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06040134 (2) CITY OF,CUPERTINO '` BUILDING DIVISION PERMIT �CfS vm.R�.cr'OR11 ORT", ` �r 1 xnwt BUILDING ADDRESS: FOUR-SEASONS ROOFING Fox...NG.06040134 10833 NORTHOAK SQ OW NEWS NAME: PERMIT LSSOE DATE NORTHPOINT HOA 502 HORNING ST 04 21 2006 IM ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECDENGMEER: - BUILDING PERMIT INFO BLDG O PO O ;o0 LICENSED CONTRACTOR'S DECLARATION lob Description aJ 1 hereby aMm that 1 ma licensed under pruvbion of Chapter 9(commencing z1 with SectionafDividon0a(timBua,sealidProfrssionCode.and mylkenseb REMOVE CALSHAKE ROOF, INSTALL 30LB FELT AND GAF Lic y m fall fa Re LouYid enCLL (qz_ Lisa Cl Ccuro �uRAND CANYON COM � �1'�TN LES CLASS A D.0 ��l'yy con " $- �D ;�� ARcxrrEcrsDECLAIuno a^moi, �O 1 1 unMnuad my plans shail he wood u public rtcnrdr 0 e tu eo� Lkorued Profeuionl sm� OWNER-BUILDER DECLARATION MAY 'J Q Z 1 hereby a?rm that I am comp,pmts Ne Comracice,Licorice LAw for the _ 1006 G O following won.(Section 701.5,Business and Pmpeuions Cade:MY city or county 5$ which acquires a Permit m construct.ober.Improve,demdbh,or repair any structure -z 12 prior an is imance.abs require the applicant sof such permit m Ole a signedstatement < that beblicensedPursuantinthepravisionoftheComrseur'sL.im.Law(Chair.9 Sq.Ft. Floors Valliant [�m (commencing with Section 700y)of Division 5 of the Bud.and Ptofesim Code)or Nat M u aomp,decompress and the bub for the alleged asomption.My violufon at ap7�tIvi ,� Senior 7051.5 by any aHelican,for•permit subjects the apphean,an a civil penalty of , s — Occupancy Type oamart Wo Rve hundred dallare LI 0} 3S`i']19TXTQI) , CCU ane ❑I,u owner of the property or my employen with unto u their sets compaaasdao. ..LL bb''11 777 .M do the wads"the arunum is not intendW sur offered for Woo(Sec.7044.Business and Profession Code:The C stacmA Liana Law Oman Out apply In an came of Required Inspections Property who Wilds arimpmws lhama.and whodoessueh work hbmrelfor dough his awn mployec,provided Ihmauch Improvements m:rot intended aaflered for isle IL however,the Wilding or Improvement is Gold within one Poor ofnmplanem.the Mons, builder will have the Wrdn of proving that M did not build a improve far Ponpm of sale.). ❑1,as anter of the pruperiy,am exclusively contracting with licensed anuMan In oanuuel the Profen(See.7044.Business an!Profesdon Cade:)The Coouacmh U- cets LAwdaistatapplyWanownerofpmpmywho Widesurimprove.thereon,md, who carmam far such Projects,with a canunnar(0 licensed pursual an that Contractor, License Law. ❑Iamnemptander See .Bl PCrorthbacsmn Ower Dau WORKER'S COMPENSATION DECLARATION 1 hereby&Man under pelWty,of perjury am of the fallowing declaabon: ❑I have and will maintain aCantiticau of Comm to self-WumfaWormesCompn- udn,as provided for by Section 3700 of the Labor Cade,far the parts..or the work for which this permit Is issued. 1 ❑1 haw and will maintain Workers Compensation Imam.u required by Section 7700 of the labor Code.for the performana of the work for which thin permit is leaned. esCpenansutacarrier and Poliry�umbeam:My Walca ,I {.y/yi""No.: ?—IleLaq v? CERTIFICATE O•EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section and Out he compared If The permit Is for one hunNed dollars di 10(p) or less.) I anify then,in the pafomana of the.,it for which this permit is based,l mail not employ any person in soy mmnerm or to become subject in the Worksn Compenmon Laws of Califomb.Data Applicant ! . NOTICE TO APPLICANT.If.after making this Cenincate of Exemption.you about; became subject an the Workers Compensation provisions of the labor Coda you mast . OfoMwi,h comply with such Prevision or this permit sbsll W doomed revoked. z CONSTRUCTION LENDING AGENCY ' [-sem I hereby alum that then b a construction lending agency for the Performance of C the work for which this permit Is issued(Sec.3097.Civ,C.) W�Q Lenders Name .7. z Landee.Addw U O 1 certify NY i have reed No applicaiem and sue that the above information 4 D,F Coma 1 agree to comply with all city and county ordinances and suis laws relating to 0 U building conametion,and hereby authaam representatives of Nis city to toter upon the W alrove-mentioned property for inspection purposes (We)agree in saw,indemnify and kap harmless de City of Cupertino ayint v<VaJ Iiabllhim judgmenu.cuts and capems which may in any way area again,said City U',Z in consequence of the granting of this permit. APPLICANT UNDERST ND ILL COMPLY WITH ALL NON-POINT Issued by: Date _Z(-06 GLATIGN$ ( Ov �/ Re-roofs Sin¢urt of App ianV naocur Data ARDOUS MATERIALS DISCLOSURE Type of Roof WIII the applicant Or future Wilding aceupant r9.1 or handle b Heeds monad u deMetl by the Cu no Municipal Code.Chapter 9.11.aM the HWN and Safety Cade,soman 15531(,)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yrs Na Will Nm applicant or prelim Wilding Occupant lie continuant or devices which If a roof is installed without first obtaining an inspection,I agree to remove cmb husdnu air cormlinnta ss de0rcd by the Bay Area Air Quality MMIICYenl all new materials for inspection. Dwn7 \ — ❑m X61 Na I have read the haudasmaeriabmquimmew uuYrCleparQ95oftheCtlifa- dalWlthkSafetyCm@,SmdaY13305.15533aml l undersand du,iflhe Wilding don rat Cmem1Y haw a mutt,that It b my mp(MUNIity m naify de maupsat of the mgtecormss which mus be o(a CeryRn=af�cupagplSignature of Applicant Date own surantho" da e l-.` G`^(Dow All roof coverings to be Class"B"or better Community Development 10300 Torre Avenue aClOF Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 OCUPEf�TINO Building Department JOB ADDR SS: I �, PERMIT # D K6 / 3 K /nb OWNER'S NAME: p PHONE # GENERAL CONTRALTO FAX # I am not using any subcontractors: 4-Z 1 'd C4 S gnature Date Please check applicable subcontractors anom 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 er/Contractor Signature Date u Community Development Department law". Building Division a City of Cupertino • w 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 6 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 Raid before another inspection can be scheduled. IMPORTANT: 0 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 complyllwith the above stated policy on re-roofing. Homeowner's Name: II `n Job Site Address: NG t4G kk �� l 'h o 950/q , Roofing Company Name: S Applicant's Signator Date / • Greg Casteel Building Official Revised 11/2/04 Printed an Recycled Paper CITY OF CUPERTINO !em 4 of 6 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31641619 . 00 DATE ISSUED. . . . . . . : 04/21/2006 RECEIPT 4 . . . . . . . . . : 34091 REFERENCE ID # . . 06040134 SITE ADDRESS . . . . . : 10833 NORTHOAK SQ SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 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 REROOF •CUPEkTiNO PERMIT APPLICATION FORM APN # Date Building Addr ss: Owner's Name: � ` 11 Phone#: p(Y-v. 0k1ai— , O, Vit. Ctractor: Phone#: License#: �r e q Voo� l yos Z3 S -0330 /0 $ Contact: �1 hone#: Cup�tinoo3Busi ess License #: (C4o Z fie- .27 g -o 33 p Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof r❑ Built-Up roof ❑ Asphalt Shingles >�, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ^ C3Wood Shingles -OL Other(Specify) (2q 113 kare— ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report# '91 To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Com 1 With Cu ertino's Tear Off Policy: obDescription: vZ CAlSI —,L-"stv,Ik yo L. C 1 an C Gr OA_ CJK) o., Residential 12311, Commercial ❑ Fire Zone: Yes ❑ No JzLConfirmed with Planning De t. if there are any restrictions: Cost of Project Type o o struction: Occupancy oup: S_so (D CLr 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 •