANAGEMENT ADDRESS ..........: 20123 NORTHCREST SQ CITY/STATE/ZIP ...: CUPERTINO, CA 95014 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 18,975.00 --------------------- ---------- 1.90 0.00 1.90 -- 0.00 1REROOFMRE SQ FEET 48.00 624.00 0.00 624.00 0.00 TOTAL PERMIT 625.90 0.00 625.90 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 625.90 --------------- 625..90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF • REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS CITY OF l UPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 01433- 013 :3- PERMIT # 08oa o o SUBCONTRACTOR BUSINESS NAME OWNER'S NAME: ' 1trZ 2rno PHONE # GENERAL CONTRACTOR:�s FAX # I am not using any subcontractors: Signature Please check applicable subcontractors and complete the followine information: Date Owner/ Contractor Signature Date 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