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08100077um� op �u CcCCSI n �e6 oZ. W gain �pC uS— K4 w, c oC Z V fY G UC UC 0 E �a �2 CITY OF CUPERTINO r�sy- BUILDING clvlsienIQ - PERMIT CC1�Ti2ACTRINIa`ORMAT1�[, .,carr cs� sic t> BUILDING ADDRESS:_ PERMIT NO. 10370 PLUM TREE LN A L RESIDENTL/COMMERCL 08100077 OWNER'S NAME: PERMfr ISSUE DATE DANIEL ALZO FON 14893 E HILLS DR 10/14/2008 SANITARY NO. CONTROL NO. IFNE: (408) 729-6100 ARCHITECfrENG1NEER: BUILDING PERMIT INFO BLDG ELECT mum MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 thereby affirm that 1 am licomcd under provisions, of CNplcr 9 (commencing with Section 70f10)of Division Sof the Business and Profession Cade. and my Ike. is RE—RF RMV EXT RFS; 27SQ CLS A 30#FLT W/40 YR in fall fore[ and CIf L •^) ^ r] L+=am Clan _ LY.g ! G CERTAIN SHNGL &RPLC ALL FLSHNG Dale Cunustemr RCHITEc R DECLARATION . 1 undenunJ my plain shall be used u public records Licensed Profestional OWNER-BURDER DECLARATION I hereby a1Rrm Nal I em exempt from the Contractors Licenm Law for the following mason (section 70313, Business and Professions Code: My city or aunty which Rqulrm a permit to construct. eller. morrow, dmlmlish, or mpmf my structure prior an its issuance. alto requires the applicant for such permit m rite asigned statement lex is barred to the of the contactors License Law(Chapw9 Sq. Ft. Floor AreaValuation that pursuant provisions (commhncing with Section 7000) of Division 3 of tiro Business and Professions Cade) or $8200 8200 that has Is, exempt therefrom and Its, hast for the alleged ..,do. Any Attlefon of Number Occupancy Type Section 70" any applicant for. permit subjects the applicant to a civil penalty of not mom dun ries hundred dollars (5500} 316 3 3 019 . 1, u owrcr of Ih property. a roti wPlaym with wgca u tins, mlcampewtim, Required Inspections willdo thewmlc and the structure is not intended molfemd forsade (Sen. 10/4, Business and Profnstloo, Cade: Tim Contractors License Law does Out apply In an owner of property who Wildsorimproves themon, and wWdamsneh warthimul(m through his own employers, provided Nal such improvements are not InteMed urufferW fmssle. If. however, the building Or Wfrovemat is shut within one year ofeempletion. the owrcr- ' builder will hive the burden of proving Nat he did roe Wild m improve for puryoce of sale.). ❑ I. as owrcr of the property, sum asclusively connecting with licensed contractors an constmm the project (Sec. 7044. Business and Professions Code:) The Canacces Li. chose law door not apply to a owner of property who bolds of improve{ demon. and, who contracts for such projects with a conlrxmr(s) licensed pursuant to the Contractors License taw. ❑ I m mempt under See ,B h PC for this nasm Owner Date- auWORKERS WORKER'SCOMPENSATION DECLARATION tII hereby eihm under penalty of perjury ane of the following daluations: have dr l will maintain a Certificated[ Conserv as selbimuce for Workers Campen- sation, u provided for by Section 3700 of the Labor Code, for the performance of the won for which this peat is mored. ❑ 1 have and will maintain Worker's Compensation Insurance, u required by Schon 3100 drive Labor Code, for the penformaten.f the wink for which this permit tissued. ' My Workers Compensation IIynmrana cannot anal Policy number am: Cartier. (v rw,a}�% Pol'mry No.:01300.0 ee48o7 ERTIRgTCE OF EMPTION MOM WORKERS' . COMPENSATION INSURANCE (Thu section need nothe canpleted time permit is form hundred dollars ($IW) or leu) I certify thus in um performance of the work for which this Permit is issued, l shall not employ any penin In my manner an u an become subject to the Workers'Compensation Laws; of California. Dalc ' Applicant NOTICE TO APPIJCANT: If. after making this; Certificate of Exemption. you should hmonm subjmn to the Workers Compensation provisions of the Later Coda you must forthwith comply with such provisions or this permit shall be domed revoked. CONSTRUCTION LENDING AGENCY 1 hemby.M. the them as construction lending agonry for the Mr.. or the work fm which this Permit as issued (Sen. 3097. Civ. C.) Lenders Nam. Landers Address I certify that 1 hate mad to; applicuion and sum, that the above informatla is const. 1 agrce to comply with el city and county ordinances and sum laws mixing to Wilding construction• ate hereby authorise mproautives ofthia city to enter upon the alone -mentioned property, for inspection purymes (We) agree to save, indemnify and keep harmless 0n City of Cupertino against liabilities. judgments. conn and expenses which may in my way accrue against mid City in conseqmaa of tho grating of this permit. APPLI Nr UNDER ANDS AND WILL COMPLY WITH ALL NON.PO Nr Issued by: Date SOUR REGULATI S. Re -roofs Type Of Roof Signstom of App ices an or Dau w Do ATERIALS DISCLOSURE Will the applicant or t (ding occupant atom m handle hamlom materiel u defined by the CupeNno tetrad Code. Chapter 9.11• and the Health and Safety caJc. Section 25532(,)1 ❑res 9All 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 Wthe applicant or future building occupant term waipmat ser dewias which I harslet air contaminsn u dcgned by the Bay AmaAir Quality Managcm.ns all new materials for inspection. rim1 / 13 yea �(� I have mai thehvalouamucrialsmquimmrnts under C ompter6.95 ofthe Calirm- nit Health&Safety Cade. Seem. 25505.25533 and 25534.1 understand thalfthe Wilding e f the mquimrrcnts hmuwhtmet tourtmaar,cernrtoemafC: doss not cu It Y Ince a{an ani L It u my rmponsiWhy m notify the aceupzc� Signature Applicant llvl f of Date All roof coverings to be Class '%W' or better Owner m mthmvad tgcm S3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31633019.00 DATE ISSUED.......: 10/14/2008 RECEIPT #.........: BS000006345 REFERENCE ID # ...: 08100077 SITE ADDRESS .....: 10370 PLUM TREE LN SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: DANIEL ALZO FON ADDRESS ..........: 10370 PLUM TREE LN CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM A L RESIDENTIAL & C CONTRACTOR .......: ALEX A LOPEZ LIC # 00075 COMPANY ..........: A L RESIDENTL/COMMERCL ROOFING ADDRESS ..........: 14893 E HILLS DR CITY/STATE/ZIP ...: SAN JOSE, CA 95127 TELEPHONE ........: (408) 729-6100 SFEE.ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 8,200.00 0.90 0.00 0.90 0.00 1BUSLIC FLAT RATE 1.00 110.00 0.00 110.00 0.00 1REROOFRES SQ FEET 27.00 351.00 0.00 351.00 0.00 TOTAL PERMIT : 461.90 0.00 461.90 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 461.90 --------------- 461.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS • REFERENCE NUMBER ---------- #7384 VOICE ID DESCRIPTION -------------------- --- 602 ROOF PLYWOOD NAIL 605 FINAL REROOF F CITY Of WUPERTINO 0 Buildi Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 artment JOB ADDRESS:PERMIT # �( c� —i7(7 ue If 6o 7% OWNER'S NAME: D PHONE # x[08 7 z q_ c,ro o GENERAL CONTRACTOR A-,(—, wu o FAX # I am not using any subcontractors:. Signature Date Please check applicable subcontractors and complete the fd1lowiniz information: Owner/ Contractor Signature Date 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 Community Development Department Building Division City of Cupertino 10300 Torre Avenue tTelephone: (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. 5. a) Spark arrester installation. 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/a " 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: � v� t -Qi 1 A+Z,0 F-001 Job Site Address: Roofing Company Applicant's Signa OGreg Casteel Building Official (D3 -7o P(sf VM(� V -r -e �r Nam 14- L -Cs • C -o r ,A,1 . o O- ' tures Date: to Revised 07/30/08 c) 7-7 CITY OF CUPERTINO �fl- REROOF •cUPERTINO PERMIT APPLICATION APN # 2 3 3 Date: o Building Address- �� , v -c-e_ ',-z' Owner's Name: Phone # 1 � V\IISO 'b [ on96b Contractor: Phone #: b 2 —(p / AIL, "S: o 00pkv Fax#: O 13 2 '7 f3 v Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof o Built -Up roof Asphalt Shingles X Asphalt Shingles /❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles o Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings `� W Q ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Rc. o V c e�ia-w =� ,�� o S 7Q, Z c s (� -30 '4 9 40t y C(6:r-r/—�— 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 2 Havel d, Und rsta and Will Comply with Cupertino's Tear -Off Policy: Revised 6/16/08 , 7"r CI OF CUPEkTINO CITY OF CUPERTINO REROOF FEESCHEDULE 0 Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2� 1RER00FRES Re -roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1REROOFMRES Re -roof Multi -Family B 1MFDWLROOF IBSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 0