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12050163 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20072 NORTHCREST SQ CONTRACTOR:FOUR SEASONS ROOFING PERMIT NO: 12050163 OWNER'S NAME.: LING STEPI IEN E ET AL PO BOX 1668 DATE ISSI IED:0522/2012 OWNER'S PHONE: 4089963734 SAN JOSE,CA 95109 PIIONE NO:(408)278-0330 ir LICENSED CONTRACTOR'S DECLARATIONr BUILDING PERMIT INFO: BLDG ELECT r PLUMB (— License Class 0-3271 Lic.s L7 PrIcoapMECH r RESIDENTIAL r COMMERCIAL r IFC S N-- Date S- aa, I 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION: RE-ROOF TEAR OFF EXISTING CAI:SI IARE ROOFING (commencing with Section 7000)of Division 3 of the Business&Professions SYSTEM,INSTALL 30p FELT UNDERLAYM17NT AND INSTALL Cade and that my license is in full force and effect. GAF GRAND CANYON SI IINGLES.COLOR:STONEWOOD CLASS A 1 hereby affirm under penally of perjury one of the following two declarations: I have and will maintain a ccrtificale of consent to self-insure for Worker's Compensation,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 provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$6500 permit is issued. APPLICANT CERTIFICATION APN Number:31637014 00 Occupancy Type: I certify that I have read this application and slate 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 mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK 1S NOT STARTED costs.and and keep which harmless the City of Cupertino sato against liabilities,judgments. WITHIN Igo DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City inconsequence of the granting of this permit. Additionally,the applicant understands and will comply Igo DAYS FROM LAST CALLED INSPECTION. with all nun-point source regulations per the Cupertino Municipal Code,Section 9.18. ` Signature Date 5-22�I2 Issued by: /�A� AiG� Date:J•�� ❑ OWNER- i IAER DECLARATION RE:ROOFS: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of All roots shall be inspected prior to any roofing material being installed.If a roof is the fullowing two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection, will du(he work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Datc: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7014,Business&Professions Code). ALL ROOF COVER O BE CLASS"A"OR BF.TI'F.R I hereby affirm under penally of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's DA7.ARDOUS MATERIALS DISCLOSURE: Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California lleallh&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code.Chapter 9.12 and the llealth& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should 1 store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safely Code,Sections 25505,25533,and 25534. Compensation laws of Cali forma. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner o ■fit 4d egex forthwmlh comply with such provisions or this permit shall be deemed revoked. ` Dale: 5—Z-Z L'Z— APPLICANT CERTIFICATION CONSTRUCTION LENDING AGF.NCI' I certify that I have read this application and stale that the above information is I hereby amort that there is a construction lending agency for the performance of work's cored I agree to comply with all city and county ordinances and stale laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities.judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of(his permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20072 Northcrest Sq DATE: 05/22/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: $6,500 *PERMITTVPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF USE: PERMIT TYPE: USE": off existingcal-shake roofing system, install 30#felt underla ment and install GAF Grand Can on SCOPE shingles, color: Stonewood. FEE ID ROOF AREA S.f. 1REROOFFRES 1,400 J lrch. l'lun Chcrk Plrurrh. Pim,Check Flre. Plan Check me,.h. Permit Pee: Plumh. Ile"nir Pre: litre', Pernia Fee: Oilw,-Alerh. In.vp, Other Plumb Insp. Other Elev. Insp. ,11,7(h. lisp. Fee: PMmh. lnvp.Fre: lilce,hnp. Pyre: NOTE: This estimate does not includejees due to other Deparnnents(Le. Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on the prefiWna information available and are only an estimate Contact the De r or addn'!info. FEE ITEMS free Resohaion 11-053 r1L711111) FEE QTY/FEE MISC ITEMS Plan Chock Fee: Supp/. Pr, tee l'1 u m b./r41c clt!rl ei: Permit Fee: $196.00 .Sapp/. In.sp rec: Plamh./,blech.lhlec Pastil Fee:' Conn action Tax. ,4dmiai.suvuive Pet!- Work Without Permit? O Yes (j) No $0.00 Advom eet/'boating Fees: '/ravel 00caunenialion Fees: Shone Motion Fee: IBSEISMICR $0.65 Select an Administrative Item 131de Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $197.65 $0.00 TOTAL FEE: $197.65 Revised: 04/0112012 CITY OF CUPERTINO 3 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31637014 . 00 DATE ISSUED. . . . . . : : 05/22/2012 RECEIPT #. . . . . . . . . : BS000016876 REFERENCE ID # 12050163 SITE ADDRESS . . . . . : 20072 NORTHCREST SQ SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO. IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LING STEPHEN E ET AL ADDRESS . . . . . . . . . . : 10645 FELTON WAY CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-6405 RECEIVED FROM . . . . : FOUR SEASONS ROOFIN CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323 COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING ADDRESS PO BOX 1668 CITY/STATE/ZIP . . . : SAN JOSE, CA 95109 TELEPHONE . . . . . . . . : (408) 278-0330 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 6, 500 .00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 6, 500 .00 0 .65 0 . 00 0 .65 0.00 1REROOFRES SQ FEET 14 .00 196 . 00 0 . 00 196 . 00 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 197 .65 0 . 00 197 .65 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF ------------------------ REROOF TEAR=OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, RE.,"C.B.O., BUILDING OFFICIAL C O P E RT I M O 10300 TORRE'AVENUE:•CUPERTINO, CA 95014-3255 (408)'.777r3228.• FAX(408)777-3333•buildina(acuoertino.ora PROJECT ADDRESS APN a Z 2 S S'Q.. OWNER NAME �, ONE _ E-MAIL S E STREET ADDRESS CITY. ST ,21P FAX IA n CONTRACTOR NAME LICENSE NU ER LICENSE TYPE BUS.LIC.0 COMPANY NAME E-MAIL /1 FAX STREETADDRESS OZ clrr. rE,lJP 4lGS6 CA PHONE .Q AXII I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project.shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request'can,be scheduled no to:the day before the inspection date. Please call (408)777- 3228 from 7:30 -'330pm.(MonJhurs)or 7:30- 2:30pm (Friday) to schedule the next day inspection. For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. Progress and Final Inspections will be given a two hour window. 3. Tear-Off Inspectiou'is•required. Any and-all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked-down'or.removed prior to this inspection. 4. If plywood is installed, a,plywood Nailing Inspection is required. 5. Roofing shall not be:applied withoutifirst obtaining all prior inspection and written approvals from the building inspector. Any.roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. Proeress Inspection is required when approximately 50% of roof covering is installed. 7. A Final Inspection and approval-shall be obtained from the building inspector when the re-roofing is completed. To receive'a final sign-off, the following items will be verified: a. Flat roofs!shall have a minimum of Y<" per foot of slope and demonstrate there is no ponding. b. Listings from approved testingagencies for all pre-manufactured products used shall be available on-site to review, at the time.of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 8. NOTE: .If you call for:a tear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection fee:ofS126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, 1 certify each of the following is,true: I am the property owner or authorized agent to act on the property owner's behalf. 1'.understand and-agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: Reroo/Policv 201 I.docr-erived 02116/11 ' isAl i\ 'O"I PERMIT APPLICATION tea. via CO!.!1.!UN!'!'Y DEVELOPMENT DEPARTMENT • BUILDING DII.ISIUra :n 10300 TORRE AVGNUE • CUPERTINO.CA 9074.3258 CVPERTING (408)777-322 8.• FAX(408)777-3333 • building,4ilnlPertilw Ont I , _— 20072 NQS-FL,�rar� SQ . AP.., Pl IU�IC- L M.,1:- -- \ ,/ ----- 1 / PI I(II _- -.. ,.,s:.-„,._::u.. ❑ O'e,Ll,Act:::: p�iu::ul.\Cl uk ❑C4.YIl wlwh .\u L.'I ❑ dk,mill I ❑ t1 x'111'h ❑ U:I\::..n', ----- ---_--_—_--_— I.ICIiNSE NU)llIG0. LICIS19i n PF BUS I.I(” . . .-..:. I CIII.SLUE.L1•- — -- _I'Ih _I • 1 u Sr. lo•,e ( A 9611 LIF' J Ll_ J ' .!. ITU\SIA.r.II" •LS .I: .. n ..i; RWF+XI A: I )< Du+l � j�Plulu I'unlh' -------------- --- — — — 6 � --- . .. -G, �� U 'I .AI' I" ❑ eliJJ 51UKEo ❑KWUSI I:Jl ll1 Ill%Nco l '. ❑ ` Pi l t1'U Q USII Prlc'll I twi Yll n1 r.n'r.. ❑ .r.- 1-J I_ 'n / : l - III.. it i?k1:1191 1= .- '.L:: :. ,'. N moo.}Intl it ll.` 11!. ❑%%'. 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