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06070215CITY OF CUPERTINO //��ny��m aiC� r♦.' " IF\l �i['k�I. y5 • BUILDING DIVISION PERMIT w7v� I�S.+r v,� ag raw w^tri • Rdvi�' s6'„3_e - .,,�i q{.f, 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 j� I I hereby &Man under penury of perjury one or the fallowing declamlions: qpI ,f1�— 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