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06040135 (2) CITY OF CUPERTINO -�' ; BUILDING DIVISION PERMIT �� ,INGTIO BUILDING ADDRESS: FOUR SEASONS ROOFING 'ER"" o-06040135 10831 NORTHOAK S OWNER'S NAME: PERART ISSUE DAM NORTHPOINT HOA 502 HORNING ST 2006 ONE: SANITARY NO. CONTROL N0. (4 08) 278-033 0 ARCHITECT/ENGINEER: BUILDING PERM"INFO BLDG ELECT PLUMB NECH lOp LICENSED CONTRACTOR'S DECLARATION Job DeSCrIpI100 1 lancer affirm that 1 sm licensed under provision of Chapter 9(ammmnln{ wish Section 7")of Division 3 afthe Bull.and Prefessimu Cedc,and my Itcank k infull force and eBea REMOVE CALSHAK L 30LB FELT AND p�g D..-; Le,a Z O SAF GRAND CANY HINGLES CLASS A `uLF7�—cam ager J 3 ARCHITECrS DECLARATION Ih ! 1 underaund my plans shall W used as public records Licensed PmfessioroMAY h l aa,a OWNER-BUILDER DECLARATION � �V y I hereby alarm Net I am exempt from the Contractor's License Law for the fit ma O o following moon.(Section 703 L5,Business sod Pmfesduns Code:My city or county 3 9 tar+ which¢quires a permit to connotes,alta.improve.demolish.ver mpalr any munum I(r' prat in its issuance.ail ranimt the applicant for such permit in file asignd nalement @jzFF C that W it licensed pursuant to do,provisions of the Contractors beaus Law(Chapter 9 Sq,Ft.Flo CDValuati 5 0 0 W Cab (commencing with Section 7000)of Division 3 of Business and Professions Code)of 3 that he is exempt Nemfrom and the buts for the alleged esemptian Any vkholan of Section 1031.5 by any applicant for a permit wbjeeu the applicants in a civil penalty of APN Number Occupancy Type Out mem the five hundred dollars(3500). 31641020 . 00 I,u ownv of thn propmy,Oc my wploym with ages u Heir tole cempcmdon, will do the work,and in.amsudum is Imimmoled oraRased formic(Sec. Bankers Required Inspections and Professions Cade The Commences Liam Law does tont apply to a owner of q P property who buildsa improves Omaeen,and whodoasuchworkhnnkJfm through his owsemplayea-pmWded that such Improvemau K mtinkdd aoRaed fe sala R, however,the Wilding or improvement Is sold within one year of campktion.the owror- builder will have the Wrdcn of Proving that M did at Wild or improve for purpose of sok.). ❑1,as Owren of alk property are exclusively contracting with lensed anuxcton to consuua the prolem(Sec.701M.Business and Profesdens Code:)The Cumulates U- conae Law does not apply 0 an owner of property"a Wilde or Witrovm deran.and. who contracts for such pmjeels with a umnuator(p licensed pursuant n the Conuutoea License Law. ❑lunexemptundessec. .B&PCrorthurtuon Ower Dau WORKER'S COMPENSATION DECLARATION 1 Wmby alarm under penalty of perjury one of the following daladons: I have and w01 maintain a Certificate of Consam be self-iuurt for Workees Compee- ution,u provided for by Stolon 3700 of the Inbar Cde.fon the Performance of the work for which this permit is issued. ❑1 have sod will maleule Workees Compeuadon Iuutaa,as required by Sedan 37fD of elm Labor Cade,its,the Performance of done weak forwhicA this Permit is n..w My WC a CompeuWum lmerate artier ad Policy number wen Cartier. .1�LtY'I'�licy No.: 2t�2uut.N_ CERTIFICATE OF EXEMP170N FROM WORKERS' COMPENSATION INSURANCE v Criss aecda need tot W ampkmd IftW Permit is forme hundrtddo0as(3100) or lest) 1 calory that in the performance of tho work for which this permit is Wood I shall not employ any person in any marcra u n become subject to the Wor east COmPensaden Lsws of California.Dae Appian NOTICE TO APPLICANT.If,afkr making this CeNOcam of Exemption,you should become subject n the Worker's Compensation pmvisiou of the LAW Code,you muss .J O forthwith comply with such providma Or this Permit shall be domed revoked. Z tiCONSrRUCnON LENDING AGENCY (-+ I hereby Mm that there a a construction lending agency for the perfmmace of Pei the work for which this permit Is issued(SIL.3097,Civ,C.) W Q Lender's Name r7 Z Lender's Addmv U0 1 amity Nu I have mW thus application W sok that the above inimmaoun to D.U correct.l cepa to comply withal city and county ordinaae and mute Iowa telmal;m C) building construction,and hereby aothorim representatives of this city to enter Open the W above-mentioned p upeny for inspection purpoxs 0. (We)agree to save.indemnify and kap harmless de,City of Cupertino against v.m f/i Iiabilidetldrmenu.coon ad mpases whichmayle aywayaaragainsismi City V F77 in consequence of the tinseling of this knoll. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date / EGULATI ' rX Re-roofs Sign um of Appand.onmractor Date RDOUS MATERIALS DISCLOSURE - Type Of Roof Will the applicant m fours,building occupautore orhandle hundous material as deMcd by de Cu ne Municipal Cade.Chapter 9.13.ad the Health and Safety coat.saoa 35533(,)7 All roofs shall be inspected prior to any roofing material being installed. ❑Ya a Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emil hasNnus air con Inane u dcOxd by the Bay Arca Air Quality Managemcm all new materials for inspection. District? ❑Ya a I have mad the hasnlout makrialsmquir mems underompled.95 of dw Califor. me Halth&SafetyCde.Sections 35505.25533 and 35531.1 undemad datlfthe Wilding does net cmrcndy have a eras,da It is my mapostrality in wth'y the occupant of the require which most,Wofa CatiOcak of Ocrupacy. -Zl'>7(O Signature of Applicant Date n' uvea Owncro autho'.eda l Date All roof coverings to be Class eBn or better Community Development 10300 Torre Avenue 9 Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 OCUPEI,TINO Building Department JOB ADD ESS: PERMIT # in i ocl e o Sb a Dl �S OWNER'S NAME: Q. PHONE # GENERAL CONTRACTOR FAX # I am not using any subcontractors: yj� z! Signature Date Please check applicable subcontractors and complete the following information: 60 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 Community Development Department Building Division City of Cupertino r: • j��: ' � � 10300 Torre Avenue Telephone: (408)777-3228 CITY OF Fax: (408)777-3333 CUPEkTINO 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: 1✓Ofh"�`�t �� , I C , Job Site Address: O`h�I hJ0 k0 J"V� 'by Roofing Company Name: Applicant's Signature: ` Date: c_)-o co • Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper CITY OF CUPERTINO •em 5 of 6 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 31641020 . 00 DATE ISSUED. . . . . . . : 04/21/2006 RECEIPT # . . . . . . . . . : 34091 REFERENCE ID # . . . : 06040135 SITE ADDRESS . . . . . : 10831 NORTHOAK SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : NORTHPOINT HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-0521 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 • CITY OF CUPERTINO r REROOF SFUPERTINO PERMIT APPLICATION FORM APN # Date' 31 lr—H 1 -© -p Building A ress: 1(7 s r- . • o q s(-) Owner's Name: I Phone #: 0C'ty- oin F— O. At- C tractor: Phone #: License#: 2 2 Yog 2't S ro 3 30 /0 8" Contact: rnhone #: Cupertino Busi ess License #: �Jc CQ z ar2,5 7 $ -o V O Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof Cl Built-Up roof ❑ Asphalt Shingles Asphalt Shingles ❑ Wood Shakes O Wood Shakes ❑ Wood ShinglesI ❑ Wood Shingles Other(Specify) (2q 1 s 6r-e— ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O.Report# ,2l To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Com ly With Cuertino's Tear Off Policy: obDescription: COtk5u,9-9- f ZNstz.lt 701 C CV% Residential � Commercial ❑ Fire Zone: Yes E) No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type of nstruction: Occupar�y group: Qty. if A licable 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 •