Loading...
06040089 (2) CITY OF CUPERTINO � s>;;, t 7i77 . T " F,OMO>tisP BUILDING DIVISION PERMIT fOIl C ?rmRTOR"L ? •rr tLx� BUILDING ADDRESS: FOUR SEASONS ROOFING PERMIT NO-06040089 10836 NORTHRIDGE 90 OWNER'S NAME: PERMIT ISSUE DATE NORTHPOINT H.O.A. 502 HORNING ST 04 /17/2006 ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECT/ENGINEER: BUILDING PERMIT INFO B O PLO MO iOp LICENSED CONTRACTOR'S DECLARATION Job Description I bercby affirm Net 1 am Hamad under Povidone of Chapter 9(commencing p with Section 7000)of Division 3 of the Business and Profession,Code.and my license is M.�y k tunforceandeffece _3 Lled 4'11iuP REMOVE CALSHAKE ROOF, INSTALL 30LB FELT, AND GA d5� o.nteclass Contractor PIL I c• GRAND CANYON COMPOSITION SHINGLES, CLASS A IR°� ARCHITECTS DECLARATION < I undeuund my plans ahall be used to public rcrnNs , as Licensed Professional SysOWNER-BUILDER DECLARATION I I barony affirm that 1 em exempt from the,Contractors Lieente Law for tits .O a folloo na Mason.(Section 703 L5.Bualncem and Profession Cade:Any city or County 5 16! which wquirus a Permit m emuwe4 slim,improve.demolW,or repair any,Immo. iy prior mits iasmna,also requires the aPPlicentforsah permit to Ek asilncd auwmcm �< that he is licensed pursuant to the provision of assCharacter's Lice=law(chapter 9 Sq.F[. Floor Area Valua[i$�500 8 (commencing with Sudan 7000)of Division 3 of Ne Business and Profession Coe)or — that he 4 exempt a,^Tfmm and the basis fm the alleged ewnption.My violation of Section 7031.5 by any applicant for a permit,ubjecu the applicant to a civil penalty of APN Number Occupancy Type Out tort.than five hundred dollars(5500). 31636046 . 0 0 ❑Lasawneraftiw p°Petry.ermytemploycer with teagnesdte'v,aleeompewdm, will do Newede.and Nemumme 4 ha ndso e!oroffe.d forsawisce.70s4,11" as Re tore and Profession CNm The Canncturs license Law does sur ns apply w an owner of q propertywhobuit"orimpm.nd�a.andwhodaeaaachwarkhim fmthrough his MAY — C am employees.provided Nrch tee not aimprovements tenot intended oroRered forsak.It. — 200(vs however-the building or Improvement it sold within am year of carapkdm,the owner- u =a. MB love the burden of proving dot k did ant bdW.improve(or Purpose of s7 v,�� ���...>as coke). U U' � Q 1.as Owner of dw property,am exclusively contracting with Ilcened cercocters he conuvct Ne project(Sec.I 1044.weer of pand!roperty Predicrty whdon Cade:)M Cmtracmrs nd cease law den not apply m in with 4 of property who sedds rs impmw thereon,and, who um Lace for such projects with a canlraclor(q Iiammmd pursuant u Ne Conuacmrs Llc1 arm Law. ❑Lem exempt under See ,BRPCfor this mars Owner Dow WORKER'S COMPENSATION DECLARATION I mmby affirm under pcaalty of perjury,am of Ne following doclamdms: ❑flhave and will maintain a Cardinals ofConsant m self-ictus a fm Worker's Campers ration,asprovided far by SeNon 3700 of the Labor Code,tar the pedarmence of Ne work for which this permit is Issued. 7x0 1 ban and will maintain Worker,Compensation Insurance,as m�uimd by Section of du labor Code,for Ne performance of the wank for which Nis Permit is issued, My Worker,Compensation human,carrier and Policy number are: Carrier. b,N .A . Policy Nan l a a1 a'L`1 M Y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE I (TIO,section med notbecompkted if the permit 4 forone hund.ddollars($100) or I..) 1 certify Nat in we perf°manm of the work far which this permit 4 issued.I shall not employ any pemon In any mmnerm as to become subject m the Workcu'Compensation Law,of Califomia.Dass Applicant NOTICE TO APPLICANT.IL after making N4 Cenincaw of EsemMio°.you should become subject to the Worker,Compensation providan of the labor Code you most .J 0 forthwith comply with each provision or this Permit sal be dared reveled. �y CONSTRUCTION LENDING AGENCY [—m I hereby dam than Nem isa constructhn loading agenry,for the Performance of ai > the work for which this permit 4 named(Sm.3097.Civ.C.) QLenders Name D.D LAmmesAdd.a, U Q I certify that I have read this application and sou Na the show information 4 I2.H cnmcL 1 agree to comply with all city and county moinamra am suss laws.ladng m Qbuilding comuuction,and hereby audience representatives alibis city to enter upon the U above-momioned property for irpcetion purpmn. (We)agree to taw,indemnify and keep n makal the City of CuPcnim against Taj) liabilities judgmems.eon and expenw which may in my my acem°aldol said City U in consequence of the gmnting of this penia 4-1111>106APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURC EGU NS. - 4_/7-Orn Re-roofs SigumufforApplitamonCan car Dau X US MATERIALS DISCLOSURE Type of Roof Will Ne applima Dore building accupmtaore or handle hanmdous material m de0md by the Cupenwm Municipal Code.Chapter 9.13,and the Health and Safety Code.Section 75533(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yna ° Will the applicant at future building Occupant ase equlpmmt m deem whim If a roof is installed without first obtaining an inspection,I agree to remove omit n®aNnus air canuminanu a defused by the Bay Am.Air Quality Management all new materials for inspection. DiarictT r]You we I have real the hamdou,matedals mquimmena under Chapter 6.95 of doe Califor. nix Hcalth k SafetyCade,Sadao 25505,25533 and 75534.1 understand Los If Oar Wilding does ant a tly Mt enam I�t it 4 my.spanscroll,dhility mscroll,Ile Occupant of the require. rem say orwissumaofaccrdreamofOccupancy. SIgnatur o Applicant Date Owncronuthovada t I Daw'o6 roof coverings to be Class"Burr Or better CITY OF CUPERTINO am 4 of 5 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 31636046 . 00 DATE ISSUED. . . . . . . : 04/17/2006 RECEIPT # . . . . . . . . . : 34017 REFERENCE ID # . . . : 06040089 SITE ADDRESS . . . . . : 10836 NORTHRIDGE SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT H.O.A. ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-0526 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 ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 126 . 36 60 . 65 0 . 00 60 . 65 0 . 00 BPERMFEE VALUATION 6, 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 187 . 01 0 . 00 187 . 01 0 . 00 Community Development Department Building Division t City of Cupertino Asa *'- 1030D 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: /c►1 1 �1 u Job Site Address: I;(.a 1 0C{ nv)C1S4 4t�1"t no Roofing Company Name: Applicant's SignatureDate: CP Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper Community Development 10300 Torre Avenue d ✓' Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 &UPEI,TINO Building De artment JOB ADDRESS: PERMIT# ID s r.o I OWNER'S NAME: PHONE # GENERAL CONTRACTOR--1j:--- . < RFAX # I am not using any subcontractors: �e' (7,U4� SignaW Date Please check applicable subcontractors and com let the following information SUBCONTRACTOR BUSINE S 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 Al y-o cQ Owner/Contractor Signature Date CITY OF CUPERTINO REROOF CUPEiZTiNO PERMIT APPLICATION FORM APN # Date IN to o L4 Lk 140(D Building A ress: o o C.-A CK I Ll Owner's Name: �1 II "" Phone #: c4j 0 - oin E— O, PQ . C tractor: }� Phone #: License #: P q Loo Yos Z 2 S -03 30 /O 8' Contact: /� hone #: Cupertino Business License #: c Cjo lit Z afz� .2) $ --o 33 o Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Asphalt Shingles ? ❑ Wood Shakes ❑ Wood'Shakes ❑ Wood ShinglesI ❑ Wood Shingles ;W— Other(Specify) Cg $hcK-C ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report# 117 To be Removed O Provide Mfgr. Installation Specs. • I Have Read, Understand and Will Com ly With Cu ertino's Tear Off Policy: Job Description: / e S t s{�c.l[ 3 o G C I an Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type of Construction: Occupancy 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 r�