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08040038
0 C Z C a> tL) C C UF OC Le Le Uz CITY OF CUPERTINO �= T1kA-r RUILDING DIVISION PERIVIIT4CQ'TRXIa /�,--a�7!�e.��3r+�1 Tz��T��r^��n7a��". ;LVYl(3T0 aNY�y., Buaglr�G4ST"SkRRE AVE TNT ROOFING CO PEg08040038 OWNER'S NAME: PERNM ISSUBDATE NANCY AXELSON 1610 BLOSSOM HILL RD STE 6C 04/07/2008 HONE: SANITARY NO. CONTROL NO. RCHI'IECUENGINEER: RE -RF, RMV -EXTNG TILE, IINST BUILDING PERMIT INTO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description I barely "m that w licensed under Pmviaans of Chapter (commencing with Secdon7MKfi.f Diviao 3 of de Buatess and Professions Code. and my license IS in full farce and e License CI Lu. N Dau Canuactor ' ARCHITECT'S DECLARATION 1 umursund my plans Nall be used u public record, Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for Ju Wittwing mason. (Section 7041.5. Business and Pmfeaion Code: Any city or county which mquims a permit to construct. alter. impmw. demolish, or repair my snactum prior to its issuance. [an requires the applicant for such permiuo file asigned suumenl dam he u licensed to die of the Contractor's License Law 9 Sq. Ft. Floor Area - Valuation pursuant provisions (Chapter (commanci.g with Section 7000) of Division 3 of the Business and Professions Cade) or _ that he u eumpt therefrom and de basis for We alleged exemptions Any violation of APN Number Occupancy e P Y EYP Section 7D31.5 by any applicant fm a permit subjects the applicant to a civil panaty of cot mom tam fl.huMrM d.IWa ($50)), ❑ I,uowneeofdinpmpeny.mmyumpla owishwasnudeiranteeampensadon, Required Inspections will do the wart, and the structure Is not intended or offered fat We (See. 7044,13usiws and Professional Code: The Cantrmtor's License Law does not apply to an owner of property who builds or improv taemon, and who does such work himself or through his own employees, provided that such improvements are not intended oroRered for We. IL however, the building or Improvement is sold within one year of completion. the owner - builder will have the burden of pouring Jul he did cot build or improve far purpose of sale.). ❑ I. as awtur of Jct property, am exclusively contracting with Her sed ammescun In comtroct the pmjca (Sec. 7044, Business and Profession Code:) The Coovacuts U. cents taw does not apply to an owner of property who builds or Improv demon, and who convects for such projects, with a conuactor(U licensed pursuant W the Contrumes Llcensn law. ❑ I am exempt ander See , B k P C for this mason owner Data WORKERS COMPENSATION DECLARATION I hereby affbm under penalty of perjury ane of the following declarations: hill Its. end will maintain • CeNfieate of Came, W self -h atom for Worker's Compmn W, u provided for by Section 3700 of du tabor Code, for On performance of the for which this permit ha issued ❑ 1 have and will mslow. Workels Compemadan Insurance, u mgoirtJ by Sedan 7700 of the Labm Code, far On performance of tits work for which this Permit Is Issued ' My Work&:S. C m tion murmur nrtic, and Policy n bur art: Cartier. PollryNa.: /50 l CERTIFICATE OF EXEMPTION FROM WOR RS' COMPENSATION INSURANCE mustaches need est bis completed if de permit is forest hundred dollars (SIM) or ba) I ecnify dot in the performance of We work I'" which this permit u wood. I shall not employ my perm. in my manes, an as to become subject to the WMIn ri Compena t Lava of California. Data Applicant NOTICE TO APPLICANT: If, atter making this CuniBcau of Exemption, you should become subject In Ju Worker's Compensation provisions of de Latour Code, you mute forthwith comply with,uch provision or this permit shall be accrued revoked. CONSTRUCTION LENDING AGENCY I hereby alfum Nu dem is a cmuwcdnn lending agency (a, the penormancre e( use work fur which this permit In issued (Sec. 3097, Civ. C.) ' Iandch Name , tardsr'a Add. 1 I unify that 1 have read this application mad sure that the show information is Carmel. I agree to comply wit N city and county ordinaraca and suis laws misting to building connotation. and hemby audience mepmaenudv of this city to mus upon the ahow-mentioned Property for inspection purposes (We) agree to ow, indcmmty and keep harmless the City of Cupenino agent j Lubilides,lud{me.Wcosts andespensn which mry in my ways. ag.instsaid City in coni of P);�TAN'11""' APP ANT E0.ITH A NQN POINT [.. Issued by: Date SO CER U ATI / �COMPLY Re -roofs gnuurt of AppianUCData HAZARDOUS MATERIALS DISCLOSURE Type of Roof WiB the applicant or future building occupant slam or handle haurdous materia u dcflmd by de Cupertino Muniei a Cade. Chapter 9.13, and Oto Heald and Safety Cat, Sued. 8531(.)1 All roofs shall be inspected prior to an roofing material beim Installed. P P Y pen na' g g % Will If a roof is installed without first obtaining an inspection, I agree to remove de air.:l ar Mum bu' fix- pant use . Air em o devices Management II huardou air cavum' ' u ncd by Ju Bay Ama Air Quaity Managamcnl all new materials for inspectio n ❑Yes CllNo Thaw and the hvaNnumateri rtquirtmenuurJer Chapurd.95afthc Califor- nteHnlNu c Cado,SccJonsB 5.8577 mJ8534.IundcnmrAlhatifdcbuilJing does es ,cont ve umanL tis my msponsihiliry b twdfy Ju axupml of de 'ran m m, rents m be t afac Sig re of Applicant Date All roof coverings to be Class'W' or better o��mnarieed.gent Dom I CITY OF CUPERTINO • 2 ITEMS OF 4 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36940009.00 DATE ISSUED.......: 04/07/2008 RECEIPT #.........: BS000004378 REFERENCE ID # ...: 08040038 SITE ADDRESS .....: 10455 TORRE AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: NANCY AXELSON ADDRESS ..........: 10455 TORRE AVE CITY/STATE/ZIP ...: CUPERTINO CA, OPERATOR: patg COPY # : 1 95014-3203 RECEIVED FROM ....: MICHAEL D WILLIAMS CONTRACTOR .......: WILLIAM TYLER LIC # 22988 COMPANY ..........: TNT ROOFING CO ADDRESS ..........: 1610 BLOSSOM HILL RD STE 6C CITY/STATE/ZIP ...: SAN JOSE, CA 95124 TELEPHONE ........: (408)277-0800 • -FEE ID -UNIT----- QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL --- ---------- ---------- ---------- ----- ---- - --------- IBSEISMICR VALUATION 19,000.00 1.90 0.00 1.90 0.00 1REROOFRES SQ FEET 26.00 338.00 0.00 338.00 0.00 TOTAL PERMIT ---------- ---------- 339.90 0.00 ---------- ---------- 339.90 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF 0 VOICE ID DESCRIPTION -------- ---------------- --- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS C�, CITY CUPEkTINO L CITY OF CUPERTINO REROOF PERMIT APPLICATION APN # 3 G9 � 0 U U 9 Date: 441-7 tt� Building Address: 5 Owner's Name: Phone #: 05_Z_ rZ t l t�k0.wS c1�J Contractor: Phone #: Z7 "7_(X00 VLOD �=)11 Fax #: ZG ZJ�03 Cupertino Business License #: 1 Contractorense #: C01 Z Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles 6, ❑ Wood Shingles ,a- Other (Specify) ft Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: %l co vu I Have Read, Understancj/and Will Comply with Cupertino's Tear -Off Policy: aIOF� CUPERTINO 0 CITY OF CUPERTINO REROOF FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re -roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1RER00FMRES Re -roof Multi -Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 11 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: Job Site Address: ( b �J S " Roofing Company Name: TN'T Ro p Applicant's Signature: Date: e Greg Casteel Building Official 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 with the above stated policy on re -roofing. Homeowner's Name: Job Site Address: ( b �J S " Roofing Company Name: TN'T Ro p Applicant's Signature: Date: e Greg Casteel Building Official Revised 11/2/04 CITY OF CUPEkTINO V Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 it L/ S Fax (408) 777-3333 Building Department JOB ADDRESS: /Q S PERMIT # BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork `t d©'3 do - OWNER'S NAME: / PHONE # ZSZ S Z� GENERAL CONTRACTOR: FAX # Excavation I am not using any subcontractors: Fencing Signature Flooring: Carpeting Date Please check annlicable subcnntractnrs and comnlete the following information: 65 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 O ontractor Signature Date