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06070155 (2) CITY OF CUPERTINO OUILDING01VISION PERNIIT CONTRACTQTtINFU�u4 Buam"c ADDRESS: KNIGHT N ROOFING SERVICES PE"MITNO'06070155 10679 NATHANSON AV OWNER'S NAME: PERMIT ISSUE DATE FUNK DOROTHY 42035 OSGOOD RD. 07/24/2006 NE: SANITARY NO. CONTROL NO. (510) 438-9077 ARCHrIECT(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0, LICENSED CONTRACTORS DECLARATION lob Description 10 I hereby affirm Wt I am Ikenad unJur provLdom of Dhapwf 9(commencing P (N Section]qwI of Division 3 often Business and Pwfereioaa Code.aM my license Is in fYllfnRe and erfec TEAR OFF SHAKE ROOFING. INSTALL SHEATHING. INST {�z License s Lie.a s•((OY �— Dao:3�Contractor ac CLASS A COMPOSITION SHINGLE. ARCHITECTS DECLA TION I understand my plans Nail be wed as public recnrN r u. Liccnwd Professional tO Oat lam exILDSRempt DECLARATION I hereby a1Brm That 11. . iron the Costas os d:A License taw for the p o which maven.(Saito 7031.5.B.I.Bmftar. and Prow,de an Calc:Any city car County 1$fLi which mqudma a permit re conWaL alter.her froom,h mMil w repair any structure •ZS^ prior"No itscensmm.alw requires llevisio aafthe Com tit w0leasLrcdslolrmCot � Thu Ae is licensed punuemwlhc proviGou of the Convawfs License law(LTapun9 Sq.FL Floor Area Valuat 6525 leF (commencing with Section 7000)of Division 3 or to Business and Professions Coca)or that he is eumpi therefrom and the bub for the alleged eaamption.Any violation of �T1,� Section 7031.5 by Ary applicant tar a petit subjeeu the IPPlbant w a civil penalty of AP NuTT 0 0 y Pe act tam than live hundred dollars($500). 3N4 6 4 30 '/ Occupancy V O 1,As awns of the Property,or my employees with wage As Neth tale Compensation, will da the work.and the strumem is not intended or offered her sale(Sm.70M,Business enRequired Inspections And Prefesslau Cade:The ContacmM1 License law n doest apply w an owner of q P pmpywho bullasm(mp roves thereon,and who damsuch work himselforthrough his howOwn ever.the a,PmNdedthnawhimprowm wain ono year ofdmoffemd fordue Own(. Agp fJ however.the the b r dnprowmant is said within ere yev Or rove on.for the owner. (ffI`L;kMp+8 fj builder veal Nw the burden of proWng that k did cot build m improve(w purpose of '1'pl��im—f�RT_�/6�/ 0 I.a owner of the property,am reclusively convecting with Ecerued Conuecoon to s, contrera the er.prejea(S 7014.Bwdnmad ProfessionsProfessionCods)ThFe Contra tae,U. u V q1 came Lew does not apply w an Owner of property who builds or Improves thercon,and v who for ash Projeelo with aeanuecmrtsl licensed punuanlwthe Contractor, !f j License Law. 01 I am tempt under Be, .B Al P C for this moon Owner Due f+W/tJ/)/3[''Jfl('h�f```vVfflfy WORKER'S COMPENSATION DECLARATION I thereby Lilt under penury of perjury one of the following declarations 1 haw and will maintain a Certi0ate of Consent to self-insure for Worker's Compeer anion.a provided for by Section 3700 of ter Labra Code,for the performance of t>b work for which Nis permit is issued. ❑1 haw and will maintain Worker's Compensation Inawutm,as required by Seldom 3700 of the labor Code.for the performance Ortho work leamich this permit is 4wad My Workee.Compensation b enexce carrier and Policy number tae: Carrier: Steri/rI"�/ PolicyNa:o46 oa ys'OS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (this accOm need est be Complehad if the Permit isforanc hundmddollan(5100) Or loss) 1 entry Nat In the Pufotanec or the work for which this Permit is issued.I shall not employ any person in any manner an As An become subject to the Worbror Compensation Laws of California.Data Applicant NOTICE TO APPLICANT:IL after making this Ccrtilicaw of Exemption.you should become subject m One Wohefs Compensation provbiow of the Tabor Code,you must .JO forthwith comply with such pmvdsimu m this Permit shall be dawned revolted. Z► CONSTRUCTION LENDING AGENCY I hereby atilt that them is a Comuverinn lending agency for the performance of ai.> the work for which this permit is issued(See.3097,Civ.C.) ' W�Q Lenders Name z Lenders Address V O 1 certify that 1 have mad this application and slow that the Mow bwrarmadun is (y P COMM I agree w comply with all city and county oNinam'm and sow laws misting to 0 building construction,and hcreby.mit.ne representatives or this city to cnmr upon the W xhave-mcntioncd property for inspccdon pugwxa (We)agree to taw,indemnify and kap hatless the City of Cupertino against w..,y liabittiesjudgmenu,costs and expenses which may In any way acrue against said City �Z in Consequence arae panting of this permit. 7) (fl ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH A NON-POINT Issued by: Date SOURCER ULATI0N5. �� Re-roofs Signal o AMC nvecwr ^� Dave HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building aaupanmtara"ItAndle huanlow mawnW As de0 xed by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safety Coda,sermon 11532(U? All roofs shall be inspected prior to any roofing material being installed. ❑Yes Ne Will the applicant or fu m budding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove moll huxdous air contaminants as deRrcd by the Bay Arca Air Quality Management all new materials for inspection. District? ❑Yce QNO I haw real the hoard`caw materials mqu.mAnnts under Chapter 6.95 of the Califar. �y nu Health&SaletyCode.Seciom25505,25533al25534.1 undersand dm if the building / f Zv Joos nmt en ty haw a Conant,that it is my uiMlity w wwaify de aaupant f the [[[ mquimmen inchm�me Tar arceofaccrt0ataofOCC arcy. Signatu 'A p icant Date! own<r car Lt d.gen, caw All roof coverings to be Class"B"or better Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CI F Fax(408)777-3333 SUPEkTINO Building Department JOB ADDRESS: PERMIT# I o 67 cl lV /f Soil tQ.,r�_ OWNER'SNAIVIE: Dorothy Funk PHONE# 408 732-5354 GENERAL CONTRACTOR Knight Roofing Servic $AX# 501 438 0604 I am not using any subcontractors: ignature ate Please check applicable subcontractors and complete 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 • Til / er Contractor Signature 15ate Community Development Department Building Division • City of Cupertino 10300 Torre Avenue CITY OF Telephone: (408)777-3228 Fax: (408)777-3333 CUPEI�TINO 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: ❑nrnthv Funk Job Site Address: 10679 Nathanson Ave . Roofing Company Name: Kndght /Roofing n Services Applicant's Signature: Date: -7 2 G • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO am 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . 1 : 32643072 . 00 DATE ISSUED. . . . . . . : 07/24/2006 RECEIPT # . . . . . . . . . : 35348 REFERENCE ID # • : 06070155 SITE ADDRESS . . . . . : 10679 NATHANSON AV SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : FUNK DOROTHY ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : KNIGHT ROOFING CONTRACTOR . . . . . . . : DAVID RICE LIC # 27646 COMPANY . . . . . . . . . . : KNIGHT ROOFING SERVICES ADDRESS . . . . . . . . . . : 42035 OSGOOD RD. CITY/STATE/ZIP . . . : FREMONT, CA 94539 TELEPHONE . . . . . . . . : (510) 438-9077 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00 BSEISMICRE VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 159 . 66 0 . 00 159 . 66 0 . 00 METHOD OF PAYMENT AMOUNT . NUMBER -- --------------- ------------ ------------------ CHECK 159 . 66 10267 TOTAL RECEIPT 159 . 66 i o oOlo 155 CITY OF CUPERTINO 1W REROOF �CUPER°riNO PERMIT APPLICATION FORM APN# Date: 32(,7- 3-0�2- 7 zv�L Building Address: 10679 Nathanson Ave . Owner's Name: Phone#: Dorothy Funk 408 732 5354 Contractor: -- -------.- Phone#: License#: - _ - --.__.-...---.. .8.4.4.10.8.. Knight Roofing Services 501 438 9077 Contact: Phone#: Cupertino Business License#: Greg Knight 510 438 9077 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles yQ Asphalt Shingles Wood Shakes Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) Cl Other(Specify) Number of existing coverings 1 ❑ Provide I.C.B.O.Report# $4 To be Removed ❑ Provide Mfgr.Installation Specs. ffResidential erstand and Will Com 1 With Cu ertino's Tear Off Policy: ❑ Tear off shake roofing. Install sheathing . Install Class A Composition Shingle. Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Det. if there are any restrictions: lJ Cost of Project: Type of Construction: , ) Occup cy fs $8, 525 Re roof lL� Qty, if Fee Grou A licable Fee ID Fee Description BPERMFEE Bldcy Permit Fees BUILDING BENERGY EnerL7v BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING •