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06050037 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACTOR IiVF�QRMA.TION, BUILDING ADDRESS: FOUR SEASONS ROOFING 06050037 22846 POPLAR GROVE DR 1 OWNER'S NAME: PERMITLSUEOATE DEANZA OAKS HOA 502 HORNING ST 2 06 ONE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITECf(ENGINEER: BUILDING PERMIT INFO BLDG ELECr PLUMB MECH 0 0 0 0 loo LICENSED CONTRACTOR'S DECLARATION - Job DOSCi1pt100 cup C I Wooly affirm Nor 1 w IiuwN sit provisions or Chapter 9(commencing ?z2'n nNllleaveaon ndclfoefDimrmn3orMBu ne,ss�1mdProressmnseod..awmyfiam. TEAR OFF SHAKES, INSTALL 1/211 CDX AND GAF GRAND 2�? Lieenu Cl Le.a'�T��1 O� 't2� U." Cl Y�. ,SEQUOIA SHINGLES . 50 YEAR CLASS A ARCHITECTS DECLAR O.�N "' rr C f < I undcrsund my plans shall Ire used w Public montes J 7yU 'oG Licensed Professional 1 3 OWNER-BUILDER DECLARATION 2 i I I hereby atirm Not 1 am wempt from N.Cororamars License Law for On 0 O following museum.(Section 7(n I.S.Business and Professions Cmrc:Any city or county which sequirca a Permit I. mmad act.alter,i.p.,dcmo oh,or rtpai,any someone .�Ypnor to its issuance,also volumes NL applicant for Such Permit to file a Signed Statement < Nat heulicensed pursuanttoNeprovivansofthe Contsumr'sLimmclaw(Chapmr9Sq.Ft. Floor Area Valuati6ffi 500 EEO tm-� (commencing with Section 7")of Division 3 or On Business and Professions COO)or y $ Nat he is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit objects the applicants to a civil penalty ofppb ATO ' ' Occupancy Type mt mom Nan five hundred dollars(3500). 34-23321 . 00 I,u awnv a(Ne property,m mY wployeu with wages u tie'v ole companation, will do the work and Ne suuerure is not intended or offend raised.(Sce.7M4,Busimus and Professions Cc&The Contrxrors Llunx Law does rot apply N an m awr of Required Inspections progeny who builds or improves thereon.and whodoeasucle work himxlfm Nmugls his man howemployen,pnoror I provehimprownuntsde mlinmMedmoRertd for manor- builder.the Wildingvth or Improvement is old within om Wild o improetim.On owe of builder will have Nc buNen of proving Nat he did not build m impore for purpose of sale.). / ❑Laos awter of the progeny..B exclusivelyand contracting with Code)Th ed marcors . o cowtnat the project(pec.7 an Business and rty WWou dsoriThe ConteuarS U. cense Law cts f rot apply je an oma of paper(who builds or anpuves Bcnwn.and who se Lacer for such projects with a contractor(s)licensed pursuam w the Gnvactors r-I I..Law. q1 ❑lam exempt under See ,B d P C for this recon V/ Owner Doe (� WORKER'S COMPENSATION DECLARATION 40 1 kneby of im under penalty of perjury one of the following declarations: ❑1 have aM will mainain a Cmifote of Consent m self-inure rte WorkeYsCompen- smion,u provided for by Section 3700 of Can Labor Code,for Yu performance of the work for which this Amit is issued. ❑1 have and will maintain WorkeYs Compnsdion Insurance,re required by Section 3700 or NC Lane.Code.for the prfomuncc oftia work for which this pmit u issued. ' My W rs Comp2sation Inorvt ortio od Policy �num�ber�am: . Cy RTI A OF 1P ION FROM WORKERS COMPENSATION INSURANCE (rho mite need not be completed Bible Amit Is foroae hundred dollars(SIM) nr leu) 1 unify Nat in N.perfomane.of the work for which this pamlt is issued.l shell not employ any pen]on In any mMmrm an an become subject m the Worker3 L'ompnaation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making NH Certificate of Exemption,you should become subject m the Workers Compnution provisions or the labor Code,you most �Z forthwith comply with such poHsiaw Of this permit 041 W doomed nes ted. zO CONSTRUCTION LENDING AGENCY E••t Ilaroby affim Out Yam is a construction lending agency for the perfumanu of Nc work for which this Amit is idued(Sec.3097,Civ.C.) Q Lenders Name 2. =z Lenders Add. U Q I unify Nat 1 have rod Nis application and rude Nat one show informed..is CL comm 1 aura to comply with all city and county oNirtvaes and run laws relating to �U building consuunion,and hereby authorim mpmsenslives of Nis city to enter ulmn Nc ahove-mcJ.dg,woncd progeny rod!Capection. whichmpurposes, E y (We)agree to save,indemnify and letup hamlcss On City of Cupnino against Z in conses,Judgments,ceustsarM ex pi pormilch may in uY wyattne against said Cry U,� m consequence of the granting of Nu plmik ^' APPLICANT UNDERSTANDS AND WI L COMPLY WITH ALL NON-POINT Issued by: Date SOUR GULATIONS. - D Re-roofs igwtute of Applican ytruso Date F a)JLDOUSMATERIALSDISCLOSURE Type of Roof Will de apptilemtroro//room building oexupantoom or handle havvdow material as defined by da Cupnim Municipal Code.Chapter 9.11,and On Health and Wet, Coda.Section zsslz(1. All roofs shall be inspected nor to an roofing material beim ❑Mesa P P Y g g installed. Will thea limn or future building mea t ow If a roof is installed without first obtainingan inspection,I agree to remove PP i pan mn Air cm CT Mana Management P g omit District? w air contminua u Jefirad by the Bay Arta Air Quality Management all new materials for inspection. Distrim? 0Yes No 1 have mal the haraidnw materials mquiumrmts under chapter 6.95 or the Caliror- not Health&SafctyCede,Suctions 15505.25533 and 23534.1 unulcnuvd this ifrhe Wilding dans rot commly have a suidilkhal it a my mrpare lity b notify the Occupant of the mynim which Ji fa Curd Signature of Applicant Date Ownerorawnorizcd nt �j C)(0p All roof coverings to be Class"B"or better 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 Y4 " per foot slope and demonstrate that there is no ponding. 2. An LC.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 ton re-roofing. c 0. Homeowner's Name: 51 Qr—� (—)" Job Site Address: '�f C rbc _g, Cj, is t' � Roofing Company Name - Applicant's Signature: J_ "� Date: �S • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO •em 4 of 7 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 34233021 . 00 DATE ISSUED. . . . . . . : 05/04/2006 RECEIPT # . . . . . . . . . : 34240 REFERENCE ID # . . . : 06050037 SITE ADDRESS . . . . . : 22846 POPLAR GROVE DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER DEANZA OAKS HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , 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 • Community Development 10300 Torre Avenue */ Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 WUPEkTINO Building Department JOB ADDRESS: PERMIT # owe a S©o3 "� O R'S N F PHONE # GENERAL CONTRACTOR:- S FAX # I am not using any subcontracto ��-�OCp )Signature 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 x¢05 ou3�l CITY OF CUPERTINO REROOF CuPERTINO - PERMIT APPLICATION FORM APN# Date: 2 7 0ro Building Address: f C rho Owner's Name: Phone#: or, .13 . Contractor: !� License#: v S27 / Zr � Contact: Cupertino Business License #: t,e Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Al'—Asphalt Shingles .*F- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) __ ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report# ;a To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Com1 With Cu ertino's Tear Off Polic • Job Description: _Q 0 �£ 5l�olFf� I t n36lt- N t y ` Cpl t tar Gran 8uof C> R Residential ,� Commercial ❑ Fire Zone: Yes ❑ No-jE] Confirmed with Planning D, I. if there are any restrictions: u Cost of Project: oo Type of Construction: Occupancy group: S2e - (�eoP 3 Qty. if A licable Fee ID Fee Description Fee Group BPERMFEE Bld Permit Fees BUILDING BENERGY Ener BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING •