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06070175 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT C(tiiii'.r� =ntA� ''A RMATro ' F44A $.�'4Y$�-±• BUILDING ADDRESS: , EgM SE ROOF MAX Prr N1060701757467 DE FOE DR OWNER'S NAME: PERMIT ISSUE DAM MATSUDAIRA TAKEO 1352 CHIPLAY DR. 07/26/2006 NE: SANITARY NO. CONTROL NO. (408) . 29--663 ARCHIIEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O �op LICENSED CONTRACTOR'S DECLARATION Job Description i I hareby affirm WI I un licensed under provisions of Chapter 9(mmmeacin{ with Section]IXgh)of Divialon 3 of We Businev W Pr Icssfrm Codo.,1 myJieeyo u in fullforeemdeRet 6 66 TEAR OFF OLD SHAKES AND SHINGLES - REPLACE OSB ;8: DDownmc 3 « BOARD 30LB FELT CLASS A SHINGLES ARCH 61 DECLARATION X 6OOO I uMersland my plans Mall W tea d u public rounds 166 'ted In Licensed Professional - s�3 OWNER-BUIIDER DECLARATION g I hereby air,.Not I am exempt from the Conun aofs License Law far the 13 fallowing mums.(Summ 703L3,Business and professional Cade:Any city at county 9 which requires a permit In eonmue4 alto.imPo w.demulleh.or repair MY structure •Z(em prior W its issumcc,slut requires Woapplicant lorsuch permit in riile&signed summenf s that Im is licensed prommit on the provisions of We Contractor's lJoesse Law(Chpler 9 =Number Valuation (commencing with Section 7000)of Division 3 or We Business and Professims Cade)or $11185 Wu W u mumpt domefrom and We buss for We alleged exemption.Any violNm of Section 7031.3 by any applicant for a permit subjecu We applicant m a civil penalty of Occupancy Type rot marc Wan five hundred dollars(4500). ❑will do Ne work,and the structure u rot Intended"Offered rorule(Sec.Mad,Business and Profuelons Code:The Customer's Liam Law does not apply W an owner or Required Inspection property who bui M&or im prows Nonan,and who does such wok himaa!or Wrough his owncmployees,provided thetmmh ImPrawmeau tee mtimuralred"ORered forsals.If, hewaven,the building or improvement Is sold within one you ofcnmpledm.We owner• builder will have the burden of proving Nu he did not build a purposeimprofor purpose ^ tele.). co I•as ownc of We Property arm uelusivnfly;am confessions with )Th ed nam oesa I. cow atheproject(See.7044.Business;of andrtywhoans Codes:)Thunes doemon.I.I. O / cove law docs not apply je an ower of property who builds or impsovu Norton,and, 6 who antncu for such vrokma with a eonuenaro)licensed Punvm m We CvtranaM1 Isemn Law. ❑Tom vempt undo See ,Bd:PC(or Nu moon Owner Dau W ORKEWS COMPENSATION DECL MMON 40 1 hereby slam under penalty of perjury one of tite following declensions: I ham and will stainedn•Certificate or Coolant in self-Num for Workers Compen. sation,as pmvided for by Section 7700 of be Tabor Code,ret the performance of the wort for which this permit u issued. 0 I have and will maintain Workers Compensation Insurance,u required by Schon 3700 of We labor Code.for the performance of the wok for which this permit Is Loved. ' My Workefs Compemmon Imemnce artier and Policy num C. Cmmo.,�t-4*E f Veed. Policy NO.: e CERTIFICATE OF EXEMPTION FROM ORKER, COMPENSAnoN INSURANCE (Thusocdv sed Out hccompleted if site permit H for ons hundred duRam(4101) Or leu) 1 unify that in the performance of We and for which this permit is Issued,1&hN not employ anypermn in my muncrm as in become subject in the Workca'Compavmuon Laws of Califamis.Date Applicant NOTICE TO APPLICANT:If,afar making this Cmiffcate of Exemption,you should become subject in the Worker's Compensation provlufau of the LAW Code,you mum .J O forthwith comply with such pro issiav Or Nu permit shall M deemed mvkcd. Z CONSTRUCTION L.CNDING AGENCY [-t IhrmcrebyaliiNat Nereitacovuocdnes ludinggemy for We Per urmmmc.f a We work for which Was permit is ivied ISo.3197.Civ.C.) Q Iandeh Name Q z Lenders Aaamas U Q 1 certify that 1 have read this application and sum Wal We above informatlun is IL F corns.I agree W comply with all city and county ordinances and sum laws relating In 0 U building conmmction,and hereby&uthorim representatives or this city to color upon We above-memioned property for inspection purposes. (Wal)agree m sew,indemnify and kce0 armlev We City of Cupertino against alEi(A liabiliuu•Judimenu.core andvpenses veld ry N any way Mente.ghut said City U in co n�#1e{tendo{of ' permAPP ERSTA D ND L COMPLY WITH ALL NON-POINT Issued by: Dates no -26 -06Re-roofs Tignmimo Appli H ZoA0.RDDOr MATERIALS DISCLOSURE Dow Type of Roof Wil We applicant or future building aceupantttorc or handle hazardous material as defined by We Cupormot Municipal Code.Chapter 9,12.and We HaIW and Safety Calle.Section 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. 0Yes )&u Will We applicant or future building Occupant use equipment or&Mms an, If a roof is installed without first obtaining inspection,I agree to remove m)t huaNOv air contaminants as defined by Was Bay Am&Air Qualify Management all new materials for inspecti Disuict7 / Cl Yes r7lilNp` I have mad the hvardm=1,15lerc rcmcnu under Chapter 6.95 of the Califm. nia Health&SafayCodc,Sadov 75303.23 Sand 2S334.IundcrmuW thalif0e building - / /' doesm naY haw. his youpowbilitymmilydwoccupantor Ne - ZCJ -O A . reya K or vuuweof.CedfcateofOccupancy. ignatureofAppli est Date 2 •-o All roof coverings to be Class"B"or better tuner orauthorved agent Dam" Community Development 10300 Torre Avenue Zoo Cupertino CA 95014 Telephone(408)777-3228 If CITY OF Fax(408)777-3333 OUPEI�TINO - Building Department J-7 ADDRESS-`7 a PERMIT 66C-1-7 OWNER'S NAME: JPHONE # GENERAL CONTRACTOR n 7!;ee JFAX# - ':� 6 3 -d I am not using any subcontractors: Signa Date Please check applicable subcontractors and complete the following information: 60 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 0 Septic Tank Sheet Metal Sheet Rock Tile Owner/Co a for Signature Date CITY OF CUPERTINO wm 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . I . . . . : 35924015 . 00 DATE ISSUED. . . . . . . : 07/26/2006 RECEIPT # . . . . . . . . . : 35384 REFERENCE ID # . . . : 06070175 SITE ADDRESS . . . . . : 7467 DE FOE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MATSUDAIRA TAKEO ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SAN JOSE ROOF MAX CONTRACTOR . . . . . . . : VICTALIANO ARTACHE JR. LIC # 25318 COMPANY SAN JOSE ROOF MAX ADDRESS . . . . . . . . . . : 1352 CHIPLAY DR. CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 29--663 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -=-------- ---------- ---------- ---------- BPERMFEE VALUATION 12, 000 . 00 191 . 16 0 . 00 191 . 16 0 . 00 BSEISMICRE VALUATION 12, 000 . 00 1 . 20 0 . 00 1 . 20 0 . 00 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 297 . 36 0 . 00 297 . 36 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 297 . 36 1463 TOTAL RECEIPT 297 . 36 • CITY OF CUPERTINO REROOF • CUPEKTINO PERMIT APPLICATION FORM APN# Date:'T J 7_26-o Building Address: yfo`7 D e- Fro 2 Owner's Name: Phone#: 2 Contractors O e ( O� a-X License#: 2 2--76& Contact- Cupertino Business License #: V Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ;24�—Aspbalt Shingles >K 'ood Shakes ❑ Wood Shakes Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings Z ❑ Provide I.C.B.O. Report# X-.To be Removed ❑ Provide Mfgr. Installation Specs. • I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy: Job Description: pS8 0Qct JOA y r -©4K k . 1iakes Sti;n -0- QCe It/, 1 C r,rsr Slf; Residential ;k Commercial ❑ Fire Zone: Yes ❑ No .0� Confirmed with Planning De t. if there are any restrictions: Ll Cost of Project: Type of Construction: Occupancy group: e a VN '-ts 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 • 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: 'l ak fb Job Site Address: y 6—7 Roofing Company Name: Applicant's Signature: — — Date: -7-7/0-eO 6 • Greg Casteel Building Official Revised 11/2/04