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06050212 (2) CITY OF CUPERTINO 77777 BUILDING DIVISION PEIRMIT 'WORANDO BUILDING ADDRESS: FOUR SEASONS ROOFING 06050212 22822 LONGDOWN RD OWNER'S NAME: FERMITISTIEDATE DEANZA OAKS HOA 502 HORNING ST 05/24/2006 NE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECTIENGINEEW. BUILDING PERMIT INFO BILD0 ELECT PLUMS MWH I= 1=3 cm 1= z 0 LICENSED CONTRACTORS DECLARATION I thereby alliore that I son limuseed under provisions of Chapter 9(cormounCing Job Description with Section 7000)arDivision 3 ofthc Business and profession,Code.and my ficence,is I filf d if .� q TEAR OFF (E) SHAKES, INSTALL 1/2" CDX AND GAF at 41 D 9� I. 'GRAND SEQUOIA SHINGLES . 50 YEAR CLASS A L uacm&oAct.KKK ARCHrTE DEC ATION I It anyplaossalmlibcusculati,blicremodas or V Licensed Professional OWNER-BUILDER DECLARATION I heraby starts that I am catempt force ft Contractors License LAW for the 00 following reason.(Sections 70 1.5,Business and Professions Code:My city or county as which atultsi..permit In construct.sher.hrPnJ dcon-loh.-repair My Ionalmot pow to I"issuance.him onquires ft applicant far such permit to,rile 4 signed wriumcru dust IN ist licensed pursuant W ft provissom a ft Contractor's Umom Isw(Chapter 9 Sq.Ft. Floor Area Valuati$[5 5 0 0 (consurnamicl with Section 7000)of Di�.3 Of the Business Mal Prefessimn Cox1s)a, that he is Jacemph mereflarm and ft basis far the alleged coureapdon,my violation of Section 7031.5 by My applicant fort a permit subjem,the applicant th,a ci,,il Penalty of Y8Tber 0 0 Occupancy Type ran mom"f1w hundred dollam(M� 31M 7 . 0 1.sachummofthe property.Or my employees with miles hadmirsalcmanapermardon, and Pmradou Caft The Cmummor's U�Law does act apply in an owmar,of Required Inspections property wW Wilma cairmisrom,themna.mul mucluessuch work hirmselfc,through his ountemployces.pmuidecal ishishch imprownwents,Me ouraffermil Icarsale.ff. Jacowwr,do,billiard;or impoommemat is mid within one,year o(compledom.me awom� FINALED buildent will haw the burden of proving ft,IN did not build or improm for purposse of sals.). 0 1.as Owner a(ft property am exclusively contructing with licensed contramora to consumal ft pmjm(Sec.7044.Buslema had Prafcssirum Codc)The Contractor's U. JUN a-Y-2006 occuse Law door not apply in an Joamor of property who Wilds or Improws durem.and who conumm;for such project,with.courtractar(s)licensed ponamm'to ft COntonallAr" License Law. C]I can,annual under Sec. _.B A P C far this mucher BURECINNO OWN, ____Data— pWORKERS COMPENSWION DECLARATION I hereby alarm under penally of Perjury ON of ft following�lamfim: I haw and will maintain a Certificate ofCamsent in scif-insturc forWarlatel Compen- .....provided for by S�tion 37W of ft Labor Coda.for ft Performance,of ft worle for which gas Permit Is issued. 0 1 haw and will maintain Workers Compensation Insurance,a required by Section 3700 Of ft Lsemr Code,15".performance of ft work to,which his Permit is Issued. MyW, esciarponsua,a..III. cano I or and F.12 moft, I �CERTI CATE;OFEM ;;FROM WORKERS' COMPENSATION INSURANCE (This Junsfian mcal not be completed irthe permit Is foram hundred dolise,($100) or lea.) I cardly that in the performance of the work for which this permit is Ismused,I sh.11 nor employ any ismstan in any manner an as to become subject to IN Workma'Compermation Lam ofCaliformia.Data Applicant NOTICE TO APPLICANT.If.after making this Cenificata,of Exception,you should become subject W the Worker's Compensation previsions of ft Lather Coade.you must OZ forthwith comply with such provisions or this permit shall be Normal roorked. z 0 CONSTRUCTION LENDING AGENCY rA 1 hcmhy affirm that them Is,consimaninct landing agency Jar the performance of the work for which this pernit ii unusual(Sm.31197,CN.C.) J.'em"ar: D z Lattice Addrem U 0 1 condry that I m.real this application and Miss dust the.1i utommumi 6 0, courrect.I agree to comply with all city and county onlimarms and start,laws testing Us 0 vilcm,construction and hereby tolmoin,reprosernatiw..(this aity,o..I.,up..the U ahow-mentioncd po,xrty for impaction purposes. W -nim against (We)agree to saw,indemnify and keep hannicas the City of Cups, liabilities judgments,must and expenses which may In My My imme against said City I this PMIL me O"M Ir" Of men rICA17UIDS' AM A 0 POINT Issued by: Date sn"',e- Z— AIP S �&.a _10� 2.� 4c� _ie-roofs SigrAmme a[ApplicAqUCan�r ARODUS MATERIALS DISCLOSURE WK Type of Roof NAB ft uum building acm plettsuare,ar handle hazardous material as deffam!by Code.Chapter 9.12.and the Health and Safety Code.sees.25S32(a)T`1,,0 N. All roofs shall be inspected prior to any roofing material being installed. 0yes If a roof is installed without first obtaining an inspection,I agree to remove Will ft applicant or future building occurpagra,bee equoposent or divims which emit laroArdout, I,caustarminsurts a dclinual by ft Bay Aram Air Quality Management all new materials for inspection. District? �1� 0 Yes I how road!the hLeaudeas momiuls requirmasons,underchamer 6.95 of ft Califor. �Hul�&Safc[yCodc.Sec�=25505.25533�B334,1�ftifft building dea,mcamonly wa�A!ly responsibility 0 Nor ft case Not orthe hlchm bamen r som of.Cartirmue a GLI Signature of Applicant Date Owk,chonhonted , Ail roof coverings to be Class"B"or better Olient CITY OF CUPERTINO •m 3 of 5 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 34233007 . 00 DATE ISSUED. . . . . . . : 05/24/2006 RECEIPT # . . . . . . . . : 34539 REFERENCE ID # . . . : 06050212 SITE ADDRESS . . . . . : 22822 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 qEE 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 . bo 0. 60 0 . 00 0 . 60 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 126 . 96 0 . 00 126 . 96 0 . 00 • 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: Job Site Address: �OYI�i 0 Roofing Company Name: Applicant's Signature: Dat : /Q(p • Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torre Avenue ;I t' ' ' ✓' ` Cupertino CA 95014 a Telephone(408) 777-3228 CITY OF Fax(408)777-3333 WUPERTINO Building De artment JOB ADDRESS: PERMIT # u O 06 S"a `z-/"Z- R N PHONE# GENERAL CONTRACTOR.; S FAX # I am not using any subc ntractors: Signature Dat Please check applicable subcontractors m lete 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 Own /Contractor Signature D to - � Q5021� CITY OF CUPERTINO REROOF • rr CUPERTINO PERMIT APPLICATION FORM APN# Date: Z Cn Building Address: 1 11 d Owner's e: Phone#: s 4C)9 -XS -0S-30 Contractor: 'Four gien 2W% {�,.�O License#: 1+11 L1 12a Contact, -h u��S Pl�i�dr� ICWJ Cupertino Business License #: I I 1 21323 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles -6' Asphalt Shingles Ar 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: Job Description: b c) ha es , n s aI VZO a D x ,a ori A rr C-A - ePL001 >, s (f>0 ) Cltis Residentikr ❑ Commercial ❑ 19 Fire Zone: Yes ❑ No Confirmed with Planning Det. if there are any restrictions: IJ Cost of Project: T of Construction: Occupancy group: C7D o' K G' 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 •