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08100193 CITY OF CUPERTINO Y��•,gY '=Yx' x '4rrls7 ^u�Y°�' BUILDING DIVISIQN PERMIT 9 CU, ITRAGTORIE-r-'=O Benj N:, BUILDING ADDRESS: PERMITNO. 10199 BYERLY CT R E ROOFING & CONSTRUCTION 0810()193 OWNER'S NAME: INC PERMIT ISSUE DATE NE: A 0. CONTROL NO. T TL�CDT/lTT (408) 626-9320 ARCHTIECOENGINEER: BURRING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 J O p LICENSED CONTRACTOR'S DECLARATION I hereby ufrm that 1 uo licensed under provisions of chapmr 9(commencing lob Description t f Fy. wiNScction]OfU)af o5 theBui and Code.aMn license ry� I C-C ^ „ mon roree atw eRe�1(�•```���'�Jyyy''t lo�J �1/tcev�aru y RE—RF ge" I V,I l- w Ct �IL,i n S i-I 2 f K Z LicerueOm `�" '� Lk. '' � J. /� �r,'�J� e:p�� Deer ITCH CSDEC �O'ia Ij�/YI FL� ,'Tr (-J y'2< 1 u nJ my plans shall he u mean@ f/ Dye 1. , Liceand Professional x 01 OWNER-BUILDER DECLARATION �F i bunchy atRm that 1 am exempt from the Contractor's License Law for 0e D O following reawm(Section 7031.5,Business and Professions Cole:Any city or county , S V which egaines a Permit to construct.dice ImPnsm.demul-sh,or epair any structure Prior o its issuuec.aao rcquirea the applicant for such permit in file a signedstsemmt . < mathe is licensed Pursuant o the proviaions of the Comartor's license U.(Chapter 9 Sq.FL Floor Area Valuation X51 (eonmencing with Suwon 7")of Division 3 of tie Business and Pmfeuions Code)or _ Nat he is exempt theNmm and the base for the alleged taemption.Any violation of $30000 Sccaon 7031.5 by arty applicant Ter a permit subjects the applicant to a civil penalty of APN Number Occupancy Type or so,nnthan BKhundred dnnars(IM. 34212082 . 00 p y YP ❑Ido en woroand pmlpty,ar myemploycns withngnsuthe'v skcompensiness will do re4derkc dthe he commutes undW eauied does uk(lity to an ow. and Pm(nsiom Code Ibis Conustor's License Lou,such Out apply lf an owner of Required Inspections property=ploho Wilda oimlx t hrseun.and who umnmchwort himself orthroufh he cawscmploym,pring Or Wtsuch improwmmtsartnot emir ofeooRered ferule If. bownvm,the Wilding uimpmwnnntlacold withinarc Seer ofcm ancfor theose of W iWer will haw the Wrdce of proving Out he did rot idle or improv for purpose M uk.). Q 1,as owner of the Inoperty stn exclusively cnnoaeting wide licensed contraction in consumer the pmjut(Sec.7044.Business and Profession Cade:)lie Coouactofs U. comae law does not apply o an owner of property who builds or improwm thertan.and who comrade for such projects with a contraclar(s)licensed Pursuant m the Consaenn'S License Law. O l am exempt under See ,B 6:P C for this moon Owner Date WORKERS COMFENSA7ION DECLARATION 1 hereby afrum under penalty of perjury arc of the following declmWotce 1 Mw and will maintain aCeniOau of Consent m bill-inert for Worker's Cmnpery smear.as,fumbled for by Section 3700 or the Labor Code.for the performance of the work for which this;permit is issued. ❑1 have and will maintain Workers Compensation I..,as required by Section 3700 of the Labo Code,fer the performance of Ne work for which this Permit is Wood. My Worker's CompenuuoVe nce artier and Polity number are: Cartier. �'Ut Policy No.: I' 0 CERTIFlCATEOF (EMPf10N FROM WORKERS' COMPEL SAnON INSURANCE Tina scum vstl rot he csmPkud If ae Rrm it a fa aro hundecd do0ua(5100) tuitional I cart that in the performance of the work for which this permit is issued.I"I m employ any petson in any manner so as in hreo is subject in the Workers'Compensatkn Laws of California Due Applicant NOTICE TO APPLICANT.If eMr making this Certificate of Exemption.you should become subject m the Worker's Compensation previsions of Ne Later Colo.you mus .J z forthwith comply with such provisions or Ne Permit shall W deemed rewkcd. z O CONSTRUCTION LENDING AGENCY ,4 4 I hereby offum the dere is a conuuctim lending agency,for thin perforsnams of Ci> deo work for which thin permit is issued(See.309].Civ.C) Q Lender's Name .7 z 1<ndeh Add.... U O 1 certify Nat I have read alis application and mute that the show information Is (y r" c"we"1 agree a comely with all city and countyordinutaa and soon Ian mlatin[w ,0 SV-' building construction,and hereby wommica rtprtaenuuvs of the city o enter upon the W .hove-mentianed Property for inspection purposes Ll. (We)agree to saw,indemnify and keop hamkss the City of Cupurdno agent fpr liebilidesjuagmm�ucoss and expenses which may In my way accrue againstsaid Ctry U Z in consequence of the Ranting of this NMiL UNDERSTAN No WILL COMPLY WITn ALL NON-PO Issued by: Date (j-2 Cr r eo' SOURCE _ 211 V Re-roofs Si Iia.dc Due =0USMATERIAMDaaOSURE Type Of Roof Will the applicant or future budding mvpant,a m or handle harallons material as dcaned by the Coleraine Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)?0 Ya All roofs shall be inspected prior to any roofing material being installed. o will ft applic of future Wilding axupant use uquipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove Riot hm,air cantaminan dcfincd by the Bay Asa Air Quality Management all new materials for inspection. .�ioallosuict7' ❑Yea ONO I hswe read the hvarda s mweriae oquiemcnu under chapur6.95 ofthe Odirm- - m&seery GCde,Suvcm 23A55.25533 mill 25534.I vntlursund that ifthu bldWing dens rot nay Nx • that h a my r uponsiNit Y o miry the con of lie. require cea met to Y" vson O VNk Signature of Applicant Date Owne mthori> agrnt / All roof coverings to be Class'W'or better Dau' CITY OF CUPERTINO 1 • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 34212082 . 00 DATE ISSUED. . . . . . . : 10/29/2008 RECEIPT #. . . . . . . . . : BS000006498 REFERENCE ID # . . . : 08100193 SITE ADDRESS . . . . . : 10199 BYERLY CT SUBDIVISION . . . . . . . CITY .. . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : KESWANI INDROO L AND LIESELOTT ADDRESS . . . . . . . . . . : 10199 BYERLY CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5647 RECEIVED FROM . . . . : R E ROOFING & CONST CONTRACTOR . . . . . . . : PROCTOR, PAUL LIC # 20615 COMPANY . . . . . . . . . . : R E ROOFING & CONSTRUCTION INC ADDRESS 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE . . . . . . . . : (408) 626-9320 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL, ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 30, 000 . 00 3 . 00 0 . 00 3 . 00 0 . 00 1REROOFRES SQ FEET 45 . 00 585 . 00 0 . 00 585 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 588 . 00 0 . 00 588 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 588. 00 #12542 --------------- TOTAL RECEIPT 588 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 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 poli o re-roofing. Homeowner's Name: L t E ` L- U 1 ( 7, WW i Job Site Address: I b l q 6L%-KLy Roofing Come: Applicant's ignature: Date:I(� • Greg Casteel Building Official Revised 07/30/08 CITY OF CUPERTINO OPOv( 9� REROOF •CUPERTINO PERMIT APPLICATION APN # � , /�/ � � , v � Date: Building Address: Ul I Owner's Name: l i� Phone #: it 4a -lel Contractor: Phone M 44— 626 ^ 9 3 2 0 luzr I'N� 5 &Sq�ojl (IJP Fax#: U bZ(0 — Cupertino Business License #: 20 [ �/ r \ Contractor License #: l I 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. Job Description: `�CKN K 1 W ti 1 l L_,�4 trl�_ CJ- WOM &4�NY16` 1),j�T-/k�Q� 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: �� pUU w I Have Read, Understaud and Wi ly with Cupertino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO l RREROOF CUPERTINO FEE SCHEDULE • Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08