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07080032 CITY OF CUPERTINO BUILDINf;DIVISION PERMIT PERMIT NO. BUILDING DRESS: 1840 PHAR LAP DR WESTSHO:�E ROOFING INC 07080032 PERMIT ISSUE DATE OWNER'S NAME: MEENA GUPTA 2814 AIELL SANITARY NO. CONTROL NO. ,E: (408) 691-0060 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH Z LICENSED CONTRACTOR'S DECLARATION Job Description 0 t- 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing With Section 70()U)ofDivision3ofthe Business and ProfcssionsCod"n mylicenseis INSTALL NEW METAL ROOF OVER EXISTING WOOD SHAKE. Z in full a and cjC_ct.3 �� Z Ise ClCI s (� Lic.ff INSTALL FOIL BACKED INSULATION 30 SQ FT CLASS B Licen Date Contractor ARCHITECTS DECLARATIO < I understand my plans shall be used as public recor s U F' Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the Oyfollowing reason.(Section 7031.5,Business and Professions Code:Any city or county {z which requires a permit to construct,alter,improve,demolish,or repair any structure H prior to its issuance,also requires the applicant for such permit to Glc a signed statement a'q.Ft.Floor Area Valuation a > � that he is licensed pursuant to the provisions of the Contractor's License taw(Chapter 9 $16000 $ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or ... that he is exempt therefrom and the basis for the alleged exemption.Any violation of Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ,4 Number not more than five hundred dollars(3500). 326180 3 7 V V ❑1,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 docs 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.). ❑I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractors Li- cense Law does not apply to an owner of property who builds or improves thereon.and who contracts for such projects with a contractors)licensed pursuant to the Contractors License Law. ❑1 am exempt under Sec B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under.penalty of perjury one of the following declarations: L]I have and will maintain a Certificate of Consent to self-insure for Workers Compen- sation,as provided for by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ❑1 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 Workeer'sCo�mpensation Insu ce carrier and Policy number are: Carrier-.�:sCk -LYu ' Policy No.:Aq 0— 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.Dale 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 Z forthwith comply with such provisions or this permit shall be deemed revoked. O CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.) a Q Lender's Name z Lender's Address C) 7 certify that I have read this application and state that the above information is correct.d agree to comply with all city and county ordinances and state laws relating to Ubuilding construction,and hereby authorim representatives of this city to enter upon the w above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against y liabilities,judgments,costs and expenses which may in any way accmc against said City Z in consequence of the granting of this permit. Date r-+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH A (�r L NON-POINT Issued by: � SOURCE REGULATIONS. ( � V Ol Re-roofs Signature of Applicant/Contractor Dare Type of Roof MATERIALS DISCLOSURE yP Will the applicant or future building occupanL 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 ,s installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which all new r.)aterials for inspection. emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑Yes 0N � Q I have aced the hazardous materials requirements under Chapter the if the building or- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that iC the building �icarit does not currently have a tenant,drat it is my responsibility to notify the oa ant of theDate rcquirem�}rt�wM;Ch must be met prior w issuance of a Ccrtifacare ofc C • Slgnaturc of Ap All roof coverings to be Class"B" or better Owner or authonzcd agent Dat�c — CITY OF ��IJPEIZ`I"IN® Z 0 F CUPERTINO PERMIT APPLICATION FORM APN# 2— Date: 3 /616-7 Building Address: I001'0 P(ACiV"'(ap ONvneCs Nan1e: Phone#: �0 Z� — Z�$2 0 AsvoKCSu P tcj 3 Conti-actor: � _ ( t� I eLc- License#: W 7 2,?�( Contact: ea� Cupertino Business License #: ` V l Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles 2"'-Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles MA 13 Other(Specify) ❑ Other(Specify) 1"1� Number of existing coverings L1 Provide I.C.B.O. Report# Q To be Removed �O ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Comply With C )ertino's Tear Off Policy: Job Description:F_#,Jv(Ak A eW dye I-OC) die✓ aiaptxo vgacx{ SkQre, Gf 4S5 5 Residential Commercial ❑ Fire Zone: Yes ❑ No Eq,' Confirmed with Planning Dept. if there are any restrictions: ❑ Cost of Project: Type of Construction: Occupancy group: /b ovo R-e- (00S�fL- Qty. if Applicable Fee ID Fee Description Fee Group 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 CITY OF CUPERTINO PERMIT RECEIPT OPERATOR: CathyS . ITEM 1 OF 2 COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 34229040.01 DATE ISSUED. . . . . . . : //20072 RECEIPT #. . . . . . . . . BS000708( 202 REFERENCE ID # 28 SITE ADDRESS 10414 LOCKWOOD DR UNIT A SUBDIVISION CUPEZTINO CITY . . . . . . . . . . . . IMPACT AREA . • • • • • • OWNER . . . . . . . . . . . . : KENJI ARITA ADDRESS . . . . . . . . . . : 10414 LOCKWOOD DR UNIT A CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : OMEC,A CONSTRUCTION 22317 CONTRACTOR . . . . . . . : JUNG HUH LIC COMPANY OMEGA CONSTRUCTION ADDRESS . . . . . . . . . . : 451 FENLEY AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95117 TELEPHONE . . . . . . . . : (403) 243-0404 THIS REC NEW BAL UNIT QUANTITY AKOUNT PD-TO-DT ---------- FEE ID _ ----- 0.00 ---------- - 40.79 - ------ 0. 00 ---------- ---------- 40 .79 _ 1. 00 ---------- PPERMITFEE FLAT RATE 40.79 ---------------- -----40.79 0.00 40.79 0. 00 TOTAL PERMIT VOICE ID DESCRIPTION--------- VOICE ID DESCRIPTION--------- -------- ------------------ -------- -------- 502 FINAL PLUMBING ENERGY 301 ROUGH PLUMBING 507 FINAL PLUMBING Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ',UPERTINO Building Department JOB ADDRESS: loo f 0 PKav W k,' PERMI0T #) L9 fdvv OWNER'S NAME: 65 L40 KCtd„P PHO bilf'D ) GENERAL CONTRACTOR: S SW(� -Oct k FAX # $ 6Q - OO S I am not using any subcontractors: $l 6 10 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 Owner/Contractor Signature Date CITY OF CUPERTINO 2 ITEMS OF 4 PERMIT' RECEIPT OPERATOR: CathyS COPY # 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN . . . . . . . . . 32618037 .00 DATE ISSUED. . . . . . . : 08,'06/2007 RECEIPT #. . . . . . . . . : BS000002259 REFERENCE ID # . . . : 07080032 SITE ADDRESS . . . . . : 10040 PHAR LAP DR SUBDIVISION . . . . . . CITY CU13ERT INO IMPACT AREA . . . . . . OWNER MEENA GUPTA ADDRESS 10040 PHAR LAP DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-1112 RECEIVED FROM . . . . : WE;3TSHORE ROOFING CONTRACTOR PAUL FOWLER LIC # 21417 COMPANY WESTSHORE ROOFING INC ADDRESS 2814 AIELLO DR C CITY/STATE/ZIP . . . : SAN JOSE, CA 95111 TELEPHONE (408) 694-0060 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- BPERMFEE VALUATION 16, 000. 00 234.36 0. 00 234 .36 0. 00 BSEISMICRE VALUATION 16, 000. 00 1 . 60 0. 00 1. 60 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 235.96 0. 00 235 .96 0. 00 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 J_�7" or to 1)ernlIi 1SSULUICC, VOU 7TIUSL L14"rc: tU COITt��I�` �1'lttl 1`)��i �� St�iTtCI]1L1;: and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applies_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 perfcrmed. 7. NOTE: If you call for a plywood nail irspection 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 tate job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: &k,5r 1' Job Site Address: lo io 40 P L'�a t/ r Roofing Company Name: yq eS�s��e I) K K C- Applicant's Signature: KA_ _ Dater 7 Greg Casteel Building Official Revises l 11/2/04