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06040088 CITY OF CUPERTINO 77�+'� BUILIIING DIVISION PERMIT BUILDING ADDRESS: FOUR SEASONS ROOFING PERMTr N°'06040088 10816 NORTHRIDGE SO OWNER'S NAME: PERNUT ISSUE DATE NORTHPOINT H.O.A. 502 HORNING ST 04/17/2006 ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECT(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH .00 LICENSED CONTRACTOR'S DECURA71ON Job Description u I hereby affirm that I w licensed under pMVWOn$or Chapter 9(mmmeuing a= niulilf and ff Dividon3afNeBudreaandProfeasiunsCoda.andmyliccneh REMOVE CALSHAKE ROOF, INSTALL 3OLB FELT, AND GA yv�z Ucenae Class ` ' Lic.g06 ;F Date GmnDEC Pse alc: DEC ARCHITECTS LARATION GRAND CANYON COMPOSITION SHINGLES CLASS A I unduaand my plans Nall he used u public reads )du ANLicensed Professional FI ALED `m3 OWNER-BUILDER DECLARATION '``!{■ ZO 1 hereby storm on 11. exempt from the Comione Co e:Any taw for tie ZOO following won.($cedars 70313,Business and ow, as Cade:Any city m county $ which requires a pemir re mires Me fifer.imprnt for h rmitdemolish,or minor any suunure qual a itiouaeaalarmw to the applicant the Cor state, 0leuLoedaWemcm MAY 1ODU E thathehlicensedpurwemmthePmdsionsa(th<CmnuaelorsUttrtselaw(Ch4Pmr9 Sq.Ft. Floor Area Valuati$�500 e� (commencing with Section 7000)of Divblon 3 of the Business and Professions Code)at W�S Nat he is esempt therefrom aM the basis for the alleged exemption.My violadon of Section 7031.5 by arty applicant for a permit aubjeco the applkatno a civil penalty of APN Numbe Occupancy Type Out more Nan flim Wndrtd dollar(M). 316 3 6 04 4 0 1,as owner or Ube property,Or my employees with Orem as their sok eampeasadon, MADING will do are wart arta the strvetwe is call intended or offered for sale(Sec.7044,Brahma Required Inspections end Professional Cade:The Con==s License Law des oout apply m a matter C ns Of q P property who builds w i m proves thereon,and who does such work himself Or though his awn emplayea,provided thusuch Improvements w not intended waffmed for We.If, lamevw.Ne building w improvement is Bold within one year of ampledm.Me Owner, builder will have the burden of proving that he did ret build or Improve for purpose of ale.). 0 1,u Owner of the property.am eulusively conuacning with licensed cantraclum m construct Ute project(Sec.7044.Business and Prolix Ons Cade:)The Conuacuses U• came law does not apply m an owner of property who builds or Improvm derean,and, who contncte for such project with a emnraccer(d licensed pursuant m the Communes License Law. O lsmaaemptunder See ,B&PCfarihhwm Owner Date WORKER'S COMPENSATION DECLARATION 41 I hereby arms under porosity of perjury one of the following decimations: 0 1 have and will maintain a CaNOat ofComcnt toself•Insum fm Wmrkr's Compen- sation,a provided for by Section 3700 of the labor Code,for de performance of Me work far which this permit is iaucd. Mhave sed will maintain Woftes Compensation Insurance,u required by Section ®1 of the Lebec Cade.for cite performance of the work for which this permit Is lauctl. My Workers Compenation ho m um artier and Policy number am: Cartier. A.I'( •A - Policy No.: I ZM A4 4 LI CERTIFICATE OF EXEMPnON FROM WORKERS' COMPENSATION INSURANCE rlha section wetl notbecompkted BMe permit Is fwawhundmtldo0an(5100) carless.) I certify tel in the performance of me work for which this permit is hoed,I shill an, employ any person in any muter an u in became subject an the WmrieW CompeaWon Laws Of Califomi&Oeste Applicant NOTICE TO APPLICANT:If,safer making this Ccnifiate of Exemption,you should Income sublon m tie Worker's Compensation provisions of the Law Coda you man .J O roMwith comply with such provisions w this permit shall be,Mimed mmkd. ?ti CONSIRUCnON LENDING AGENCY [r I totally arnmt Um Nem h acoraaucUen lending agency for the Performance of Cl.rte. the work for which this Permit abound(Ser.3097.Civ.C.) W� L ndn's Name =Z Lenders Addrw U O 1 cedfy that 1 hale read this application and sate dta the show information is U.F coma 1 apo m comply with all dry end county ordlanat ces and sIan misting m O V bottoms construction,ad hereby authoan mprtsenaMvms Of this city to enter upon rte [id alevomcauwmd property for inspection purposes (We)acme to aw.indemnify and lamp harmless Me City of Cupertino against fa/1 li4biliMq judgmena.core and eapenses which may in any my ueuc agsim,aald City U Z in consequence of the granting of this permit. APPLICANT UND AND ND W LL COMPLY WITH All NON-POINT Issued by: Date APPLICANT U NS. 0 6 Re-roofs Signaue of Appll m Dam HA owl ATERIALS DISCLOSURE Type of Roof Will thcapplicatorfum bas ingaapentsmmwlundlr:hvallou to aial u denued by the Cupenina Mrn pal Codc.Chapter 9.13,and the Health and Safety Code,Section 35533(4)? aA All roofs shall be inspected prior to any roofing material being installed. 0Ya ,I(R4o 41 WIII Me applicant or future building occupant use equipment a devices which If a roof is installed without first obtaining an inspection,I agree to remove emit krardnua air cor aminsna at dc0ud by the Bay Area Air Quality Management all new materials for inspection. District? O Yes XNu I have mal the hwdow mamdals requirement under Chapfer 6.95 of the Califor. �/ niaHalLh&Safety Cade,Soedons35505,35533.d E534.lunMn dthalftie building % — /7_Q(e Uaw rel currently haw a want•that it b my msponsibllity to noUl'y the accupont of the requlrtanc ismer mel pa r on louatec ofa Codlkam Of Occupaey. Signature 0 pp Icon Date 41,/ ^�� 11 roof coverings to be Class"B"or better Owner IhortmKip,IcDate' CITY OF CUPERTINO am 3 of 5 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31636044 . 00 DATE ISSUED. . . . . . . : 04/17/2006 RECEIPT # . . . . . . . . 34017 REFERENCE ID # . . . : 06040088 SITE ADDRESS . . . . . : 10816 NORTHRIDGE SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT H.O.A. ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : SAN JOSE CA, CA 95125 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 • Community Development Department c' Building Division City of Cupertino • � : � ew 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: TL_ )r4� 0-1r rt ' II ff lob Site Address: 10$1ly �or t/i� e � tro CA Oi�Uj`( Roofing Company Name: Applicant's Signature: Date: OI/ • Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper Community Development 10300 Torre Avenue aClOF Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 SCUPEI�TINO Building Department JOB ADDRESS: PERMIT# I(o OAQear vino CA . (- OWNER'S NAME: PHONE # GENERAL CONTRACTOR: FAX# I am not using any subcontractors: Signaft5e4 Date Please check applicable subcontractors and com le e 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 CITY OF CUPERTINO OQ D g D n U REROOF • CUPERTINO PERMIT APPLICATION FORM APN # Date' k U 34 0 U LA +1 Ll —ou BuildingAddress: loto tw So Owner's Name: Phone #: C tractor: Phone #: License #: ML>r ycl 2't S -0330 /0 9- Contact: Contact: hone #: Cupertino Business License #: 27 $ -o33O Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles 'Z�, Asphalt Shingles ❑ Wood Shakes ❑ Wood'Shakes ❑ Wood Shingles ❑ Wood Shingles JaL Other(Specify) Ca 8kaK.El ❑ 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 1 With Cu ertino's Tear Off Policy: Job Description: -,� p S I $�.1.k 30 G C 1 an G 2 Gr"X Ge o5 f4!0^r Ow'n le.S' C Ais Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type of Construction: Occupancy group: SSbO Qty. if A ]icable 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 •