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09100048CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21851 ALMADEN AVE CONTRACTOR: CASTILLO'S ROOFING PERMIT NO: 09100048 OWNER'S NAME: MATTHEW & AARON KLEIN 1703 CATHAY DR I DATE ISSUED: 10/07/2009 iER'S PHONE: 4157301922 1 SAN JOSE, CA 95122 1 PHONE NO: (408)251 -3565 I LICENSED CONTRACTOR'S DECLARATION License Class �✓ Lic. # 3O Cont `— Date /_'0 V7O�p 1 hereby affrr that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate 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 permit is issued. APPLICANT CERTIFICATION 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 above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. - Sna ! Date /� 7 0� OWNER- BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate 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. 1 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 permit is issued. 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked.(_ APPLICANT CERTIFICATION 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 building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save inify and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date BUILDING PERMIT INFO: BLDG f— ELECT I— PLUMB F_ MECH f— RESIDENTIAL f— COMMERCIAL f— JOB DESCRIPTION: RE -ROOF TEAR OFF EXISTING ROOF, INSTALL NEW 40YR COMP. AND #30LB FELT, TO THE FLAT AREA APPLY 3 PLY TORCHDOWN CLASS A 18SQ Sq. Ft Floor Area: I Valuation: $9000 APN Number: 35715016.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: /,=2 Datev�7 -tl: i RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applica Date: o p ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. or an horized agent: O D g �� :7.T'�- ...Date• � -7 / CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional i I 3 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35715016.00 DATE ISSUED.......: 10/07/2009 RECEIPT #.........: BS000008856 REFERENCE ID # ...: 09100048 SITE ADDRESS .....: 21851 ALMADEN AVE SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OWNER ............: MATTHEW & AARON KLEIN ADDRESS ..........: 21851 ALMADEN AVE CITY /STATE /ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM CONTRACTOR ... COMPANY ...... ADDRESS ...... CITY /STATE /ZIP TELEPHONE .... OPERATOR: patg COPY # : 1 CASTILLO'S ROOFING JOSE CASTILLO LIC # 25850 CASTILLO'S ROOFING 1703 CATHAY DR SAN JOSE, CA 95122 (408)251 -3565 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---- - - - - -- ------- - - - - 1BCBSC VALUATION -- ---- - - - - -- 9,000.00 ---- - - - - -- 1.00 ---- - - - - -- 0.00 ---- - - - - -- 1.00 ---- - - - - -- 0.00 1BSEISMICR VALUATION 9,000.00 0.90 0.00 0.90 0.00 1REROOFRES SQ FEET 18.00 234.00 0.00 234.00 0.00 TOTAL PERMIT ---- - - - - -- 235.90 ---- - - - - -- 0.00 ---- - - - - -- 235.90 ---- - - - - -- 0.00 VOICE ID DESCRIPTION -- - - - - -- ---------------------- - - - - -- 601 ROOF TEAR OFF 604 ROOF IN- PROGRESS VOICE ID DESCRIPTION -- - - - - -- ---------------------- - - - - -- 602 ROOF PLYWOOD NAIL 605 FINAL REROOF SE� CITY Of CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION APN # ., Date: Building Address: Amoden Ave- c� Owner's Name: _e� ' e t Phone #: HOA: Yes ❑ No If yes, provide letter from HOA Li 15 101 2� Contractor: Phone #: Ll C) _ 5 - 55 ( ,� O� 'I"j S Fax #: Cupertino Business License #: Contractor License #: LK30 45-6 Type of Roof Covering: Existing: Propo ed: V/ Built -Up Roof Asphalt Shingles ilt -Up roof 0-.-'Asphalt Shingles • Wood Shakes ❑ Wood Shakes • Wood Shingles ❑ Wood Shingles • Other (Specify) ❑ Other (Specify) Number of existing coverings VTo be Removed ❑ Provide I.C.C.E.S. Report # Provide Mfgr. Installation Specs. ❑ Job Description: -'itVaL 0 f F vin � T I I t\�w -1 F_ QkM45Ctb. �e t-� , - A+ A T n�� 3 y -torch dow n 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: I Have Signature Understand and Will Comply with Cupertino's Tear -Off Policy: Revised 02/05/09 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 re- 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 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/ " 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 comp with the above stated policy on re- roofing. Homeowner's Name: Job Site Address:( Roofing Company Name:, Applican Date: �O tp C Greg Casteel Building Official Revised 07/30/08 a CITY OF XPERTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax (408) 777 -3333 Building Department JOB ADDRESS: AVe-, PERMIT ��;�� _-,2 � BUSINESS NAME C/ OWNER'S NAME: L PHONE # GENERAL CONTRACTOR: p FAX # I am not using any subco Signature Alo��o . -ho�lr ar.r.l;�ahla cnhrnnfrar -tnrc an rnm»1Pte the following information: 15ate er/ Contractor Signature 1 .7 /0-r) Date 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 er/ Contractor Signature 1 .7 /0-r) Date 1. Use LOWND -VOC Pakt 1 IAQ/Health pts y =yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y =yes 3. Use LOY&% VOC A 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 4 Resource pts y =yes Formaldehyde 61AQ/Health pts y =yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y =yes 7. SOW 82 f POWd PA*k6aatd. or MDFF 4IAQ/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 5 IAQ /Health pts y =yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y =yes G. Install Recycled Content Carpet with Low VOCs 4 Resource pts y =yes Total Points Available: Total Points Project Received: 1401 130r- 30 57 01 0 0 12.04protected.x1s