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10120030 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7439�HEATHERWOOD DR CONTRACTOR:ABOVE ALL ROOFING PERMIT NO: 10120030 OWNER'S NAME: KENNEDY YVONNE O TRUSTEE 700 NORTHRUP ST DATE ISSUED: 12/06/2010 O"'NER'S PHONE: 4082532364 SAN JOSE,CA 95126 PHONE NO:(408)2924188 G LICENSED CONTRACTOR'S DECLARATIONF BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class 9 Lie.# F &_ _ _ MECH RESIDENTIAL COMMERCIAL Contractor�– Date �2 G Gv I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF TEAR OFF EXISTING SHAKE INSTALL NEW 7/16 (commencing with Section 7000)of Division 3 of the Business&Professions OSB.INSTALL LE FELT.INSTALL NEW COMPOSITION Code and that my license is in full force and effect. ASPHALT SHINGLES CLASS A 36SQ 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 Sq.Ft Floor Area: Valuation:$13000 permit is issued. APPLICANT CERTIFICATION APN Number:35926046.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FRO LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by: Date: 12-.G_(0 Date Signature z— OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signe of p icant: -- �ate: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I 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 Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I 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&Safety Code,Sections 25505,25533,and 25534. 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 Owner or author' ent forthwith comply with such provisions or this permit shall be deemed revoked. Date: CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state 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 and expenses which may accrue against said City in consequence of the ing of this 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. I understand my plans shall be used as public records. Signature Date l z l /a Licensed Professional CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35926046 .00 DATE ISSUED. . . . . . . : 12/06/2010 RECEIPT #. . . . . . . . . : BS000012152 REFERENCE ID # . . . : 10120030 SITE ADDRESS . . . . . : 7439 HEATHERWOOD DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KENNEDY YVONNE O TRUSTEE ADDRESS . . . . . . . . . . : 7439 HEATHERWOOD DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5823 RECEIVED FROM . . . . : ABOVE ALL ROOFING CONTRACTOR . . . . . . . : KEN SULESKY LIC # 23092 COMPANY . . . . . . . . . . : ABOVE ALL ROOFING ADDRESS . . . . . . . . . . : 700 NORTHRUP ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95126 TELEPHONE . . . . . . . . : (408) 292-4188 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 13, 000 . 00 1 . 00 0. 00 1. 00 0 .00 1BSEISMICR VALUATION 13, 000. 00 1 .30 0 .00 1.30 0 .00 1REROOFRES SQ FEET 36. 00 468 . 00 0 .00 468 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 470 .30 0 . 00 470.30 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 470 .30 #19595 --------------- TOTAL RECEIPT 470 .30 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 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 7439 Heatherwood Dr. DATE: 12/06/2010 REVIEWED BY: RDW APN: I BP#: *VALUATION: 1$13,000 R�PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof ? [HNTAMATION 1 SFDWLROOF PRIMARY SFD or Duplexr, PERMIT TYPE: USE: _,)c)�'. . .t.,�: WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 3,600 1':i7t E3()[=v'U" li, irrv; f , , t` Is., NOTE: These-fees are based on the relimina m in oration available and are onlyan estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 09-051 Elf. '1;701 FEE QTY/FEE MISC ITEMS slipp/. PC 1`c f'izrtrrh.: Ic<�Tt.;I:IG :I/fm Clic(',: Permit Fee: $468.00 Pizinti�.:�tle't°11.i"1:?t{: 1'17i� f'CC— 1 hlolh.;'1Icc lr.fLlc'c I�c')`rarit 1`°c�; Co �woctioti ITc:':1' 1cr>v,;Iical16-vic" Vcc. Work Without Permit? 0 Yes G No $0.00 t Strong?Motion Fee: 1BSEISMICR $1.30 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $470.30 $0.00 TOTAL FEE: $470.30 Revised: 11/08/2010 J 2 REROOF TEAR-OFF POLICY mmm ��- COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building&cupertino.org PROJECT ADDRESS ` '7y3n/.' -lAPN# OWNER NAME 7 PHONE !Qj(iJ��y Z� 'el E-MAIL STREET ADDRESS7y?q 1.V ' CITY. STATE,ZIP` ,U I7. FAX CONTRACTOR NAME�G � J�! ��c, LICENSE NUMBER LICENSE TYPEC�p BUS.LIC COMPANY NAMEell / / t J E-MAIL ot"a/ /e: f FAX ��Z•y3s-y STREET ADDRESS 70� /fCITY,STATE,ZIPLC PHONE��• I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of 1/4" per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all pre-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 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 of$126.00. The re-inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and a ree to comply with the re-roof policy stated above. Signature of Applicant/Agent: Date: Z G A a ReroofPolicy_201 0.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 7'Y31 J 10�i PERMIT# /0 f 2 003 O OWNER'S NAME: vo 4-e..'4 PHONE 2-53 - Z3C'4/ GENERAL CONTRACTOR: *,,. Ss r BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. /1/4' G I am not using any subcontractors: Signature 7 Y(ate Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring /Carpeting Linoleum /Wood Glass /Glazing Heating Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date sp mv CITY OF CUPERTINO REROOF CUPLH T I N O PERMIT APPLICATION APN # Date: Building Address: Owner's Name: �' e !<�,«�.�y Phone#: HOA: Yes No If Yes,/provide letter from HOA Contractor: Awe Phone#: ,60e 59z- of/,?9, Fax #: /0 age- 41- r"1 Cupertino Business License#: Contractor License#: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ ilt-Up roof ❑ Asphalt Shingles w Asphalt Shingles ra�Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) o Other(Specify) Number of existing coverings o Provide I.C.C.E.S. Report # a'To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 74ar gvcF 30� �G Residential Commercial El 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 Read, Understand and Will Comply with Cupertino's Tear-Off Policy: / a Signature Revised 02/05/09 Y1�eV" CITY OF CUPERTINO BUILDING PERMI-bATE BUILDING ADDRESS: 20800 HOMESTEAD RD#8C CONTRACTOR:WEST BUkLDERS,INC. PERMIT NO:09060118 OV'� 'R'S NAME: PROMETHEUS 1608 4TH ST STE 120 DATE ISSUED:06/22/2009 OW,,r�R'S PHONE: 6509313457 BERKELEY,CA 94710 PHONE NO:(510)525-9378 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT IN BLDG ELECT PLUMB License Class Lic.# MECH� RESIDENTIAL r- COMMERCIAL r Contractor l ��/L��S�jVL Date Z ho JOB DESCRIPTION:VILLA SERA APT HOMES,(17)CARPORTS,(9)TRSH 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 ENC.,(1)COPY OF SITE PLAN SHOWNG CARPORT/1 TRASH (commencing with Section 7000)of Division 3 of the Business&Professions ENC(I)COPY OF LIST OFS PD DRAWINGS TO BE Code and that my license is in full force and effect. 7/7/10 REV#3-ADD NEW RASH ENCLOSURE,REVISE CARPORT LOCATION TO AVOID ADJACENT TREES-12/06/10 REV#3 ISS'D I hereby affirm under penalty of perjury one of the following two declarations: 1 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. Sq.Ft Floor Area: Valuation:$225000 APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is APN Number:32609056.80; Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date 10 Issued b s Date: I ❑ OWNER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for one ofRE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,l agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS 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. 1 have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. Own auth r' d gent: Date: � 6 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 1 certify that 1 have read this application and state that the above information is correct.1 agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name mify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against said City in consequence of the Lender's Address gmiting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional