08100057 CITY OF CUPERTINO ��k,� a '�i^� �
BUILDING DIVISION • PERNHT CONTRACT,01CANFORNTA ION ,
BUILQ�yy..G pDRESS: PERMIT NO.
/b�7 DE FOE DR ALL SEASONS ROOFING SERVICES 08100057
OWNER'S NAME: PERMIT 15511E DATE
RANDY SALVATORE 1720 SMITH AVE 10/10/2008
VE: SANITARY NO. CONTROL NO.
ARCHf1ECrfENGINEER: BUILDING PERMIT INFO
RE—RF RMV EXT SHKRF& INSTL BLDG ELECT PLUMB MECH
O O O O
u o p LICENSED CONTRACTOR'S DECLARATION
l thereby affrnn that I sm,uttered under provisions of Chapter 9(cmnow ting -........ .....tore__-.. ------- Job Description
with Section 7")ofDlviaion 3 of the Bond.and Professions CO sod my licence u
H in full force and eRecs ill GJ
t q Z Liensc Clan lY.g .
9 F-p Dem Contr ECL L
O[�� SPif`J� �! �
'
g7th RCHilbemust
DECLARATION W U 1 undmm�d my pplansshall W od u public rewNn '
g G r Licensed P.fessimsl
5 OWNER-BUILDER DECLARATION
iS 1 hereby s irm that 1 am exempt from the Conrracmrs License Law for IW
00 following reason.(Section NO I.J.Business soul Professions Code:My city or county
g which inquires s permit.cansuucL elm'.Improve,demolW,or repair my suuctum
•=< prior m its issuance..1so requines me.pplieant for such permit.Bleasignod statement
that be is licensed p.e.tIn the provisions of the c.tma.rs ueena Law lchapur9 Sq.Ft. Floor Area Valuation
s�$ (commencing with Section 7000)of Division 3 oflW Business and Profrsions Code)or
- that he is exempt therefrom and the India for the alleged pdo.Any A.I.d.of
Seco.7031.5 by any applicant for a Permit subjects the applusum to a civil Penalty of APN Number Occupancy Type
but...Nan five hundred doll.($3(101. ,
❑Luowrinr of Ne p'operty.amy. wPloy=with wagnsas Neth solecompensad.,
will do to.&,and the swctu.is not intended..@md tarsale(Ste.7044,11udness
and Profnsdo.Code:The C.mracuses Uce.e Law does,not apply.an ower of Required Inspections
progeny who builds m i.p'otes tlu+eon.and who does such wink himvlf or Owugb his
own employers,padded Net such imp.vemmth a.rat intended molRmd far n
however.Ne Wilding m
improveent4te
sold arc year ofmpted..thenampwnm,
Wilder willhave the WNw of poring W,he did not Wild or improve for purpose of
sal'.).
❑1.m owncr of the property am exclusively contracting with licensed contractors.
conswc,flue eject(Sec 7044.Business aM Professions Code:)The ConuacmYs Li-
cense Law does tet apply.an owner of property who builds or impvea the=m,and.
who convects for such projects with a eanuanor(s)Ikcnwd pursuant.the Contractors
License law.
01 am eawpt miler See .a d P C for this reasov
Owner Date
WORKER'S COMPENSATION DECLARATION
1 lamely afam soder penalty of perjury mm of d=following declarmmus:
have and will mninmin a Cmdficam of Come..selfdmurt for WorkersCompm-
nation,as provided fm by section 3700 of the Labor Code.for dm performa.o of the
wort for which Nis permit is needed.
1 have and will maintain Workers Compensation Irums.e,as rt imnOd by seed.
3700ofthe lab.Code.for the pciconan.ofde work fmwhich this Permit is WOO.
My W. es Compematian Inwrso..Terand Policy number am:
Gorier. JTIn.�Y �J�/�\ Policy No.: Q -
CERTIFICATE OF EXEMPTION FROM WORKERS'^
COMPENSATION INSURANCE
(Thu decti..ed Out bccmnplemd lithe pennitts form=hundred dollars($100)
m less)
1 certify that in the performance of the work for which this permit is Wood.l shell m.,
.mploy any person in any exan.'so m.become subject to the Workers'Compeoned.
Laws of Cmifo.ia Dam
Applies.,
NOTICE TO APPLICANT:If.after making this Cer ifiwm of Exemption,you alwum ,
become subjen to the Worths Compensation provisions of the lab.Code,you muss
.,O fn"wide comply with such provisions.this permit shall W deemed rooked.
z a" CONSTRUCTION LENDING AGENCY
[-.4 1 bereby.M.Wl them is.ma trucd.n lending agcnry for the m6arnamsu1'
a> the work fee which this penis is issued(Sec.3097,Cr.C)
QRenders None
Z lenders Mdn-u
V C) I certify that 1 have read this application and sum that dm above information is
0, Etoren.l.gree.comply with allod city county om ^ W
in•" • state laws muting.
O Wilding construction.aM hereby sumorixe rtpnsmutiva of this city.cnmrupon Om
W alarm-mentioned property for inspection purposes
LL (We).gree.an.indemnify and loop hmmless the City of Cupcnino aryns, (11
rF-r h liabilities,judgments,costa and expenses which may in my way accme against said City
C.)'Z in eonmquemc of Ne grmung of this permit.
'-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ��1"d�?
SOURQE RE�ILATIONS.�s - tlo/��
��X-L����p/� Re-roofs
Signature of Applicm✓Conmactor _ Dem
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will dm applicants or future Wilding.eupmt some,rehandle hmareom material
as dented by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety
Cade.section 25532(.)7 All roofs shall be inspected nor to an roofingmaterial being installed.
will thin applicant or future Wilding omrpmt use equipment s do ire which
suiIf a roof is installed without first obtaining an inspection,I agree to remove
t hanudnue air contaminants o defined by tho Bay Arta Air Quality Management all new materials for inspection.
ct7
❑Yes �No
I have mad the hondmumamriais mquiremcnstndet Chaprrh.95.1'the Calif.- �f
nu HphhAmodyy Cods,,Smvm,,hath.25533 ore 25534.1 undc'swdsc ace cWilding
Jaen not emmndy haw•mrunl that h u 55 responsibility.nmify the.ifft it
inyu' mcnuwldchmupte, 'or.issuarce ofa Cmuframof Ocevpa.ry. $IgnatulC OfA t Date
C)Ib All roof coverings to be Class'W or better
sorer err sudwriand agcm Dam
CITY OF CUPERTINO
O 2 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35925022 . 00
DATE ISSUED. . . . . . . : 10/10/2008
RECEIPT # . . . . . . . . . : BS000006319
REFERENCE ID # . . . : 08100057
SITE ADDRESS . . . . . : 7625 DE FOE DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RANDY SALVATORE
ADDRESS . . . . . . . . . . : 7625 DE FOE DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4348
RECEIVED FROM . . . . : ALL SEASONS ROOFING
CONTRACTOR . . . . . . . : GORSHTEIN, VLADISLAV LIC # 21035
COMPANY . . . . . . . . . . : ALL SEASONS ROOFING SERVICES
ADDRESS . . . . . . . . . . : 1720 SMITH AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 971-4455
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- -- - - - -- -- -- ---------- ------- ---
1BSEISMICR VALUATION 14, 500 . 00 1 . 50 0 . 00 1 . 50 0 . 00
1REROOFRES SQ FEET 30 . 00 390 . 00 0 . 00 390 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 391 . 50 0. 00 391 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 1, 486 . 80 #24729
---------------
TOTAL RECEIPT 1, 486 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------- -------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
Vista Drive Homeowners Association
10198 Vista Drive.Cupertino,CA-95014
• Thursday, October 09, 2008
To,
City of Cupertino
Building Department
Cupertino, CA
Dear Sir/Madam,
We have contracted our roof replacement project to All Seasons Roofing, San Jose CA, Vista
Drive HOA authorizes All Seasons Roofing to obtain all necessary building permits required by
the roofing project. The two building have five townhouses with addresses in the contact
information. Please contact HOA members for any additional inquiries. The contact information is
listed.
10184 Vista Drive, Cupertino, CA 95014
C: (408) 857-1525
Owners: Mr. and Mrs. Ching-Yuan Chen
20233 Joseph Circle, Cupertino, CA 95014
(408) 252-3735
10190 Vista Drive, Cupertino, CA 95014
Manish Mehta
manish r mehta(a)yahoo.com
C: (408) 892-9903
10196 Vista Drive, Cupertino, CA 95014
• Joong-Seok Moon (Jay)
jsmoonogmail.com
C: (408) 718-9870
10202 Vista Drive, Cupertino, CA 95014
Syed Faridul Haq
sfaridogmail.com
C: (408) 391-4877
10208 Vista Drive, Cupertino, CA 95014
K. R. Balaji
krbala i i660yahoo.com
C: (408) 218-0717
Thanking you,
Sincerely,
..Manish Mehta
Treasurer,
Vista Drive HOA
•
Thursday, October 09, 2008 1
i
• State of California N
Secretary of State
STATEMENT OF INFORMATION
(Domoetic Nonprofit Corporation)
Filing Fee$20.00. If amendment,see Instructions.
IMPORTANT—READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
f, CORPORATE NAME (r+NasA ao nW aiterrtnaman ppnnw7
01082871 MU CID
VISTA DRIVE HOMEOWNERS ASSOCIATION
10198 VISTA DR
CUPERTINO CA 95014
This Space For Kng U.OMy
DUE DATE: 07-31.07
COMPLETE PRINCIPAL OFFICE ADDRESS (Go not abbrcvmte the name of the wy, nem 2 comwt x a P.O.am)
2 STREET ADDREs60F PRWC(PN OFFICEWGLFOR9faL,FANY. ..+— CRY —.--. STATE ZIPCOnE
CA
NAMES AND COMPLETE ADDRESSES OF THE FOLLOWING OFFICERS (TM cogforNUT,must have these In=cmcela. Aoomanabe alb
for D10 spot&Miter may be added howax9r.We preprinted tui&On Nu form meat not be aeend)
a. CIdEF E%FCUTNE OFFlCFW MnRF.SS QTYANDSTATE ZIP COOP
QUR:2?L. FA-P-00 VISM pRtV'c
A. SECR'ETARYI ADDRESS QTY AND STATE r ZWCODE
t�ir8L- Lt>R BM36Pt- wfcv 7t Dql-iJE CA 9LZa3
6. CWEF FIN.WCNL OFPICFNI ADDRESSCITYANDSTATO WC
e iL-Ev/N iF�c c Y 102.01; tris, ofli\lc c. p C4 -550 ;C
AGENT FOR SERVICE OF PROCESS (II the agent u an kx[Wua(Vre agent moat resia r Ca9forrta and Rem 2 muss be wmpleted Ynm a CaNaNa
addnns R the agent k amt cerwamn,Ne agenl must love on rite with Ne C*htonu,Sacratary M State a cermca;e pursuant te CorpcvaE Coda
.mow 1505 ata Item T must to len ten .)
d. NAME OF ACENi FO0.SERVICE OF PROCESS
QUa-vI r-Ar rLr e
7. AAORESS OP AGENT FOR SERVICE OF FROCE IN GI.IFORNV�6 ax WDMnVAI. CITY STATE "1=Ib
D C VIS 11 )fL4J'C' CiUPe Ali; CA
OAVI"TIRLINO COMMON INTEREST DEVELOPMENT ACT ICalifen a Ciro Codo,mmn 1150,it wI)
a. R"=Mm it nfe carporU4N b an aAsenaEon 1.m b menage a eonm<n inbrcst devebamem Umar the OBNs-Wing COTmgn Intarest
c»LACI ata procced to Itann 9.10 eta 11.
NOTE: CapTrmiona formol b marwgo a Fmvrwn imeros:de.ebVnv4 moat aka Eb a BLmemenl DY CWrvnon Inurr3t Oavebpmenl AeeoUatiOn(Porto
SIGD)as required by CNRarda CMN Code aeulon 1063.0. Ment see ins}mctiona an IHe rcvex ake 01Iho(wen.
9, ADDNESSOFBUSWESSORCORPORATEWMEOFTNEASSOCIATNKIFANY CRY STATE TP OCOF.
10 7-4)'8 VI 5-1A : ' b tV6 C'0102-711.16 CA '2s-C,1(f-
10. FRONT STREET AND NEAREST CROSS STREET FDR THE PHYSICAL LOCATION OF THE COMMON INTEREST OEVELOFWNT 3DIGRZIPCODE
(CprybT d Ne quYYla ar CfrppriY c!fiH if nd an to iY of Na common hartst eav<bPnenL)
11. NAME ANnAMRF.S:i OF A660,^,WTrON'9 uANAMMOAGEM,F ANY CRY STATE bP CODE
12, THE INFOW.LATON CONTAINEO IE.1tFIN B TROF.ANO CORRECT,
fLe ITNems,_ ll �SuRe�Z SLry z,
ME OR PRINT NA NE OF PERSON COAWLEFING THE FORM 'TRIE E
V-M M OMOM AP'ROVED DY SECRETARY OF TATE
We1:d
•
~ Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Ile-roofing policy for the City of Cupertino
-- �.. I'iioLtQp�tnnit issuarnce, you nmst 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 impector 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.
:i. 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 Y4 " 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: 9 „�\(`
Job Site Address: _1 (g QL J CA )Ixg�tN V,�o
Roofing Company Name: �� on. (� k2-p �y,,,
Applicant's Signature: 2CA .— Date:
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
���% REROOF
CITY O
CUPERTINO PERMIT APPLICATION
APN # oDate:
a�. � � ►dl�t�lo �
Building Address:
Owner's Name: Phone #:
Contractor: Phone #: (40—S T-)\"44s'S
A\\S �s
Fax #: t•\O� 'l3-s — \
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
,Y- Wood Shakes ❑ Wood Shakes
• a Wood Shingles o Wood Shingles OCrntA
❑ Other (Specify) Other(Specify) -M&Nr
Number of existing coverings \ • Provide I.C.B.O. Report # F-f�kp —\ I
To be Removed o Provide Mfgr. Installation Specs.
Job Description:
o v2 ac. >C)
cd Gn�yo � SV ^Vr
b
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:\" lsdC,
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
V
Signature
Revised 6/16/08