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03100193 (2) CITY OF CUPERTINO "r �m xh t "` BUILDING DIVISION PERMIT CONTRACTQR�,NF.ORMA'TTON. .;,. BUILDwc ADDRESS: EASTMAN CONTRACTING, INC PERh"T"(03100193 22206 QUINTERNO CT OWNER'S NAME: 1418 DOUGLAS ST PERMIT ISSUE DATE LEON SURDA 10/27/2003 "E: 408) 971-9000 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 100 LICENSED CONTRAunder previsions DECLARATION 1ion7 off rat that 1am licensedondcrprovisionsofs Code,and my Reims, Job Description with Section]BnlB of Division 3 o NC Businm ntl Professions CnJe.end my license is ;gh mmur�er narrrea a 25©S( R-, IIVAL Lj ? License Llc: CC D •O Contractor » a�N 0e p ARCHITECTS me TION ✓ �/ .s ay 1 Iunticrsmnd my plans shall he used..pts he records MAY 1 2 ZOoat •6 Y ?0.t) Licensed Pmfcammul 3 OWNER-BUILDER DECLARATION �U1Lp' <p 1 hereby affirm that 11. exempt s an the Contractor's License Law for the NG MO O following reason.(Section 703 1.5,Business end Pmfeasinna Code:Any city m county {,� m which requires a permit it,construct,alter,improve,demolish,or repair any structure $22470 _Im prior to its issuance.also requires the applicant for such remit e file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq. Ft. Floor Area Valuation ` $ (commencing with Section 7")of Division 3 of the Business and Professions Code)or 35709070 . 00 Nat he be exempt thcrtfmm and the basis for the alleged caemprion.Any Acted, of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Ocu ane Typenot moe man Few hundred dollars(55o). 0 1,as owner of the property,or my employees with wages as their sole compeasidon. will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code:The Contractor's License Law dms not apply to an owner of Required Inspections Property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered forsale.If. - however,the building or Improvement is sold within one year of completion,the owner- builder will have the burden of proving Nal he did not Wild or improve for purpose of sated. 0 1,as owner of to property,am exclusively contracting wife licensed commences to consumer the project(Sec.7(A4,Business and Professions Code!)The Contractor's Li. - came law dms not apply Ir an owner of properly who Wilda or improves thereon,and who contracts for such projects with a comracto bd licensed pursuant to the Contractors License Law, 0 1 am esempl under Site ,B&P C for this msson Owner Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: - I have and will maintain a Certificate of Consent to self-insum for Worker'sComprn- sarion,an provided for by Section 3700 of the Labor Code,far me performance of the work for which this permit is issued. 0 1 have and will maintain Workers Compensation Insurance as required by Section 37M of the Labor Cade,for the performance of me work for which this permit is issued. My Works/r�'gyC�o�mtpensa/}ion Insumntt carrierand elicynumbberam- , �r: [�`�V /KSIur�t.QPo No.:V66,000 LA9 2 Z CERTIFICATE OFEXEM In NFROM WORKERS' COMPENSATION INSURANCE (This section nectl not hr complcmJ if the Mrmll Is fnr enc hundred dellen(51(X0 or less.) 1 certify that in the performance of the work forwhich this permit is issued,I shall not ?1 employ any person in any manner so az in become subject to the Workers Compensation - Laws of California.Date - Applicant NOTICE TO APPLICANT:IL after making this Crnincem of Exemption,you should become subject to the Worker's Com pemation provisions of me Ichor Code,you must �Z forthwi th comply with such provisions or this permit shall sit deemed revoked. OCONSTRUCTION LENDING AGENCY 1 hereby affirm that then is a construction[ending agency Inr the performance of 0:> the work for which this permit is issued(Sec.3097,Civ.C.) r'1 Q Lender's Name Sz Lender's AJdroke J C I comfy mal I ban read this application and since that me above information is y F correct.1 agree to comply with all city and county ordinances and emte laws relating to 7 V building construction,and hereby authoribe representatives of this city to enter upon the „ W ahovcroab s.judg d property for inspection purposes. (Wc)agree to save,indemnify and keep harmless the City of Cupertino against tifq in cho,ofthements.granticosts ng of this expenses which they in anywayaccmc againslaoitlCity in consequNT of DERSTAN of this permit. AP LI NT UNDERSTANDS AND WILL COMPLY WITH ALL NONPOINT Issued by: Date R UL TIO Re-roofs Xi umof Applicant ontnaor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant ser future building acupsnl store or handle Woundous material as defined by the Cupertino Municipal Cotler Chapter 9.12,and the Health and Safety Code.Section Yee 25532(a)? ,s` All roofs shall be inspected prior to any roofing material being installed. Yee pC u Will the applicant or fuwm building occupant use equipment or devices which If a roof is installed without firs[obtaining an inspection,I agree to remove it havardous air contaminants`a defined by the Bay Area Air Quality Management all new materials for inspection. District? /— ❑Yes I have read the hmardeus materials reyuircmenks under Chapter 6.95 of fee Califon niaHcalN&SallyCndc.Salons 255(15,25533 and 25534.1 unJcntandthm iffechuilding duan a rally have a Imam,test it is my maronsibiloy m nodly the occupant of the re , wh most hcm rto,ssarenf ccmficat ag a re of Applicant Date rte or audoo ee,agent l�Date All roof coverings to be Class "B" or better 10/27/03 10:05 ' 4087773333 CITY CUPERTINO 16003/009 , Community Development Department Building Division City of Cupertino 10300 Torre Avenue OCITY � Telephone: (408)777-3228 CUPS TING 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. IMPORTANT: 1. Flat roofs must have a minimum of Y#"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 wi11 comply with the above stated policy on re-roofing. Homeowners Name: 0 91" Job Site Address: 00oze7t��p �fJtic.�evnp Roofing Company Name: A plicant's Signa e: ate: Greg l?7 �J rp3 Greg 1 Building Official Revised 1/30/03 P(MIW M AWY00d Paper 23. No step shingles/flashing at roof and wall intersection in top roof, caulking only and caulking is cracked and open. IS Pull step shingles/flashing at roof and wall intersection not woven behind wall. Apply elastomerics and polyester fabric to counter-flash as needed. (Owner to paint as needed) 4. Valley appears to be mis-woven. Re-weave as needed or install metal valleys as needed. Shingles at top of valley overlap apex too far. Trim shingles as needed. 25. Shingles at metal valleys, skylights chimney, valleys, pipe jacks, too tight, no water hannel. Trim shingles as needed. 26. Improper side lap at. Flash and apply elastomerics as needed. 27. Antenna base, eye-hooks, phone bracket, electrical insulators, anchors for able wires not sealed, sealant cracking. Apply elastomerics'as'needed. 28. Nails/Staples driven/popped through roof. Lift shingles, re-anchor nai staples, flash and/or seal between shingles. 29. SkylightlTie-in installed improperly. Re-orient as needed. . 30. No flashing metal at. Flash and/or apply elastomerics as needed 31. Solar pipe penetrations not sealed. Flash and/or apply elasto rics as needed. 32. Hole in roof at. 33. Roof open at. Flash and/or apply elastomerics as needed. WAR NTY All work completed by Eastman Contracting, Inc., only, roo surface only, is warranted not to leak for one year. Any water damage as a result of a leak, if any, to any other part of t structure or its contents is not part of the warranty. NOTE: This roof at is approximately a pitch. It appears to,only have 1 ply of felt, which can be seen at eave. Manufacturer specification require any roof with a pitch of less than 4/12 and not less than 2/12 to have 2 ply of felt. We will warranty our ork only for one year. If a leak occurs and Eastman Contracting determines it is due to lack of pr per underlayment, warranty will be void. If a warranty is desired on the entire roof, we recommend pro er installation with 2 ply of felt, call us for a quote. SECTION II ITEMS, PREVENTIVE MAINTFjNNANCE (PRICES BELOW ARE GOOD IF THE OPTIONAL EPAIRS ARE COMPLETED AT THE SAME TIME AS THE ABOVE WORK) 4. Tree growing over rooffine. Cost trim back from roofline as needed to prevent roof damage is $ , leave trimmings at job site. 5. Debris on roof. Cost to remove debris from roof as needed to allow for proper drainage and to keep water from backing into structure is $ , le a debris at job site. Owner to maintain. 6. Flashing is severely rusting. ost to clean and paint with rust inhibitive paint as needed to prevent further deterioration is $. 18. Some pipe jacks/vents are of woven properly and have been sealed with asphaltic mastic that is cracking. Cost to re-weave pipe jacks/vents roperly is $. 34. Starter course not nailed nd sealed. Proper installation requires it be fastened and sealed to prevent damage from wind uplift. Cost to eal as needed is $. 35. No flashing between bo om wood shingle roof and top composition roof at eave. This can lead to dry rot problems at eave. Cost to install ashing between roofs to prevent dry rot is $. 36. If desired, the cost to i I stall three eyebrow vents is $70.00 per vent for a total of$210.00. If vents are installed, the warranty is extended one year, see warranty note. 37. If desired,the cost to install one custom wire mesh spark arrestor is $55.00 per chimney for a total of$55.00. NOTE: This roof appears to be near the end of its useful life. If desired, call for a quote to replace. NOTE: We recommend replacing this roof, see enclosed proposal. OTE: There may be other problems contributing to the leak. If leak continues and additional repairs are needed, there will be additional charges. NOTE: Upon your review of the pest control report, if there is any fungus/dry rot damage at eave we would be 11 Page 2 or 3 Created on 10/24/2003 10:56 AM Docurnent12 „ 10/27/03 '10:04 °'$4087779599 CITY CUPERTINO Z001/003 CITY OF CUPERTINO � RER®®F7,3CUPEI�TlNO PERMIT APPLICATION FORM APN2,� G O Date: - J /o - z7- 0 3 Building Address: ac74 no Owner's Name: Phone M oal (34� PDt e-k— e7-q '7- Coltrautor. t Phone#: License#: C°n 471- 700c) -75 (a5 Z Con hone#: Cupertino Business License#: S s s- 414a Type of Roof Covering: EaystiPrp ❑ Built-Up Roof Ja( Built-up roof - tD e-L° ❑ Asphalt Shingles o Asphalt Shingles ❑ Wood Shakes O Wood Shakes >( Wood Shingles g� Wood Shingles ❑ Other(Specify) t Q o P C & /� 0 Other(Specify) Nu ber of existing coverings 'i u�cc( 9�F ❑ Provide I.C.B.O.Report# • � To be Removed i czkp,S ax-e- ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: Job cl'ption: T O Q a (c ri 13 Residential Commerci ❑ Fire Zone: Yes ❑ No ❑ Confirmed with Plannin _ t. if there are an restri 'ons: Cost of Project: Type of Constmc ' Occupancy grow . t8 a �7fl rqT �c— ra Qty' A t e Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees I BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee I BUILDING BUSLIC Business License BUII DING