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08020171
CITY OFC BUILDING OIWSION ' PERMIT �Ci7NTRAGC(4'lR I 'C $MATIOI� "�� PERMITNO. BUILniNGAOD&ES$ 0305-20315-20325-20335 FOUR SEASONS ROOFING 08020171 OWN fl fA 7, - PERMnISBUEDATE - Is PML MANAGEMENT P 0 BOX 1210 02/26/2008 NE: SANITARY NO. CONTROL NO. ARCHIIECTYENGINEER: BUILDING PERMIT INFO REROOF ASPHALT COMP BLDG ELECT O PLUMB O O op LICFNSEDCONTRACTOR'SDECLARATION - r Job Description m1 Iurmby off.Jur 1 w llansaH under pmvlsiou or Chapter 9(mmmar,cing P ;ZE widt Secdoa 7pgl)of Division 3 of Me Business and Pafnsiom CaM,and my lit.is ' H in full fora and effect fDECLp ,,vaZ Licerue Class Lk.1 Fp Dam 'J�2 G. Ca Dl L �T ARCHITECTS ARATION I untlersund my plans shall W stood u public records o It; Licensed professionals OWNER-BUILDER DECLARATION Cm, oto 0I I mrobyaso alum o n 1 em uempe item ba Cantrno Con License Law for be :00 o fallowing muoa permit.71D 1.5,Business and vet de one Code:Any city or county e 3 which requites a permit o rnnsmuL slur,impmss,h permit t or mash any structure Paiorbits iensedpshant to rte applicant cr hPcrmivaemon signed statement < bat wit pursuant li the of Disiom of the Business nd Prof hw(Chodur9 Sq.Ft. F100f Area Valuation that he(commencing Sedfan7andtheIndiaan3 oflWeged Business and Professions Any Cade)or that ha V eump,thereBmo and Ju buU for Jre alleged exemption.Any violation of ' Section 7031.7 by any applicant for a permit subjects be applicant to a civil penalty of APN Number Occupancy Type not more ban five hundred dollars(5300). I,uowner of,tie pmprny, r Is otimande wibcages r thei((Sec. c0mpewti ss will da lmaim..andbmwebm moats Licenest aw rxi dos an,apply 7044.Business of Required Inspections and property wh W Calc The ve,Mercer. Llama Law dots rot apply lf an owner of Q P own enywha Wildsmimproveuch impaandwho dassuchwmk himxlrar Owughhia awn employers,provided pr vemimprovements in not Intended milledorofferod roe sok.B, however,be building or improvement is sold within one yen of improv for the owe of builder will have tic burden of proving that ha did not build or improve for purpose of sok.). 0 1,u owner of Ne property,am exclusively contracting with licensed cantonment,b construct the pmjec,(Sec.7014,Business and Profusions Code:)The Contracbls U. cams,law does not apply b an owner of property who Wilds or imporm thereon.and, who contracts for such projects with acantmctor(s)licemed pursuant to the Comrectoes Lice.Law. 0 lem,aempunum See ,Bh PCflmMareaxn or Data WORKER'S COMPENSATION DECLARATION 1 hamby affirm under penalty of perjury ane of the following declarations, ❑1 have mW will maintain•CeNfiaua(Conum m soli-luure tar WorkeYs Camprn sauan,as provided fm by Section 37W of be Latham Code.for the No...a the , were for which this permit is issued. 4914 have fib will maintain WorkeYs Compensation Insurance,as required by Scaias 3700 M be LsWr Coale,for Me performance of the work for which this permit It itme,1 ' MY Worke s Fornfemonstion Issuance artier W Policy number are: Gorier. L4CEPolicy No.:�J�"I t—� - RTIFICA EX OF EMPTION FROM WORKERS C MPENSATION INSURANCE (This section need tet W cmnplcu t if tW Permit Is forone hundmd4oilan($10G) or less) 1 certify bet in the performance of the work far which this permit is issued,I shall one employ any person in any mnener an as to become subject to be Wafknti Compensation Laws of Califomia.Dau Applies., " NOITCE TO APPLICANT:If,after making this Certificate of Exemption.you shauW become subject b be Worker's Campensodon provisions of be Labor Cade,you mass O forthwith comply with such provisions or bis Permit shall W deemed coveted. + z v" CONSTRUCTION LENDING AGENCY 'er vim-, I herehyafliren ten ft.is omweunn kndingageney for the perfomu(amaf LYi be work fur which this Permit is issued(Sec.3097,Civ.C.) QUndoes Name z Lender's Address U O 1 certify that I have read this application aM sou bat the above infmmadun is D. f"' Gose".1 agree to comply with all city and county ordimnces and suss laws relating to 0U building consw"ion,and hmehy authoric r,msematives of d)iseity to cnbrupnnf W aho,e-.cmi,med property for ina,cuoa purposes. f't L3, (We)agcoe b mvc,indemnify and keep harmless the City of Ct,,Lin.against Le, liabilities.Judgments,costsmdeapenses which may many way.ccruea&mtsaid City U,Z, in eom equena of the granting of this Permit APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NO POINT Issued by: Date 2 C� SOURCE REGULATIONS, Re-roofs Signature of Applicam/Camnaar Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will be apPlicanl or future Wilding occupant nom or handle hmardous material as defined by tie Cupertino Municipal Cade.Chapter 9.13,and tits Haalth and Safety .Semon 25531(s)? All roofs shall be inspected prior to any roofing material being installed. Oyu a Will the applicant or fuuture building occupant use equipment or&A.whichIf a roof is installed without host obtaining an inspection,I agree to remove emit hauamous air contaminants u defined by the Bay Arta Air Quality Management all new materials for inspection. District? 0 Yes VIOP Ihft harandows,ma�uoriagls trseyqautiurearenunder ChaPurd.93 of ft l Health&SefeLy .Sccdcusud 25M.1MbnDM holding 4 u does not crudhave I hermaLthou it u my responsibility to acuity be reconfirms ft myvimmorta which mv x That prii o ,pLQDIp�nF]'r/ t Sig care of Applicant Date owner nr,whaoivcd egcnt Dam All roof coverings to be Class "B"or better • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31641059 .20295 DATE ISSUED. . . . . . . : 02/26/2008 RECEIPT #. . . . . . . . . : BS000004034 REFERENCE ID # . . . : 08020171 SITE ADDRESS . . . . . : 20295-20305-20315-20325-20335 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 24, 500. 00 2 .50 0. 00 2 .50 0. 00 1REROOFRES SQ FEET 60. 00 780.00 0. 00 780. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 782 .50 0. 00 782 . 50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 782 . 50 AMEX --------------- TOTAL RECEIPT 782 .50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 6114 ROOF IN-PROGRESS 605 FINAL REROOF • se . Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 O:UPEkTINO Building De artment JOB ADDRESS: PERMIT# ccs✓' G OWNER'S NPA-;re- PHONE # GENERAL CONTRACTOR: s FAX # /6 I am not using any subcontractor�� Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME _ BUSINESS�LIi'ENSE # 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 CITY OF CUPERTINO 7/ REROOF •CUPERTINO PERMIT APPLICATION APN# _ G Building Address: ` 3 3S- - a o 3 a S- 3, _ 3 — a0a 9; g- e. Owner's Name: SS S ,.ec Phone u 3 94 — 7 3 Contractor: -,? Phone #: 7L5�-G3 3 c---> CLQ 1 , �-� Fax #: a74' -033 '3 Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles A Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles A Other (Specify) t¢i✓ " ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # X To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: , ¢f�LwG G,� �sr/ �,n �- s •�Jc r . Residential Commercial Fire Zone: Yes ❑ No © Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: _ I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO REROOF •CUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF IBSEISMICRE 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 comply with the above stated policy on re-roofing. Homeowner's Name: I/Y I(� m IPtF 0 wV / J> Job Site Address: Roofing Company Name: Applicant's Signature: Date. „ e • Greg Casteel —� Building Official Revised 11/2/04