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09070206 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19694 AUBURN DR CONTRACTOR:A L PERMIT NO:09070206 RESIDENTIAL/COMMERCIAL O`"NER'S NAME: SARAH WOOD 14893 E HILLS DR DATE ISSUED:07/30/2009 O...,ER'S PHONE: 4084729555 SAN JOSE,CA 95127 PHONE NO:(408)729-6100 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT r— PLUMB License Class C� Lic.# Y—1 23�3: ME CH RESIDENTIAL[_ COMMERCIAL Contractor Date 01? Lol 1 hereby affirm that I am licensed under the provisions of Chapter 9 IOB DESCRIPTION:RE-ROOF RMOVE WOODSHAKE ROOF (commencing with Section 7000)of Division 3 of the Business&Professions COVERING AND INSTALL Code and that my license is in full force and effect. ­0 YRS COMPOSITION AND INSTALL PLYWOOD CLASS A ':8SQ 1 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:$7900 permit is issued. APPLICANT CERTIFICATION CPN Number:31635021.00 Occupancy Type: I certify that 1 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 Hhich 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 FROM LAST CALLED INSPECTION. with all non-point urce regulations per the Cupertino Municipal Code,Section 9.18. Sig•-—tire Dateao� Issued b Date: -7 ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one ofRE-ROOFS: W roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtainingan i ection,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) ;signature of Applicant: Date:D �D 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 1 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 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. 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 I ompliance 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 1 store or handle hazardous material, permit is issued. .Additionally,should I use equipment or devices which emit hazardous air ontaminants as defined by the Bay Area Air Quality Management District 1 will 1 certify that in the performance of the work for which this permit is issued,I shall inaintain 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 'Icalth&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 i0 i�ized a ent: 0 forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDNG AGENCY I certify that 1 have read this application and state that the above information is 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 or which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter ender's Name _ up above mentioned property for inspection purposes.(We)agree to save ins., .1y and keep harmless the City of Cupertino against liabilities,judgments, .ender's Address 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 ARCHITECT'S DECLARATION 9.18• understand my plans shall be used as public records. Signature ____ Date iccnsed Professional . CITY OF CUPERTINO _. REROOF CUCITY iOT1NO PERMIT APPLICATION APN # 6_0Date: ©r o C, y �,, Building Address:, � Owner's Name: rjl9r � (,�.}pp� Phone #: HOA: Yes ❑ No Y If Yes, provide leiter from HOA Contractor: �Z ,4Q �"�ff� Phone#: Fax #: 4 o/ Cupertino Business License #: Contractor License #: 20,30 2 Type of F;oof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles >,' 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. Job Description: gelW ve,2 W c2,",R ,'l✓/��% Aerr C!`1,11 L L'5 (70,07,pa 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 Rea , Understand and Will Comply with Cupertino's Tear-Off Policy: nature Revised 02/05/09 CITY OF C UPERTINO RER.00F CUPEkTiNO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group IREROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commissio:l Fee 1BSEISMICO Seismic Commercial B 2 1RER00FRES Re-roof Residential B 1SFDWLR00F / 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commissio n Fee 1 BSEISMICRE Seismic Re sidential B 1 REROOFMRES Re-roof ML.lti-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Re3idential 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 r,�-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 buildir.g 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 ar y 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 me terial down to the sheathing, so a proper City inspection can be per Formed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fes' 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 1/4 "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 comply with the above stated policy on re-roofing. Homeowner's Name: 5(AVak ,00 V Job Site Address: q a U Roofing Company Name: 6 f Applicant's Signature: Date: Greg Casteel Building Official Revised 07/30/08 M.Indoor Air Quality and Finishes 1.Use LmvNo-VOC Pat 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Lowlbb VOC.A.dhesves 31AQ/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-Seal all Exposed Parbdeboand or MDF 41AQ/Health. 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 10.Install Whole House Vacuum System 3 IAQ/Health pts y—yes 0 t t t N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 ?--Use Rapidly#ienewable Flooring Materials 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 IAQ/Health pts y=yesl 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 t 1 Total Points Available: 1401 130 57 Total Points Project Received:1 IL4N 01 0 0 G:data/ ro s!rwnbw{ i ofi".rine.sftm. reen ointsfina1212.D4 rot ctP 9 9 _ 9 P P aG ate, j/ q i Jj ({ e o `^�'•�C(11 v_ FR f?': r. lL.. ry!I?o ��JL l ^^l o t� 7f ,z 7 ., June 11,2008 To whom it may concern' I, Alex Lopez, dba A- L_ Residential and Commercial Roofing , hereby authorize Apolonio Morales to obta n re-roofing permits. My carrier is State mber 013-000094$-07• If there is any Compensation Fund and the policy nu s lease feel free to contact me at (408) 472-9555- questions and or concernP art of his s is employed by ny company as a salesman and p Apolonio Morale P duties are to purchase permits. -- ax >ex Regards op CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT.' RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 31635021 . 00 DATE ISSUED. . . . . . . : 07/30/2009 RECEIPT #. . . . . . . . . : BS000008318 REFERENCE ID # . . . : 09070206 SITE ADDRESS . . . . . : 19694 AUBURN DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER SARAH WOOD ADDRESS . . . . . . . . . . : 19694 AUBURN DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2412 RECEIVED FROM . . . . : A h RESIDENTIAL/COM CONTRACTOR . . . . . . . : ALEX A LOPEZ LIC # 23030 COMPANY . . . . . . . . . . : A h RESIDENTIAL/COMMERCIAL ADDRESS . . . . . . . . . . : 14893 E HILLS DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95127 TELEPHONE . . . . . . . . : (408) 729-6100 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- 1BCBSC VALUATION 7, 900 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 7, 900 . 00 0 . 80 0 . 00 0 . 80 0 .00 1REROOFRES SQ FEET 28 . 00 364 . 00 0 . 00 364 . 00 0 . 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 365 . 80 0 .00 365 . 80 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CASH 365 . 80 --------------- TOTAL RECEIPT 365 . 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ;,UPEkTIN0 Building Department JOB ADDRESS: PERMIT # �4v 9v RAJ ') Oq 0-7 (5-7- OWNER'S NAME: '13/f 1,1+h PHONE # 122 GENERAL CONTRACTOR: L �,` �: FAX # I am not using any subcontractors: -- — 30ZOF Signature Date Please check applicable subcontractors and com Clete 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile ( 'weer/Contractor Signature Da e