06070215 (2) CITY OF CUPERTINO n•ay§" s +n.mgti'�F3s,aC� r " '°
BUILDING DIVISION PERMIT RONTRACr b ,�INFURMATI
BUILDING ADDRESS: BILL HAMILTON ROOFING INC PERMITN0.06070215
10421 OA V _
OWNER'S NAME: PERMIT ISSUE DATE
DANIEL & KRISTA MARKENT 740 CAMDEN AVE 07/'11 /2,006
NE: SANITARY NO. CONTROL NO.
(408) 687-2540
ARCHITEC YENGINEER: BUILDING PERMIT INFO
BLDG ELECT 0 C� PLUMB MECH
ly l�
�o j LICENSED CONTRACTOR'S DECLARATION Job Description
d 1 wroby affirm Nat 1 am licensed under provision,of Chapmr 9(commencing
with Sued..7000)ofDivltlon 3af dm Buaness and Prolamin.Code,md my tic..is
�'1 inrut ltaaanderr REMOVE AND REPLACE ROOF SYSTEM. REMOVE SHAKES
o INSTALL 1/211 OSB & 30LB FELT UNDERLAYMENT CLASS
t Zr V«rix Lie.a
IDOee AR CSDI E1OfRAT ASPHALT SHINGLES .
i I uM¢nund my plana shallbu need public rr
t6
,Qr Licensed Professional
y OWNER-BUILDER.exemptDECURATION
)<S 1 nasoneby.(Tim o nt 11. exempt from the Cuban c :A License taw for the
:09 following moron.(Semites]construct,
Business,Arm. and Prowc,demolish.
Cade:Any city or county
which mqulsee n permit m uinsweL alley Improv,demolish,or mpoir,any ewewm
•ZP„' priwtoiu isswnce.elw requires the applieantforsuch permit to Tim mmigned ttalemenl
<
than he is licensed prrWNltodwprovisions ofthan Conummr'sLicense Law(Chapter 9Sq.Ft. Floor Area Valuation
� $ (commencing with Section 70W)of Divulan Sof the Business and Promnians Codc)or Y8900
Nat he u exempt Cameroon,and the basis for the alleged exempdon.Any violation of
Section 7031.5 by any Applicant for a permit mbjccu the APplicmnt to a civil Penalty of APN Number Occupancy Type
not mom than It.hundred damn(M),
❑I,ale awwr of use pmpaty,or my wployem wIN wga u Neo tole eompewdon,
willdo the work,and Nemucmm6an,imendedaran°red farote(S.C.7044.Busiwss Required Inspections
and Pmfaaam Code:The Contractors License Law does not apply to e ns an owner of q P
property who builds ver improws Neuron,arta who does such work himself ver through his
owo employees•provided that such impros<menu am not intended oro@red forme.if.
however.One building or Improvement amid wi0unam year of completion.dm awrcr-
builder will Was,the Wrdcn of proving that he did ort build a Improve for purpose or
sal..). ..
❑1,As owner of the property,am eaeluavely convmning with licensed contractors to ..
comaran the project(Sec.7044.Business and Profesaws Cade)The Conmctors Li-
anse law does an,apply to an Owner of pmpeny who Wilda or MPmva thereon.and
who contracts far such pmjecm with a comactot(s)retuned mummer to the courant Ces
License law.
❑I om amem under See ,B&P C for Nis meson
Owner Data
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penury of perjury wic of the fallowing decWations: I A5 (J {ria ll 11
I have and will manWn a CeNOam oFC.M.1 M self-Inum for Workers Capron- FFF ii`TTI449 (7ey'P'slww—O�I�aavy
.W.,As provided for by Sanim 3700 of the Labor Code,for the performance of Can
woe,for which this permit is issued. 41,
❑I have and will maintain Workers Compensation Insurance,u required by Section
My of the labra Cade,for the performance of the wank for which this permit is issued.
My Workers Cotyeaytlon a a ' and Polley number see:
Policy FRO
CERTIFl CO PE SX EM ATION7INN FROM WORKERS'
COMPENSATION INSURANCE
(Thu secti on wed not be camplemd If use permit is forone hundred dollar(S 100)
or less)
I certify that in the pMormace of the work for which this Permit Is issued.l°hal Cot
amploy any person in any mmnerso As to become subject to the Warkerr Cmnpe...due
L..'
of Callfomis Gam
Applicant
NOTICE TO APPLICANT:If,after making Nin Certificate of Esemption,you should
become subject to the Wae,era Compasetr n provisions of the labor,Cade,you most
.'Q forthwith comply with such Provisions or this permit shall W domed Invoked.
z'► CON5TRUC ION LENDING AGENCY
'(^'+ I Wmby affirm that Nem u a construction lending agency for the performance of
aBe woe,for which this permit Isissued(Sec.3097,Civ.C.)
UJ.Q Lenders Name
0Lenders Address
Mz
J0 I cerdfy that I haw lead this application and tum than the ebow information u
U,E" coma I a{rte to Comply with all city and county ordinances and sum laws muting to
Cm
Wilding conuction,and hereby autharine reprnsenutiwa of this city to enter upon the
U
Uabove-namiunad property for inspection purposes.
W (We)agree to sew,indemnify and keep harmless the City of Cupertino against
rA
liabilities.Judgments,eon and mmoms which may In my way acme against mad City
U in comeguence of the gowning of this permit.
APPLICANT UNDERSTAND ND WILL COMPLY WITH ALL NON-POINT Issued by: Date —
UL.AMONS. 7 $)w -
Re-roofs
i{nsmm of ppli HAZARDOUS MATERIALS DISCLOSURE Data of Roof
she pliant orfuuuc building occupant Rom orhandle haandaamamrial
do d by CupeNno Municipal Cade.Chapter 9.17.and the Health and Safety
.section 75532(.)7 All roofs shall be inspected prior to any roofing material being installed.
ri Ya
Will the April., r furore Wilding accurate eee Nuipment or devku which If a roof is installed without first obtaining an inspection,I agree to remove
emit hnallous nit conssmi MIS As do0wd by dm Bay Ana Air Quality Management all new materials for inspection.
District?
E]Yes
I have mad the hes Amaterials requirements under Chapmr 6.95 of Ne Califon
nia HafO&SafetyCode,Swtiam7550.5.25533uu125534.IuMcmmd NaifNe building
dna not curremly how a mnant.Na It is my rapomihilily to redly the owupant of the
m nuwhlehmustbeme rlalamanwa .Conaam Ocauanry,oe Signature of Applicant Date
r
vas
Gane Guth . est Dam. All roof coverings to be Class "B"or better
CITY OF CUPERTINO
�m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36912033 . 00
DATE ISSUED. . . . . . . : 07/31/2006
RECEIPT # . . . . . . . . . : 35452
REFERENCE ID # . . . : 06070215
SITE ADDRESS . . . . . : 10421 OAKVILLE AV
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : DANIEL & KRISTA MARKENT
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : BILL HAMILTON ROOF
CONTRACTOR . . . . . . . : BILL HAMILTON LIC # 27915
COMPANY . . . . . . . . . . : BILL HAMILTON ROOFING INC
ADDRESS . . . . . . . . . . : 740 CAMDEN AVE
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 687-2540
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---- ----- - ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00
BSEISMICRE VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 159 . 66 0 . 00 159 . 66 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
---- ------------- ------------ ----------- ------
CHECK 159 . 66 7314
TOTAL RECEIPT 159 . 66
•
Community Development
10300 Torre Avenue
aClOF
Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
0CUPEkTINO
Building De artment
JOB ADDRE S: PERMIT #
O G0-702 /S
OWNER'S NAME: PHONE # 708- t - Xt t
GENERAL CONTRA OR AX #
J t�•cc,
I am not using any subcontracto -
Signature Date
Please check applicable subco rs d complete 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
CITY OF CUPERTINO
REROOF
• CUPERTINO PERMIT APPLICATION FORM
APN# Date: 7— So
J?I— O
Building Address:
Own e ' Namc: Ph n #:
T 3 ./ z
Con r: Liuillse#:
KC' ( - Iio Oct
Contac t.• Cupertino Business License#:
— C7
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt ShinglesAsphalt Shingles
JZc Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings l— ❑ Provide I.C.B.O. Report#
IX To be Removed ❑ Provide Mfgr.Installation Specs.
• I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description:
PJ.v-0f7�_ -4' �sv JC
Residential X
Comniercial ❑
Fire Zone: Yes ❑ No ❑ Co ed with Plann' g Det. if
there are an restrictions: LJ
st of Project: T_ypeDf Construction: Occupancy group:
E0
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
•
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 withtheabove stated policy/ g "o�n"rye-roofing.
Homeowner's Name: 1 / �2 \ `4- (Q!3 f r4 YI l ttlr.7�Q.rAA
Job Site Address: 10¢21 C/A/d/1 L); e /,/o_L D �-
Roofing Company Name: (L lL1A11'TtJ PIZ1ITvt�Q ZKC
Applicant's Signature: Date:—,�-960
• Greg Casteel
Building Official
Revised 11/2/04