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08070218 CITY OF CUPERTINO I'Pw ere r.`ad. (-3�3v 5 'j 4s> "'`y ° = BUILDING DIVISION PERMIT '°CONTRACTOR INFURMATIN BUILR1(�G1.A RESS: PERMIT NO. �9. PHAR LAP UR ALL SEASONS ROOFING SERVICES 08070218 OWNER'S NAME: PERMIT ISSUE DATE 111I.M DOWD 1720 SMITH AVE 07/30/2008 NE: SANITARY NO. CONTROL NO. ARCHI7EC7/FIICINEER: BUILDING PER RE-RF RMV 1LYR EXTG SHKRF& BLDG ELECT IEPLUMB MECH 0 O O O "r`6 - MATr`MT �T "A 549 LICENSED CONTRACTORS DECLARATION rg U� 1 herby affirm the 1 am licensed under pmviai0v of Chemor 9(commencing -^^ ^ ^ -" ^-•^ ^^^ ^-I.Ob.Description with Section i0fkn of Division 3 of the Business and Professions Code,and my license u n is in full fame and eff a `��^��^� / j n- License "� Lld. c;:p Da¢ ^ Comncwr .flfl ecJd+I/l 7W ARCHITECTS DECLARATION U 1 fund my plan shall be used as public meorm; $C t; Licensed pmressional cy3 OWNER-BUILDER DECLARATION i E I hereby a1Brm that 1 am exempt from the Contractors License Law for the C 00 following mason.(Section 703IS.Business and PrefetiOv Cade:Any city or county 5 C. _ which mr,d es a permit to co m um.alter,improve.demolish,or repair any swctume prior on in issuance,also requires the applicant for such permit to file a signed satement that he is licensed pursuant inthe provisions oftMConimeteeiicemor Law(Chapter 9 Sq.Ft. Floor Area Valuation x5$ (commencing with Section 7000)of Drmion 3 nfthc Business and Professions Cee)ser - that he is exempt thmefmm and We basis for the alleged eampdon.Any violation of Section 70JLs by my appiianl fm a permit wbjccu tirc applicam m a civil pcalty of APN Number Occupancy e wt more than row 6aWrtd dollars($SW). P Y EYP 0 1,as owocr of the pmputy,or my employes with wags as their sole compensation, will do the work and the structure is at intended or offered for sale(Sm.M44.Businw aria Prefemors cmc The Conmmors I.law does net.,ply in se owner of Required Inspections property who builds orim rmea thucon,end whodocssuch workhimcelfmtiuovgn his own employees,Provided that ash improvements an,not intended orofferel for sale IL hwner,the building or impmmunt is mid within one year of compldtios,the owner- . builder will haw the wfaco of moving that he did wt build of im,m or for purpose of sok.). 0 I,as owner of the property,an ad.N.1,contracting with licensed cuntrators to coistrocl the project(sec.7044.Business and Professions Cmc:)The Conufacmts U. t.law does not apply to an owner of orpeny who builds or impm es Nemo..and woo cmuracts for each projects with acasacer(s)licensed pmwa.l in tK Condaemr's Uanse law. 0 lamexempru.derSee .B&PClarthisre•-^^ Owner Dau WORKERS COMPENSATIONDECL RAT10N 1 hemby affim under penalty of perjury one of the fallowing deelaadons: I law and will munain•Cenircate of Covent W self4ame far Worae,Compm- cation,as provided for by section 37000(the labra Code,for the performance of the work for which this permit is issued. 0 1 haw and will maintain Wvkcls Compensation Imuran¢,as mquited by Section 7700 ofdte lamf COde,far ft Kfraruveofth wok for which this permit is issued. ' My wmrl Comm artia and Pu iryeen�Yu11m�>p�fyerl�amss..,, Grtiu: CS.(� c set Policy N..�4�✓1%0571 -0 . CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE flTis inion and an,be completed If the Permit If forme,hundred dollars($100) or mss) 1 certify that to the perform...of the work for which this permit is Issued,1 shall now m employ any Forms in any macer m as in become wbjccl to f Workeri Compm adao Laws of California.Dur: Applicant NOTICE To APPLICANT:IL after making this Certificate of Exemption.you should became subject in the Workces Compensation provisions of the labor Code,you muse ^J z forthwith comply with such pravmov as this permit shall w deemrA mated. z r CONSTRUCTION LENDING AGENCY [•-m 1 hereby aRmn Na there is s rovtruc.3 3(19lending agency for the perfemmenco of dte ai > work for whim this pemhit is issued(see 7.Civ.C.) C1,n Q landora c .7 z Undoes Address U Q I certify that I haw read this application and scan that the show infore.W.is LT.H Commit.I agme to comply with all city ad county ordinances and nate laws rtladng an 0 U building conswcemn,and hereby wthorim mpesenutiwn of Nu city in enter upon the 14 aww-mentioned property for inspection purposes G (Wc)agree in am indemnify and kcep harmless the City of Cupertino against res liabilities,judgments,taus uW apcves which may in any way ache against said City U in covegienw or the graining of this pundit �O APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE ONS. 7-3-'-y Re-roofs v Signature or Applican✓Conuacmf Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will ft applicant or future building occupant sum or handle has dna material as derined by the Cupertino Municipal Code.Chapter 9.12,and th.Health and Safety cede,Scotian 25532w7 [Dy. CK.— All roofs shall be inspected prior to any roofing material being installed. Will the appncat or future wading occupant ase equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it hn7 Paallous air contsmivnts a calmed by the Bay Ana Air Quality Mavgcment1. all new materials for inspection. 0Yes cp#d- Ihawman the haSWrnnmaerid25533 mcnntr.I and apterd.9safthe Glding <//A� ria Hca]Iba Salary Ce de Secdov 75SUals requirements eq iand25s undctMersund 95 ifthe wilding does not cuncndy haw•imam Wt It u my respovihility W notify the occupant of dte requirements which most Wmet prioraissaan..isCcmrcwofOccuprtey. Signature of Applicant Date 7 ti� All roof coverings to be Class or better Owner or thorimd agcnl .- All g CITY OF CUPERTINO 2 ITEMS OF 8 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . 1 . : 32639053 . 00 DATE ISSUED. . . . . . . : 07/30/2008 RECEIPT # . . . . . . . . . : BS000005630 REFERENCE ID # . . . : 08070218 SITE ADDRESS . . . . . : 10191 PHAR LAP DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TIM DOWD ADDRESS . . . . . . . . . . : 10191 PHAR LAP DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1113 RECEIVED FROM . . . . : ALL SEASONS ROOFING CONTRACTOR . . . . . . . : GORSHTEIN, VLADISLAV LIC # 21035 COMPANY . . . . . . . . . . : ALL SEASONS ROOFING SERVICES ADDRESS . . . . . . . . . . : 1720 SMITH AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 971-4455 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----- ----- ---- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 12 , 000 . 00 1 . 20 0 . 00 1 . 20 0 . 00 1REROOFRES SQ FEET 29 . 00 377 . 00 0 . 00 377 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 378 . 20 0 . 00 378 . 20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 1, 591. 10 #24259 --------------- TOTAL RECEIPT 1, 591 . 10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • oic)?(-),� ? CITY OF CUPERTINO J�t REROOF `CUPErZTINO PERMIT APPLICATION APN # n Date: z6 3 9v s•3 . v � �� Building Address: \(D\C\ Owner's Name:_-�- �,.\ (Jowl Phone #: Contractor: A�\ ge�� nS � � �SSecvt�S Phone #: (Lto<,�) old y�S� Fax #: t yaif)c13g-LA "l Cupertino Business License #: r� 1 b 35 Contractor License #: Sot o \ Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ,X Asphalt Shingles `pY Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles {eco\aa� ❑ Other (Specify) tp< Other (Specify) e- P\\( -- Number of existing coverings ;R Provide I.C.B.O. Report )w4C To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Xi� x-$• 50 oS� � a-X.S� So�(' Coves ('o . A'k �' \c.,k c�o� pJe-rtc� e��s�n.� Residential Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Plamiing Dept. if Green Building Checklist & attach it to the there are any restrictions: ❑ application or if applicable, include in plan set & the sheet index. Valuation: IN a iOv C7 I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: 04 SfgnAure Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408)777-3333 Building Deptartment Subject: Re-roofing policy for the City of Cupertino — —7.. Print tTne_rmit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. L. 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 with the above stated policy on re-roofing. Homeowner's Name: toLpGl Job Site Address: !Q 6\\ C-0 (�� i ✓�� Roofing Company Name: A\\ Se-eAs y-ystC'2� .� Applicant's Signature Date: 711201-0 • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO - REROOF CIT_Uffl�TINO FEESCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group IREROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2� IREROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B IREROOFMRES Re-roofMulti-FamilyB 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • Community Development 10300 Torre Avenue Fes' Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �UPERTINO Building De artment JOB ADDRESS: PERMIT # / YY ( ,�-o`7 02(J- OWNER'S NAME: I I +it w PHONE # 03 2 — 6 250 v GENERAL CONTRACTOR: FAX# I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followinginformation: 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 44� er/Contractor Signature Date