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09070114X00 d , Z ��ttGG F,O 7�U L. 0 N r7—N —Ze E=C CITY OF CUPERTINO BUILDING DIVISION PERMITi1]l► V It7MATIQ�1: BUILDING ADDRESS: PERMIT NO. 7489 STANFORD PT, iz C "'NER'S NAME: PERMIT ISSUE DATE PHON SXNMtU 2 6 6 9 CONTROL NO. 408)252-4305 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 70(0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � �d -7 RE -ROOF REMOVE EXISTING ASHPALT SHINGLE REPLACE DLicate Lle' part Contractor -6 WITH NEVI 40YR COMP EXISTING IX6 SHEETHING (SOLID) A CHITECI S DECLARATIO I understand my plans shall be used as public records 22 S QUA ;,E S Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following mason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter. improve, dcmolish, or repair any structure prior km 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 $8200 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 mom than five hundred dollars (5500) 3593204-D .00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, Required Inspections will do the work. and the structure is not intended oroffered for sale (Sec.7044,Business 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 arc 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 Contractors 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 Contractors License Law. ❑ 1 am exempt under Sec B & P C for this mason lerDate WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I hsye 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 Workers Compensation Insurance carrier and Policy number arc: 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 Icss) I ccnifv that in the performance of the work Ic this PMA is issued. 1 shall not employ any person in any m as col rs' ea pensation Laws of California Date Applicant NOTICE TO APPLI : If, after makfng th' Certificate of Exemption, you should become subject to the orkers Compcns&&K provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of i the work for which this permit is issued (Sec. 3097. Civ. C.) Lenders Name Lenders Address j I 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 building construction, and hereby authorize representatives of this city to enter upon the l above-mentioned property for inspection purposes (We) agree to save, indemnify and keep harmless the City of Cupertino against j 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 REGULNUONS riy Re -roofs Type of Roof SI of licanu r Date HAZARDOUS MATERIALS DISCLOSUR Will am 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 le. Section 25532(a)? All roofs s Nall be inspected prior to any roofing material being installed. ❑Yes faNa If a roof is 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 maerials for inspection. District? ❑Yes No ad due zardtio materials requirements under Chapter (that if the Califon- 1 havemha ria Health &Safety Code. Sections 25505, 25533 and 25534. I understand dcrstand if the building does not currently have a icnan4 that it is my responsibility to notify the occupant of the mqui nus which zest be prior to issuance of f Occup54te— ature�t Applic tow roof coverings to be Class or better r nr au erixcd a t 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35932045.00 DATE ISSUED.......: 07/14/2009 RECEIPT #......... BSC00008187 REFERENCE ID # ...: 09C70114 SITE ADDRESS .....: 7489 STANFORD PL SUBDIVISION ...... CITY CUEERTINO IMPACT AREA ...... OPERATOR: SylviaM COPY # : 1 OWNER SUE MORSE ADDRESS 74E9 STANFORD PL CITY/STATE/ZIP ...: CUFERTINO, CA 95014-5814 RECEIVED FROM ....: JOEEPH ZAMLICH CONTRACTOR ZAMLICH, JOSEPH J LIC # 20465 COMPANY JZ CONSTRUCTION ADDRESS 10250 S TANTAU AVE CITY/STATE/ZIP ...: CUEERTINO, CA 95014 TELEPHONE (4C8)252-4305 FEE ID UNIT QUANTITY FMOUNT PD -TO -DT THIS REC ---------- NEW BAL ---------- ----------------------- 1BCBSC VALUATION ---------- 8,200.00 ---------- 1.00 ---------- 0.00 1.00 0.00 1BSEISMICR VALUATION 8,200.00 0.90 0.00 0.90 0.00 1REROOFRES SQ FEET 22.00 286.00 0.00 286.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 287.90 ---------- 0.00 287.90 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 287.90 --------------- 287.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF e k$- 'im CITY OF CUPEkTINO CITY OF CUPERTINO RFROOF i PERMIT APPLICATION 1907o/r� APN # � Dater Building Address: T 'Yg9 5T -4^1E390 /�'Z- . Owner's Name: S 40/e_,�;40.57 Phone #: HOA: Yes ❑ No ® If yes, provide letter from HOA�� Contractor: Phone #:S- -` ©SE�'tf J- ZA" LIGE{ Fax #: ds 97 3.7 YY z. Cupertino Business License #: 2-0 L4 & S_ Contractor License #: 7 d©Z Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof K Asphalt Shingles X, Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. e v mar Job Description: ,, 1 Residential Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: g azo _ I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Revised 02/05/09 att"L CITY OF CUPEkTiNO CITY OF CUPERTINO R.EROOF FEE SCHEDULE Number of Squares Fee ID Fee Desoription Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards Commis,.ion Fee B ALL PERMIT TYPES IBSEISMICO Seismic Commercial B 1RER00FRES Re -roof Residential B 1SFDWLROOF / 1BCBSC Cal Bldg Standards Commis, ion Fee B ALL PERMIT TYPES IBSEISMICRE Seismic Residential B 1 REROOFMRES Re -roof ?Aulti-Family B 1MFDWLROOF IBCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES IBSEISMICRE Seismic Residential B 1 BUSLIC Business License B 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 2007 IBC Standards and manufacturers specifications on i e -roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the buildvng 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 ariy roofing installation. 4. To receive a final sign off from the Ciiy, 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 na:1 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 fe � 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/ " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be or. the job site at the time on inspection. I understand and will comply with the above stated policy on re -roofing. Homeowner's Name: Fae— Job Site Address: Roofing Company Name: Applicants Signature: 1 Date: Greg Casteel Building Official Revis!d 07/30/08 1. Use Low/No-VOC Paint I IAQ/Health pts y=yes 2. Use Low VOC, Water -Based Wood Finishes ? IAQ/Health pts y=yes. 3. Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea ; IAQ/Health pts y=yes Formaldehyde 31AQ/Health pts y=yes 6. Use Exterior Grade Plywood for Interior Uses I IAQ/Health pts y=yes 7. Seal all Exposed Particleboard or MDF 1 IAQ/Health pts y=yes 8. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health pts y=yes N. Flooring 1. Select FSC Certified Wood Flooring 8 Resource pts y=yes 2. Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 4. Install Natural Linoleum in Place of Vinyl ; IAQ/Health pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes Total Points Available: Total Points Project Received: 1401 130r----5-71 01 0 G:datalprogslgreer buildingguidelines/remodelers/greenpointsfinal2.12.04protected.xis