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07060109 CITY OF CUPERTINO BUILDIivG DIVISION PE:UT PERMIT NO. BUILDINT j4p&ESUNSET SPRING CASTILLO' S ROOFING 07060109 TT l/4 PERMIT ISSUE DATE OWNER'S NAME: SKOULAS GEORGE AND ARETI 1703 CAT HAY DR. 06/13/2007 SANITARY NO. CONTROL NO. jNE: (408) 251-3565 BUILDING PERMIT INFO ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH p zo LICENSED CONTRACTOR'S DECLARATION Job Description :UIP I hereby affirm that I am licensed under provisions of Chapter 9(commencing TEAR OFF EXISTING SHINGLES & INSTALL 30 LB FELT Z w with Section 7000)of Division 3 of the Business and Professions Code,and my license is t y in full force and effect. D: 3 L1C AND A GAF GRAND CANYON SHINGLE. Z Lice nsc claj p D. Contractor .tea ARCHITECT S DEC 10 i d I understand my plans shall be used as public records iyU W Licensed Professional O a OWNER-BUILDER DECLARATION e1 hereby alTrrm that 1 am exempt from the Contractor's License Law for the in o following reason.(Section 7031.5,Business and Professions Code:Any city or county which requires a permit to conswc4 alter,improve,demolish,or repair any structure Prior m its issuance,also requires the applicant for such permit to file a signed statement S q.Ft.Floor Area Valuation ?< that he is licensed pursuant to the provisions of rhe Contractor's Licensc Law(Chapter 9 $10000 (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 Occupancy Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 36652 01; M Number P y Type not more than five hundred dollars($500). ❑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.). ❑I,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- cerise Law docs 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. B&P C for this reason ❑1 am exempt under Sec Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: a1 have and will maintain a Certificate of Consent to self-insure forworker's Compen- ion,as provided for by Section 3700 of the Labor Code,for the performance of the work four which this permit is issued. a . 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 Workers Compensation Insurance ca 'cr and Policy number : Carrier: bli� f Policy No.: CERTIFICATE OF E CEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for anc 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 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 Workers Compensation provisions of the Labor Code,you must ,J 2 forthwith comply with such provisions or this permit shall be deemed revoked. Z� CONSTRUCTION LENDING AGENCY E.r►�-� I hereby affirm that there is a construction lending agency for the performance of (Yi> the work for which this permit is issued(Sec.3097,Civ.C.) Lfa QLendces Name a2 Lenders Address U 0 1 certify that I have read this application and state that the above information is ►� correct.I agree to comply with all city and county ordinances and state laws relating to a Vbuilding construction,and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 4Wi (We)agree to save,indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence of the granting of this permit. Date ►� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOURCE REGULATIONS. Re-roofs Signature of Applicant/Contractor Date Type of F.00f HAZARDOUS MATERIALS DISCLOSURE yP 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. C3 Yes ° If a roof s 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 d find by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes No I have mad the hazardous to requirements under Chapter 6.95 of the Califor- 7 nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that iCthe building —r 2 does not currently have a tenant,that it is my responsibility to notify the occupant of the ' Date require cots w �_ qf ertificate of Occ�anry. Sign ore:of Applieant All roof coverings to be Class 'B or better mer or thoriDate CITY OF C'UPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk ; Lot: APN . . . . . . . . . 36652017 . 00 DATE ISSUED. . . . . . . : 06/13/2007 RECEIPT #. . . . . . . . . : BSO )0001648 REFERENCE ID # . . . : 07050109 SITE ADDRESS . . . . . : 1154 SUNSET SPRING CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER SKOULAS GEORGE AND ARETI ADDRESS CITY/STATE/ZIP. . . . : CUPERTINO CA, 95014-5134 RECEIVED FROM CASTILLO'S ROOFING CONTRACTOR JOSE CASTILLO LIC # 25850 COMPANY CASTILLO'S ROOFING ADDRESS . 17C3 CATHAY DR. CITY/STATE/ZIP SAT JOSE, CA 95122 TELEPHONE (4C8) 251-3565 FEE ID UNIT QUANTITY F.MOUNT PD-TO-DT THIS REC NEW BAL _ __ ___ __ ____ --------- ---- ---------- -- -------- - BPERMFEE VALUATION 10, 000. 00 169 .56 0. 00 169 .56 0. 00 BSEISMICRE VALUATION 10, 000. 00 11. 00 0. 00 1_00 ------0- ----- TOTAL PERMIT 170 .56 0. 00 170.56 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - CHECK 170. 56 #14545 ----- --------- TOTAL RECEIPT 170.56 0-70(o 009 CITY OF C'UPERTINO .:, REFOOF CUPERTINO PERMIT APPLICATION FORM Date: I, Building Address: 15� S o -� Owner's Name: Phog e '-t l G-4-; S v Icy S Contractor: , C License#: Contact: �C � Cupertino Business License #: CA ,-�>TILLO Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ /uilt-Up roof Asphalt Shingles U0 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. I Have Read,Understand and Will Comply With Cupertino's Tear Off Policy: ,^�t n Cin Job Description: -fie an C��} S� 1�n �e C'�.ar c �F e �s�il� S�1i les 1��s i1 3© l h�• Residential [jComrh&cial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: U Cost of Project: Type of Construction: Occupancy group: 1 © �f D Qty. if Fee Group Fee Description p Applicable Fee ID BPERMFEE 31dg 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 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 C:.ty of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 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 buil ding 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 appro,ral. 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 f le job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: �r f sy L) S job Site Address: Sm Roofing Company Name: �Q 11,6S Applicant's Si a reg_ < </ Date: ~� PP l Greg Casteel Building Official Revises 11/2/04 Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department REROOF TEAR OFF POLICY 1. You must schedule an inspection for the tear off the day bef ore you wish the inspection to be made. The procedure is to call the Building Division (408) 777-32 '8 between the hours of 7:30 a.m. and 3:30 p.m. to request a next-day inspection. 2. When the roof is torn off, the nails have been removed or driven in, and all of the dry-rotted wood has been replaced, you must call the City Building Division. An inspector will be there within one hour. There are special hours for thi. service: from 7:30 a.m. to 10:30 a.m. and 1:00p.m. to 3:30 p.m., Monday through Thursday and from 7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note: Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m. and will not be called during that time. City Hall is closed between 12:00 and 1:00 p.m. daily.) 3. If you call for a tear-off 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 beforeanother inspection can be scheduled. Greg Casteel Building Official Revi.,ed 8/13/04 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 Fax(408)777-3333 CIIY Of TPEkTINO BuildiYt DeApartment JOB ADDRESS: PERMIT# ()-7 (p (0 9 OWNER'S NAME: e U Cc PHONE # GENERAL CONTRACTOR: 1 L t 5 FAX # I am not using any subcon ac ors: ' Signature Date Please check applicable subcontractors wd compTete 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 Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date