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CITY OF CUPERTINO
t,(-ONTRA,CTOR I�TFORMA IQN ;
BUILDING DIVIs)ON PERMIT
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BUILDING ADDRESS:
CASTO ROOFING
PERMITNO.06060249
10401 PLUM TREE LA
OWNER'S NAME:
PERMIT ISSUE DATE
JASON FREUND
1938 OLD MIDDLEFIE
06/29/2006
NE:
SANITARY NO. CONTROL N0.
(650)961-8922
ARCIMECT1ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
- Job Description
reby affirm that I am nsed umbr provision of Chapter 9 (commencing
thereby ns
wish Section 70011) of Division 3 of Ne Business and Professions Code, and my license is
nfullfaronandofrsiy/ 2
TEAR OFF EXISTING BUILT UP ROOF AND REROOF WITH
Lice 1 L'te. N
Da Co.nmor
SAME. CLASS A
ARCHfrECTS DECLARATION
CASTO ROOFING PAID FOR RENEWAL BL 6/29/06
1 understand my plans shall he used as Public menrtis
Licensed Pm@sst... I
OWNER -BUILDER DECLARATION
1 hc.hy affirm that I am exempt from the Contractors License Law for Be
following mason. (Section 1031.5, Business and Pmfasinm Code: Any city of county
which mquioes a permit to consvuct alter, impmwe demolish, nr repair my motion
prior m its issuance. alio mqulms the applicant for much Permit m file a signed aldlement
he is l¢cmed use of the Contractor's license law(chapter 9
Sq. Ft. Floor Area
Valuation
that pursuant o provisions
(commencing with Section 1000) of Division 3 or the Business And Nofersfmin Coil or
$5000
that be is exempt therefrom and the basis for the alleged exemption. Any violation of
APN Number Occupancy Type
Section 1031.5 by any applicant for a permit subjects she applicant to a Civil Penalty of
not mart than five hundred dollars ($500).
I,uowmrof the pmpmy, or my employcu with wagum Heir sole compcmauen,
will do she work. and t e mocnre is not intended oronertd forsale (Sec. h)U, Business
'
Required Inspections
and Pmfcvlom Cade The Canuunes Lituue Law does not apply an in Owner of
who does Suchwafkh ufficiar throughh.
enywyees. orimproves mon, and who selfor is
who builds
.,
own erty
own Suchereprove are not intended Or Tarsale
provided that Such
a 161,
tGapp�iy4��ig
however. the building or improvement is sold within one yw of completion, the Owner.
�vs
LEPl
builder will have the burden of proving that he did not build 9r improve for purpme of
salc.).
❑ I, as owner of She propen, w exclusively contractiag wit licensed mnuacmrs m
construct the p.jta(Sec.1044, Business and Professions Coe:) dThe C°nuamer's V-
'y'
IV 2096
CO. Law does not apply to an owns of propeny who builds Or improve Nemo., and
who commons for such pmjecs wit a cenmvaor(s) licensed pursuant us the Communes
wLaw-
C31 am exempt under Sec . B & P C for this reason
@@ypypJJ
1pjty
I �IN
Oer Date
Owner
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under family sly of perjury one of de following drelvatimu:
1 ism and will maintain a Cenifheas, of Cavum n self -insure for Warkeri Compcn-
.ion, As provided for by Section 3100 of the labor Code, for Ur' pert... of the
work for which this Permit is issued
❑ 1 have and will maintain Warkees Compensation Tnwnnre, as ""red by Section
3100 of the labor Cade, for the performance of the work forwhich this permit a issued.
My Worker's °mpenvtiyyonbuu. curio aid Polity number am:
Cartier. tC% YYb_-'ter Policy No.: 7 cy,
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(This rection need nut ne compkmd if the Permit is form. hundlyd drill. (5100)
MAS)
I certify, shat in the performance of the work for which this Permit is issued, l shall not
employ any person in any marm rso AS in became subject in led W°rkess' C°mpew0°n
laws of California. Date
Applicant
NOTICE TO APPLICANT: If. anor making this Cenifiate of Exemption, you should
becoln. Subject n the Worker( Compensation provisions Uf the Ianm Crile, you most
forthwith comply with such provision or this Permit shall h dxmcd evoked.
j CONSTRUCTION LENDINGAGENCY
' I kmny dean the then is cunn agcmy, for the perfurmana of
' she Work for which 11119 pennil is issued (Sec. 3B9?, C'IV. C.)
s edfSc , Civ,
Lender's Name
landefs Address
'
I Consfy that I have mad this application and Slav that IIIc 3WW information Is
'
' correct. I agree to comply with all city and county ordinances and sum laws n:lating to
building construction, and hereby authorlm MPrnemeives of this city to enter °Pen the
l shove -mentioned Property for inspcedon Purposes.
(We) agree n save, indemnify and keep harmless she City of Ci,unino against
j and expcma which may in anyway active against mid
incoisequcrgafffincons
of thegranting of Nis per it.
m APPLICANT
' APPLICANT UNDERSTANDS WILL COMPLY WITH ALL NON -POINT
�1 err/ _
Issued by: (1.:7 •�OaalTiL>
SOURCE
Date -
REGULATIO Lel
Re -roofs
Type of Roof
1
gnat 1 H o DOUSMATERIAISDISCLOSURE Date
dlshcappli toffunmbuildingacupanlstomorhandlehuafdousmanrid
asdefined by the penins° Municipal Code. Chapter 9.12. and the Health and Safety
code. O on 255 2(a)?
All roofs shall be inspected prior to any roofing material being installed.
Will thea licult o fun. building occupant art e i which
pP C P qtr proem o ds
If a roof is installed without first obtainingan inspection, I agree to remove
P g
coil m air conumimnu u dsOncd by IK Bay AMA Air Quality Managcmcnt
Ona
all new materials for inspection.
District?
Disuia?
❑ Yes
I have read she hvaNn s materials.quirtmenu undcrCbpter6.95 of lee Califon
on. Health& Sdcty Cads, Seeuom 25505.25533 and 25534.1 undersand dmeifshc building
gam/ o
does not comemly have a en m, that it is my responsibility w notify the Occupant of Cite
regoimmenta which m rnissaunc fieatea
Si a Leo pplicant Date
Z
All roof coverings to be Class "B" or better
owns r a > agent D,n
om 1 of 1
CITY OF CUPERTINO
la�I:�u�Mll:� �fi1mF��111
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 31633022.00
DATE ISSUED.......: 06/29/2006
RECEIPT #.........: 35073
REFERENCE ID # ...: 06060249
SITE ADDRESS .....: 10401,PLUM TREE LA
SUBDIVISION ......
CITY .............: CUPERTINO
IMPACT AREA ......
OWNER JASON FREUND
ADDRESS ..........:
CITY/STATE/ZIP .... ,
OPERATOR: amyw
COPY # : 2
RECEIVED FROM ....: CASTO ROOFING
CONTRACTOR .......: CASTO, LINDSEY LIC # 21324
COMPANY ..........: CASTO ROOFING
ADDRESS ..........: 1938 OLD MIDDLEFIELD WAY
CITY/STATE/ZIP ...: MOUNTAIN VIEW, CA 94043
TELEPHONE ........: (650)961-8922
4kEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
BPERMFEE VALUATION 5,000.00 115.56 0.00 115.56 0.00
BSEISMICRE VALUATION 5,000.00 0.50 0.00 0.50 0.00
BUSLIC FLAT RATE 1.00 105.00 0.00 105.00 0.00
TOTAL PERMIT : 221.06 0.00 221.06 0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
C�
J
AMOUNT
------------
221.06
221.06
NUMBER
------------------
9011
li.•
CITY OF
--#UHkJINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building De artment
JOBADDRESS: /pyol {JIkwt+r�e-
PERMIT#
OWNER'S NAME: So sa h recwia
PHONE #
GENERAL CONTRACTOR: e¢ sto Ru 'M S -rJ7- Ac-
FAX #
I am not using any subcontractor .
/,Signature Date
Please check a applicable subcontractors an complete the followin information
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
Cns}o� T -� .
21 3`•L
Septic Tank
Sheet Metal
Sheet Rock
Tile
Date
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 with the above stated policy on re -roofing.
Homeowner's Name: 75gS0 V\ f reuvt Z
Job Site Address: 10 Yo 1 elLtKl +/ ee_
Roofing Company Name: C9L�fo A04 -"VS -_Tk S
Applicant's
• Greg Casteel
Building Official
Revised 11/2/04
Date:
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 with the above stated policy on re -roofing.
Homeowner's Name: 75gS0 V\ f reuvt Z
Job Site Address: 10 Yo 1 elLtKl +/ ee_
Roofing Company Name: C9L�fo A04 -"VS -_Tk S
Applicant's
• Greg Casteel
Building Official
Revised 11/2/04
Date:
ff
CITY OF
• CUPEkTINO
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION FORM
APN # a co - 33 Oofna
Bldg Permit Fees
Date:
LQ
Building Address:
Energy
.G
BSEISMICRE
Owner's Name:
J 'Freund
BUILDING
Phone #:
073
Contractor: Phone #:
BUILDING
License #:
Plan Check Fee
BUILDING
BUSLIC
Contact:L1� ^ Phone #:
►" Y.t Cast
BUILDING
Cupertino Business License #:
Type of Roof Covering:
ExiProposed:
VBuilt-Up
Roof
VBuilt-Up roof
❑ Asphalt Shingles
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shakes
❑ Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ 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 Comply With Cu ertino's Tear Off Policy:
Job Description:
. s t n u i l+UP
r0rk ar7
Residential Co mercial ❑
Fire Zone: Yes ❑ No
Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: Type of Construction:
Occupancy group:
S OCXD DDS2-
7 .D
Qty. if
Applicable
Fee ID
Fee Descrintinn
FAP (rnnn
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
0
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