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08020028 CITY OF CUPERTINO e 'y �•;'+t' + ('� y�" 'A��"yyryry�{p ��]��7k,,�� 7 °%'e ' - BUILDINGDRiISION P PERMITNO. aual�lrj[;�D4D.gEsS�.IEDEL PL MONKS ROOFING 08020028 ER'SUNAME3: PERMIT 15UH DATE TONY LINGER 794 BERRYESSA ST'- 02/05/2008 PHONE: "' SANITARY NO. CONTROL NO. (408) 262-4797 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB - MECH 0 0 0 0 3oi; LICENSED CONTRACTOR'S DECLARATION Job D(:SCflphOn 1 Mroby off Net true under pmvuwn of Chaper 9(mannow+ns a� withSacdon7 ofl7fpl a a Business andProfe,uonCade aM yR4an=,, RE—ROOF,T/O SHKS &INSTL OSB, INSTL NEW COMP SHNGLS N m full foal an DDDR^ Lima. lana 9 Lk.N 30LB FLT, CLASS A COMP 3 t„ Dau Contrettof s ARCHITECTS DECLARATION y 1 mdenunJ my plan shell be used our public rumds yyU u� Lkcnsed Professional OWNER-BUILDER DECLARATION COS 1 Manby am.Sec Net 11. exempt from the Casiams C Code:Any c Lew for the COO O following recon.(Section 7 onstr t.alar. and improve. demolish, h,oAny city or county $ V. which requires monsoon,permit po 4nnswc4 alar.impmsc,demolish,roe pair any structure zi pemwiBcensedppunctual Me pro inion of fiersucMe Co penti's Li are Lawdsuumem < (comms cingwJpSamoa711thcpovivianofdeCOnuuunstundenaelaw(CMpter9 Sq.Ft. Floor Area Valuation �$ tha he is cuumph Sudor 7000)the Division l of Nc eg a exam ton.Myons Cada of $12500 the io u exempt therefrom and to Eau fur be alleged exemption.Any it P..try of .1 o.than by layreddoapplicant ars($5permit mbjecuthe applicanuoacivilpanetry of Number Occupancy Type aver mart Nen fve Modred dollen(SSW). 31621060:V Cl' 1,u owner arms propmry,or my employees with wage u Meirmle comperuedon, willdo the weekend thesmacture isnauunded¢offered recalls(Sec.7014.Budwe and Prafesdan Cade:TM Commutes Liaee Law does SOL apply to an moor of Required Inspections papery wha builds ar im prove themen,and who docs such work himself or Though his awn employeas,provided thumch improvements me not intended unaltered for We.If, however.Ne building or improvement is Sold within am year of completion.the Owner- ' builder will hams to burden of moving that he did vel but or improve far purpose of oak.). ❑1,u owner of the property am exclusively contracting with licensed c mmseun to construct the pmjem(Sec.70,14,Business and Profusions Cade:)The Connor's Li- ttera law does Dot apply to an owner of property who Milds or improve Neeson,and, who comment ant far such projects with a conmumr(s)licensed pursuant an to Contractor's License law. .. ❑lora amptunder See ,B&PCfardiamncen Ad skow. Dau WORKER'S COMPENSATION DECLARATION I Wrathy alThca under penalty of perjury aoc of Ne fallowing deGerWahc ❑I ham and will munWn a Cen+fsam ofCamni m ulf-inum for Workers Compcn- adon,u provided for by Section 3700 of the Labor Cade,fa the performance of the work for which this permit is load. ❑1 have and will mainlam Worker's Com cation Insasna,u required by Section 370D of the Labor Code,for the perform of the wars far which the permit Is issued. ' My War W p ' has Ingunws,u and Policy Ca ' /'� v Palley Ne.: CERTIR ATE OF EXEMP ION FROM WORKERS - COMPENSA71ONINSURANCE (Thisuctlon recd Sotto completed lithe permit lsfarwe hundred dollars($1011) _ or leu) 1 comfy Not in the performance of Ne work for which this permit is Wood,l shall not employ any person in any munrm an to buomembject to Ne Worked Cmnpennflon Lew,of California.Dau Applicant NOME TO APPLICANT:IL afar making this Certificate of Exempdon,yen should huome subject u the Workers Commutation prevision of Ne labra Code.you muse .J Q forthwith comply wit men provision un mit this pershall be counted revoked. z CONSTRUCTION LENDING AGENCY E+� Iboreby affirm NU ft.!.a coruuualm lending agency far rte perfarmena of a y to work for which this permit is!now(Sec] .Civ.C.) W�Q Landers Name Lenders Add. I certify that I have mad this application and saw that the above infoSaation is k.!•� rmrem I agree to comply wit all city and county oNinences and sue laws mindag to Q IS J' building construction.and hereby authaeaa representatives ofthis city to enter upon thC W above-mmamted property for inspection purposes. (We)agree to ave,indemnify sed kap beanies,the City of Cupeatno against y liabilities.judgments,casts no expense which may In my way accrvo against said City in 4011x, of tan grunting of the Icrmil. APPLI UNDERSTANDS AN�D/WILL }COMPLY WITH ALL NON-POINT Issued by: Date 2 SOU IEEGUL TI L/ i!/ " • �'S �6 Re-roofs Signtua of ApplimennZonurnmer Dau HAZARDOUS boding coALS DISCLOSURE ole RE Type of Roof Will tan a Cupertino or(Muni building occupant sma or Matlla Health and Safety ety dcOwtl by the CupeNne Municipal Code.Chapter 9.13.aM the Health and Safety Suchaa 25532(e)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes 4 Ne Will f applicant or future building Occupant and equipment a davt.which If a roof is installed without first obtaining an inspection,I agree to remove emit haacd0u air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. Dinrkt7 [']Yes �No 1 heti Scatthedu Sccdsmauealsmqulmm 55unJarChaperd.a3ifth0Califs- d:xhanith afclyCoda,summw23503.2337] J 25534.1 undcrnand thulfthc Milling lana nal nIIY how a mnanL Net It u my as nuhillry b nodfY thC aauPant of the requi ntswhichmustMmelpeortutn f.Cmilke aprloraPower -SignatureofApplicant Date Owner orautbaead agent oC Dam- - All roof coverings to be Class"B"or better - o goa coag CITY OF CUPERTINO REROOF 18CUPErZ1rvO PERMIT APPLICATION APN# h / I O ) 1 O Date: J 0 Building Address: ,3 P; l Owner's Name: Phone #: /1(z Contractor: Phone #: ; I l 1 Q Nl`S �U v r 'kJ 5 Fax #: kuY 0 3 Cupertino Business License #: o e c #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles vs( Asphalt Shingles .-.w, Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings IWC ❑ Provide I.C.B.O. Report # 46 To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: ^^ A E-P, aSS gram Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: �' J .I Have ead, Understand and Will Comply with Cupertino , Tear-Off Policy: Signature CITY OF CUPERTINO 110 REROOF •CUPEfTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • 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 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: �17 �ty aAl� t./�, Job Site Address: �� . Roofing Company Name: D N S —,60o-P, �U � Applicant's Signature: Data -e l.0 • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO - 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31621060 . 00 DATE ISSUED. . . . . . . : 02/05/2008 RECEIPT #. . . . . . . . . : BS000003856 REFERENCE ID # . . . : 08020028 SITE ADDRESS . . . . . : 10143 RIEDEL PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TONY UNGER ADDRESS . . . . . . . . . . : 10143 RIEDEL PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : MONKS ROOFING CONTRACTOR . . . . . . . : MONKS, DAVID LIC # 22117 COMPANY . . . . . . . . . . : MONKS ROOFING ADDRESS . . . . . . . . . . : 794 BERRYESSA ST CITY/STATE/ZIP . . . : MILPITAS, CA 95035 • TELEPHONE . . . . . . . . : (408)262-4797 .FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 12, 500. 00 1 .30 0. 00 1 .30 0. 00 1BUSLIC FLAT RATE 1 . 00 110 . 00 0. 00 110.00 0. 00 1RER00FRES SQ FEET 36 . 00 468. 00 0. 00 468.00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 579 . 30 0. 00 579 .30 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 579 .30 #1726 --------------- TOTAL RECEIPT 579 . 30 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • Community Development 10300 Torre Avenue lb Cupertino CA 95014 Telephone(408)777-3228 CITY Of Fax(408) 777-3333 UPEINO Building De artment JOB ADDRESS: PERMIT # / tl Al /�4 . 8=o2vo2 � OWNER'S NAME: _ `),^ y IPHONE # GENERAL CONTRACTOR: tV fZIM in l 1 FAX # 2— yj I am not using any subcontractors: S — 6)� Signature Date Please check applicable subcontractors and complete the 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