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07080219 7777777 CITY OF CUPERTINO �Tm p BUILDING DIVISION PERMIT 6�� Y� : PERMIT NO. BUILD)NG ADDRESS: 1102 HUNTERSTON PL EASTMAN ROOFING & 07080219 OWNER'S NAME: INC PERMIT ISSUE DATE COTTER RICHARD J AND GLADYS M 08/24/2007 SANITARY NO. CONTROL NO. NE: (408) 971-9000 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH 9 ZLICENSED CONTRACTOR'S DECLARATION ,cc Job Description cmi P I hereby affirm that I am licensed under provisions of Chapter 9(commencing UZ with Section 7000)of Division 3 ofthe Business and Professions Code,and my license is TEAR OFF ONE LAYER OF COMP INSTALL COMP PLYWOOD y in full force and IT "- R LicenLic.# (OSB7/16) 23 SQUARES, 4-6/12) PITCH 305 IB PER F p Datc _Contractor ARCHITECTS DECLARATION SQUARES i a< 1 understand my plans shall be used as public records aU u.�- Licensed Professional :O a OWNER-BUILDER DECLARATION ia I hereby affirm that I am exempt from the Contractors 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 Z y prior to its issuance,also requires the applicant for such permit to file a signed statement Ft.Floor Area Valuation that he is licensed pursuant to the provisions oUtc Contractor's License Law(Chapter 9 Sq $16685 i I=- (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ,4 Number Occupancy Type not more than five hundred dollars(5500). 36222033 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 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-). ❑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 contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. ❑I am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: n 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. ❑I 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 Workerpenation Insurance carrier and Policy number arc: Cartier: ��n�al ,^ APolity No.: (09& 9 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars(E 100) or less.) I certify that in the performance of the work for which this permit is issued,l 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 forthwith comply with such provisions or this permit shall be deemed revoked. z""rA CONSTRUCTION LENDING AGENCY (~-t I hereby affirm that there is a construction lending agency for the performance of (2!> the work for which this permit is issued(See.3097,Civ.C.) W Q Lender's Name z Lender's Address U 0 I certify that 1 have read this application and state that the above information is IL ►" correct.1 agree to comply with all city and county ordinances and state laws relating to O Ubuilding construction,and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. t'" a (We)agree to save,indemnify and keep harmless the City of Cupertino against H(/1 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 ►'� APPLICANT UND STANDS AND WILL COMPLY WITH ALL NON-POINT Issued b'r: SOURCE REGU NS. Re-roofs Signature of App t/ ontrac Date HAZAR S MATERI SDISCLOSURE Type of:Zoof Will the applicant or future building occupant Stott or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)7 \®nN All roof: shall be inspected prior to any roofing material being installed. ❑Yes / o 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 Arca Air Quality Management all new 1 naterials for inspection. District? v /1 El Yes o 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 Ute building U �-7 does not currently have a tenant,that it is my responsibility to notify the occupant of the requirements whit st be met prior to iss cc of a Certificate of panty. Sig— natUl,oAfA pi ant Date All roof coverings to be Class"B"or better Owner or author gent Dalc CITY OF CUPERTINO RE1100F CUPEkTINO PERMIT APPLICATION FORM APN# Date: (� ZZZca 3 . ad 2 3 Building Address: l 10 2 �fL�/1 f � Y? Pt.0 cc Owner's Name: Phone #: A r I fs CO/Ye g) -1-71 — 000 Contractor: ��>> License#: easlwan l�c�c� rLG 1�'c t�r � r �t 152-5 v`� Contact: Cupertino Business License #: Vi Ctv /V li iu z_ 2 2-t (C o Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof >k Asphalt Shingles .-14, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings 6 Ke_ ❑ 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 Job Description: 0 L(kss A Tea;- df cxt - r - NmP, (nslG�W ii d (UsB 7/l la�, ?� s�utires, 4-W l Z Residential Commercial ❑ xµ Fire Zone: Yes ❑ No Confirmed with Planning DMt. if there are any restrictions: LJ Cost of Project: Type of Construction: Occupancy group: a045CA\-a- a=3-- Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE 13ldg 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 [o periztit you n-tust agre_, to c(lilipl)- �, idl i TY", 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 apprcval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed, a plywood nail:nspection is required. 6. Any roofing which is applied without f rst 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 :)f$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: Job Site Address: 02- irl.il �t S � La 't c- Roofing Company Name: Applicant's Signature: Date: Greg Casteel Building Official Revise 111/2/04 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 "WEkTINO Building Department JOB ADDRESS: PERMIT .7 I 10 2- [*,,n e r�tm � OWNER'S NAME: gbD tr Mr. 4 {1i1�;. o PHONE # 4v5S q-71- otic) GENERAL CONTRACTOR: FAX # -7 -7 I am not using any subcontractors: lJ - SiSaature Date Please check applicable subcontractors and corn. lete the following information: SUBCONTRACTOR BUSI]vESS 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 2 PERMIT RECEIPT OPERATOR: CathyS COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36222033 . 00 DATE ISSUED. . . . . . . : 08/24/2007 RECEIPT #. . . . . . . . . : BS000002472 REFERENCE ID # . . . : 07080219 SITE ADDRESS . . . . . : 1102 HUNTERSTON PL SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : COTTER RICHARD J AND GLADYS M ADDRESS . . . . . . . . . . : 1102 HUNTERSTON PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5069 RECEIVED FROM . . . . : EASTMAN ROOFING CONTRACTOR . . . . . . . : JAMES EASTMAN LIC # 22140 COMPANY . . . . . . . . . . : EASTMAN ROOFING & WATERPROOFIN ADDRESS . . . . . . . . . . . CITY/STATE/ZIP . . . : SAN JOSE, CA 95126 TELEPHONE . . . . . . . . : (408) 971-9000 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 16, 685. 00 245 .16 0. 00 245 .16 0. 00 BSEISMICRE VALUATION 16, 685. 00 1.70 0. 00 1.70 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 246 .86 0. 00 246.86 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 246 .86 33133 --------------- TOTAL RECEIPT 246. 86