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06050107 (2) CITY OF CUPERTINO BulumNc DrvIs1oN PERMIT COIYTRAGT�ORANFORMATIR 0. BUILDING ADDRESS: s FOUR SEASONS ROOFING PERMIT No.06050107 10119 RIDGEWAY DR OWNER'S NAME: PERMIT ISSUE DATE DEANZA OAKS HOA 502 HORNING ST _ ___ __-0-5/12/2006 E: SANITARY N0, CONTROL NO. (408) 278-0330 BUILDING PERMIT INFO A0.CHITECr/ENGINEER: BLDG ELECT PLUMB MECH 00 LICENSED CONTRACTOR'S DECLARATION IOU Description w 1 hcroby affirm Nal I Am Borrowed under previsions of Chapter 9(commcndng P iia, with Section 7M(l)of Division 3afNdiom C Business and ProfeCode,and myliccnm is a« infullforccaMeffeet. p TEAR OFF SHAKES INSTALL 1/2" CDX AND GAF GRAND Licenm Class Lw.N �� Dara lZ_ - .2 \(�UOIA SHINGLES 50 YEAR CLASS A Co.ARCHITECT'S DECLARATION J 2 w u 1 understand my plans shall W used As Public accords a.G Licensed Professional OWNER-BUILDER DECLARATION ta I hemhy airamn Nal I em aumpt from am Contractor,License Law for Ince 0 O following moon.(Section 7x1]1.3,Business and Rofcdm iaCalc:Any city at county e$9 which requires a permit to consumer.sher,improve,daraim,or repair any structure prior w its issuance.also requires the applicant for such permit to fticasignedsuNmm, < thathcislicensedparmanitodueprovisionsoftheContractor'sUanmlawtChaper9 Sq. Ft. Floor Area Valuate 0 0$ (commencing with section 7WB of Division Sof the B usinces and Professions Carol or — Nal M is exempt therefrom and the basis for the alleged eumptlao,Any violation of �l Seeded 7031.5 by Any Application(or A permit subjects Ne appluse,to A civil penalty of Apl l l t/ 4er 0 0 Occupancy Type nos mthan five hundred dollars(SATO} 3 422 41 u ❑1,u owner ortne pmpetty,m my employcu with wags u their mlecompemadon. will do easided ands: he Cosnretintended,ate dolorsale(Sec. Bassi•,of vad Prrywh oba coda:The Canaacmrs and law dao ma apply if an ownct is Required Inspections Own ettywyees.dsorimpmvoch Improvements, and who d,asuchende(safferar Waugh his Own employees.me Wiprovided provemimprovementstiesatinwMdardamon,fferead formic.I- hawever,Ne Wilding m improvement u sold within arc year,of improve Bar the dwnv- builder will have Ne burden of proving Out be did not Wild or improve far puepme of vied. ❑1,as owner critic PmpenY•w eaeluvvely contracting with Banned contractors in // contract the project(Sec.7044,Business and Professions Code:)The Conuaemra Li- /V came law dors not apply in an ownm of property who Wilds or improv theenan,ad, who contracts for such ryojeeu wit arnnvandr(S)limed puewanlm has Convectors ! ' Licence taw. ❑I am oempt under Sec. .B&P C far this reason owner Dau WORKERS COMPENSATION DECLARATION Q 1 hereby aRraunder penalty al perjury ane a(the fallowing declarations: Ihaveandwillimin0 aCmdfiouar ComemmmlRimurt fm Wingers Compeo- ration,u Provided far by Sacuan 37W Of Ne Labor Cade,fm Ne performance or the wink for which this permit is issued. ❑I have and will maintain Workers Compensation Whounee,as required by Section 37W of the Labor Gade,for the praformarcre ofthe work fm which this person is issued. ' My War ars Campemadon Wu c artier And Polity rumbor are: Grrler No.; u� CERTIFICA E EMPTI N MOM WORKERS' COMPENSATION INSURANCE (Thu mctim eased nm W compf atl ifft permit is for one hundred doRan(3100) v or Ices) I matify Out in Ne performance of the work for which this Permit u added.I shall sat employ any person in any maser m As at become mbject he the Workers'Com, rmdon Lawa of c ifleamia Dau Applicant NOTICE TO APPLICANT:If,after making Nu Certificate of Exemption,you should baone subject in the Workers Compensation provisions of am Lan,Codc,you mesa .Jz forthwith comply with each Provisions or this Permit shall x deemed hacked. z'O CONSTRUCTION LENDING AGENCY C4 I W r which Afthi the aert u sued(S..30 lending agency for the,perfartnvxw of W > ate work fur whirs Nis peraia u issued(S,.7097,rasa.C.) CQ Lenders Name � z Lenders Address U0 1 certify that I have read this application W stow thin the above Indonesia.is it,f"' eoemcL I agree to comply with all city and county ordinances and sum laws relating at 0U Wilding construction,And hereby autharve Mprecnlitives of Nis city to enter upon lM (_]-t-\���((�/��// ,r 4 aWvc.mcnduncd ds.coy fAn "inspection which ms 1 (We)agar-to save,indemnify and tarp harmless he City of Cupenina against l Z in Cl iac&jence Of hecastsand opcnacswhich may in any way...,.fast did city V z APPL CANT UND gMANDS ANDifirig Of WILLWILL COMPLY WITH ALL NONPOINf Issued b Dale �s SOURCE EGULA O y ?^ Re-roofs !a mtuma( p _ Dae `2 � AZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building accupantsmro or handle haaeNam material As defined by one Cupr4Lno Municipal Calc.Chapter 9.11.and the Health and Safety Crate.Section ly.us3z(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yen No If a roof is installed without first obtainingan inspection,I agree to remove Will Ne applicant or future Wilding Occupant um equipment or devices which P g emit harA"mar air = U;u dcfincd by Ne Bay Arta Air Quality Management all new materials for inspection. District? ❑Yin No I ham mad the huardnu hromials requiremens under Chapwr6.95oftheCalifon- nia Health&5arelYCade,Secham 35305,25533 and25534.1 undcrsund thv if the Wilding acted not currently have a t itis my responsibility in teary,be oecupanl of dm mutwit muftel rto afAcanifea am ^0 Signature of Applicant Date owner r adtharv<dngan All roof coverings to be Class "B"or better CITY OF CUPERTINO !m 3 of 7 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 34241024 . 00 DATE ISSUED. . . . . . . : 05/12/2006 RECEIPT # . . . . . . . . . : 34375 REFERENCE ID # . . . : 06050107 SITE ADDRESS . . . . . : 10119 RIDGEWAY 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 �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 ---------- ---------- ---------- ---------- TOTAL PERMIT 126 . 96 0 . 00 126 . 96 0 . 00 • Community Development 10300 Torre Avenue ro� Cupertino CA 95014 Telephone(408) 777-3228 CITY Of Fax(408)777-3333 #UPEkTINO Building Department JOB ADDRESS: PERMIT /0 S- 7 IO I I C1 R 0 e, OWNER'S NAME: Q.-, ks "tO. PHONE # GENERAL CONTRACTOR: 17 S -P FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and 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/Cotractor 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:V e t\ , A Job Site Address: ! © 11 10 Qli l( \/ l� hn Roofing Company Name: S Applicant's Signature: Date: j -O • Greg Casteel Building Official Revised 11/2/04 1. 0(QO50 0� CITY OF CUPERTINO Ciry O, REROOF • CUPERTINO PERMIT APPLICATION FORM APN # LIZ_" ( - D Z Date: Building Address:loll I — ' —� Owner's Name: e. Phone #: Contractor: �onS ��� —i- �(� '�78 -�33 Contact FCUr S,Ea � lit License#: , 1� 12(6 Tharn S PI ed1"(f), :Cupertino�Business License #: Type of Roof Covering: Existing: ❑ Built-Up Roof Proposed: ❑ Asphalt Shingles ❑ Built-Up roof .2- Wood Shakes ❑ Asphalt Shingles ❑ Wood Shingles ❑ Wood Shakes ❑ Other(Specify) Wood Shingles Number of existing coverings � ❑ Other(Specify) ❑ To be Removed ❑ Provide I.C.B.O. Report—�---_ ❑ Provide Mfgr. Installation Specs. I Have Read, Unde stand and Will Com ] With Cu ertino's Tear Of f Polic Job Description: 0 L�) tia es • Cs b 'ns Cts x Resident, Li Commercial Fire Zone: Yes (] No I Confunted with Planning Dgpt. if Cost of Project: there are an restrictions: U bDT e of Construction: Occupancy group: Qty. if A licable Fee ID BPERMFEE Fee Descri tion Bld Pit Fees Fee Grou BENERGY BUILDING B SEISMICRE Ener erm Seismic Fee Res BUILDING - BSEISMICOM BUILDING BPLANC� Seismic Commercial Plan Check Fee BUILDING BUSLIC BUILDING Business License BUILDING ' •