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07050199 CITY OF CUPERTINO I3uILDfric Dtvlslofv PERMITS r�TflR (?R 'TT©�1` BUIL hJ( f9256, 20266, PERMIT NO. '1'$;0 (UJ LL���bj L 20276, 20286 FOUR SEASONS ROOFING 07050199 PERMIT ISSUE DATE OWN NORTHPOINT HOMEOWNERS P 0 BO): 1210 05/21/2007 ,N$:q qfl('T A rP T()TAT SANITARY NO. CONTROL NO. ABUILDING PERMIT INFO ARCHITECT/ENGINEER: REROOF-REMOVE(E)TO BLDG ELECT PLUMB MECH C] D O O o p LICENSED CONTRACTOR'S DECLARATION _^ ^T r , —-— --_—lab Description u q I hereby affirm that I am licensed under provisions of Chapter 9(commencing Z with Section 7000)of Division 3 of the Business and Professions Code,and my license is I`e 0- in full force andfee ? License Class Lie.k L4 713-1 Q I E p Datci4 2 c: =1� Contractor S Q4 a ARCHITECTS DECLARATION 7 a< 1 understand my plans shall he used as public records )qU U.F Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractors License Law for the p O following reason.(Section 7031.5.Business and Professions Code:Any city or county < �Z which requires a permit to construct,alter.improve,demolish,or repair any structure z prior to its issuance,also requires the applicant for such permit to rile a signed statement r, that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 )q.Ft.Floor Area Valuation t= (commencing with Section 7000)of Division 3 of the Business and Professions Code)or i 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 APN Number Occupancy 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 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 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 Contractors U- 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 Contractors 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 Workers 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 Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Wo rs compensation Insurance carrier and Policy�number atm: Carrier �• !o Policy Na..W J�-5A �0 O 1 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 manner so as to become subject to the Workcrs'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 Oforthwith comply with such provisions or this permit shall be deemed revoked. Z� CONSTRUCTION LENDING AGENCY (~a Cn I hereby affirm that there is a construction lending agency for the performance of _ a> the work for which this permit is issued(See.3097,Civ.C.) W A Lender's Name Z Lender's Address U 0 I certify that I have read this application and state that the above information Ls correct.I agree to comply with all city and county ordinances and state laws relating to Ubuilding construction,and hereby authorize representatives of this city to enter upon the U above-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless.the City of Cupertino against rA liabilities,judgments,costs and expenses which may in any way accrue against said City U Z in consequence or the granting of this permit. APPLICANT UNDERS ANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date OU ULATIO 1V T Re-roofs Signature of AppliciptWomractor Dam Type of R sof )hQZARDOUS MATERIALS DISCLOSURE yp Will the applicant or future building occupant store or handle hayardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? J All roofs;;hall be inspected prior to any roofing material being installed. ❑Yu JN. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminan defined by the Bay Area Air Quality Management all new m 3terials for inspection. District? ❑Yes Nu I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building does not currently have a ten at it is my responsibility to notify the occupant of the re ire c must beo issuance of a Certificate of Occupan Signature of Applicant Date ��I All roof coverings to be.Class"B"or better Owner or authoriyc ge Date CITY OF CUPERTINO 2 ITEMS OF 8 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk : Lot: APN 31639022 . 01 DATE ISSUED. . . . . . . : 05/21/2007 RECEIPT # . . . . . . . . - : BSC00001399 REFERENCE ID # . . . : 07C50199 SITE ADDRESS . . . . . : 20246, 20256, 20266, 20276,20286 SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER NO&THPOINT HOMEOWNERS ASSOCIAT ADDRESS . . . . . . . . . . CITY/STATE/ZIP . . . : FOFT WORTH TX, 76116- RECEIVED FROM . . . . : FOLR SEASONS ROOF CONTRACTOR DIAZ, ALFRED LIC # 21323 COMPANY FOUR SEASONS ROOFING ADDRESS P C BOX 1210 CITY/STATE/ZIP . . . : ALFMO, CA 95407 TELEPHONE . . . . . . . . : (4C8) 278-0330 FEE ID UNIT QUANTITY TMOUNT . PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 20, 000. 00 277.56 0 . 00 277.56 0. 00 BSEISMICRE VALUATION 20, 000. 00 2 . 00 0 .00 2 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 279.56 0 .00 279 . 56 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS Community Development Department Building Division City of Cupertino .�. �;;*,,ter,,.„�k• 10300 Torre Avenue Telephone: (408)777-3228 CITY OF Fax: (408) 777-3333 k.;UPEkTINO Building Department Subject: Re-roofing policy for the ,2-ity 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 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 Cit-7,the following steps are required: 1) Pre-inspection and/or tear off appy oval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed,a plywood nai 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. 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 abov! stated policy on re-roofing. Homeowner's Name: Job Site Address: Roofing Company Name: Applicant's Signature: Greg teel Building Official Revised 1/30/03 Printed o 7 Recycled Paper CITY OF CUPERTINO t REROOF CITY OF PERMIT APPLICATION FORM APN# Date:3 _/,,� /� 3 o -;L 0 ; 2�,2��c - Zc,zt) (- Building Address: c' Phone#: Owner's /Name: �1 contractor: Phone#: License#: Contact: � Phone#: Cupertino Business License#: G�s y/ :zk_ Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles 2--Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles p---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 Com ly With ('-u ertino's Tear Off Policy: Job Description: J Residential Commercial ❑ Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if there are any restrictions: L Cost of Project: TvDe of Construction: Occupancy group: Qty. if Applicable Fee ID Fee Description Fee Grou BPERMFEE BldgPermit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING