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08100005CITY OF CUPERTINO BUIOING DIVISION PERNIIT'COI RAGTAA@�.�,.gIIFORMATTO,N — . 4@... d�ffxn W.,'C. , BUILDING ADDRESS: PERMIT NO. 7614 BARNHART PL COSMOS ROOFING 08100005 'LINER'S NAME: PERMIT SUE DATE LAURA HU 1901 OLD MIDDLEFIELD WAY STE 10/01/2008 PHONE: 7 7 SANITARY NO. CONTROL NO. ARCHITECUENGINEER: BUILDING PERMITINFO TEAR OFF EXISTING WOOD EO PLO I O O LICENSED CONIRACIOWS DECLARATIONSHARE, RE SHEET De j [IOn by arat I am lisnvd under provisions of Chapter 9 (commencing I hereRrm N -.J,pb, ^ - ^ ^ --^ ^ ^— __ I3 with section 70IMB of Division 3 of We Business smd PMfcssioa Code, and my lit. u in full far¢ and if S License Class_ Ix.• . _.':] Dam Conuam AECI-S DFL A ON I understood my planss shallshall be umd an public rtcods Ix Lleaaa dProfessional OWNER -BUILDER DECLARATION I hereby alum Nal I am cxempl from We Contractors License Law for We following reason. (Section 7(n 1.5, Business and PMfnsium Cade: Any city or county which mquima a permit w construct alter, improve, demolish. or repair any dmawm prior to its issuame. also requires the applicant for such Permit o File a signed summenl Ft. Floor Area Valuation Was he is licensed pursuant m We provision of We Conrmeler'a Limmc law(OuPmr 9 Sq. (commencing with Section 7000) of Division 3 of We Business and Profession Code) or that ha is exempt NucOom and We bur far We alleged exemption. Any violation of APN Number Occupancy Type Session 7031.5 by any applicant for a permit subjects We applinnuo a civil penalty of ' m, more dun five hundred dollvs IS5110). ❑ I,uawrcs of Ne pmopeny.wmY wplgce with wagnune'v mkcwnpesatim, Required Inspections will Ord. Business ands- heCmeurookmndad: Law cldfaroak(pec.t Prshewok, and Code- The Conractoh Liw law not apply lf rt of rsome 1b eb week him through his erty wW Wilds arimpmwlMmn. and who property W lronal man are in moaned for sok. U, own employee: p Juuucn improvements art eat es, ofc however, We Wildingorimpmvemerdg cold withinct WildofmmanforNeownc- Wilding or i MB have mha Wdm of proving dust he did rot Wild or improve for puryose of .iilder oak.). ❑ 1, as owner of she property, am exclusively contracting with licensed commemma in construct We pmject (Sec. 7044, Business and Profession Code:) The Com actor's Li. canoe law don not apply in an owner of property who Wilds or Improves Nemon. and. who contracts for such pmjecu with a comaclor(.) licensed pursuant in the Comncturs License law. 0 lameempmureder See ,BkPCfor Nureason m Dau WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury dm of the following dwlaratiorts 1NveaWM]ImainWna Cerfirmmof Co alto Hlf-imumrwWorkersCampea- radon, As Provided for by Section 37W of We labor Code, for We performance of We work fm which this Permit is issued. ereand will maintain Workers Compensation Irmmvmca, an required by Section of sire Labor Coda, for We Performance of the work fm which this permit is issued. ' My Wcalkerr'. Compensation Inman carrier and Policy number are: Cartier. Z77Pr7_6 �f)/tJY"caPolicy No.: S71�y Vi Z\ CER77Fl� OF EXEMP ION FROM WORKERS' COMPENSATION INSURANCE Clhu¢ctim need Adm W cwnplemd if the permit Is forum hundmddallan (SIW) or Ins) I comfy Wt in We performance or the work for which Nis permit is issued. I shall not employ dry person in any mmmf An As m haeme subject to We Wmkora'Compeua0m . Laws of California. Due Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Warder's Compemktion provision of We Iabw Code, you muse forthwith comply wish such provision or this Permit shall be dmmW rooked. CONSTRUCTION LENDING AGENCY 1 homhy anirm Nat Nem is a construction lending agency for We performance of We wum for which this Permit is issued (Sec. 3097. Civ. C.) Lenders Name Landers Address I certify Nu I have mad Nin applicmum and .in that We aWvc informauun in coma. I agree m comply with LI city and county ordinances And dee laws relating to Wilding construction, and ne eby outbonee mpmannuuves or this city in enter upon the alcove -mentioned property for inspection porymes (We) agree to are, indemnify And keep harmless the City of Cupertino against j IiabilitieaJWgmeats,encu And expenses which may in my way...gaimtsaid Gly in co ucnm or she gonU. of Nu pmok. A LIC NT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date 161, . S REGU ONS. Re -roofs % Type of Roof �3 g D1,0b11, !O—('-(� sgd numar ApphcanUCo Dale HAZARDOUS IA�IIRIAKDISCLOSURE Will We applicant or future Wilding occupant norm or handle hamal material as da0ned by the Cupertino Municipal Code. Chapter 9.12. and the Health and Safety . Sestina zs5324)7 0Ym All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant o fume Wilding occupant use equipment or devics which emit hanrdou ai, conumimnm meed by the Bay AMA Air Quality Management all ne materials for inspection. District? 0 Yn u I have mai site haardmsmaterials rtgai..0 undar Chapms6.95 of Ne Cdilial nu HcalsafclyCede, SaonaZiM525533 and 25534. I wdcrmewl Natue Widing Wass, no, saroauiikmymoribililymnoufycmmtofth rc"i me wnknmrs metprimrwissmawcmr,eertirm,mmrOceupvmy. Signature of Applicant Date y D All roof coverings Class'W' or better Owner onuNem.doge. Dam' • 2 ITEMS OF 2 • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 36624020.00 DATE ISSUED.......: 10/01/2008 RECEIPT #.........: BS000006256 REFERENCE ID # ...: 08100005 SITE ADDRESS .....: 7614 BARNHART PL SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 397.90 --------------- 397.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- master card VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 605 FINAL REROOF OWNER ............: LAURA HU ADDRESS ..........: 7614 BARNHART PL CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: EDWARD GREGORY ' CONTRACTOR .......: COSMOS, RICHARD LIC # 18844 COMPANY ..........: COSMOS ROOFING. ADDRESS ..........: 1901 OLD MIDDLEFIELD WAY STE 2 CITY/STATE/ZIP ...: MOUNTAIN VIEW, CA 94043 TELEPHONE ........: (650)969-7663 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BSEISMICR ---------------------- VALUATION 13,940.00 ---------------- 1.40 0.00 1.40 - ---- 0.00 1REROOFRES SQ FEET 30.50 396.50 0.00 396.50 0.00 TOTAL PERMIT ---------- -------- 397.90 0.00 ---- 397.90 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 397.90 --------------- 397.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- master card VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 605 FINAL REROOF 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 2007 IBC Standards and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 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: y �";k U/-5 Job Site Address: / 6l r Roofing Company Name: e0 S v'W JS ? J Az.t� - •. x.15 W1 -'*19W5. Greg Casteel Building Official Revised 07/30/08 CITY OF CUPERTINO REROOF •CUPEkTINO PERMIT APPLICATION 0060 APN # 2 620,00 Date: /O-�—RI' Building Address: 76 -Ax W,4R,01V,4R Owner's Name: Phone #: 6,sc�-96Y-O�ds— Contractor:n s �S Phone #:6� z� _y6 �- 76 6 -3 Fax #: 6/3Z9-369 -/Oqcq❑— Cupertino Business License Wyv Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles Asphalt Shingles 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. �es�a.�i QS/3 �- Job Description: j .�� w d 9 X/S 4 s ftt �e g Lj e e, -;t Q. / p QsA /" 3v b F� 1 Qw� ask i � � C�� ti, �&-i 30ert- Residential Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: / 3 9 yO �1 Iia a Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO REROOF I OF CUPERTINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type ' IREROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 3 D 1RER00FRES Re -roof Residential B 1SFDWLR00F i 1BSEISMICRE Seismic Residential B IREROOFMRES Re -roof Multi -Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B IBUSLIC Business License B Revised 6/16/08 •