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06100182j0z Op )r�z lull a .96 U. F O� >. `00 <a?" W _zr EFG z� W > 0.� Q az UO wF OU Uz CITY OF CUPERTINO BUILDING DIVISION PERMIT �^t �A y�D� l .� 11ti_TV1` IN tib ISN: BUILDING ADDRESS: AMERICA'S ROOFING PERMIT NO. 06100182 10665 GRAPNEL PL OWNER'S NAME: PERMIT ISSUE DATE JANG LEE 1650 S. 7TH ST. 10/26/2006 INE: SANITARY NO. CONTROL NO. (408)661-6501. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION I hereby Job Description affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and -Prof ions Code, and my license is in full force andel 4� G�� , REROOF- REMOVE 1 SHAKE, INSTALL 7/16 OSB AND Date as^ Co tractor 014 30LB FELT, LANDMARK, 30 SQUARES, CLASS A OR B ARCHITECTS DECLARATION I understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby 21Trm that I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Calc: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Business and Professions Code) or $8000 that he is exempt therefrom and the basis for the alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). ❑ 1, 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 ired Ins ection s and Professions Code: The Conuactoes License Law docs not apply to an owner of q P property who builds or improves thereon, and who dos 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 c tracts for such projects with a contractor(s) licensed pursuant to the Contractofs Lit;Law. I am exempt under Sec. B & P C for this reason Ownery( / Date �6 WORK '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 Workees 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 manntop a subject to the Workers' Compensation Laws of California. Applicant ��' - NOTICE TO APPLICANT: If, after making this Ccrtitica-tApf Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby alum that there is a construction lending agency for the performance of the work for which this permit is issued (See. 3097, Civ. C.) Lender's Name Lender's Address 1 certify that 1 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 building construction, and hereby authorize representatives of this city to enter upon the above-mentiuncd property for inspection purposes. (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 in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date SOURCE REG Ijii;+ ONS. y z r v Fj Re -roofs Type of Roof Signature of Applicant/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material 'al Codc. Chapter 9.12, and the Health and Safety az defined by the Cupertino M7N. Code.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. C] Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or futurebyllding occupant use equipment or devices which efined by the Bay Area Air Quality Management emit hazardous air contamina7N.' all new materials for inspection. District? ❑Yes I have aced the hazardous materials requirements under Chapter 6.95 the Califor- ald nia ria Health &Safety Code, Sections 25505, 25533 and 25534. l understand that if iCthc building docs not currently have a tenant, that it is my responsibility to notify the occupant of the requiremc is which must be met prior to issuance of a Ccrufic to of Occupancy. Signature Of Applicant Date C- Of Z (�-` �' All roof coverings to be Class "B" or better Owner . or authorized agent Date 1 n 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32643058.00 DATE ISSUED.......: 10/26/2006 RECEIPT #.........: 36566 REFERENCE ID # ...: 06100182 SITE ADDRESS .....: 10665 GRAPNEL PL SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ....... OWNER ............. JANG LEE ADDRESS .......... CITY/STATE/ZIP ...: , OPERATOR: amyw COPY # : 2 RECEIVED FROM ....: AMERICA'S ROOFING CONTRACTOR .......: CHRIS CASTILLO LIC # 27100 COMPANY ..........: AMERICA'S ROOFING ADDRESS ..........: 1650 S. 7TH ST. CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)661-6501 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ----------------------- BPERMFEE VALUATION ---------- 8,000.00 -------------------- 147.96 0.00 ---------- 147.96 ---------- 0.00 BSEISMICRE VALUATION 8,000.00 0.80 0.00 0.80 0.00 BUSLIC FLAT RATE 1.00 105.00 0.00 105.00 0.00 TOTAL PERMIT ---------- ---------- 253.76 0.00 ---------- 253.76 ---------- 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ CASH 253.76 ------------------ TOTAL RECEIPT 253.76 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 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 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. 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