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06060226 777 CITY OF CUPERTINO 'BUILDINd DIVISION PERMIT BUILDING ADDRESS: SILICON VALLEY ROOFING PERMIT NGO 6 0 6 0 2 2 6 10277 E ESTATES DR PERMIT ISSUE DATE OWNER'S NAME: SPANGLE YVONNE C 2988 NEAL AVE. 06127/2006 SANrrARY NO. CONTROL NO. )NE: (4 08) 615-7200 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 1400 ICENSED CONTRACTOR'S DECLARATION Job Description v C I hereby affirm that I am licensed under provisions of Chapter 9(commencing =z m with Section 7000)of Division 3 of the Business and rofessions Cod my license is yin full force and efjec 2 3 REMOVE 2 ROOF INSTALL 1/2" OSB, INSTALL 4 0 YEA ? License CI Lic-" COMP CLASS A Contractor Nv 3 y� Date ARCHITECTS DECLARATION a-a I understand my plans shall be used as public records D0. U.y Licensed Professional < OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or county m which requires a permit to construct alter,improve,demolish,or repair any structure y Z y prior to its issuance,also requires the applicant for such permit to file a signed statement Ft.Floor Area Valuat b8 0 0 0 < that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq x F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or y that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ppN Number Occupancy Type not more than five hundred dollars(5500). 3 6 9 0 8012 . 00 ❑I,as owner of the property,or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of 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 for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business and Professions Code:)The Contractor's u- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. —� �-'� r--'-^-- ❑I am exempt under Sea B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION ,y t I hereby affirm under penalty of perjury one of the following declarations: t t ❑1 have and will maintain a Certificate of Consent to self-insure for worker's Compen- < Mi C S t j sation,as provided for by Section 3700 of the Labor Code,for the performance of the i work for which this permit is issued. ❑I have and will maintain Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number.arc: 2 Cartier.GF�41t4ZA^a Policy No.:'! y ( T CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must O forthwith comply with such provisions or this permit shall be deemed revoked. z" CONSTRUCTION LENDING AGENCY I hereby affirm that there is a conswction lending agency for the performance of - GY..� the work for which this permit is issued(Sec.3097,Civ.C.) W Q L.endces Name 0,z Lender's Address U C) I certify that 1 have read this application and state that the above information is tL correct.I agree to comply with all city and county ordinances and state laws relating to 0 V building construction,and hereby authorize representatives of this city to enter upon the aahovc-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against 0.4 to liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. Date —tJv ►" APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: RE TIONS. (A-4-7 O Re-roofs Signiture of A cant/Conuactor I batc Type Of Roof HAZARDOUS MATERIALS DISCLOSURE yP Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes 'No If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes �Nu I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building docs not currently have a tenant.that it is my responsibility to notify the occupant of the require is w Ix met prior to issuance of a Corti era ,f Occu cy. Signature of Applicant Date C1 All roof coverings to be Class"B"or better Ownc or authorized agent Date CITY OF CUPERTINO ;m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36908012 . 00 DATE ISSUED. . . . . . . : 06/27/2006 RECEIPT # . . . . . . . . . : 35031 REFERENCE ID # . . . : 06060226 SITE ADDRESS . . . . . : 10277 E ESTATES DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SPANGLE YVONNE C ADDRESS . . . . . . . . . CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : SILICON VALLEY ROOF CONTRACTOR . . . . . . . : PAUL HORSAGER LIC # 23342 COMPANY . . . . . . . . . . : SILICON VALLEY ROOFING ADDRESS . . . . . . . . . . : 2988 NEAL AVE. CITY/STATE/ZIP . . . : SAN JOSE, CA 95128 TELEPHONE . . . . . . . . : (408) 615-7200 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00 BSEISMICRE VALUATION 91000 - 000 . 90 0 . 00 0 . 90 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 159 . 66 0 . 00 159 . 66 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 159 . 66 1137 TOTAL RECEIPT 159 . 66 Community Development 10300 Torre Avenue a~ "' Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *UPEkTINO Building Department JOB ADDRESS: PERMIT# O Z-7 7 s—i+7�S /L, >L �G G - �- 6 OWNER'S NAME: t v WA-le S L12PHONE # YOY— 6 L!8C-5YD GENERAL CONTRA TOR: Z(c>q c; FAX # --F V 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 2 716w Owner/Contractor i tore Date OL&o2(P CITY OF CUPERTINO REROOF CUPEkTI NO PERMIT APPLICATION FORM APN# 1 l„ i N Date: ZBuilding Address: 1 !�" �02'1'1 '� • �5 �-�� Owner's Name: Phone#: l Vt�NN� ,4 GV — 7 r: License#: Contracto Cup ertino Business License#: Contact: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Al Asphalt Shingles d- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O.Report# ❑ To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read,Understand and Will Comply With Cupertino's Tear Off Policy: ❑ Job Description: �� � S r �// �?_ ,r O��j Residential � Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions. U Cost of Project: Type of Construction: Occupy roup: Qty. if Fee Description Fee Group Applicable Fee ID 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 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: Va ux e S24� Le Job Site Address: ,z 9 , Z-57-nl4e, -L/1--e Roofing Company Name: Applicant's Signature: Date: Z -7 Greg Casteel Building Official Revised 11/2/04