Loading...
05070131 CITY OF CUPERTINO �€fir«. BUILDING DIVISION PERNIIT WON 6111 BUILDING ADDRESS: PERMIT NO.0 5070131 10387 VISTA KNQT-T RT,VD OWNER'S NAME: PERMIT ISSUE DATE VUKADIN RADOMIR AND DORINA S 5 E: SANITARY NO. CONTROL NO. ARCHITEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PE!? MECH 0 0 0 40 LICENSED CONDUCTOR'S DECLARATION JbDescri tion m� I hereby affirm Nat 1 am licensed under provinuou op of Chapter 9(commencing with Section 7")of Dividon 3 often Business seed Professions Cmc.aed my license Is in full to=and effect. ROOF REPLACEMENT. 1/f AI MOMP. SHINGL z seance eves sec.« gig' Dam . Contractor ARCHITECTS DECLARATION if 1 understand my phos moll he used u public mcnrN o4 W LicensedProfeatonsl W- 005 2 O OWNER-BUILDER DECLARATION I�' L ser i I hereby affirm that I am exempt Inner the Communes Licence Law for the i a o following mean.(Smiles 703 1.3,Baines,and Professions Code:My city or county $ which requires a permit to construct.mmn improve,demolish.or mpdr any structure $15000 prior 0 its iuuance.alsu requires thc applicant for such permit to file a signed moment p < dwheislicensed purmanuomeprovision ofNeComments'sLiccomLaw(Chapmr9 Sq.Ft. Floor Area Tj Wation s( $ (commencing with Section 70D0)of Division 3 of the Business and Profeuiav Code)or — Nat he is aaempt therefrom and the buil fe,de shelf exemption.My vlolWon of Serum 7031.5 by nary applicant for a permit subject,the applicant w•civil penalty of r oat ream Nu Ow hundred tical Wa($SW} -3 Atig Occupancy Type Q 1,uowerofthepmprny,mmycmploycuw(thwgcau Ne4wlecompenudon, will do the work and Ne stmcmm hnot(ntended cronered forsale(See.70th,Busimsa -' and Penfeash u Cade:The Cmuscu Ys Liaise Law don sot apply to an owner of Required Inspections property who builds or l m prove l Nmeon.and who dues such work himselfor thnnugh his van employees,provided dutwch improvements art nalinun led mo@red forale.if. however.the building or Improvement Is veld within one year of completion,Ne owner. Wilder will haw the burden of proving Nat he did not build m Improve fm purpose of ark.). ❑1.as owner of the property,am"elusively contracting with 0ansed eenvwtors w construct de project(Sec.70".Business seed Professions,Code)The Cmmetm's Li• ceue Law dm,not apply to an own"of property who builds or improve,Noreen,Ind. who contracts for such pmjecu with a emnamor(s)licensed pursuant to the Contractors License Law. ❑Lens see/,mJytsundo Seams B&PC fm this moon Owner_f("'✓'E!/siY " m"—K-��/ DauQ WORKERS COMPENSATIO DECLARATION 1 hereby Man under penalty of perjury cam of de following declarWans: P,law and will maintain a Cenifiamal Cement to self-laum for Wurimes Compton. sation,an provided for by Section 3700 of de Isom Cade,fm the performance of the work for which this permit I.iamd. ❑1 haw and will maintain Wmkces Compensation Inamana,as,required by Schon 3700 of the Labor Code.for the performance of the worst fm which this permit is issued. My Warkela Compensation Immeno carrier and Policy number am: Cartier, Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This aauan toed not be completed if the permit hforonc hundred dolloa(SI W) N lea) I ceNfy Nat In the performance of Ne work for which this permit is issued.I flail no, employ any person in any mannerwu c�c,bJ cttot Worycn'Compenution Law of California.Data Applicant y NOTICE TO APPLICANT:If.after making this Cerfiricimi-of Eumputsy should hame to esubject Ne Worker's Compensation provision of Ne lahm Code ym must .J Q faMwiN comply with Inch provisions or Nu permit Mall he dared remkcd. T CONSTRUCTION LENDING AGENCY (-� I hereby Mem Nat dere!,•construction lemingagency fm Ore performance of ai the wish for which Nis permit Is funded(See.3097,Civ.C.) WM Q Lender's Name Z)z Under's Add= V Q 1 anlfy,that 1 haw read this application seed tote Nat the above mf.. m u Ig. correct.I agree to comply with all city and county ominaa,and mak law misting to OE building commotion,and hemby auNadm mpoesenuuvu of Ni,city to enter upon Nc W show-mentioned property for Inspection purposes. (We).9.to ace,indemnify wed hemp harmless,de City of Cupertino against "y liabilities,judgments,costs and expenses which may in any any aame.g.h,t said city V z In consequence of the granting of this permit. race APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOU REGULATIONS. � �� //its✓-l//1./1/ ,c4 7, Z �O,l Re-roofs Sigoader NApplicutrCommuctor / 04M HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant mom or handle haumau mammal u defined by the Cupenino Municipal Code.Chapter 9.1x.and the Health and Safety 16cmle. es x25532m)?0u Yrry YNo All,roofs shall be inspected prior to any roofing material being installed. Will Ne applicant or fu/tum building occupant use equipment or&vies which If a roof is installed without first obtaining an inspection,I agree to remove ,haaNau air contaminants u de0ned by the Bay Area Air Quality Management all new materials for inspection. Disuict7 ❑YeaJ No I haw read the huurdms,mended,ad uimments under Chapter b.95ofthe Califor. nim Health&Safety Coda Sectimu 25505,25533am125534.1 undersand thm ifde building does tot coil,haw•tenan4 Nat it u my..imaslbility to notify de occupant of the mm fits wh cn erns =w iouoec of a een of Occa Signature of Applicant Date O �� � All roof coverings to be Class"B"or better Owner or egem I Date g CITY OF CUPERTINO I• 1 0£ 1 PERMIT RECEIPT OPERATOR: kiersaw COPY # 2 Sec: Twp: Rng: Sub: Elk: Lot: APN . . . . . . . . : 32613037.00 DATE ISSUED. . . . . . . : 07/21/2005 RECEIPT #. . . . . . . . . : 30459 REFERENCE ID # . . . : 05070131 SITE ADDRESS . . . . . : 10387 VISTA KNOLL BLVD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : VUKADIN RADOMIR AND DORINA S ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1035 RECEIVED FROM . . . . : RADOMIR VUKADIN CONTRACTOR . . . . . . . : LIC # , COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : 9E ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- B.PERMFEE VALUATION 15,000.00 223.56 0.00 223.56 0.00 BSEISMICRE VALUATION 15, 000.00 1.50 0.00 1.50 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 225.06 0.00 225.06 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 225.06 166 TOTAL RECEIPT 225.06 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 C F Fax(408)777-3333 OUPEkTINO Building Department JOB/o387ssys�`� ,�yr�� ,g/v,C/, PERMIT 050 O 13 �( OWNER'S NAME: /lr- PHONE # 4v GENERAL CONTRACTOR FAX# xI am not using any subcontractors: ���-*�� � 7/Q oS 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 Community Development Department Building Division City of Cupertino 10300 Torre Avenue • CITY OF Telephone: (408)777-3228 CU w E RT'N O Fax: (408)777-3333 �J 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 arid/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: /\ atom/,r/ �}V Job Site Address: ZC93 F 7 V 4S/a �/'l t?fX 1�/1�D�. 6�L(� Roofing Company Name: Applicant's Signature: Date: Z 110 • . Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper ' OWNER-BUILDER VERIFICATION 1. (Check one) I. or my immediate family (parent,spouse or child) will perform:A. , �L All the work authorized by this permit B. _ A portion of the work C. None of the work If B or C is checked, complete 2 or 3 below. 2. A state licensed contractor will be hired to do: A. _ All of the work B. A portion of the work (complete section below) Contractor Address/City, Phone # State License # Type of work to be performed 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or • portions of the authorized work. I understand that I may be an employer (see reverse side). A Certificate of Insurance covering workers' compensation must be on file at the City of Cupertino Building Department office. PersorVFunt Address/City Phone Number Type of work to be performed ..................................................................................................................................................................................... I declare under penalty of perjury that the above is true and correct. I have read and understand the Owner-Builder Information(reverse side). r 7 Property Owner's Signature: ,��tC�/ Date: //Z I /D Job Address: f� 3 7 LdVla lf'-4(f CL �Y�• Permit# Any changes to the information provided on this form shall be submitted to the City of Cupertino Build Department. City of Cupertino Building DeparIn enj 10300 Torre Avenu OF C U PENT I NO Phone: (408)777-3228 Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner-builder you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself,you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work,with the exception of various trades that you plan to subcontract,you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family,and the work (including materials and other costs) is$200 or more for the entire project,and such persons are not licensed as contractors or subcontractors,then you may be an employer. If you are an employer,you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding,federal social security taxes,workers compensation insurance,disability insurance costs,and unemployment compensatios contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law,contact the Internal Revenue Service (and,if you wish,the U.S.Small Business Administration). For more specific information about your obligations under state law,contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale,property owners who are not licensed contractors are allowed to perform their work personally or through their own employees,without a licensed contractor or subcontractor,only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder building permit,erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors'State License Board in your community or at 1020 N Street,Sacramento,California 95814. Please complete and return the enclosed owner-builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, Building Department, City of Cupertino • Printed on Recycled Paper 0 5b�- 013 I CITY OF CUPERTINO' REROOF 0*CUPERTINO PERMIT APPLICATION FORM APN# 3a co 13 034— 1 Date: Building Address: /O \ / � p// e7 Owner's Name: �C,(oM/V 1�f��i�lpCPhone Q�/� (�Gf 70,? #7.36—ZJ� S� Contractor: V(rlo Phone #: License#: Contact: n d0 Phone#: 7;3L `Z� Cupertino Business License#: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles :a' Asphalt Shingles _N,- 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: 'MvJob Description: levo YeCP��/�!?/�- ��L J/ DS/rj YC� �t✓Gpkn .51�/ s Residential Commercial ❑ Fire Zone: Yes ❑ No [� Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Project: 4 /sr��p Type of Construction: Occupancy group: 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