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06040090 CITY OF CUPERTINO �y ''' rasax eg,�.nn �'y�y` �" "s"v'yys 6UILDING-DIVISION PERMIT a t�s^-�.,..,.„. o-n¢ J{mak al f,..iK+�' P-wl "✓ BUILDING ADDRESS: FOUR SEASONS ROOFING PERMIT NO.06040090 10806 NORTHRIDGE SO OWNER'S NAME: PERMIT ISSUE DATE NORTHPOINT H.O.A. 502 HORNING ST ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCH7TECT/ENGINEER: BUILDING PERMIT INFO DG ELECT 0 PLO +op LICENSED CONTRACTOR'S DECLARATION as FF I hucby affirm that 1 an licensed under provisions of Chepier 9(commencing Job Description �Z`uf with Section 7000)of Division 3 argue Business and Profeaiuns Cade,and my licensee aw, n. inmRro-andeIf 3� L g N 11tU� REMOVE CALSHAKE ROOF, INSTALL 30LB FELT, AND GA jyfLlcenm Clan Dam v Camranar 9 GRAND CANYON COMPOSITION SHINGLES, CLASS A nq ARC.,,ra' SDECLARATION fW I undersand my plans Evill he used as public meords 1�*LED o Licensed Pmfcsianat gy 3 Oat I am BUILDER DECLARATION too I hereby mand .(Section 11. exempt s an the commofcWom rdLicense: Law for the 0 4 which ng moan.(Seders 7(D sem Business and Professions Cade:Any sty or county 7006 5 9 ti which its aims a Pamir m cnnsouca slur.Improve,h perreNh,or a Pair ed comment daRkitsccnwd e,atmmquim Novisioexmfof auchpcnni's Lumosigrcdsuumcnt I$S500 < that heelicenxdPunuvnuotMpmvisioerofNorCanuuwrsLicen¢Law(ChaFur9 Sq. Ft. Floor Area Valuat i�D (commencing with Sudan 7000)of Division 3 of Nor Business and Pofaai"ns Codi)or $ that he Is exempt tham(rom and tc basis fm the alleged exemption.Any violation of Sacton 7031.3 by any appllexm for a permit subjects Ne applicant to a civil penalty of APNNumber romom upancy Type t Nan Ron, dollars(S5W). 316 3 6G43 . 0 ❑1,u owns of W propmy.w my wploym withwtm u gueh sole eompcwgan, will do th...L and the swnutu a not Intended.offered forced,(Sm.7014,Busiws Required Inspections and Profealons Code:The Co mucars License law does rot apply an an orrrcr m q P propmy who builds or Impmws t emem.and who dos much work himuJ r or through he awn ernployces,provided Nat each Improvements see rot imehhd<d uoa'ered for ale R. however.the building or hapro derma Is mid within ove year of mmpluiw.Ne owner- builder will Nve den Widen of proving Nal ad did rot build or improve far purpom of nle.) ❑1,u owner or due property w exclusively commaing with Burred onommrs as construct the pmjm(Bee 7044,Business and Pmfexam ns Cade:)The Canumamrs Li- maxi law doer not apply In an owner of propmy who builds m improves Nem re.and. who contract,for such pmpois wed a comincmrts)licensed purawnt m t CerroUaners License law. ❑I am exempt under So .B d P C for this m»oa Owner Dam WORKERS COMPENSATION DECLARATION I hereby affirm under Fondly of perjury no of the following declurutions: ❑Ihimandw0lmainuinaCo RomofComnuoulfdnsumforWorkersCUmpen- snian,m provided for by Section 3700 of the Labor Code.for the performance of had work for which Nis pemdt is issued. r�9 have and will maintain WaMrS CompemNon Imuran•as required by Semon 9960 of Ne labor Cade,for Ne performance ofthe work for which the Formed is issued My Warkees compensation Insurance carrier and Policy number are: Cartier. A •o . A , Policy No.: I1 at 1k4 4 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE v (ILeamsim mail not be completed If the permit Is farad hundred delan($109) or leu) 1 certify that In the performance of Ne work far which this permit is eased.I shall not employ any person In my manrcr m as In became subject m to Warken'Comperuaton Laws of Califamla.Data Applicant NOTICE TO APPLICANT:If,spur mutant this CcniRexte of Exemption•you should became subjem m the Waa a s Compensation provisions of the Lada Code-you must OZ forthwith comply with such provisional W Ne permit shall W domed revoked. z^ CONSTRUCTION LENDING AGENCY [+ I hemby ailm Nat them Is a mumctim lending agency for the lerformanoaf �i the war for which lids pemtit amount(Sore.3097.Civ,Q GA Landers Name z Lenders Address U0 I ccr lfy Nat I have mad this application and sue that the above information is D. F cancer.I agme m comply with all city and county ordnance,analauk laws misting in 0 building conswction,and hereby authotim representatives of Nis city to cnmruPin the W above-mentioned pmperty,for inspection purposes. LL (We)agree to ave•indemnify and keep hsmeca the City of Cupertino againsl vy r4 liabilities,judgmem4 casts and expenses which may in my way acme agaWt said City U Z in conseieercc of the granting of the permit. G�/� '-" APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date G' SOURCERE ATIONS Re-roofs signuum pp uCoal Dior a Of Roof AZA MATERIALS DISCLOSURE Type Will Nor spPlieant Tut hiding aoupantsmm or handle havmous material u deRned by tel Cupenh nuipd Code.Chapter 9.11,and the H.IN and Safety Code. 25s32(e)! oys, s All roofs shall be inspected prior to any roofing material being installed. ❑Yes Will the applicant or forum building arzuWnt use eyuipmmt or devim which If a roof is installed without first obtaining an inspection,I agree to remove emit hoard".sir comm insets u&fund by the Bay Am Air Quality Management all new materials for inspection. District! ❑Y. �Qa I havercad the l anmager materiae requimments underChipmr6.95 of the Caller. rte HealdkSafoy Cade,Seetaru 25505,25533 And 25534.1 undersand rhnifthe Wilding Y-77-0& dm n�'21 tly how a e my maponsihilltY m mmifY gm aceupsnt of true myulmleh t rmianwNeafacuGrkmetWome mcySignature of Ic t Date own i she eg nt ,m G All roof coverings to be Class"B"or better CITY OF CUPERTINO •em 5 of 5 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31636043 . 00 DATE ISSUED. . . . . . . : 04/17/2006 RECEIPT # . . . . . . . . . : 34017 REFERENCE ID # . . . : 06040090 SITE ADDRESS . . . . . : 10806 NORTHRIDGE SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT H.O.A. ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : SUNNYVALE CA, CA 94086 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 ---------- ------------- ---------- --- ------ ---------- ---------- ---------- BENERGY PERMIT FEE 126 . 36 60 . 65 0 . 00 60 . 65 0 . 00 BPERMFEE VALUATION 6, 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 187 . 01 0 . 00 187 . 01 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 1040 . 05 005461 TOTAL RECEIPT 1040 . 05 r Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 WUPEkTINO Building Department JOB ADDRESS: PERMIT # /o I OWNER'S NAME: IPHONE # GENERAL CONTRACTO „ S , FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete a 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 Owner/Contractor Signature Date Community Development Department w� Building Division City of Cupertino t€t' 10300 Torre Avenue • Telephone: (408)777-3228 CITY OF Fax: (408)777-3333 CUPEkTINO 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 " 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: 0_0 Job Site Address: 10 $O CO I OC�6,A Sc�,�2✓=�' Roofing Company Name: S Applicant's Signature: Date:L Z O� • Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper 0 D o� CITY OF CUPERTINO REROOF • CUPERTINO PERMIT APPLICATION FORM APN# Date i Lo y- i L4-o Building Address: Owner's Name: Phone#: C tractor: Phone #: License#: e - � yos Z-1 S -o3 3 /0 8' Conrrta�-ct: //�� hone#: Cupertino Business License #: CQ Z xt, �2 7 g -0 $3 0 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles )2�,, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles Other(Specify) Ca(8 kap- ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# -' To be Removed ❑ Provide Mfgr. Installation Specs. • I Have Read, Understand and Will Com ly With Cu ertino's Tear Off Policy: Job Description: o V,_ S 130 C 1 0ACk Y Gr cL tr�W O^i . 6v �v,4!O �w�n 1tS' c' ass Residential Dk Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type of Construction: Occupancy group: SSpp Qty. if A licable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDINQ BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING