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07060166 777777777777,77, CITE'OF CUPERTINO BUILWiG DIVISION PERMIT PERMIT NO. BUIL f�(N4,Qf,)DRX kER CT JIM KRA JSE ROOFING 07060166 OWNER'S N//A((JJME: PERMIT ISSUE DATE RINEHART JOHN L AND CAROL A 2310 DI.%NA AVE 06/19/2007 iNE: (408) 773-0704 SANITARY NO. CONTROL NO. ABUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH i pzo LICENSED CONTRACTOR'S DECLARATION Job Description Up I hereby affirm that I am licensed under provisions of Chapter 9(commencing Z w with Section 7000)of Division 3 of the Business and Professions Code,and my license is REMOVE EXITING WOOD SHAKE & REPLACE W 7/16" OSB, y in full force and effec � Lic.x S S 1 _-3-L'- / 30 LB. FELT. LAND MARK TL COMP SHINGLES 31 SQS. t�? License Class i 'Fn Date_ s;L—Contractor ARCHITECTS DECLARATION �— CLASS A. i s d I understand my plans shall be used as public records )qU 'u.y Licensed Professional m OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Cp O following reason.(Section 7031.5,Business and Professions Code:Any city or county 9 which requires a permit to construct.alter,improve,demolish,or repair any structure Z y prior to its issuance,also requires the applicant for such permit to file a signed statement Valuation _ that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area $11700 u- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or L that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of 3 6 616 0 4 9 �Number Occupancy Type not more than rive hundred dollars(5500). ❑I,as owner of the property,or my employees with wages as their sole compensation, will do the work and the structure is not intended oroffered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractors License Law does not apply to an owner of Q p property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended oroffered for sale.If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec. B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑i have and will maintain a Certificate of Consent to self-insure for Workcr's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Com nation Insurance carrier and Policy number are: Carrier. (�ti✓d Policy No.c J- I 3 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is foronc hundred dollars($100) or less.) 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must O forthwith comply with such provision or this permit shall be deemed revoked. Z CONSTRUCTION LENDING AGENCY 4.r I hereby affirm that there is a construction lending agency for the performance of _ Q;7 the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name Lender's Address U 0 1 certify that I have read this application and state that the above information is 4 — correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorize representatives of this city to enter upon the W above-mentioned property for inspection purposes. a (We)agree to save,indemnify and keep harmless the City of Cupertino against F" C/) liabilities,judgments,costs and expenses which may in any way accrue against said City f U Z in consequence of the granting of this permit. Date �-" APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by SO REGULATIONS. —/ -V Re-roofs Signature of pplican ontractor Date \---,HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes Will the applicant or future building occupant use equipment or devices which If a roof i s installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new rr aterials for inspection. District? ❑Yes 1 have aced the hazardous materials requirements nd55 under Chapter ftha of the Calling or- nia Health&Safety Code,Sections 25505,25533 and 25534.I understand that if the building docs not currently have a tenant,that it is my responsibility to notify the occupant of the requirem is hich must be met ri r to issuance of a Certificate of Occupancy. Signature O f Applicant Date -v? All roof coverings to be Class "B"or better Owner of authorized gen Date CITY OF CUPERTINO 2 ITEMS OF 2 PERMI'' RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 36616049 . 00 DATE ISSUED. . . . . . . : 06,119/2007 RECEIPT #. . . . . . . . . . BS000001702 REFERENCE ID # . . . : 07060166 SITE ADDRESS . . . . . : 14'70 ASTER CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : RI14EHART JOHN L AND CAROL A ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5213 RECEIVED FROM . . . . : EDWARD A. GREGORY CONTRACTOR . . . . . . . : KRAUSE, JIM LIC # 21415 COMPANY . . . . . . . . . . : J.IM KRAUSE ROOFING ADDRESS . . . . . . . . . . : 23'L0 DIANA AVE CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (408) 779-0704 FEE ID UNIT QUANTITY ;UMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- BPERMFEE VALUATION 11, 700. 00 191 .16 0. 00 191.16 0. 00 BSEISMICRE VALUATION 11, 700. 00 1 .20 0. 00 1 .20 0. 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 192 .36 0. 00 192 .36 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 192 .36 MC --------------- TOTAL RECEIPT 192 .36 -7CA, 0C � -,, CITY OF CUPERTINO CCS - RI;ROOF Ily OF CUP ERTINO PERMIT APPLICATION FORM APN 113(P(4p l C p d q . © 0 Date: l Q— U Building Address: v Owner' Name:� � /� Phone#: 61 f- / /l ( n ��',r T YJ W - 2 -5 7- S�1eJr' Contractor: l�11��/ Licensee#: _ _ Contact: Cupertino Business License #: E-JI iU;;r4 L `69 f-)P,o" b Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles >� Asphalt Shingles s 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/es ❑ Provide Mfgr.Installation Specs. I Have Read,Understand and Will Comply With C u ertino's Tear Off Policy: Job Description: 7 U L d T L -R� l Q 6 036 30 b�l� ,,V3 Sit ti tei Residential 'N^ Commercial ❑ 3� s f s Ciel'-f Fire Zone: Yes ❑ No rfK Confirmed with Planning Deft. if there are any restrictions: U Cost of Project: Type of Construction: Occupancy group: Q- y Sr�j` Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING Community Development t 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 rUPEkTINO Building Department JOB ADDRESS: / PERMIT # l,v7u OWNER'S NAME: PHONE # OY-ZS)— yY� x GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Signa Date Please check applicable subcontractors and comr Tete the following 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 L J'(A 0 J- I`JJ-✓r Septic Tank Sheet Metal Sheet Rock Tile _ X Owner/Contractor Signature Date CITY OF CUPERTINO BUILDOf G DIVISION PERMIT PERMIT NO. ff BUILDIlNlJ6t "AVENIDA LA HUCK CONST. COMPANY 07060028 V PERMIT ISSUE DATE OWNER'S NAME: SEAY JAMES C AND ROSE G 695 S. L5TH ST. 06/05/2007 SANITARY NO. CONTROL NO. NE: (408) 293-2374 BUILDING PERMIT INFO ARCHITECTIENGINEER: BLDG ELECT PLUMB MECH p ZO LICENSED CONTRACTOR'S DECLARATION Job Description I')PI hereby affirm that 1 am licensed under provisions of Chapter 9(commencing i m with Section 7000)of Division 3 of the Business and Professions Code,and m license is REPLACE 40 LINEAR FEET OF DAMAGED RIM JOIST Z y in full fIse, se orcClass e and cffec N �, CONTRACTOR NEEDS TO RENEW BL v�Z LiceLic. Ftp Datc AR HITECTS DEECCLA a< 1 understand my plans shall be used as public records :0. U.tW- Licensed Professional y OWNER-BUILDER DECLARATION } 1 hereby affirm that 1 am exempt from the Contractor's License Law for the 00 following reason.(Section 7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure r n prior to its issuance,also requires the applicant for such permit to rile a signed statement ,, Valuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area $2900 i t-p (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3 4245 0 4 ?��Number Occupancy Type not more than five hundred dollars(5500). ❑I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion.the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractors)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sea B&P C for this mason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-insure for worker's compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any mann as to c su t Workers'Compensation Laws of Califor'a.D Applicant NOTICE TO LICANT:lf,A&making this Certificate of Exemption,you should become subj to the Worker's Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. z" CONSTRUCTION LENDING AGENCY ['"►�-+ I hereby affirm that there is a construction lending agency for the performance of GY> the work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name aZ Lender's Address U 0 1 certify that I have read this application and state that the above information is 41, " correct.I agree to comply with all city and county ordinances and state laws relating to 0 U building construction.and hereby authorize representatives of this city to enter upon the U above-mentioned property for inspection purposes. CL (We)agree to save,indemnify and keep harmless the City of Cupertino against rF liabilities,judgments"costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. Date �. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: (� SOURCE R UL ATI Re-roofs SitummrAppliean mntractmr 91te Type of Roof HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)7 All roofs;„hall be inspected prior to any roofing material being installed. ❑Yes tKNO If a roof i;,,installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes 0qlo 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Cade,Sections 25505,25533 and 25534.I understand that if the building does not currently have a tenant,that it is my responsibility to notify the occupant of the requmc its w'h must be t prior to i once of a Certificate of Occupancyy Signature of Applicant Date All roof coverings to be Class"B”or better Ow or authorircd agcm Dale CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: bethe COPY # 1 Sec: Twp: Rng: Sub: Blk:: Lot: APN . . . . . . . . : 34:45042 . 00 DATE ISSUED. . . . . . . : 06/ 05/2007 RECEIPT #• . . . . . . . . : BS(100001546 REFERENCE ID # . . . : 07060028 SITE ADDRESS . . . . . : 10407 AVENIDA LA SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER SEILY JAMES C AND ROSE G ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3946 RECEIVED FROM . . . . : HUC:K CONSTRUCTION CONTRACTOR JOHN HUCKLE LIC # 23822 COMPANY . . . . . . . . . . : HUC:K CONST. COMPANY ADDRESS . . . . . . . . . . : 69-1) S. 15TH ST. CITY/STATE/ZIP . . . : SAP( JOSE, CA 95112 TELEPHONE (408) 298-2374 FEE ID UNIT QUANTITY INOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- BPERMFEE VALUATION 2, 900 . 00 83 . 16 0 . 00 83 . 16 0. 00 BSEISMICRE VALUATION 2, 900 . 00 0 .50 0 . 00 0. 50 0. 00 BUSLIC FLAT RATE 1 .00 107. 00 0 .00 107 . 00 0 . 00 TOTAL PERMIT 190 . 66 0 .00 190 . 66 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 190.66 9095 --------------- TOTAL RECEIPT 190. 66 CITY OF C'UPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO 0706006?8 APN# O,Ia Date: Building Address: Mailing Address (if different from building address): 69 a_7 A Owner's arae: Phone #: Contra tor: License #: Co tact: Phone: �3 7� Cupertino Business License#: Fax: Building Permit Info: W Bldg Elect ❑ Plumb ❑ Mech ❑ Job Description: 1?Fp 'L'l,4c //v1 JO1ST, Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: � Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: Project Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER ether Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> IOOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 E oiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX In3/Off/Comm/Quasi BUILDING BCONSTAXBQ Cc n. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax —Resi/Mobile BUILDING BELEC 1000 El ec 600V <= 1 OOOA ELECTRICAL BELEC1001 F lec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD anergy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING of 3 CITY OF C'UPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME N:w Comm Electric ELECTRICAL BNUCOMMM Nev, Comm Mechanical MECHANICAL BNUCOMMP I\ew Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atnospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE B1d2 Permit Fees BUILDING BPFIXTURE Pb12 Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Incl Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Ple n Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lavin S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Inst fll/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER AbC Unit> 10,000 cfin MECHANICAL BREMAIRHAN A/C Units<= 10,000 cfrn MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Beater Installation MECHANICAL BREMINHOOD In stallation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rcy fl, Switch & Outlets ELECTRICAL BREMRELOCA F.elocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL of 3 CITY OF C'UPERTINO CUPS OF PERMIT APPL[CATION FORM )uantity Fee ID .Fee Description Fee Group BREMSIGNAD RmdI Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Veit Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Se,smic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC electrical sq foot ELECTRICAL EPERMITFEE Elie Permit Issuance ELECTRICAL MPERMFEE 1/[echanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG PI-zmbing Fee sq foot PLUMBING PLLONGRNGC Plannin LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING of 3 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 1UPE�TINO Building Department JOB ADDRESS: PERMIT # ©�06cW8 OWNER'S NAME: " PHONE # 2371 -74 GENERAL CONTRA OR vG Co FAXArl ON Z3-7-4---] 1 7 - I am not using any subcontractors: !,71 � Signa e Date Please check applicable subcontracto and complete the following 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 Septic Tank Sheet Metal Sheet Rock Tile Own r/Contractor Signature Date