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06040131i L_ CUPERTINO CITY OF CUPERTINO DWO40 131 REROOF PERMIT APPLICATION FORM APN # Bldg Permit Fees Date - I Cv O Energy - D-Ocl u ]ding Add ess: �^ Seismic Fee Res j w / y Owner's Name: BUILDING Phone #: DC,1L o.'a F o, t4. BUILDING BUSLIC Ctractor: Phone #: BUILDING LicenseC"r #: P Q vooc-�l Y0g Z2 8 -0330 /0 9' Contact: /� hone #: (2aI0.c�eS Cupertino Business License #: CI4jo 2 7 g -o330 Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles ;2r, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles jW- Other (Specify) _Oq (5 �� ❑ Wood Shingles ❑ Other (Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report # -31 To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Com IX With Cu ertino's Tear Off Policy: Fob Description: vt CaLkS I s-k�lt 9e f C 1 o% G4,G Cir Ck Gw o-+ �+ c5i%lo�+ Slti'n lcS — GS Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost _off_Project� Type offCopstruction: Occupannccy cup: NNS -.dam Qty, if A licable Fee ID Fee Description Fee Grou 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 0 F_ L lee_ 100 s5 fga :I- 9 CITY OF CUPFRTINO' BUILDING DIVISION PERMIT COIYTfR,AC,�TO�.,RINF,OIiMATIQI�' BUILDING ADDRESS: SONS ROOFING PERMIT No- O6O40131 10851 NORTHOAK SID OWNER'S NAME: PERM" ISSUE DATE NORTHPOINT HOA 502 HORNING ST 04/21/2006 ONE: SANITARY NO. CONTROL NO. (408)278-0330 ARCHITECT/ENGINEER: BUILDING PERMIT INFO LDGeDG ELECT PLUMB O O O LICENSED CONTRACTORS DECLARATION Job Description bmcby afilm that 1 w licensed under provisions; of Chapter 9 (Commencing wish secrceRed Oflect. salon Sof the Business and Profesaimns Crede.andmylicense u in full force end aBCCL O Lic.Nt"I REMOVE CALSHAKE ROOF INSTALL 30LB FELT AND Lice mClne Dob3tI'—GntmcCL ARCHITEC17SDECLARATION � SfP•A GRAND CANYON COMPOSTTT 077 NGLES Oh'" �j Cy use 1 understand my Puns slWl de used u public reeoNs F I [V LE YY B ®® Licensed Pmfeesimod OWNER -BUILDER DECLARATION 1 heroby affirm that I em exempt fmm the Coumsctors License Law for the fallowing reason. (Section 763 1.5, Business and Profeaioade: CaMy city or county - MAY - 2006 which requires a permit to crostmet, alter, Improve, demolwh, Or repair my structure prior to its Issuance, also requires dm applicant for men permit bfile a signed sutemem Sq. Ft. Floor Area Valuati 15500 e censcd pursuant In flu provisions, of the Commutes lis.Law (Chapm9 that huli (commencing with Section 7000) of Division 3 of the Business and Profession Cade) an that be is exempt thud. and the basis far the alleged exemption. My violation of Section 7031.3 by sly appliLanl fen a permit abjcM the applWnl b • Civil penalty Of ppN N be M Occupancy Type act mac Nm fin, hundred dollars (5300). 3 0 ❑ I, as owner of tho property, or my employees with wages, as their cele compensedon, Required Inspections 9 P willd Lhewark,mdthcnnummumtinun&doroff a fanale(Sec.7W.Busineu of and Professions le: CoThe Conmmtours Umue Law doe ma mm apply b m away Of property who buildsmimprow the en, and whoduessuchwark himselfor thmugh his awaenpl.yms, pmvl&d Uws=h imp��u tee mtinleWed woneW fmde U. however, the building or improvement is sold within arc )ear af.mnPlmon. the amm - builder will have dec burl. of proving Ne he did not wild or improve for purpose of tele.). ❑ I, as owner of the property am exclusively convecting with licensed mmacmn in construct the project (Sec. 7044. Business and Prefesalons Code:) The Cmlramors Li - across Law dee ant apply b an awnr, of property who builds or improv themon. and who ... tome, fm such praj=with a conveeartU Named P..t se the Committers License LOW. ❑ 1 am aempl sande Sec. . B & P C for this ream. OwnerDau WORKER'S COMPENSATION DECLARATION I henoby arum under poorly of perjury, aro of the following declarations: ❑ 1 haw.• and w0i malnuin • Cedfiaba(Cansenl b telf-INYR fa Wekcrs Camp.- . atim, a provided We by Section 37M of the Labe Code. for the perPormma of ON work for which this permit is instead. ❑ T ban and will maintain Workers Compensation Ws, rance, as required by Section 37M of the lobar Cade. for the performance of the work for which this permit is issued. My WarsCompeaWon late u aria and Policy) number an: Grrie: Policy Na.7 Z4 ac.NLi!A CERTIFICATE IX ON FROM WORKERS' COMPENSATION INSURANCE v Mie WNan meed Out be completed If the permit is fm ore hundred OHM IS 100) or lea.) I certify that in the performance of the work for which this permit is lased, 1 shall ant employ anypeeon In my summer an as in become subject in Has Workass Compensation Laws of Glirmals. Dau AppOoru NOTICE TO APPUCANr: If. afar making this Certificate of Excmptlon. you should became subject b the Waiters Compensation provisions of We Labor Code, you mute ' forthwith comply veld each Provisions or this Permit shall he domed revoked. CONSTRUCTION LENDING AGENCY I hereby mal mire Ie agency for the PCffamamti Of han30 s ed (Sec. 7. dung the Wok fen which this permit k Load (See. 309'1, Cat. C) which ' Lenders Name landeh Md^•• 1 century that I low mad this application and sum the the above infmmaden 4 e comet. I agree to comply wit all city and county ordinance and sou laws, miring in building.nsmuction, and hemby authonte Rpresemmiw of this city to enter upon the ahove-mentioned property for inspection purposes (We) agree to law. indemnify and keep hvmiw the City of CYperllm against I liateldeafudgmenu, cam and expenses which may in my way Mrac against said city In consequence of the granting of this Permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT CJ Issued by: Date i ` Z'' a—, sun I/ `f�21 .0,L Re -roofs Type of Roof sigaWRarAU cmm. HAZARDOUS MATERIALS DISCLOSURE Will the applicant IX future building aatepamtstom or Media hrerdons mau ted as declined by the Cuperiim Municipal Cade. Chapter 9.13, and the Health and Safety Cade, Section 25532(a . All roofs shall be inspected prior to any roofing material being installed. E] Yes Na If a roof is installed without first obtaining an inspection, I agree to remove Will to applicantor future building occupant use equipment or devim will emit hmardna air cmummmus as defined by the Bay Ama Air Quality Management all new materials for inspection. District? \ QYns ON. I have read the hvanbwmaterlau requiremnms unMCh purd.93ofine Calies. - niaHcalm&SaMyCode Satioa 25503,25533 Mi255M. 1 understand Uel ifthe building dims not Carmody hew • moms the It is my responsibility to badly the aaupent of We R Whmha mea orbhtemuoofaCctdnate f apancy. SignatureofApplicant Date All roof coverings to be Class "B" or better Ow rarawhar' d e I I C OCUPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDR SS• 0 1 a "1501 PERNUT 060 Yo t3 OWNER'S NAME: IPHONE# GENERAL CONTRACTOR I FAX # I am not using any subcontractors:. -1-Ll _(,�) gnature Date Please check applicable subcontractors and complete the following information: 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 Contractor Signature Date CITY OF �CUPEkTINO • 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 isnotready, 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 Homeowner's Name: L Job Site Address: )C) 2�1 Roofing Company Name: Applicanfs Signatur _ Greg Casteel Building Official with the above i policy on re -roofing. D. A Revised 11/2/04 Printed on Recycled Paper Date:q-, •em 1 of 0 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31641016.00 DATE ISSUED.......: 04/21/2006 RECEIPT #.........: 34091 REFERENCE ID # ...: 06040131 SITE ADDRESS .....: 10851 NORTHOAK SQ SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: amyw COPY # : 2 OWNER ............: NORTHPOINT HOA ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-0521 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 ---------- ------------- -------------------- BPERMFEE VALUATION 6,000.00 126.36 BSEISMICRE VALUATION 6,000.00 0.60 TOTAL PERMIT : 126.96 • PD -TO -DT THIS REC NEW BAL ---------- 0.00 ---------- 126.36 ---------- 0.00 0.00 0.60 0.00 ---------- 0.00 ---------- 126.96 ---------- 0.00 4fUPERTINO CITY OF CUPERTINO 0 (9�0191 REROOF PERMIT APPLICATION FORM APN # BPERMFEE Date 51 O1 LP BENERGY Building Adres BUILDING to e a gS01 Owner's Name: BSEISMICOM Phone #: D C`I-L o i a 1-- O. lit. BPLANCHK Plan Check Fee C tractor: Phone #: BUSLIC License #: �r q VCIZI0330QmoF /o $ Con/rta--ct:nn hone #: Cupertino Business License #: 'Z CT (R o lit Z af2S �2 7 g -0 33 0 Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof 1❑ Built -Up roof ❑ Asphalt Shingles Asphalt Shingles ❑ Wood Shakes .� ❑ Wood Shakes ❑ Wood Shingles Other (Specify) Ca ( 6 kIK-2-- ❑ Wood Shingles ❑ Other (Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report # To be Removed O Provide Mfgr. Installation Specs, I Have Read, Understand and Will Com ly With Cu ertino's Tear Off Policy: Rob Description: aL C0Lk5 1 ZN51 .1 3o G r --t- an C Cir (to o9i+lc, SIti'n lcs — Residential Al Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type ofConstruction: Occupancy group: Qty. if A licable Fee ID Fee Description Fee Grou E 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 E