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08100190 CITY OF CUPERTINO �.ca3 't €wbsv.,r »is` ' BUILDING DIVISION PERMITCONTR "CTQR IN .0 ATIQNJ BUILDINGADORFSS: - PERMIT NO. 10881 W ESTATES DR NUSHAKE ROOFING INC. 08100190 OWNER'S NAME: PERMIT ISSUE DAM 411 NE: A O. CONTROL NO. (209) 239-8616 ARCHITECOENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 fop LICENSED CONTRACTOR'S DECLARATION JOb D0sCr1 UOn I hereby affirm tot 1 am licensed under provisions or Chepmr 9(commencing P with Section 70(YJ)of Divaaon 3 ofthe Busirma and Professons Code.aad re coscu �H a armlfaaesedwass/i 9 -RE—RF T/O RF SOLED SHT, 25SQ W/50YR COMP, CLS A j iawt Liceua Clea (. tY.• k,p Dam Conlracwr, 7WI ARCHI'IECI'SODULA ON u U I undewnd my plans shall be used as public records g Licen¢at Professional 5 Oat I am exempt from DECLARATION 0 C I berthy.(Scaro on 1 am exempt fact Ne EOagnelar'+ :Any c Law for 1M D o following mason.(Session 703 rowan costa and Pe,de ons Code:Any city as county S$ which its issu a permit ro coms t et.alcor,impaw,de permit t nr e a sir any tuunum -zi pri«wits Tensed ahent to the dm applicant for pachpnrmitwfiWan La (suwmcm pp was mmosin with provisions of ftBuacwriluaxnsl�wlCTaptm9 Sq.Ft. Floor Area - Valuation Y�S 'at Imcming waw Section 70W)nh Division 3 af,he aged exs mad on.AnyOvi Code)or Nat k a evmpt therUrom and the bole for Ik alleged exemption.Any violation of $9600 Section 70313 by any applicant fors permit subjects the applicant to a civil penalty of APN Number Occupancy Type am mom woo five hundred dellaa(1= P Y YP I aawner medic. 36923043 . 00 � pmpeny,«mY wplayw with pages athev sole mnpcnsadon, willda thewark.and theahuctum is not intended"offered r«ale(Sec.7004,Business and Pafessians Coda M Communes License Law dors rot appy 0 an owner of prRequired Inspections property who Wild.orlmpvws theree .and who doesaucb worchimvJfor through his mato crplaym,pro ided that path improvements ate net intended mattered formic.B, bowever,we building or Improvement is held within one year of completion,we owner- builder will have we andco of paving that k did Out Mold or improve for pupate of sale.). ❑1,as owner a the patent,and coativelY cormacdng wiw licensed smnumtors in santatrum the project(See.70th.Business and Professions Code:)The Conn amWs Li- . cense Law does out apply to so caner of tendency who Wilds«improves thereon,and, who cmuscts far such pmjeets with a comarmson U licensed pursuant to the Com acwr's Hearten law. IasneswptmdenSts .Bat PCforwamaton Owner Date WORKER'S COMPENSATION DECLARATION l krebyaBirm trader pesWty a(pe0ury one orwe(olWwing dcantians Ikw mad will!for by mdum 370 of Cement,t Code, art. Comprn ' 'on,r Provided!tai pe by SsNon 3'100 of dm I�bor Cade,far dw performanh Of we work far which this permit is Wood. ❑1 kve and will maintain Warkels Compensation Insurance,as required by Session 3700 of we Labor Cade.for the performance of the wart for which win permit M lou si My Worker' ompemuion bun m artier and Policy number ate: Cartier. © Policy No.:.]��..�v' zz 41 CERTIFICATE OF EXEMPf10N FROMORKERW COMPENSATION INSURANCE (Dissension rcna mt W completed If the permit is f«one hum mddo0an($100) or less) I cettifr door in an performance of we work for which this Permit is ioucd.I that)nm employ any person in any maanerhe a in Mame subject he the Wmimm'COmpensadon laws of Califomia.Dam Applicant NOTICE TO APPLICANT:IL after making this Cenificam or Exemption,you should become subject he the Worker's Compensation provisions of the Labor Cede,you made .�z forthwith comply with such Provisions Or this permit shall be reserved!revoked. O CONSTRUCTION LENDING AGENCY I hereby affirm war them M a construction lending agency for the Perilamstrcecar lx Ik work for which this Permit u Msucd(Sec.3097,Civ.C.) ALeaders Name .7. z Landers Address ms; 0 1 certify that 1 have that was application and saw that the move information is U.t—! correct.1 agree in comply with all city and county oNanances and saw laws mating to 0 rV' Wilding construction.and hereby aemorim mpmsmwives of this city to Omer Open we rte mow-mcntiormd Mindy for inspection pugo¢s 6. (We)a,•to ave,indemnity and he cp Invasion;the City of Cupcntno against F'h limilitah,judgments,e«umdexpouet which mmymanywaym can agvnatssid City t.)7 �Myz ' of this Permit. r7 DS AND WILL COMPLY WI ALL NON�POINr Issued by:%12�( Date a � 0 Re-roofs tort ofA shDam HAZARDOUS US MATERIALS DISC OSURE Type of Roof sOl dmeContotm(Muni ipal Coe«opantdeoreorsed board,,Waa material C defined Session 0c.Cupertino Municipal Code Chapter 9.12,asW Ik HhIN mit S+Iery Code. cy.zss3zp)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes $]Na Will the applicant or future building Occupant us,equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove mit haudnw air cmamirunu ufim ded by the Bay Area Air Qua ity Management all new materials for inspection. - J uict7 ❑Ys (No I have mad we ha cedem,materials requkmentaunderCkpter h.95ofthe Califor- naHcalwkSafetYCadwScnitm 3.25533-25534.1unwxnanddmafdebuiWag does rot cusrtn cam it my iMlity so mufy sit aaswant of dm (/ CSO peptmmen On ust i ar, 'mamar mm Signature ofApplican[ D e O All roof coverings to be Class'%T'or better owner« arvtd apem ' Data 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: Job Site Address: Roofing Company Name: !/ _ Applicant's Signature: a— Date:_(q��ff SGreg Casteel / Building Official Revised 07/30/08 CITY OF CUPERTINO •2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: : APN . . . . . . . . : 36923043 . 00 l DATE ISSUED. . . . . . . : 10/29/2008 RECEIPT # . . . . . . . . . : BS000006494 REFERENCE ID # . . . : 08100190 SITE ADDRESS . . . . . : 10881 W ESTATES DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER LEUNG HOI T AND STELLA C ADDRESS . . . . . . . . . . : 10881 ESTATES DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4537 RECEIVED FROM . . . . : NUSHAKE INC CONTRACTOR . . . . . . . : DOUG HEATH LIC # 28920' COMPANY . . . . . . . . . . : NUSHAKE ROOFING INC. ADDRESS . . . . . . . . . . : 708 D INDUSTRIAL PARK DR CITY/STATE/ZIP . . . : MANTECA, CA 95337 TELEPHONE (209) 239-8616 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 9, 600 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1REROOFRES SQ FEET 25 . 00 325 . 00 0 . 00 325 . 00 0 . 00 -------- ---------- ---------- TOTAL PERMIT 326 . 00 0 . 00 326 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 326 . 00 #32022 --------------- TOTAL RECEIPT 326 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF s CITY OF CUPERTINO REROOF CITY OF CUPERTINO PERMIT APPLICATION APN #�/ �� ' � � Date: �P o avAoog Building Address: Owner's Name: Phone #: 4d/ GING Contractor: Phone #:(.2o9X39-$(�/6.- Fax #: (�6'% a3`l -58'/S Cupertino Business I.Acense #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof a Asphalt Shingles S, Asphalt Shingles )( Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other (Specify) Number of existing coverings J ❑ Provide I.C.B.O. Report # )E To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 6.�F i�Cr�SScE7 �2/�Ei2v�Fv��1 7 wTH SO ; GMf- amiss �fi . 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: I Have Read, Understar9j and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2� IREROOFRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B lip 1BUSLIC Business License B Revised 6/16/08