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06030049 (2) CITY OF CUPERTINO .� ti ; ,.�, �, 7777-7 BUILDING DIVISION PERMIT CUNTRAGTUR�°TNP'URMATIO ¢ BUILDING ADDRESS: FOUR SEASONS GARDENING PERMIT NO. 06030049 10145 NORTHWTND 90 OWNER'S NAME: PERMIT ISSUE DATE NORTHPOINT H.O.A. 2429 LAST OAK DR rl111o17.o06 NE: SANITARY NO. CONTROL NO. (408) 358-8003 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT IPLUMB MECH I� C� [� 3o j LICENSED CONTRACTOR'S DECLARATION Job Description ee I hereby affirm Nat I em licensed under pmviuona of Chapter 9(commencing ' ZZ with S=tion 7glU)ufDivlaton3of the Buunwud Pr usiou Codc.efum Iicense1. n= in full forceaedertec 7 p� REROOF-REMO STALL 30 LB FELT AND j n Z Lkenw Class Lk.p ' Dam Contractor GAF GRAND P GLES-CLASS A ARCHTIELTS DFOLARATIO i understand my plans shall he used u public rtcnr0 ' k4 Licensed Professional ho OWNER-BUILDER DECLARATION APR 2006 I hereby of ton that I am exempt from the Conuenofs License Law for the D O following moon.(Section 7013,Business and Profession Code:My city or county $ which requires a permit fo construct.alter.impmen.dcmNuh.or cartel,any structure zi prior to its issuance,also requires the applicant for such permit to file a signed statement dmhe is licensed pursumuo the provisions,of the Contactor"dame Law(chapter 9 Sq.Ft. Valuatil6500 � (commencing with Section 7000)of Division 3 of the Business and Professions Cada)or MLUIN Air e r3 a that he I.eumpt therefrom and the basis for the alleged exemption.Any chelation of Section 70713 by terry applicant for a permit subjects the applicant to•civil penalty of APN Number Occupancy Type not more than five hundred dollars(gsOm. .. 31638011 . 00 D I,u Owner of the property,or my employaa with wages as their sole compensation, will do the work and thealmmum Is=intended or oRertd fon W.(Sec.7044,Business Required Inspections and Professions Code:The Communes Licetue Law does not apply m e an Owner of q P property who builds or i mprovu Iberton,and who does such work himsel f or through his own employees,provided that such Mprowments see nolintended oroReted fuaak.IL however,the building Or improvement Is sold within one year of completion,the owner. Wilder will have the burden of proving that he did tot build or improve for purpose of sale,). D 1.as owner of the property am exclusively conuuskg with licensed cenlanoa In construct the Project(Sec.70N,Business and Profession Code)M Conuaeto't L6 teat Law does Out apply m.owner of properfy.wM bulks or hoped.chances,and who conduct,for such pmkcts with a contrumr(s)handed pursuant to the Committees Liceve Law. D lamexemptundc Sec. ,B&PCfarlAtamusem Gwnu Due WORKERS COMPENSATION DECLARATION I hereby in.under penalty of perjury arc of the following dectaratioas: - I haroand will maintain a Cert fiumof Coruent mself-imum fon WorecesCompen- lon,u provided for by Seetian 7700 of the labor Code,for the reviews.of the work for which this permit Is issued. D 1 have and will maintain Workch Compensation Imuran,u requited by Section 37M of the labor Code,for the peRarmuceof the work for which this permit is Wood. My Worker's ompensation insurance carrier and Policy number w: [. Carrier, `9L policy No.: 2 2 T CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ClhisuNon need not Wcwnplewd time pmer it isforow Worked deltas($100) or lass.) 1 o"t,that In the performance of doe work for which this permit u issued.I shall net employ any pmmn In any mummer an ts to become subject to the Workcn'Compewtion Lawns of Califomia,Dam Applicant NOTICE TO APPLICANT.IL after making this Certificate of Sammons.you should become subject in the WOrkees Compensation provisions of the labor Code,you most 0 Q forthwith comply with such provide.or this permit shall be doomed ervaked. „z,i 4CONSTRUCTION LENDING AGENCY F+ 1Manby.M.thatcoca Is acoutmction lending agony for Je pOmpartanceof ai 7 the work for which this permit It issued(Ste.IDSL Civ.C.) QUndere Name Lcocke.Address r V Q 1 certify that I haw rad this application and sum that the above information Is L417. correct.l agme to comply with all city and county ordinances and suite laws relating m pU building construction.and hembysothnrice mprmenutins of this city in color upon the W ahovcrnemioned propcny,for Inspection purposes. f5. (We)agme in sew,indemnify and keep harmless the City of Cupertino aNimt ti in liabilities,judgments.costs and expenses which may in my way am=al lfw mid City V 7 in consequence of the{ranting of this permit. G G Fl APPLICANT DESR$TANDS AND WILL COMPLY WITH ALL NON-POINT Isiued by:9 Date SOUR LLDONS. O/IO�Cj SO Si/gnalmtca of�Applitm—VColn-•mac—I—u •7 Date Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the appliesm or future Wilding occupant more a handle huardoa material u defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code.S=tiom 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. Dy. rEP06- '` Will the applicut=future building=.pent tau equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove t haurdnua air contaminants ss defined by the Bay Area Air Quality Management all new materials for inspection. mk1T ❑Ycs fTu . I haw mad the hazardous materials requirements Order Chapter 6.95 ort the Califor- nia Healthk Safety Code,Sections 25505,25577 and=34.I understand Unit lime building does not cum fly ha a tenam that it is my responshobty in madly the decupanl or the myulmmen k ti; nmLpfiartaiasaan=enccdma oofooccc clx, Signature of Applicant Date �'l `� Owner wauthomeda emDelo All roof coverings to be Class "B"or better ' � CITY OF CUPERTINO 2 of 4 PERMIT RECEIPT OPERATOR: suem COPY # 3 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31638011.00 DATE ISSUED. . . . . . . : 03/10/2006 RECEIPT #. . . . . . . . . : 33514 REFERENCE ID # . . . : 06030049 SITE ADDRESS . . . . . : 20145 NORTHWIND SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : NORTHPOINT H.O.A. ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-0551 RECEIVED FROM . . . . : FOUR SEASONS ROOFING CONTRACTOR . . . . . . . : SCOTT R. JOHNSON LIC # 27258 COMPANY . . . . . . . . . . : FOUR SEASONS GARDENING ADDRESS . . . . . . . . . . : 2429 LAST OAK DR. CITY/STATE/ZIP . . . : SAN JOSE, CA 95124 TELEPHONE . . . . . . . . : (408)358-8003 lam 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 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 aclF Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 �UPERTINO Building Department JOB ADDRESS: -3— ��w'tro( SPERMIT# / GS_ (/ OWNER' NAME: PHONE # GENERAL CONTRACTOR: Seaon FAX # .' -2 r -o 3T I am not using any subcontractors: I�i 3 ignature Date Please check applicable subcontractors and complete the following information: 66 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 ,Pwnbing " Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Dat Community Development Department Building Division City of Cupertino 10300 Torre Avenue TCITY OF Telephone: (408)777-3228 UPEP,TINO 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/tthe above stated//policy on re-roofing. Homeowner's Name: /VLA0 Mo ,*. T Job Site Address: .20 1 Yr NS I✓(n� Ste• Roofing Company Name: MV r Set So,,.S 43>0 F tom✓ .Applicant's Signature: Z�;z Date: `~ Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper CITY OF CUPERTINO REROOF CUPERTiNO PERMIT APPLICATION FORM APN # Dater��g Building Address: Owner's Name: Phone #: oC`1 � vin }— O, Pv. Ctractor: P ne#: License #: vT P q �oo� yob 22 S -0 3 30 /D K Contact: nn hone#: Cupertino Business License #: F c CQzPrt5 .27 $ -o33o Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ,'Zk Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood ShinglesI I'n ❑ Wood Shingles ;6e- Other(Specify) Ca(5 Mir ❑ Other(Specify) Number of existing coverings / (3 Provide I.C.B.O.Report# p' To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Comely With Cu ertino's Tear Off Policy: Job Description: O'L. CAkS I a4F�.1 30 G C+ an ET- G4G Gr"X Gw o.� �o osi+lrr� 6lti'n 1e 4 C�4 Residential ;!S� Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning De t. if there are any restrictions: Cost of Project Type of Construction: Occupancy soup: S S'C) CD ` Qty. if A licable Fee M 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