12030114 CITY OF CUPERTINO 13UILDING PERMIT
BUILDINGADDRESS: 10945NORTIISEAI-SQ CONTRACTOR:FOUR SEASONS ROOFING PERNIITNO: 12030114
OWNEWSNAME: FEIZZADEH ENAYAT TRUSTGE d ET AL PO BOX 1668 DATE ISSUED:03222012
OWNER'S Pl IONE: 4087320215 SAN.IOSF„CA 951119 PHONE NO:(408)278-0330
Cl LICENSED CONI'RACIOOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUN113 r
License Class C-31 Lie.9 -1l2 kOp
MECIi r RESIDENT'LV. Cl COMMERCIAL r
Contractor&. o Dale 3'Z't��'Z,
hereby affirm that I am licensed under the prclrisimu of Chapter`) .JOB DESCRIPTION: RE_ROOFTT.AR-OFF EXISTING CAI.-SHAKE ROOFING
(coil]nencing with Section 7000)of Division 3 of the Business&Professions SYSTEM,INSTALL 30N FELT UNDERIAYMENTS AND INSTALL
Code and(hal nry license is in fall force and effect. GA17 GRAND CANYON SHINGLES(1300SQIT)CLASS
hereby a1Dmn under penalty of perjury one of the following aro declarations:
I have and will maintain a certificate of consent to self-insure I'or Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance ol'the work Ibr which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided lir by
Section 3700 of the Labor Code,Ibr the performance of One work forsrhich this Sq.FI Fluor Area: Valuation:$7000
permit is issued. 4_
AP PIA CANT CIiRTI FICATION APNNumher:316,10023.00 Occupancv'1ype:
I certify that I have read this application and state that the above in1'ornatiom is
correct.I agree to comply With all city and county ordinances and slate laws relating
to building construction,mid hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accme against said City in consequence 01'tile WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of[his permit. Additionally,the applicant underslmndsand will comply 180 DAYS M LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
Signaw r� Date 3--z-�7 Issu d by: Date:
❑ W F-R-BIII -DF-R DECLARATION
RF:ROOFS:
hereby affirm Ina[ I am exempt front the Contractor's License Law fur one of All ruts shall beinspected prior lowly roofing material being installed.If a roof is
(he following two reasons: installed without first obtaining at inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole comM1nsation, inspection.
will do the work,mrd the structure is not intended or offered for sale(Sec.7044,
Business R Professions Code) Signature of Applian' tc:.7-2?i�
f as owner of the property,11111 exclusively contracting with licensed contractors to
construct[he project(Sec.7044,Business K Professions Code). A LI.ROOF COVF-R O Rr CLASS"A"OR RE'1'I'IiR
hereby affirm under penally of perjury one of the following three
Ideclarations:
have and will
IIAZARDOUS NIATERIALS IIISCLOSURE
I have and will maintain a Certificate of Consent to sell=insure Ibr Worker's -
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this pernit is issued California Health S Safety Code,Sections 25505,25533,and 25534. 1 will maintain
1 have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code.Chapter 9.12 and the Health S
Section 3700 ollhe Labor Code,for the perl'ornumce o(the work for which this Safety Code.Seclion 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emir hazardous air
permit is issued, contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the Work nit for which this peris issued I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safely Code.Sections 25505,25533,and 25534.
Connpcnsation laws of California. If,atler nmking this cerlilicale of exenhption,I
become subject u1 the Worker's Compensaion provisions oflhc Labor Code,I must t>7s'ncr u n .cd n nL ZZ
forthwith comply with such provisions or this permit shall be deemed revoked [late:_
APPLICANT CF,RTI FICATION CONSI'RIICTION LENDING AGENCY
I certify that I have read[his application and slate that the above information is I.hereby affirm[Ilia there is a construction lending agency for the perl'onnance of vork's
correct. I agree to comply with all city and county ordinances and state laws relating tin which this permit is issued(Sec.3097.Civ C.)
to building construction.mid hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep hamdess the City of Cupertino against Iiabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cuperlino NLmSection
Code,Secti .\RCII I'I'ISCI"S UIiCL,\R.VFION
9.18. I understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
3 ITEMS OF 15 PERMIT RECEIPT OPERATOR: patg
COPY # 1
• Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31640023 . 00
DATE ISSUED. . . . . . . : 03/22/2012
RECEIPT # . . . . . . . . . : BS000016333
REFERENCE ID # . . . : 12030114
SITE ADDRESS . . . . . : 10945 NORTHSEAL SQ
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : FEIZZADEH ENAYAT TRUSTEE & ET
ADDRESS . . . . . . . . . . : P. 0. BOX
CITY/STATE/ZIP . . . : SUNNYVALE, CA 94087
RECEIVED FROM . . . . : FOUR SEASONS ROOFIN
CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323
COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING
ADDRESS . . . . . . . . . . : PO BOX 1668
CITY/STATE/ZIP . . . : SAN JOSE, CA 95109
TELEPHONE . . . . . . . . : (408) 278-0330
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT , THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 7, 000 .00 1 . 00 0 . 00 1. 00 0 .00
1BSEISMICR VALUATION 7, 000 .00 0 .70 0. 00 0.70 0 . 00
1REROOFRES SQ FEET 13 .00 182 .00 0. 00 182 .00 0 . 00
TOTAL PERMIT 183 .70 0 . 00 183 .70 0 .00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
309 EXTERIOR LATH 311 SCRATCH COAT
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 10945 Northseal Sq. DATE: 03/22/2012 REVIEWED BY: Sean
12.4 APN: BPtt: "VALUATION: $7,000
*HERMIT TYPE: Minor Building Permit PLAN CIIECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF
USE: PERMIT TYPE:
WORKTear-off existing cal-shake roofing system, install 30#felt underla meats and install GAF Grand
SCOPE Canyon Shingles (1300 sf), Color: Stonewood.
FFFID ROOFAREA
s.f.
iREROOFFRES 1,300
afeelr. Pbm Check Plumb. Plan Check Flee.Man Check
Llech. Permit Fee: P/unih..Pelmit Fee: Flee. Permit Fee:
Ottcr,Ifech.Insp, Othei.Plumb bap. Other Elec. Imp.
tiech.Insp. Fee: plumb.Inap.Fec^. Flea Inep. Fee
NOTE: This estimate does not include fees Clue to otter Departments(i.e. Planning, Public Works, Fire,Sanitap'Sewer District,School
District.etc.). Thesefees ore hosed ou the prelininan in onmmtion awdlahle and are on/v nn echinate. Contact the De t or addn7 info.
FEE ITEMS Ree Resolulion 11-053 EIT. 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check 1'ec:
sirplrL PCF'ee
Ph 1 m G.%:.Al e c.h./F,h e
Permit Fee: $182.00
Suppl. Nt p ree
Phanh.%Mech.irlec
Pl m b./Mcch.:Elec Permit Fec:
C oustritctia» Tar:
Aclntinistative ree:
Work Without Permit? O Yes e) No $0.00
Advaneed Planning Fees:
Travel Documentation Fees:
Shone Motion Fee: IBSE1SAtCR $0.70 Select an Administrative Item
Bich, Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $183.70 $0.00 TOTAL FEE: I $183.70
Revised: 1/19/2012
d ,' 21/22 04 181 4089960226 ,' NOPTHPOIyNT,� `1P4/,02
••� �` . fir,• ` 1 . '
f�. ..�' ... ' IB � I �l 1 �� � i. •}'rel( a �.11� LGy1]f � a
rf pp ,
Ind . , a.
ort olnt Nomeolnmats Association ' I � f �'
of ' }� + B Northpoi>atWa .ff t 1 IIF YLMV PLANS 1� ; , t""
4 a r� ,, lino GFi 9014 CSEGiC&n BY
� } rt
t Aa spry u-.z - y,. f 1 ,..w ..� y . ' '. l' S ,• 1: .
...,
l6f
rty'of CupeRino � r� �) ;•r_ �` 1 ,'� � �`G
PLANNING
F 'is• I , �}yrF p; W4
Y f G3 '1 t• ` t 1 + '' b f p ;l Oi
ardti 7, 2012
ni3OG.-'l DL-PT. "1 �i i l •irs rti` ` -
1 'tP'r+y`L`
.� n . �1 �}'tE l ��'•J �,f}ll,�' 1y.,1�11 .r'. II�i�' I { ti : . ,t•t 1 � '"��TT���
q a%vithpoint,Ra+o ra91
8 G'�?o City of Cupeino
� � ra• '`a i iJ� �'' ' I �1 >@ 1. i H' .iN rt-
Alt.11
lease note that the torthpotnt Homeowners Assocr an has y
y;' ,I :rad' ontracted and'approv.d Fvur Season's Roofing to perform re Axk
r � Kx r 41 oofi[g.of our home Th K'will replace the current CAL-Shake a
+)! �E � "' 1 X31 . f : i '1 . a
} 'I r " 4 oof.system with hew A rand CanyoQd'Asphaft Composition
Shingles.. We have+e. selected the StonewaoOcolor ford ur roofs I i
# dfgfqsnjj, g API,
Sin` 'rely
t v- -•1 `� , STI flM.
MI, xS A
A.
S;L nA,Starriea
F E on Site Managerx
.r. 408-996-3734 �
,t l .,
e.
ay
11
M-1.
y . "•r ai.. ' 4 P
f t3-44IIz�° 34 x
1 >,
c: sNey
F
11 sa4olr ro t I:c=?;)' '�''• ' pr - i. tt '. ,' 3 j r '
San JOS2`tA 119
+ PN 403u+_n000PX:4034-2-
J
`�.�'"-tea 'a. - - 9 •1: . �h `� � ��lri.. I "� e+o=
41
10937 Northseal Square, Cupertino, CA .014
C .2012 Google. '
Goocsieearth '
cs
t
a
, 1 ,
•I
y i / 'y J✓J.: � "�,, ��a'fr�'e l''.�F�FlI_„}`i_w � �i�f���,+�t""r'r-^-� ���/./�
`LIFETIME �� 'fS1A fr'SHINCIES T�
'Nf' 6:. roya + ��� rn Y _y f/ $ --r iZ -' •, �11
ROOFS FOR,
$300 Ro6ote
FDr All '
F1 t ff�� •l N '•'�i /• `���• h+r+•M2Yry VEbmv;md
q t rL3c a^5 <7 r�7 C,. r"'n 1> Gcli l�+m IN rJlf7b3. >�—
' lJi•..r,'p
All
+. "'� ,,ti ,. .t� `r fr... � Vii+;;` '•.,-ri" '-,r_
r
r.
i
r .
4
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 9501413255
f e r
GUPERTINO (408)777-3228.•FAX(408)777-3333•buildinD(dcuDertino.oro
PKOIECTADDRESS APN 0
OWNERNAME PHONE ' -,�32- 02 EMAIL
STREET ADDRESS life. COY• SfATE,ZIPFAX
O
CONTACT NAME. 1 C f� I PHONE -O EMAIL
STREETADDRESS CRY,STATE.ZIP FAX
o Sose Ca. 5
1
❑OWNER ❑ OWNER-BUILDER ❑ ON'NERAGElr ' CONRACOR ❑CONIRACTORAGPM ❑ ARCHITECT ❑EPiGINHER ❑ DEVELOPER ❑TENANT
CONTRACTORNAM LICENSE NUMBER LICENSETYPE BUS.LIC.p 3 3
COMPANY NAME C-MAIL FAX
S-I'REET ADDRESS ^ CTTY;STATV.ZIP - PHONE
02 a $
ARCHnECTIENGINE'ER NAME LICENSE NUMBER BUS,LIC.p
COMPANYNAME EMAIL FAX
STREETADDRESS Cr1Y•SrATE,ZIP PHONE
USE OF ❑ SFU or Duplex Multi-Family ROOF AREA: TV,
LUATION:
H
STRUCTURE: ❑ Commercial San
Q Q Q
1 1L
EXISnNG ROOF TYPE/❑BUILT-UP ROOF ❑ASPHALT SHIM]FC ❑WOOD SHAKES ❑WOOD SHINIR r:c /�OTE-R(SPECIFY) AL GRA
REMOV'E(REPLACE RYES .IF NO. PL7'\VOOD ,Q B. ❑ PLYwD Q OSB PITCFI: - YSROOF R
N.
TYPE' IbCDX
P0.01OSFyRWFTYPI!: 0tlULLT-UP0.WF XASYIIALT SIaN01.[S ❑WOOUSIIAKfS ❑WOOD SIIINCil.P.S ❑OTIr:R ICC-ES REPORT-
DESCRIP ION OF WORK:
rerlr--o�' xi -��n4 al - s�+a1C ror�Cna cus•}e
tnsl-e.11 :3n•
I 6 Y1a M # 3 ins {4It GAF Qr� d Cwuon
1 I . 1 � 1 11
IA IP,nZ Cc r
By my signature below,I certify,to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have rand this
application and the information I have provided is comcC I have read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local
ordinances and stag;laws relating to building cons ion.' thor=' resematives ofCupenino to enter the above-identified property for inspection purposes.
Signamre of ApplicantfAgcm: Date: 3�'zl-12
SUPPLEMENTAL INFORMATION REQkAfEDOFFICE USE ONLY
I II o l•7 -
it
....ti, . ,
If building is associated With a l lome OWmer's Association,provide letter ='^PIANCHECKTI(M-� ROUTING SLIP -
of approval from I10A. ^'td •'�, k,:
OVER.-rE& uN"TER ❑ BUILDING PLAN REVIEW
_
1 1' I
Provide Planning approval to verify if there my restrictions. 'rl r '
E%PRTS$ ❑ PLANNING PLAN REVIEW
r'
Provide COPV Of Manufacturer's Installation$(IeC1IICmlOItS. ❑ STANDARD` - ❑ FIRE DEPT
Provide signed copy ofCupertino's Tear-OTT Policy. - ❑ OTHER:
ReroofApp_2011.doc revised 03/16/11