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06060214 (2) CITY OF CUPERTINO 61JILDING DIVISION PERMIT XON BUILz.DING PERmiT UILDING ADDRESS: FOUR SEASONS ROOFING "06060214 0227 NORTHEROOK RD — FR'S NAME; PERMIT ISSUE DATE NORTHPOINT HOA 502 HOMING AT n 6 PHONE: E: SANITARTNO. CONTROL NO. (408) 278-0330 ,, ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG I OM'z LICENSED CONTRACTORS DECLARATION ee I thereby aff.that I as licensed under p.,W...at Chapter 9(maramucto, Tiplion V 5 1%sciption with Section 70M)of Division 3 of the Business ad Proficusion.Code,and my license is to fall rere.ad.11ML C1 g REMOVE CAL SHAKE R. LB FELT AND GA CANYON COMPOSITIC 0 Licx�tL cmwuhF CLASS A -Sig r ARCHITECTS DECLARATIONhC 1 understand my pins shall be used a public records IL Licensed Professional OO OWNER-BUILDER DECLARATION x I harchy, M.that 1 1.asump,train the Commuctor's License Law for the C00 following masom.(Section 7031.5,Business and Prafessoms Code:Any city or county 0! which acquires a permit requires &IMF.hapoem,danollsh.ore my smuMme #IV% w prior in its issuance.also requires Mic.pplicam rat such permit in rile a signed statement (hat he is licensed Pa..[w the provisions of the Contractor's Licence,Law(Chapter 9 Ft. Floor Area Ai'd WW Valuat$)B500 (commencing with Section 7")of Division 3 of the Bosioncess,and Pialessions Code)or that he is campt thercharm ad the badhi for der,alleged examption.Any violation of Stake 7031.5 by my appliclast far a permit subjects the applicants to a civil penalty of _TPN-Number Occupancy Type net mom then fin hundred dollan,($500} 31639034 . 00 (D 1,as owner of Me property,or my employees with stages as their sets compensation, .111doduaid,u4hesoum..is.ti.m.ddaraffemdf.rWc(SM.TO44.Buasimm d Professional,Cade C.manatte'.License Law easier not apply an an owner of Required Inspections a property who Wild,or improves Viacom,and who does michwork himself orthrough his own employees,provided thilassuch imparmarmums mr:not intended araffered forrWe.11. however.the Wilding or Improvement Is aid within am cu atcouplation,the mares. builder will have the buscla of pirmu,that las did at Wild or Improve,far purpose or ❑I.as owner of the property am camlinively commaing with ficesucel ronounom to comaract the Project(sec. ess 7044.Businand Profess au Code:)The Commences Li- carom Law does eclat an as avw�of propeny who Wilds or improuce,theme,and, who contracts(w such projects with a contractors)licensed pursuant to she Commuctoll, License Law. E]latexcraptundlerSec. ..B&PCfarthisnewinn Da,- WORKER'S COMPENSATION-DECLARATION I hereby affirm under penalty at perjury mac of the following declarations: 0 1 haw and will maintain aCeralkestafConvent usself-ilium for Womerr.C.apen, station,as Provided for by Section 3700 of the Labor Code,for he performance of he work for which chij famish is issued. 0 1 have ad will maintain Worker's Compensation Issuance,as required by Became 3700 ofthe Later Code,far one performance cram work forwhich this permit is Issued. MyWXCam P qua a " 1ad sanies number Cam `PQiMZ�HeN.1 N C. .,AT,, E.RM,,G,. M WORK COMPENSATION INSURANCE This smaxamed tet the completed Ifibe permit M future hundred doll.($IM) or lm) I mlifY MAL in the performance of the wore,for which this permit M Moved.I mall ran employ any pawn in any matter a as us became subject in the Worimrs'Compensation Laws of Califorals.Dam Applicant NOTICE TO APPLICANT'.If.Met making this Catilicute of Estimation.you should became subject to The Workers Compensation provisions of Me Labor Code.you am vJ Z forthwith comply with such pnovistioness or this permit shall be deemed rawlsod. z 0 E�! CONSTRUCTION LENDING AGENCY I hamby affirm dust these is a construction landing agency for the performance of the work far which this Permit is issued(Sec.3097.Civ.Q GLenders Name D z Leers Adchoun, U 0 1 cerfify that I haw mail this application ass asset and Use above information is Dm P correct-I agree in comply with sit city ad county indicates,ad atiz laws relating as OU Wilding construction,and hereby suflemite representatives of this city to count upon the move-nmant...it Property for inspection Purposes. (We)agree to a..inal...if,and Map barriers the City of Cuperm.!&.tiat C VI which may in anyway try U Z PL als, is"flasordhissurall. APPLICANT ON S AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 51�cu 77DNS. 6 V Re-roofs Sliname c(ApPA"d= DamUs MATERIALS DISCLOSURE Type of Roof t or failure Wilding octupsuctsionce or Wilk hrzvdoas material dicilmal by Be CumMunicipal Code.Chapter 9.1Z mal ft Health and Safety sew.25532(a)7 All roofs shall be inspected prior to any roofing material being installed. 0yea Ne buildin Will theapp licatent or future If a roof is installed without first obtaining an inspection,I agree to remove ppg occupied=equipment a devices,which elaft IwArdous id, dcrined!by the Bay Ams All Quality Minslicenat all new materials for inspection. Di9nct7 0 ye, caa""��N` I heve read the hatuch. =,Wsquimm .mkChapw6.95offt CaJif.r. niaHcal"SafetyCodie,Sucuors,25505.25533 ad 25534.1 understands datifthe Wilifing does iamcarre Ly W. Itis my reparability in notify the occuppent of one a which re IM issuance of. Bma a M, - Signature of Applicant Date E�E`4_ P11 All roof coverings to be Class "B"or better Dome,or aadhkizA arm One I CITY OF CUPERTINO I 5 of 6 PERMIT RECEIPT OPERATOR: suem COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31639034.00 DATE ISSUED. . . . . . . : 06/26/2006 RECEIPT #'. . . . . . . . . : 35013 REFERENCE ID # . . . : 06060214 SITE ADDRESS . . . . . : 20227 NORTHBROOK SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT 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 VALUATION6,000.00 0.60 0.00 0.60 0.00 __________ __________ __________ ---------- TOTAL PERMIT 126.96 0.00 126.96 0.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 PEI�TINO Fax(408)777-3333 �U Building De artment JOB ADDRESS01 PERMIT #� S OWNER'S NAME: N ,,., o, PHONE # (O GENERAL CONTRACTOR.-V-, FAX # I am not using any subcontractors:Y Signature Date Please check applicable subcontractors an com Tete 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 er/Contractor Signature Date r 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: 3 D i ©.? b Job Site Address: D �wncl Roofing Company Name: �- . R Applicant's Signature: Date:(c • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO pwc�(o°a►9- REROOF •CUPERTINO PERMIT APPLICATION FORM APN # D to uilddin Address: Owner's Name: 1 Phone#: ri L ooin+- O, I4C. Cactor: Phone#: License #: tr Cr St ,, vooc- YOF Z'i S --0330 /0 9 Contact: nn hone#: Cupertino Business License#: WJO lQZafP_q .2) 57 -o33p Z Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles '9, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles Other(Specify) Ca I S kaiCe— ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# -�Y To be Removed ❑ Provide Mfgr.Installation Specs. Have Read, Understand and Will Com1 With Cu ertino's Tear Off Polic Job Description: S —,L-" It 30 1 C anok ! Gr"X Gw p.+ Residential Commercial p Fire Zone: Yes ❑ No Confirmed with Planning D t. if there are any restrictions: Cost of Project Type of Construction: Occupancy group: Sj'-Sd p CL '3 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