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06070124 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTORINFORMATION BUILDING ADDRESS: a ABOVE ALL ROOFING PEaMITNo.06070124 7599 ORANGE BLOSSOM DR OWNER'S NAME: PERMIT ISSUE DATE ELAINE LO 700 NORTHRUP ST 07Z19/2006 NE: SANITARY N0, CONTROL NO. (408) 292.4188 ARCHITEMENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 0, LICENSED CONTRACTOR'S DECLARATION w Job Description I M1creby air.Wns t I am licensed under proviaium of Chapter 9(commcming DQE wiOSmton7IX )ofDivision3afNC8usin=v Professions Code.a an liccnseis I`o r'n umn mree arw err 'CZq 3� TEAR OFF SHAKE INSTALL 7/16 OSB 50 YEAR COMP ryaz License lass Lie.g CmCLASS A F,o Oate Irmor w f� ARCHELTSDEGLARATONABOVEALL ROOFING RENEWED BL 7/19/06 i m< . 1 u raund my Plansahall ec uud u public e,urds : u °w� Licensed Prefcssianal '0 OWNER-BUILDER DECLARATION i q I berth,aRrm Nm 1 am exempt from the Cmarmafs License law for the :c O following...a.(Section 703 1.5,Business and Proresam.Code:Any city or county :29 which re9uiu s a permit to construct,alma improve,demolish,or repoir any structure _oto prior in its issuance.also requires thcapplicmt for such permit to file a signed =at., < Ihuk is liar:d Nothemt to We provisinis Of the Commons License law(Chapmr 9 Sq.Ft.Floor Area Valuation l (commencing with Section 7=)of Division 3 of the Business and Professions Coda)or 5500 Nat he uxe exempt Watchman and the basis for the alleged exemption.Any violate.of $$ Section 7031.5 by any applicant for a permit subjttu We applicant to a civil penalty Of APN Number Occupancy Type not mon Nan five hundred dollars(5500). ❑1,u owmr of Ne propmy,err my employees with wages as Nev sole compewtion, will do the worn and Ne xwmum is mt imm�d or oncad ferule(Sec.7W.Business and PmfeIVON Cade,The Cm.matee.U.Law deco ml apply N an Owmur Of Required Inspections pupeny who build m ins posses Nem.,aM who does such work himself ar through his own employees,Provided Out such improvements are mtintended oroRcmd fearsale.If. however,We building or improvement is mid within am year of complcum.the owner- builder will have the burden of proving that M did rot build err improve far perpone of sale.I ❑1.as Owner Of We papery,am exclusively contracting with IICCNed mnuacbR N construct We project(Sec.7014.Business and Professions Cade:)The Cmmdeter's Li. p ,{� st C� cert¢law dmf Out apply je u owner of uacurny who builds r improves Cmus,and. pry, rd /!1! PI—� who Law does Out apply to a wim r onuaterty who buil pm improves Um Ca.an,and �, pCIYJ'�afPp/�ytgd IYttkg—err License Law. ❑1 ons exempt under Sea .B k P C for this reason owner Dam .0� 006 . WORKER'S COMPENSATION DECLARATION 2 L 1 hereby affirm under pcsWty of pager,enc of the following declamlimu: 111��.1 g} pp Mssnn I hsve pro will by ection lcm,37M of Cement in ulf-ifare a WComp.- If.!`BUM 1, /'/- sauon.u am will far by Sinton 37m of Nc labor Cade,for fa Md...osC .f the �VP�+�7j tfNla (UryJ EEII jp/`��^—/jam work for which this permit is issued. ❑1 have and will maintain Workces Compuratom Inman¢,as acquired by Section 31NK)M the tabor Code,for We puformance of We work far which Nis permit Is issued. ' CayWe mcr. s p( n Insurance cur Pan cy No nu; _(2C CERTIFICATE F EXEMPnON FROM WORK(ERS' ��` COMPENSATION INSURANCE (Thu section need not 4 complemJ if the permit is foram hundred dollars(SIM) or leu) 1 certify that in the Performance of the work for which this Permit is issued,1 shall Out employ any Mem in any manner an as to become subject In the WorkersCompensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certifnm of Exemption.you should become Subject in We worker's Compensation provisions of cite Labor Code,you must .,O faMwiah comply with such provisions or Nis permit shall M deemed mvnked. Z h CONSTRUCTION LENDING AGENCY (••' I hereby affirre that Nem iso construction lending agency far the pedommace of lz the work fur which this Permit is issued(Sec.3097,Civ.C.) 1 Q lender's Name z Ladder's Address V Q 1 cunffy that I have read this application and sum that the above information Is correct.I agree to comply with all city and county o dinances and stoic laws misting to Qt.) building construction.and hereby amhorre mpmsenuties of Nis city to enter upon the almvc-mcnudgm prop.,for IeSputiam lomlxowhich m. F y (We)agree m save,indemnify and keep harmless We City of Cupertino against Z in COiOes.JudeOf'he ods grardad expensesmit. may In any way eccmc againmsaid City Use mconsequcme of ten{rmtin{of this permit ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:S4��(a Date _ 1�—'5ke souagirtwONS. cp Re-roofs Appli OUSMATERIAISDISCLSGRE--D=m— Type of Roof I the applicant of(.I.building uccupintalore or handle hwardous material u deRmd by the Cupertino Muniai Code.Chapter 9.12,and ten HcaIN mJ Safety Code.section us3x(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yu Np 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 emit District? m air cantaminuu u v<recd by tins Bay Area Air Quality management all new materials for inspection. emit ❑Yes I have read the hara makeriau requirements under Chapter 6.95 of Ne Calife. ria Heal"Sgelyoudc, err 25505.25533 amt 25534.I understood that if the Wilding Does rent,annamly a means Was it u my res dmai d m hour,the oecupmt of the require must W tett poormimuarme roam of QEapanoy nat h T7 Date d, D,m All roof coverings to be Class"B"or better Community Development W 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY Of Fax(408)777-3333 SPERTINO Buil in De artment Jos ADDRESS:Q mom br PERMIT # OWNER'S NAME: JPHONE # GENERAL CONTRACTOR: o _ oV�-, FAX # I am not using any subcontractors: a ate Please check applicable subcontr s and complete the followin 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 Mw r-- ne /Contractor Signature Date 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 with the above((stated policy on re-roofing. Homeowner's Name: ��C. ;9i 2_ L-. 0 job Site Address: e Roofing Company Name: Q h Applicant's Signature: Date: • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO !m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36611077 . 00 DATE ISSUED. . . . . . . : 07/19/2006 RECEIPT # . . . . . . . . . : 35311 REFERENCE ID # . . . : 06070124 SITE ADDRESS . . . . . : 7599 ORANGE BLOSSOM DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ELAINE LO ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : ABOVE ALL ROOFING CONTRACTOR . . . . . . . : KEN SULESKY LIC # 23092 COMPANY . . . . . . . . . . : ABOVE ALL ROOFING ADDRESS . . . . . . . . . . : 700 NORTHRUP ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95126 TELEPHONE (408) 292-4188 �EE 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 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 ------ -- -- ----- - - -- - ----- ----- ---------- TOTAL PERMIT 231 . 96 0 . 00 231 . 96 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 231 . 96 12588 TOTAL RECEIPT 231 . 96 • CITY OF CUPERTINO REROOF • aCITY0 CUPEkTINO PERMIT APPLICATION FORM APN# Date: Buildin A dres , Own 's Dame: V one Q M or: one#: icense #: _. Contact: h e# Cupertino Business License#: CA Type of Roof Covering: Existing: Proposed: - ----- — ❑ -Built-Up hoof ❑ Built-Up roof O Asphalt Shingles ❑ Asphalt Shingles Wood Shakes ❑ Wood Shakes /❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) er�Other(Specify) Number of existing coverings ❑ Provide I.C.B.O.Rep' # ❑ To be Removed ❑ Provide Mfgr.Installation Specs. • I Have Read, Understand and Will Comply With 'Cu ertino's Tear Off Policy: ❑ Job Description: I �© M Tear e`ns><a l . o os Residential el 7f Commercial ❑ Fire Zone: Yes ❑ No Ell. Confirmed with Planning Det. if there are any restrictions: LJ Cost of Project: TvDe of 1=n:'on: Occupancy group: e 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 •