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06050035 (2) CITY OF CUPERTINO BUILDING DIV16I0NR PERMIT `COI�ITRAC<TnINF(} AT QNB� BUILDING ADDRESS: ` FOUR SEASONS ROOFING PERMrr NO.06050035 10161 FIRWOOD DR OWNER'S NAME: PERMIT ISSUE DATE DEANZA OAKS HOA 502 HORNING ST OS/04/2006 NE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECTIENGINEER: BUILDING PERMRINFO BLDG O . EO PLUMB MECHO Tour LICENSED CONTRACTOR'S DECLARATION WJob Description M 1 1 mby affirm et I am 11¢vd under pewun .of shaper 9 wencom mnf p bnlllro�andcRaof Di aonlofNeButnevandPmfessouM Code,amyl u ttu TEAR OFF SHAKES, INSTALL 1/2" CDX, AND GAF GRAN ,qz ucenw cor0 , a �a�rl7 Zlb8 SEQUOIA SHINGLES . 50 YEAR CLASS A Dab4" '�—Canuaeror�n.•� v.b,�t Ra CARCHITECT'S DECLARATION I understood my plans L ans NMI be used As public mearda �a Licensed Prefessianal 3 OWNER-BUILDER ION DE CIARATmON �� ��® <y I hereby a?ran NM I em ewropt from the RATLicense Low for ft a o fallowing mason.(Section 711313,Business and Professions Code:Any city or county c 5Z3� which useful.a permit to consuuu Net.Improve.demulLd,or-pall Any swerve 12 ou,he its issuance.renewed, w-gn the ow Applicant for such on=we iElea Law(wmme9 F�12 b er h tslicensed .Also to.pmvistoma(the sucnubotor's License Lawfmltoeer9 Sq.Ft .Floor Area , C Valuati ,55O +{ 8 (cammemmngwith Sclion7000)ofDivision 3orthe Business And ProfevbmCode)or UN -Q 2006 s! thM he is exempt therefrom and the basis for dee Alleged exemption.Any viaiauon of Q_ Section 7031.5 by any applicant for a permit subjects be applicant b a civil penalty of CC tp �r'lyp Am roam than Ove hundred dollars(M). 31'213 Iat�4er. 0 0 f�7 arta c e ❑f.u owner a(thie propvsy,m my wployen wide vegan u thebwle empewtion, GT willmthewar.andth The ow Is,wtS License iLAW A(Ssa.As An Burims F11 1111ol w Property h lou Code The cant-eon nth who I,w dam ar apply f an owner is Req re n s own erty wW Wlprovid mprot web improvements gand who me naechwork hwaMferthrsdawth bas ownem.ft u,pingaritintweb ImProvemantaa-not year ofempictialed ed far axles, howeverthe have eansovennnttshot he oroyearofempletianrtheownu- Wilder w14 haw the buNw of proving that Ise did nm WiW or Mprove for pumox of Ask.). ❑1,u seller of the property,am eclusivItY canwctbt wide licensed cenuwmn to comment dee pmjca(Sec 7044.Business ad Professions Code)The Commences U. crown Law duan not apply in an owner of properly who Wilds or improves thereon.and who contracts fat such projects with a connacbr(s)licensed Pura ant in ft Conitowmes ' License Law. ❑lam asempt sudor See .Bh Pcrorwswon Owner Dow WORKERS COMPENSATION DECLARATION I hereby Arline under penalty of perjury and of the following decimations: I have and will national aCaNOu n of Covent b self-insum forWorker'sCompm- sad.,u provided for by=3700 of tle labor Cade,for the Performance of deA work for which this permit is issued. ❑I have an0 will maintain Workers Compensation Insuran¢,as required by Section 3700 or the Labor Code,for the performw¢of the work for which this permit is wood ' My Worker's CompeQaadon In..carrier and Policy number As: Casrier�W�{CEM TE OF FTION FlNo KE COMPENSATION INSURANCE � (Thh metlace bond net becompk-d if the permit it future hundwdmilow($10)) or Ians.) I cmdN- that to the perfotmamm of the.,it for which Nis permit is issued,I"I nm employ any person in any memrcr.u b becoroesubjct tithe Wasters!Compemadon Laws of California.Dane Applicant NOTICE TO APPLICANT:If,after making this Cenlcem of Exemption.you should become subject b the worker's Courpcmedon provisions of this Labor Codc.you most O forthwith comply with such provisions or this Permit NMI te deemW remand. 'Z CONSTRUCTION LENDING AGENCY Ik-by aRinn Wt them Is a comuuctian lending agency fe,f perfurmaboe of CYi > the work for which this permit is lowed(Set.31197,Cil,C.) W�Q Lenders Name z Lenders Add= U O I certify Nal I haw read this application sub team this the above information is Iy Hcurrents.1 agree to comply with MI city and county ordwances and state lave-ladng to V building convection,aM hereby authorize-p=outives or bis city to enter upon the LL) aWve-mentioned property for inspection purposes. (We)Agree to ave,indemnify and keep hannbss the City of Cupertino stains, cn 11wilides.1uefinents.eosu and eapeoaee which may In any way acme gMmtsaid City U z to consequence cruise framing of this permit. •� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date S EDU S. _3 Re-roofs Slgnalum ofAp connector Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIOtheaCpantor forum Wildinge.ChaptStamor hand le HeaNmu Safety as m(hma by the Cupertino Municipal Code.Chapter 9.13,and the H.IN and safety Cam.Section 2553x71. All roofs shall be inspected prior to any roofing material being installed. ❑Y. No wdl the.Pplicwt e,futons WRdin{cwpant tow equipment or mvlces which If a roof isinstalled without first obtaining an inspection,I agree to remove emit basses.Mr contsminants u-fired by the Bay Ams Air Qu Rly Management all new materials for inspection. D ari<t7 ❑Y. _�qNu 1 have mad the huaNaumaterlals requi-menu unmrchepw6.95 ofthm Califor- niaHeafth@SMmyCode,Sectiam25505.25533 and 25534.1 undcmand thalifthe Wilding does not currently haw a moans.that it u my responsibility An awry the ocupwt of the mql ntswhich m=ofaCertificate ofacropancy S ignature of Applicant Date S' 0 All roof coverings to be Class"B"or better Owrer or wborbrd gent Dote' 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 installatidn. 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 /ow�n re-roofing. Homeowner's Name:�)r_ ©G.1(S � ,V- A Job Site Address: U D I�OI R f-U300 CL !�r^- Roofing Company Name: , P Applicant's Signature: Date:rJ 3 D(Q • Greg Casteel Building Official Revised 11/2/04 CITY OF CUP ERTINO 06m 2 of 7 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 34235034 . 00 DATE ISSUED. . . . . . . : 05/04/2006 RECEIPT # . . . . . . . . . : 34240 REFERENCE ID # • : 06050035 SITE ADDRESS . . . . . : 10161 FIRWOOD DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DEANZA OAKS HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , 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 '*FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 6 , 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00 BSEISMICRE VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 126 . 96 0 . 00 126 . 96 0 . 00 • Community Development ` ✓' 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY w Fax(408)777-3333 WUPEkTINO Building Department JOB ADDRESS: PERMIT # 06 OGb S OJ`-3 S OWNER'S N p� S Q PHONE # GENERAL CONTRACTO FAX # I am not using any subcontractors: � °-N-O(P ture Date Please check applicable subcontrac s !Mome 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 - -- "::.T*E,5�0c� er/Contractor Signature Date 0 CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION FORM APN# Date: _' U12� O 2 O(o Building Address: 1 Woo r�o Owner's Name: Phone#: F Contractor: ��77 // License#: Fe Sa'LS,. S `t�Oo'C 7 / Z Contact: Cupertino Business License #: 'R Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Asphalt Shingles M— Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report# la To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy.. • Job Description: -nor-r­ Q£ isi tis ,/z" Gpu l an &X Grp $uotG o Residential ®._ Commercial ❑ 16 Fire Zone: Yes ❑ Nom Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Project: oo 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 • N ACC ANC ITH E CI i LUPE NO ES AND ORDI f LACES JON R.CRASE CONSTRU 184 OILMAN AV pr�SG D �J� CAMPBELL,C 8 iIGN Fc51DE1Jce (408)37 485 i ' set plans i d spa 'icatio V(030 eVtLD ' oe ke on the ' b at Imes d}' is Gu f1r t0 (,A, 95a� lawf to m e any ange or atter on, )n me ilhout writtepermissi f he b ding, pt., C' of Cupe no rh stamp' g o I n an pe i a / ALL T b el d p it r Tp oDr al of the ati ► ,nv City 0 ma e o u • / y,pf• n Cbj) Sic 2.&4 HA2PIPbAHK mRtM C�� Caaeee�a V41'10. . 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