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10090105 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20308 SILVERADO AVE CONTRACTOR:JIM KRAUSE ROOFING PERMIT NO: 10090105 OWNER'S NAME: TRANSCONTINENTAL 2310 DIANA AVE DATE ISSUED:09/15/2010 ✓NER'S PHONE: 6508686078 MORGAN HILL,CA 95037 PHONE NO:(408)779-0704 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License Class C Lic.# S S y 3 S 1 RE-ROOF 28 SQUARES RESHEET 7/16"OSB INSTALL 30#FELT 40YR COMP SHINGLES Contractor J ,✓`1 �Att'£ �-Z4- Date I /O I hereby affirm 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 declaration:,: 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. Sq.Ft Floor Area: Valuation:$11900 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 APN Number:36938013.00 Occupancy Type: permit is issued. 11q APPLICANT CERTIFICATION I certify that I have read this application and state that the above informatioh is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the fV � granting of this permit. Additionally,the applicant understands and will comply Issued by: LL.l'� Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I c /� RE-ROOFS: Signature Date / J/��/ 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. LI `,/ OW ER-BUILDER DECLARATION / ca/ �//e5 1- Signature of Applicant. Date: / / I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL R RINGS O BE CLASS"A"OR BETTER I,as owner of the property,or my employees with wages as their sole compensatic•n, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,2 ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: 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 EON TRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I mi ist I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 relati ig to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION lemnify and keep harmless the City of Cupertino against liabilities,judgments, ,ts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date Building Department City Of Cupertino Is 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 0 c PERMIT# , 'o 5 OWNER'S NAME: iR ,) CO -r ^)cj-ri_ PHONE# 65o (?61-60'749 GENERAL CONTRACTOR: ' 2 ,� BUSINESS LICENSE# "Z ADDRESS: /D P(,4"J ✓t CITY/ZIPCODE: / *Our municipal code requires all businesses working i» 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 SUBCONTRA TORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. q I am not using any subcontractors: -'9 gnature Date Please check applicable subcontr ctors and tete the following information: t/ SUBCONTRACTOR BUSINLSS 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 Date 0 ne ontractor Signature CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT' RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: B1{: Lot: APN . . . . . . . . : 36038013 . 00 DATE ISSUED. . . . . . . : 09/15/2010 RECEIPT #. . . . . . . . . BS000011462 REFERENCE ID # . . . : 10090105 SITE ADDRESS . . . . . : 20308 SILVERADO AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : TRANSCONTINENTAL ADDRESS 20308 SILVERADO AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4438 RECEIVED FROM . . . . : JEFF RAINEY CONTRACTOR . . . . . . . : KRAUSE, JIM LIC # 21415 COMPANY JIM KRAUSE ROOFING ADDRESS 2310 DIANA AVE CITY/STATE/ZIP . . . : MCRGAN HILL, CA 95037 TELEPHONE (408) 779-0704 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 11, 900 .00 1.00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 11, 900 . 00 1.20 0 .00 1 .20 0 . 00 1REROOFRES SQ FEET 28 .00 364 . 00 0 . 00 364 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 366 .20 0 .00 366 .20 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 366 .20 visa --------------- TOTAL RECEIPT 366 .20 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO FEE ESTIMATOR--BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$11,900 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY T01AI. PENTAMATION 1SFDWLROOF USE: SFD or Duplex Cl_Ot11�:;1 ::�: PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA ..f. 1 REROOFFRES Z,BOO l lch, 1,1[11[Ch,('li t"�t i}?ij�. lr��T2 `�%tC't"�77[ LIcl[t_ 1i. ('e r`1!(V,,l:; 7,!,( O;hrr .lfc'ch. lir,rl P,' la/) Li c(i; bi �P. F NOTE: Theseees are based on the relimina in ormation zvailable and are onlyan estimate. Contact the De t or addn'l in o. FEE ITEMS(Fee Resoldtiori 09-05I Eff. 7%1%70) FEE QTY/FEE MISC ITEMS Plon (:'hack /"(e: supp/. PC 1"ce f'It�rnfl.i;1 k�<11.:�I:fcc: ail Chc ck: Permit Fee: $364.00 Stpp/. hiss 1-'CC 1'frrl tfi.f;llc�c'lr./1:1cc 1"crinj't 1`c°c: C`�ustrticrfotz 711X ,lt't�u.5`ltt'ctl liet•te't1�l�t'<': Work Without Permit? 0 Yes E) No $x.00 131ani'lill"r FCC'): Trix�'c'11)oeturc�tzttzti�>rt l��res`: Strong Motion Fee: IBSEISMICR $1.19 Select an Administrative Item B1d�4Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $366.19 $0.00 TOTAL FEE: $366.19 Revised: 9/14/2010 M.Indoor Air Quality and Finishes 1.Use Lavlls10-V13C;Paint 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use tow/,No VOC Adhesives 3 IAQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 7.SealaY edl�r#io dbuwd gr4d DF 41AQ/Hsalth pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D I I 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 N.Flooring 1.Select FSC Certified Wood Flooring B Resource pts y=yes 0 2.Use Rapidly Aenewahle Flooring fAafw4s 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl . 5 IAWHeaith pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 1 1 r Total Points Availlable:1 1401 1301 57 Total Points Project Received: 1 01 0 77 Z G:data/progs/gre anbuildmgguidelines/re/2,1�11DD-MMind212a CITY Of CITY OF CUPERTINO ig RE ROOF CUPER `1NO PERMIT APPLICATION APN# Date: -3 Lc, 3S- 9-13-10 Building Address: 20308 SILVERADO AVE. Owner's Name: TRANSCONTINENTAL Phone#: HOA: Yes ElNo © If Yes, provide lei ter from HOA 650-868-6078 Contractor: Phone#: 408-295-4244 JIM KRAUSE ROOFING Fax#: 408-779-8807 Cupertino Business License#: Contractor License #: 554351 Type of F.00f Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ® Asphalt Shingles a Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings 1 ❑ Provide I.C.C.E.S. Report# ❑G To be Removed ❑ Provide Mfgr. Installation Specs. REROOF. CLASS A. 28 SQUARES. RESHEET 7/16" OSB. INSTALL 30# FELT, 40 YR. COMP SHINGLES Job Description: Residential E Commercial-iii 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: 4 // ( C �� I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: S*7 Revised 02/05/09