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07080103 CITY OF CUPERTINO �,� ,�, I1 `iQ]EZAI�101'. BUILDING olVIS1ON PERMIT PERMIT NO. BUILDIT,Q.TI ff:FINCH AVENUE BILL HAMILTON ROOFING INC 07080103 �J[� PERMIT ISSUE DATE OWNER'S NAME: JASON WU 740 CAMDEN - SAN]T RY NO. CONTROL NO. t: (408) 687-2540 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9(commencing U with Section 7000)of Division 3 of the Business and Professions Code,and my license is REMOVE AND REPLACE ROOF SYSTEM — CLASS A in(till(Dice and effec Lie» 0 DIMENST I ONAL .30 IB FELT License Date • Contractor =? ARCHITECTS DECLARA N I undcrsiand my plans shall tx used as pu 'c re rds U _ H' Licensed Professional H_ OWNER-BUILDER DECLARATION I It rchy affirm that 1 am exempt from the Contractor's License Law for the ofollowing mason.(Section 7031.5,Business and Professions Code:Any city or county �i which requires a permit to construct,alter,improve,demolish,or repair any structure Valuation prior to its issuance,also requires the applicant for such permit to Glc a signed statement Ft.Floor Area 0 that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 'q $10000 e (commcneigg 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 pN Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 37505025 AUU Number P Y YP not more than five hundred dollars($500). 0 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 Contractor's Li. cense Law does not apply to an owner of property who builds or improves thereon,and. who conuacts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law' B&P C for this reason I am exempt under Sec Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 0[the Labor Code,for the performance of the work for which this permit is issued. 01 have and will maintain Worker's Compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Workers Co ns non I cc ca and Policy . �• ^/ Cartier. S e A�AJ•Ly Policy No.: v(� CERTIFICATE OF EXEMPTION FROM ORKERS' 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,I 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 Oforthwith comply with such provisions or this permit shall be deemed revoked_ r r CONSTRUCTION LENDING AGENCY a r-. 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 4z Lender's Address 0 1 certify that I have read this application and state that the above information is cortect.I agree to comply with all city and county ordinances and state laws relating to U building construction.and hereby authorize representatives of this city to enter upon the L a above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against y rA liabilities,judgments,costs and expenses which may in any way accrue against said City Z in consequence of the granting of this permit. Date �+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b;': CE REGULATIONS. '0 Re-roofs gnaturcof Jpi icany onua or Dare T e of Roof MATERIALS DISCLOSURE YP the appli t 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 roofE shall be inspected prior to any roofing material being installed. fi E]Yes OP. If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment orydevi devices all new materials for inspection. emit hazardous air contaminants as defined by the Bay Area Air Qualit Management District? Yes KNo ,1•havc read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that if the building docs not currently have a tenant that it is my responsibility to notify the occupant of the Date rc un remcntswhich must bemet 'or issuanccOra Cenifrcatc cupancy. ® Signatur-,of Applicant • All roof coverings to be Class"B"or better er ora horizcd gent Date Community Development 10300 Torre Avenue i Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 'WEkTINO Building Department JOB ADDRESS: PERMIT O f C6 � l /� /'K -� OWNER'S NAME: • PHONE # 78 GENERAL CONT OR: ' ' FAX # 3 Q• / - / •07 I am not using any subcontractors: Signature Date Please check applicable subcontract and core lete 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 C'UPERTINO ".E W CUP.EkTiNO PERMIT APPLICATION FOM APN# 2S'"� Date: uv - 13 n Building Address: 10*667 • r O�vnP,r'S Name: Phone#: Contractor: License#: w OCA Contact: Cupertino Business License #: • • 6A 7• ZS" Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles X Asphalt Shingles 4 Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings el&,4, ❑ Provide I.C.B.O. Report# To be Removed ❑ Provide Mfgr.Installation Specs. I Have Read, Understand and Will Comply With Cu)ertino's Tear Off Policy: X Job Description: C '44S A P& s�h o e- Residential ;K Commer 'al ❑ �,� Fire Zone: Yes ❑ No Com" Confirmed with Planning Dept. if there are any restrictions: ❑ Cost of Projec : e© Type of Constru,;tion:"210v Occupancy roup /e 7W Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE 31dg 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 I. Prior to permit issuan(_c,,you�»ust a}ire to ( oiliply It , "f 997 U 13C SL,irt�IEirC and manufacturers specifications on re-roofing. 2. New roof coverings shall not be appliec.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 f_Tst obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be perfc rmed. 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 the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: C job Site Address: ,�/�0 �D.� r�I'Y� C.��( / ACX Roofing Company Name: AMA Aa . Applicant's Signature- Date: 18'. 13 '07 Greg Casteel Building Official Revise 111/2/04 INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMIT' INVOICE OPERATOR: CathyS Sec: Twp: Rng: Sub: Blk: Lot: APN 37505025 . 00 INVOICE DATE. . . . . . : 08.113/2007 REFERENCE ID # . . . : 07080103 SITE ADDRESS . . . . . : 10,165 FINCH AVENUE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER JA3ON WU ADDRESS 10165 FINCH AVENUE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 CONTRACTOR BILL HAMILTON LIC # 27915 COMPANY BILL HAMILTON ROOFING INC ADDRESS . . . . . . . . . . : 740 CAMDEN AVE STE E CITY/STATE/ZIP . . . : CAKPBELL, CA 95008 TELEPHONE . . . . . . . . : (408) 687-2540 FEE DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE --------------------------- ---------------- ---------- ---------- ---------- BLDG PERMIT FEES PRINTING PERMIT 169 .56 169. 56 0.00 SEISMIC FEE RES PRINTING PERMIT 1 . 00 1. 00 0. 00 ---------- ---------- ---------- 170.56 170.56 0. 00