06050108 (2) CITY OF CUPERTINO n�\,Ni
BUILDING DIVISION PERMIT ;�1 �%'E {,'-'�'� Y'ia .,a}wT1q.¢>�%1,^+«
BUILDING ADDRESS: FOUR. SEASONS ROOFING ""'060.5010822802 LONGDOWN RD
OWNER'S NAME: PERMIT ISSUE DATE
DEANZA OAKS HOA 502 HORNING ST 05/12/2006
NE: SANITARY NO. CONIAOL NO.
(408) 278-0330
ARCHITECGENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
tom . 0 0 0
300 LICENSED CONTRACTOR'S DECLARATION Job Description
�s FF�j 1 hereby M.that 1 uammenin
n licensed under provisions of Chapter 9(cg
�Swith Sccdan700(TofDNeon 7 of the BuNmss and Profeaaou Code.and my license is
SN nfuilforceandeffee. TEAR OFF SHAKES INSTALL 1/2" CDX AND GAF GRAND
j Z License Clew Lie.N 4 Z
qu� Dax�Iz-oho Conuamar r s ' 'QUOIA SHINGLES 50 YEAR CLASS A
37 ARCHrfECrS DECLARATION V
f U 1 underaued my plain Nail m used u public records
Cd
aa� Licensed Proteuianal
RX3 OWNER-BUILDER DECLARATION
q I harobY alRnn the I am exempe from Ne les m.Co :My c law far the
O O following mason.(Section 7(13 L3,Business and Pmfesaiom Code:Any city of county
3 9� which mquiru a permit ro construct,abut Improw,dcmollssh.or repair any anuaaro
_Z ss prior to is issuance,aUo requiroa lone applicant for such permit an Me a signed awcmant
'ha he is licensed pursuant to the provialmu or that Conuecur's License Low(Chalnc9 Sq.FI. Floor Area ValUatl
9 (commencing with Section 70W)of Division 3 of the Buenen and Professions Cannot)or
that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by say Applicant far a permit subjects Ne applicant to a civil penalty of ppNjN�r4b6lerOccupancy Ype
int more shoo five hundred dollars(SM 34-23 0 0
❑I,uownero(tliepmpeny,mmyemploymwlthwaguudubmlccompenu'Ion,
will do thewark.and'he structure u not lmaededaroRerved fmsute(Sec.7044,Business Required Inspections
and Professiau Case:The Comrecufi
s Lmpply e law does sea au an arum d q P
property who build,ordmprowa'hemon.and wbodousmhwmk himselrm Wnvgh his
awn emplayen,provided that such improwmena w our intended oroRaed(orale If,
however,the building or improvement Is veld within one yea of completion.the av=-
builder.01 haw,sive ha de,of pmving that W did not Mid or borrow far purpose of
ask.).
❑1.an owner of the property am exciusiwlY connecting with licensed comueaan to
consmtet the project(Sec.7044.Business and Poefnsions Code)DO Con'racmr's Li-
who Law dean Out apply jeanownsanUproperly"whatsed Panamint,oriman en out Contractors
�� ��
who uanmws for such projects with a cenuaclor(a)licensed pru Ne Contranofs tuj
0 lannmum,Law. eee^DDD49%%
❑1 am exempt under See. .B k P C(or this reason
Owner Dau �a
PENSATION
I hereby affirm under penally of pedury arc often ffalwi°;declamdan: a, JUN �V'-2006
Thaw prowled maintain Certificate or son
nor Cod.far the Performance
worber'sCompo- lr
anion,r provided four mi Section 3700 of the labor Cade,rut she perfonnena of Ute
work for which this permit is IumQ
0 1 ban and will maintain Wards Compenatlon Warrants,u uquued by Section
3100or dome Laom Code.far the performance offt work forwhkh this permit is banned.
My Warkefs Campensuiyn Insurance`prt.or``nd Pollicy number
Carskt AMQIv\y_Ny�F�s1a'Wo.:�. U`
CERfIFlGTE OF 24 ON FROM WORK S
COMPENSATION INSURANCE
a
(Thlsxolon maid not M completed If Oat permit Is foram hw*cdwa ($100)
or lav)
I certify that in the performance of the work for which this permit is seemed.I shall not
employ any person In any manner an as an become subject to the Workers!Compenadan
Laws of California.Disc
Applicant
NOTICE TO APPLICANT:If.afar making this Cenincate of Exemption,you should
became subject in the Warkeh Compensation provision of out lahor Cade.YOU must
Oforthwith comply with such provisions or this permit Nall be deemed rewtce.
z CONSTRUCTION LENDING AGENCY
[.r4 1 Mrehy,alarm that Nem u a construction lending agency for du performance of
!x> the work(or which this permit 4 issued(Sec.3097,Civ.C.)
Qlances,Name
.-3 z Leneres Addmes
U I country that I how road this application and sate that the above lafamutiun a
LL F corcct.I spat in comply with all city and county onlinancu and auto lows minting in
0 building and hereby amhorixe upmumuUoiws.f this city uenw upon dor
W shore-mentioned propcny for inspection purposes.
(We)agree ro caw,indemnify and keep hermlcu the City of Cuperum,against
,AA IiabilWu,judgmenu,eow cad expmaea which may in any way scone against said City
UZ in cortxqucmc of Ne grandng ofthis permit.
., APPLICANT UNDER ST AND WILL COMPLY WITH ALL NON-POINT Issued by: Date (2-dl,
SOUR GUGTIO S.
'0 Re-roofs
SigaatureofAbi a Data
RDOUS MATERIALS DISCLOSURE Type of Roof
VIII the applicant or future building mupent stare or handle havrdmu material
u dented by the Cu no Moom'"I Cade.Chapter 9.12.and the Health and Safety
Code.Seed an 25532(8). All roofs shall be inspected prior to any roofing material being installed.
❑1
Will Use,applicant or future building ocrupent use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit huudons air aminsnu as m
dc0d by the Bay Arta Air Ouaiity Management all new materials for inspection.
Disuict7
❑Ya No
I have mW the hausthas am dais wafer Chapter 6.95 ofd¢Gabler.
ria NcolN@Safety Code,Scni .25533and255M.IorWcrstue thalfNe Wilding
dm not currently how a ten Ne'I mY nsihilhY u notify the occu ant or the
mgaha hiahmaax oar inn afa Certincau of0c y Signature of Applicant Date
5-' All roof coverings to be Class"B"or better
Owner car au'horired agent Dote
CITY OF CUPERTINO
�m 4 of 7 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec: Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 34233011 . 00
DATE ISSUED. . . . . . . : 05/12/2006
RECEIPT #. . . . . . . . . : 34375
REFERENCE ID # . . . : 06050108
SITE ADDRESS . . . . . : 22802 LONGDOWN RD
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
�EE 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
1' Cupertino CA 95014
Telephone•(408)777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building Department
JOB ADDRESS: PERMIT#
a o�G� 6 �oFr
OWNER'S HONE #
GENERAL CONT CTOR: FAX #
I am not using any subcontractorsA
Q3 Signature Date
Please check applicable subcontractors and complete the following information
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical i
Excavation
i
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
er/Contractor Signature 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
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 on1re�-roofing.
Homeowner's Name:
Job Site Address: a Q&
Ln 1Jch\A N J,) a
Roofing Company Name:
5
Applicant's Signature: V RDated IZ O(D
• Greg Casteel
Building Official
Revised 11/2/04 .
O�o50106
CITY OF CUPERTINO
ryo REROOF
CUPEKTINO : PERMIT APPLICATION FORM
AP # Date:
cq
t-I 2 - -p _
B ilding ddress:
wner's Name:
G S' Phone #4
"oL7�—�33�
Contractor. FCur 2ie0,2W Qcop License / LII 2(8
Contact IC Cupertino B—usiiness License #I:
Th onus Pi,edrn 2 1323
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ -Asphalt Shingles
C— Wood Shakes ❑ Wood Shakes
❑ Wood Shingles O' Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings Cl Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs,
• I Have Read, Unde stand and Will Com 1 With Cu ertino's Tear Off Policy:
Job Description: 0 ha es t n s �Z C.
D x ,a d A �Y . ��o i
s o > C tis
KesidentUrr ❑ Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Det. if
there are an restrictions: LJ
Cost of Project: Ty�ppe of Construction: Occupancy group:
Qry. if
qBUSLIC
Fee ID Fee Description Fee Group
PERMFEE Bid Pe tmit Fees BUILDING
ENERGY Ener BUILDING
SEISMICRE Seismic Fee Res BUILDING
SEISMICOM Seismic Commercial BUILDING
PLANCHK Plan Check Fee BUILDING
Business License BUILDING
•