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06040133 CITY OFCUPERTINO BUILDING DIVISION PERMIT .cONT.RAGTR1VF0-, , TIO , BUILDING ADDRESS: SONS ROOFING PE1eMITNO'06040133 10841 NORTHOAK SQ OWNER'S NAME: PERMIT ISSUE DAIS ( NORTHPOINT HOA 502 HORNING ST 04/21/2006 ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHI'fECT2NGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH t l� 0 0 �ap LICENSED CONTRACTORS DECLARATION - lob Description 1 bunchy affirm that I w Vowed under provisions of Chapter 9(comm nminS P IN Section]WN Of Division Sof the Buz.and Professions Code,and my license u 1.fallfmcamulefract. REMOVE CALSHAKE ROOF, INSTALL 30LB FELT AND GAF ? De¢ lm ,�-cSaw t�GRAND CANYON COMPOSITION SHINGLES CLASS A ggg RCHrfECI'S DELLA A 10 K0 I n C 1 I understand my plane shall be used u public records J says Licensed Pmfcssional 1 3 OWNER-exempt RDE DECLARATION 2<� 1 mason. .Rte Not 11. exempt(sem the Contractor'so :Ary c Lew for nm O o which Ing mason.(Section]nc LS,Business and improve. da a Coda:My coy or county 3 9ry which requites•permit re conceder aper,improv,demWkh,(1 repair any tauctum -Z Y dour m its IEYNM,a1W m nllw the applle of tar suchCon permit b ce se Law(Clap tell pp < Numeceenectl pumant mom of Division of theContractor'sNandlaw(Chapter9 Sq.Ft. Floor Area Valuati IS5()0 go (commencing with Section 7000)of Division7af me Business and Rofruiav Ctdu)or $ Nn he is exempt Nemf m and the basis for Ne allryed eaempdon.My violation of ppb Nq �e Section 7031.5 by any applicant fm a permit subjects the Applicant m a civil penalty of 316 41 bml 8 0 0 Occupancy Type Amtor more them rim ve hundred dollars(SSW). ❑I,u owner of site pmpmy,sur my employes with myea u Nep mlecompc=uon. will do the work.and Ne umcture is not intended or offered forsam(See.7044,Boniness Required Inspections AdProfession Cade The Consumes License Law does not apply m an owner of 9 P property who build,or im proves mernan,end who does such work himself or through he own employees,provided thatsuch improvements am not Intended oroneread tweak.if. however.the building or improvement is said within ase your of completion,fee mvnery builder will haw the hunden of proving Nat he did not build or improve for purpose of Asia.). 0 I,u Owner of the property.w exclusively contracting wife Banned comrmlors or consaset the project(Sac.7044.times.aed Professions Code:)The Comracmrs Li- cense Law does not apply As an owner of property who Wilds or tmpwwa thereon,and. who canmw for such projece NN a conuacmr(O lkertmd p..1 m Ih Cants m1m1; Lkewe law. 0 lam exempt under Sec. ,B k P C fns this meson Owner Dam WORKERS COMPENSATION DECLARATION I hereby afam under penalty of perjury sem at Ne following dwlanflons: 0[ham and will maintain a CertiOcom ofConsem to self-Iwum for Wo tan's Compen. eulon,As provided for by Section 3100 of me Labor Code,for fee wrimmeave of fee wap for which this Permit is issued. 0 1 haw and will maintain Workers Compenfuion Insurance,As retrWred by Section _ 3700of me Labor Code,for the pulomanceof me work for which fest,permit is issued MyW sComPeend but awrier and Policy nummbbar are:'I�y Cartier. &cy No.:�G"1 ZYc�fc�l CERTIFICATE OF MEM ON FROM WORKERS' COMPENSATION INSURANCE r CITIs secflme need notbecompleted if Ih permit Is forams hundred dollars(SIM) or less.) 1 certify that In the performance of me,work for which this Permit is issued,l shall not employ any Perm.in my meancrso As in beeoma subject to the Wwkcrf Compewmion Laws or califomh.Data Applicant NOTICE TO APPLICANT:If.after making this Ceninam of Exemption,you should hKwne subjm An NC Workers Compensation provisions of the labor Code;you most .J O formwim comply with each Provisions or this Permit Nell h dauried mvmkad. Z cobtsmUCfION LENDING AGENCY [--t lhmbyaMm NasdemeaconevuNnn',ndingapncyfwtheperformeneeaf C' Nu wash fur which Nie permit a issued(Sec.3M7.Civ.Q W Q Lenders Name Larches Add. U Q 1 curtly Nat I have mad this application and sum that Ne above information Is LI,H come,.I agree an comply with all city and county Ordinances and sum laws miming to 0 U buildingconstruction.and hereby aorharim mpammtives of this city to enter upon Ne W a Ww-mentlunc l property for inspection purposes. (We)agree to taw.indemnify and keep harmine de City of Cupertino against rr y Iiabilltimjudgments.case and expewa which may in Any way acme affairs,said City U in consequence of the gnnflng of the permit. Cr- �( APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date % S�y yr—0 4 5 T ON Re-roofs Signamm of App' unemr Dam ALSRDOUS MATERIALS DISCLOSURE Type of Roof Will the pllantarto.Wilding computation,or hand',huardow material As dc0ned by the Cupertino Municipal Cade.Chapter 9.11,and the Hea1N and Safety 41 Cade.Seed..3SS72rxr—_. All roofs shall be inspected prior to any roofing material being installed. Oyu mNa Will me applicant or future Wilding arupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit humdaw air tent�mmanu u de0wd by nm Bay Area Air Quality Management all new materials for inspection. District? \ Oyu Ddu I haw mad the huxudousmmeriaerequirements um',rClupmr6.95ofde Califar. Wes Health k SarnyCah.Seetiuw 25505.35533andb534.l understand muifNe Wiming does tet cummly hue•mwre Nat It is my rwpowibilit,m notify Ne Occupant or f requirements which Mo. sem tmceaf.Ccg1 'nyKy.� Signature of Applicant Date Ow ranwha'.cd. m e'` Voam All roof coverings to be Class°B"or better Community Development 10300 Torre Avenue acloF Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 WUPEI�TINO Building De artment JOB ADDRESS , PERMIT # o .,0 9 6o r6-113 OWNER'S NAME: �,�4p&6�t 'jj,Q. ,4 PHONE # GENERAL CONTRACTOR. S FAX # I am not using any subcontractors: Sjgnature Date Please check applicable subcontractors and Tete 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 er/Contractor Signature Date Community Development Department o Building Division 16 City of Cupertino K 10300 Torre Avenue • � Telephone: (408)777-3228 CITY OF Fax: (408)777-3333 CUPERTINO 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 Dcor-h_ ply with the above stated/policy on re-roofing. Homeowner's Name: // I/% �A C, Job Site Address: l O�y/ AOrT�, nc k Cz, lJ D C4Jrnu Roofing Company Name: Applicant's Signa re: Date: • Greg Casteel Building Official Revised 11/2/04 Prinfed on Recycled Paper CITY OF CUPERTINO am 3 of 6 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31641618 . 00 DATE ISSUED. . . . . . . : 04/21/2006 RECEIPT # . . . . . . . . . : 34091 REFERENCE ID # . . . : 06040133 SITE ADDRESS . . . . . : 10841 NORTHOAK SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 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 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 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 • CITY OF CUPERTINO Du 040153 N%' REROOF OFUPERTiNO PERMIT APPLICATION FORM APN 3 # 1 � � DLe 0_0 Building Address: to 1 So Owner's Name: Phone#: O, Ac. Contractor: Phone #: License#: �r t t Yb: 2_1 S ro 33o 4 /0 8 Con�rta"-ct:n nn hone#: Cupertino Business License #: Ci o CAA 0--rz,5 2 7 g -o 33 o S2-' Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ,'9, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shikes ❑ Wood Shingles ❑ Wood Shingles Other(Specify) Ca(6 kcK4?— ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# p' To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Com ly With Cu ertino's Tear Off Policy: rob Description: v�L S I T�sta.l k 30 G C--t- an C Ger J- Cwv o o9r+lcr+ 61�'n lcs — C c Residential A-1 Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are anv restrictions: Cost of Project Type of Construction: Occupancy group: $7 S-o o — .tet Qty, if A licable 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 •