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06050109 (2)CITY OF CUPERTINO Qforthwith 0 Fcorect- U W N z £ �TIVkv'A0YtMATIQ�i.N • BUILDING DIVISION PERMITGONTRA.G"(3R M d � ni%f BUILDING ADDRESS: FOUR SEASONS ROOFING PERMFND'O6O5O1O9 23028 CRICKET HILL RD OWNER'S NAME: PERMIT ISSUE DATE DEANZA OAKS HOA 502 HORNING ST 05/12/2006 IV E: SANFARY NO. CONTROL NO. (408)278-0330 ARCHI]ECVENGINEER: BUILDING PERMIT INFO BLDO ELECT PLUMB MECH 0 0 LICENSED CONTRACTOR'S DECLARATION lob Description 1 hereby aflbm Nal 1 am licensed under provisions Of Chapter 9 (commencing p wits Section 70010 oDivision 3 of rite Business and Protestations CMde.and my license is in full ferecand ercrna TEAR OFF SHAKES INSTALL 1/2" CDX AND GAF GRAND Lion a r D De¢ �_��,y Contracts, -gEo F UOIA SHINGLES 50 YEAR CLASS A DECLARATION DEC i undersranJ my plans Hill be used a public retards Licensed Professional OWNER -BUILDER DECLARATION 1 hereby a(nrm faro the Contractors Lkrna Law far the 11. exempt I�® fallowing an Bedroom Code: Any or county (Scotian ]1131x, and lundsm. dresan. mity which requima permu m cd dere li sig Rnmum 1, alcor, hnprove, demolish. a L shm,. issuance. res th e a ed dual heor its prucoom to the lbeappns,ofant esuchpcnnrmcarm aw(Cha mem licensedpursuantmtheofDiviomofthe 9 l Y Q S9�VIe o Valuati eBuacm/siJanmrawIsrode) (commencing Season7W0)Of exempt Professions Code) of (cin u� basis Br the alleged Nu he ts exempt therefrom and an bash for an alleged emmpdon. Any violation of he is exempt Occupancy 'Type Season 7031.5 by my applicant fm a permit subjects the applicant to • ebil penalty of not mare than Ove hundred dollen (SSW). s MW ❑ I,uawnv of tse property,ermy wpbyett sults wgnutln'v sole cmnpuwtion. will do NewaN. and thestrumum B natiam d maRCRA forsele(Sec. 7044 Business Required Inspections and ProrWIMN Cock The ConYYmr's Licam : Law doe, Out apply 1e m owner of -1 p property who builds or im proves duc con, andwho dos such wmk himself u throaih his awn employers, provided that such Improvements arc not InnuMd aroBered for mak, If, however, the building or improvemml Isseld within not Year of ampkdan. Me owner - builder will have the hurden of proving that he did out dtik u improve for purpose of ❑ 1, a Owner N the property, am exclusively connecting with licensed mntractora m come tran the project (Sec. 7044. Bmilmss and Prof ew a Cade:) The Conlratmh Li - came Law doa not apply m an Manu of property who build; Or improv thrown. and. who contracts for such projects with aanuacmr(i) licensed pursuant m the Contractors ' L ;Law. ❑ I mn exempt under See . B k P C for Lids mann Owner Date W ORKER'S COMPENSATION DECLARATION I hereby aRi n under peully of perjury oro of M e following declatdonc I have and will Maintain a cmtificam.f cannot ro self-InsumfuworomesCompen- sdon, a provided fu by Section 3700 of that lather Cade for W performance of the work fee which Nis permit Is word. 0 I hm and will maintain Workers CompetuWon laurana, a required by Section 3700.17 the Labe Coda. far the pertmeraa.fthe work for which Nis permit 4 issued ' My War es CompeaWonWurancecartier and Policy number am: Cartier �PIky NO.:� z47 u U csi TWICA P'RON FROM WORKERS' COMPENSATION INSURANCE v (This section road notbecompknd if the permit k ruone hundreddellars (5100) m las) I CMU(Y that In the performance of tho work for which Nb permil4 blued I shsil not employ any person in my mmncrm u m bewm.subject m do Wartui COmpmatirn Lawn of California. Dam , Applicant NOTICE TO APPLICANT: IL after making this Ce ti0cam of Exemption, you shouts become subject m the Woreces Compensation provisions of the Labor Cde you marl comply with such provisions or this permit mall be dared mveked. CONSTRUCTION LENDING AGENCY 1 hemby LM m that Nem k a coruuuction lending agency for the performance of the work fur which this permit b issued (Sec. 3097, Civ. C.) ' Lender's Name Lende's Address 1 certify Nn i Mw read this aalication and mm Nu the above inf.rmatlun is I same to comply with all city and county oNinances and mm law; mining m building convection, and hereby authorize representatives of Nis city 10 enter upon the mevc-mentioned property for impcedoo puqutes. (We) agree to ave, indemnify and keep harmless tse City .f Cupertino gaiesl Iimilides,judgments, casts and expenas which may in my way acme against aid City in Of the graffling of this iL APPLICANT UN EYTAkDS ANuence D WILL COMPLY WITH ALL NON -POINT Issued by: Date SOUR ULATI NS. '5ri 2.-00 �-- Re -roofs Type of Roof Slgnu MFAi nVacmr Drs. OUS MATERIALS DISCLOSURE Will the appllnnt or future building occupectstore or handle between. mamdah a claimed by due Cupenino Municipal Code. Chapter 9.12. and the Not ad Safety Code. Section 255320) All roofs shall be inspected to any roofing material being installed. ❑Ya Na prior If a roof is installed without first obtaining an inspection, I agree to remove Will the.pputmM or revere building Occupant and Mgo)Pt or devices which cmlt haruMa air comammnn as defined by the Bay Ams Air Quality Management all new materials for inspection. DimiCl7 ❑Yes �fa I have mad the hnadaa materials requirements under Chapter 6.95 orae Califor- nia Halts A SafetyCode, Section 25705.25533 and 25534, I understood NU Iran building dRJ Out CWRndy half a Itllml Nn Il' mapane'bility m of, an eSupmt Of an require= hloIt tnbe Met prior as of nlficamoroccupancy. 6 Signature of Applicant Date -�.-� /Z'�f0 All roof coverings to be Class "B" or better Owner or sureorixed ag Dam CITY OF CUPERTINO !m 5 of 7 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34240030.00 DATE ISSUED.......: 05/12/2006 RECEIPT #.........: 34375 REFERENCE ID # ...: 06050109 SITE ADDRESS .....: 23028 CRICKET HILL RD SUBDIVISION ......: CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: DEANZA OAKS HOA ADDRESS ..........: CITY/STATE/ZIP ...: OPERATOR: amyw COPY .# : 2 RECEIVED FROM ....: FOUR SEASONS ROOFING CONTRACTOR .......: DIAZ, ALFRED LIC # 21323 COMPANY ..........: FOUR SEASONS ROOFING ADDRESS ..........: 502 HORNING ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)278-0330 �EE ID UNIT QUANTITY AMOUNT ------------------------------------------- BPERMFEE VALUATION 6,000.00 126.36 BSEISMICRE VALUATION 6,000.00 0.60 TOTAL PERMIT : 126.96 • PD -TO -DT THIS REC NEW BAL ---------- 0.00 ---------- 126.36 ---------- 0.00 0.00 0.60 0.00 ---------- 0.00 ---------- 126.96 ---------- 0.00 aClOF IOUPERTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 artment JOB ADDRESS:,, '' 1'` PERMIT # L n? � Cr, C,� 4A w C DQ leo 06os'G a I OWNER'S NAMET�,o 1--.� . HONE # I GENERAL CONTRACTOR: C S. 2 1 FAX # I I am not using any subcontrac or- s: C�Ea-O(0 Signature Date Please check applicable subcontractors omplete the following information: /Contractor Signature Iz-() lo, 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 Septic Tank Sheet Metal Sheet Rock Tile /Contractor Signature Iz-() lo, 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: �� I—�Y1ZCti a1-5 1�1 ,D A Job Site Roofing Company Name: l Applicant's Signature: Date: t— 7'0 L.P • Greg Casteel Building Official Revised 11/2/04 �XC) 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: �� I—�Y1ZCti a1-5 1�1 ,D A Job Site Roofing Company Name: l Applicant's Signature: Date: t— 7'0 L.P • Greg Casteel Building Official Revised 11/2/04 �XC) 0(00501CA CITY OF CUPERTINO REROOF • CUPEKTINO PERMIT APPLICATION FORM APN # Date: (� buildingAddress:I I tJ Owner's Na�me: Contractor:dJ/�� s �� A 2i20,20n% Rc�ofli r Contaot.r.h a Piedra 40? -a7 a -03-30 -arm v. "uui a uvenng: Existing: ❑ Built -Up Roof Proposed: Cl Asphalt Shingles ❑ Built -Up roof O" Wood Shakes O Asphalt Shingles O Wood Shingles ❑ Wood Shakes ❑ Other (Specify) tr Wood Shingles Number of existing coverings ❑ Other (Specify) ❑ Tobe Removed ❑ Provide I.C.B.O. Report H ❑ Provide Mfgr. Installation Specs. I Have Read, Unde stand and Will Com 1 With Cu ertino's Tear Off Polic • Job Description: 0 ) tic,as t n s b CHS z a �L D x and A r1 �rti..-ted rq Joh'.. h � � _ L Residenti ❑ Commercial ❑ Fire Zone: Yes ❑ No I Confirmed with Planning Det. if Cost of Project:there are any restrictions: Ll T e of Construction: Occupancy group: Qty. if C1