The URL can be used to link to this page

08120014 CITY OF CUPERTINO X ° €wa>aa..n' A'+r'�x '' " •` ' "' P,UILDINC DIVISION PERMIT MONTRAC"dTQ BUILDING'ADDRESS: PERMIT NO, 10784 GASCOIGNE DR EXECUTIVE ROOFTNG nPignmil OWNER'S NAME: PERMIT LSUB DATE A 8 CONTROL NO. ONE: (408) 458-6044 ARCHITECT/ENGINEER: BUILDING PERMRINFO BLDG ELECT PLUMB MECH 0 0 0 0 ACC LICENSED CONTRACTORS DECLARATION Job Description hereby affirm Wal 1 am 1'i¢med under provisions of Chapter 9(commencing with Sccuan 7")of Division 3.f the Busta"sanM Professan Code,and my limns u � te in funfo=andellm. OG, RE—RF RMV COMP OVER PLYWD OVR TAR&GRVL & INSTL 5qZ Lt..Class Le.g c- 30YR OMP CLS A 23SQ pp Data 172jn coronets, - +-= 3 1 W ��ITECI-S D ;677< l undemanand my plans shall W used u Public meoNs cth kOG Licensed Profess...I OWNER-BUILDER DECLARATION v'3 1 hereby art.that 1 me exempt from de,Convector's License Law far mfr C0C p O following mama.(Secs t ]founds Buaiteu and nofeuian Cade:Any city structure coumy $�E which mquiru a Permit re sires t,applicant nt for demnlW,Or repair any suomum pr10rN1a 1aiYBa[C,aIHl mgnlrCa WC appheaet far tech PCr111il to rile aa1g11Cd aaamenl 240 that he is licensed putmmtl0Weprovisions atWeconwctor'aLicensLaw(charter 9 Sq.Ft.Floor Area Valuation YB (commencing with Section 7000)of Division J of the Business and Profession Cade).1 4150 Jut he s attempt Jtuarao W the bass far do,alleged esemption Any violation of Session 9031.5 by any applicant for a Permit subjects We applicant as a civil penalty of APN Number Occupancy Type not mart than five hundred dollars($300). 37529043 . 00 ❑I.u owner of the property,M,my employ"with wages as then auto eompnamion, will do the wart.and the structure isnot intended.,.frmd for$aid(Sm.]OW,Business; Re aired Inspections and Profession Cade The ConvacuYs License law don Out apply to an tenor of q P property who builds Or improves themen,and who don such wort himselfm through his own employers.Provided that such improvements tie not intended car offered fn able If. however,We building or improvement is sold within ane year of completion,the owner- builder w111 have the hush.of proving Wm he did not build or improve far purpose of - sold.). ❑L as mass of We propenY•w aclmivelY contracting with licensed eontaactms W . comm um project(See]Oad.Business and Profess..Code)Tee Coouacuh Li- cane law does not apply to an Owner of property who builds or improves th r em.and, who contracts for such projects with a contractor(s)licensed pursuant W the Conusmes License law. Iamnemptundu5ec. .Bk PCfur Wsromn Oman Dau WORKER'S COMPENSATION DECLARATION I hereby aRn under penalty of perjury arc of Ne following declaratimse Iloove provi& for 37()of the Lam rr Case.fart a WartCs C.mprn - ud.,upro h thi far mi Season J]W of Jct I�bor Code.fm the pemanvanm of Jc conch far which this permit is issued 9have and will maintain Worker's Compensation Inauaanm.as mquimd by Section 1 of the Labor Code,far the part....of the wort for which this permit is issued My Worker's Compeautionlpwunp carrier and Policy num cam, Ste' [jej—j: YvNU Policy No.: ODZ3 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (this section need.tbecmplcted if the peooit Is faro.hundred dollars(5100) or leu) 1 ccr ify that in We performance or the work fon which this permit is issmd.I shall m employ any person in my memmr m as to become subject In the,Worlem Compensation - Isws of California.Data Applicant NOTICE TO APPIBCANP.If.after making this Certificate of Exemption,you should become subject to the WoheYa Compmadon provision of the Ichor Code You must O foMtish comply with such provisions or Ws permit shall nd domed rooked. Za73 CONSTRUCTION LENDING AGENCY [-. 1 hereby affirm that abort is a cmuwetinn lending agency for the performance of athe wort Permit for which this peit s er.issued(S3097,Civ.C.) W 0 lender's Name 0.:DZ Iendar's Address U O 1 aadfy that I haw read this application and soon than the above information is cone".I gree n comply With all city and county oNarma ins andsate laws,totaling n ng .C) building construction.and bemby authorim mPsnenutives of thiscity to anter upon that [t7 above-mensual property for inspection Purposes (~G (We)agree a sew,indemnify and keep harmless We City of Capers..against IiabilitW,judgmcnoo.ems and upeases which may in any way acme agains said Cry U in consequence of the granting of Ws permit. ^� APPLICANT UNE R7NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date /1 SOURCE R1i �$. I 17- Z" of Re-roofs signs. pp a-Macto, Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building accopant ansa or handle laudation material as defined by the Cupertino Municipal Coda.Cbapnr 9.11.and the Health and Safety Code.Section 15531(a)T All roofs shall be inspected prior to any roofing material being installed. ❑Yrso If a Will We applicant or future building oecupant use equipment m dcvic"which roof is installed without first obtaining an inspection',I agree to remove mit hvsrdan eI,..madinants ss dcOncd by the Bay Arca All Quality Management all new ma rials for inspection. Maine? ❑Y" o I have mad We hvSceduas25505.155req33 me1dus rderhan tindifthe Califon- �V , nssnit only Cadc,Secsm.0saits myn=425534.l to fit, Waifft,som building 11Z <74f does not surly ve a ani that it s my rtapomihilitY to.tify cite ampant M We U— req. Macon m met prior to issuance oft Certificate of occupancy.,�j Si atureof Applicant Date // 11-2 b All roof coverings to be Class'%?."or better Owyer.r'u risd.geas Dan CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37529043 . 00 DATE ISSUED. . . . . . . : 12/02/2008 RECEIPT # . . . . . . . . . : BS000006726 REFERENCE ID # . . . : 08120014 SITE ADDRESS . . . . . : 10784 GASCOIGNE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DOUG SCHEIDT ADDRESS . . . . . . . . . . : 10784 GASCIONGE DR. CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : DAVID A BERKE CONTRACTOR . . . . . . . : DAVID BERKE LIC # 26871 COMPANY . . . . . . . . . . : EXECUTIVE ROOFING ADDRESS . . . . . . . . . . : 313 INGRAM CT CITY/STATE/ZIP . . . : SAN JOSE, CA 95139 TELEPHONE . . . . . . . . : (408) 458-6044 eFEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---- ------ ---------- ------- -------- 1BSEISMICR VALUATION 4, 150 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1REROOFRES SQ FEET 23 . 00 299 . 00 0 . 00 299 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 299 . 50 0 . 00 299 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ------------- ---------- ---- CREDIT CARD 299 . 50 MC --------------- TOTAL RECEIPT 299 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------------------------- -- ------- --------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • Community Development ffl 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CIN OF Fax(408)777-3333 WUPEkTINO " Building Department JOB ADDRESS: /� PERMIT# ��"� bhSLoi bn1��fZ , /2- 00 /(-q OWNER'S NAME: PHONE # oY' - c GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followin information: 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 rpMti 5 grog K(0V Septic Tank Sheet Metal Sheet Rock Tile • ` OW er/Contractor Signature Date 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: T>01r I d r lob Site Address: 10 72(q 6A1C011At Roofing Company Name: Cy-ai 1w �o hl"C', Applicant's Signature: Date: • Greg Casteel Building Official Revised 07/30/08 CITY OF CUPERTINO Del a 00 I C.aIC. REROOF CITY OF �CUPEkTINO PERMIT APPLICATION APN #` Date: Building Address: �/ISColton►E lL Owner's Name: Phone #: �j t. yujslog- q11-y?vV Contractor: Phone #: yap �sa� - • /� ��yy [� cil-IiE 4b (iAL-e Fax #: Cupertino Business License #: Contractor License #: Zto k� 1 Sq 5-001 Type of Roof Covering: Existing: Proposed: ,6 Built-Up Roof ❑ Built-Up roof . 0 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: D—tOdJF `avu jOSo i�,/�I O✓OK�PL"�WibO B�GYL Ti(� tl � �C F�N$1/YLL 30 `i IL- CoAPOS, Ti W Residential K 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 ead, nderstand and Will Comply with Cupertino's Tear-Off Policy. S a re Revised 6/16/08 �. CITY OF CUPERTINO Y 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 3 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