06070215CITY OF CUPERTINO
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• BUILDING DIVISION PERMIT
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BUILDING ADDRESS:
BILL HAMILTON ROOFING INC
PE!MITN0.06070215
10421 OA V
OWNER'S NAME:
_
PERMIT ISSUE DATE
DANIEL & KRISTA MARKENT
740 CAMDEN AVE
07/31/2006
NE:
SANITARY NO. CONTROL NO.
(408)687-2540
ARCHITEC YENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
O C� LS t�
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 lumby affirm Nat 1 am licensed maker pmdaioas of Chapter 9 (cammenlag
with Suedon 700rj ofDivlalon 3o(tha Basin. and Profaatimes Code, AM my Treem la
nrullrameaMarr
REMOVE AND REPLACE ROOF SYSTEM. REMOVE SHAKES
mase Le.a
Dem Conrrsemr
INSTALL 1/211 OSB & 30LB FELT UNDERLAYMENT CLASS
ARrH ARATIDNASPHALT
SHINGLES.
I uMcrwnJ my plain shall the, mad public rr
Licensed Prefesdaml
OWNER -BUILDER. DECLARATION
1 hereby Art.. That I am exempt from use Conamuses License Law for the
following mason. (Section 703 1.5, Business and Profmions Cade: Any city or county
which analree a permit to.o cis alms hnpmse, demolish, or mpsir any awewm
prior to its issuance. also mention the applieam for such permit to fans a signed statement
dm Comracmr's license Law (Chapter 9Sq.
Ft, Floor Area
Valuation
that he is licensed par.anl to provisions of the
(commencing with Section 7000) of Division 3 of the Dust= and Professions Code) a
$8900
Nat he u exempt therefrom and the basis for the alleged exempdon, Any violation of
APN Number Occupancy Type
Section 7031.5 by any Applicant for a permit mbjcets the applicare, to a civil penalty of
not mom than Rw hundred dMi n (M),
❑ 1, As owner of dm property, or my wPro,= with wage as theta to eompenndon,
will do tins work, a ad the suramarets an, intended or offered to, man (Sec. 7044, Business
e
Required Inspections
oof
and Pm(esdam Cade: The Contractors Lineae Law doer not apply M anwner
q P
property who builds or improves thereon, and wha does such work himaelf or through his
owo=play=. provided that such imprammente am not intended oroQemd forssW If.
however. tee building W hepmwmcot Isald withinam Sear a(complamn. the owner -
builder will Was On Wdce of proving Nat Its, did nal build a improve (a purpose of
sal..).
..
❑ 1, As owner of the property, am exclusively con am,in{ with Renewed conuacmra to
..
construct as prejen (Sec. 7044. Business and Professions Cade) Me Coavactors Li-
mner Lew does an, apply to. owner of propeny who Wilda or Improwa desmon. and.
who contracts for such pmjecm with a comm lor(s) rams d paaaa , to the comrammes
License Law.
❑ l am amom undo See ,B&P C for Nis wAxW
Owner Data
WORKER'S COMPENSATION DECLARATION
g5lll]q���rrr`���1 jr�t
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I
I hereby &Man under penury of perjury one or the fallowing declamlions:
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ASA (J {ria I:I 11
FFF ii`TTI449
I have sed will maintain a CeNOesm ofC.nsenl M self -Ansae fa Workers ComPcn-
�vy'P'slww—h�l�ravy
.tion, u provided for by Section 3700 of the labor Code, fa the performance of me
'
woe, for which this permit is issued.
41,
❑ I have and will maintain Workers Compensation Insurance, u required by Section
of the labs Code, for the performance of wank fnu whichsmis permit is land.
My Workers Coryeon a a ' end Pokey number am:
My d
Grrier. �� Policy
X EM 7INN FROM WORKERS
CERTIFl FRO
CO PE SATION
COMPENSATION INSURANCE
(Thts sed on reed not be completed If the permit is fm one hundred doles (S 100)
or less)
I carry that in me paRormace of the, work fa which this Permit is ismod, l shall rat
employ any permn in any mane,. As to becomes subject to the Worker, Compen..due
Laws or Callfomis Dau
AppUunl
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you aboard
became subject to the wwases Compensation provisions of use labor, Code, you mum
forthwith comply with each Provisions or this permit shall W domed revoked.
CON5TRUC ION LENDING AGENCY
I hereby affirm inn mem is a consuucdon ending agency for the perfortnauc of
But, work fa which this permit is issued (Sec. 3097, Civ. C.)
'
Lertal Name
Lenders Address
1 I cerdfy that 1 haw mad tax application and Nm mu the above informadon u
corsen. I agmen to comply with all city and county ordineacea.d ale laws relating to
Wilding constmetion, and hereby aumarim mprefenutiva of this city to enter upon the
above-mentioned property for inspection purposes.
(We) agree to ace, indemnify .d keep hamless the City of Cupertino against
i liabilities. Judgments, eons and expenses which may In my way acme against said City
in consequence of dee grana{ of this Permll.
' APPLICANT UNDERSTAND ND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
UL.AMONS. 7`$) w
-
Re -roofs
Type of Roof
i{nawre of ppli HAZARDOUS MATERIALS DISCLOSURE Data
also pliant orfaom building ocaparuuom orhandlc hamdaamamrial
do d by Cupmmo Municipal Cade. Chapter 9.17..4 me Health and Safely
.Section 75532(.)7
All roofs shall be inspected prior to any roofing material being installed.
ri Ya
If a roof is installed without first obtaining an inspection, I agree to remove
Will IW April.,, Faure Wilding occupant use Nmpmcol a devees which
AMR hevvdouw air contaminants As dCaNd by tins Bay Ansa Air Quality Management
all new materials for inspection.
District?
E] Yes
I have mad the hat Amucrials requirements under Chapmr 6.95 afore Califon
nia Halm&SafetyCode,Swd=2550.25533au125534.IuMcmmdmuifine building
does not eurmmly haw 4 tensna ma it is my rmpomihility to angry me occupant of the
m nuwhehmalbeme malaa.cear.Conaate aoe aa�-
Signature of Applicant Date
All roof coverings to be Class "B” or better
Gane oath . ant Dam .
V
om 1 of 1
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 36912033.00
DATE ISSUED.......: 07/31/2006
RECEIPT #.........: 35452
REFERENCE ID # ...: 06070215
SITE ADDRESS .....
SUBDIVISION ......
CITY .............:
IMPACT AREA ......
CUPERTINO
OWNER ............: DANIEL & KRISTA MARKENT
ADDRESS ..........:
CITY/STATE/ZIP ...: ,
OPERATOR: amyw
COPY # : 2
RECEIVED FROM ....: BILL HAMILTON ROOF
CONTRACTOR .......: BILL HAMILTON LIC # 27915
COMPANY ..........: BILL HAMILTON ROOFING INC
ADDRESS ..........: 740 CAMDEN AVE
CITY/STATE/ZIP ...: CAMPBELL, CA 95008
TELEPHONE ........: (408)687-2540
•FEE ID UNIT QUANTITY AMOUNT
-------------------------------------------
BPERMFEE VALUATION 9,000.00 158.76
BSEISMICRE VALUATION 9,000.00 0.90
TOTAL PERMIT 159.66
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
•
AMOUNT
------------
159.66
159.66
PD -TO -DT THIS REC NEW BAL
------------------------------
0.00 158.76 0.00
0.00 0.90 0.00
---------- ---------- ----------
0.00 159.66 0.00
NUMBER
------------------
7314
aClOF
CUPEkTINO
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Buildine Devartment
JOB ADDRE S: PERMIT #
O G0�o2/S
OWNER'S NAME: PHONE # - t - X, [
GENERAL CONTRA OR AX #
J t�•cc,
I am not using any subcontracto — 3/ - ��0
Signature Date
Please check applicable subco rtsd complete the following information:
er/Contractor Signature
% 3/-01r.
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
er/Contractor Signature
% 3/-01r.
Date
• CITY
CUPERTINO
•
0
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION FORM
M10946
APN # 3l!/ -I I2--033
Bldg Permit Fees
Date: 7- So
J?I — O
Building Address:
BUILDING
BSEISMICRE
Own e ' Namc:
T
Ph n #:
3./
Seismic Commercial
BUILDING
z
Con r:
KC'
Liuillse #:
( 'Iio Oct
Business License
BUILDING
Contac •
Cupertino Business License #:
— C7
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt ShinglesAsphalt
Shingles
JZc Wood Shakes
❑ Wood Shakes
❑ Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Number of existing coverings l—
❑ Provide I.C.B.O. Report #
IX To be Removed
❑ Provide Mfgr. Installation Specs.
I Have Read, Understand and Will Comply
With Cu ertino's Tear Off Policy:
Job Description:
�sv
S
JC
Residential XI
rcial ❑
Fire Zone: Yes E]No F1
Confirnfed with Plann' g Det. if
there are any restrictions: LJ
st of Project: T_ypeDf
Construction: Occupancy group:
p
co
Qty. if
Applicable
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
91
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
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 withtheabove stated policy on rye -roofing.
Homeowner's Name:
Job Site Address: /O�
Roofing Company Name:
Applicants Signature:
• Greg Casteel
Building Official
Date: _7__ —C&
Revised 11/2/04
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 withtheabove stated policy on rye -roofing.
Homeowner's Name:
Job Site Address: /O�
Roofing Company Name:
Applicants Signature:
• Greg Casteel
Building Official
Date: _7__ —C&
Revised 11/2/04