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09070167 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7558 LOCKFORD CT CONTRACTOR:WESTSHORE PERMIT NO:09070167 ROOFING INC 'NER'S NAME: LAFRANCONI DAVID C AND CHRISTI 2245-A FORTUNE DR DATE ISSUED:07/24/2009 NER's PHONE: 4082572678 SAN JOSE,CA 95131 PHONE NO:(408)694-0060 LICENSED CONTRACTOR'S DECLARATION 2 G BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class G _3 + Lic.# I r 7iZ Z ` Z/ r MECH RESIDENTIAL COMMERCIAL Contractor ��f'-- Date 2� U�`\ i hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REMOVE I LAYER WOOD SHAKE,INSTALL (commencing with Section 7000)of Division 3 of the Business&Professions FELTEX INSTALL Code and that my license is in full force and effect. RAISED BATTON SYSTEM INSTALL GERARD CANYON SHAKE I hereby affirm under penalty of perjury one of the following two declarations: STEEL TILE PANELS. CLASS A 27 SQUARES 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:$15290 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 APN Number:36226049.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information 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 —2- granting of this permit. Additionally,the applicant understands and will comply Issued bDate: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18 3'A ROOFS: Date O� u, All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,1 agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATIONV Signature of Applica�� Date: I hereby affirm that I am exempt from the Contractor's License Law for one of If the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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 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 1 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 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this .L permit is issued. Owner or authorized agent Date: 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must 1 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 relating '-uilding construction,and hereby authorize representatives of this city to enter ui the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION unify and keep harmless the City of Cupertino against liabilities,judgments, s,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 CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Bl]:: Lot: APN . . . . . . . . : 36:?26049. 00 DATE ISSUED. . . . . . . : 07,/24/2009 RECEIPT #. . . . . . . . . BS,)00008269 REFERENCE ID # • • • : 09)70167 SITE ADDRESS . . . . . : 75.58 LOCKFORD CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . : OWNER LA:FRANCONI DAVID C AND CHRISTI ADDRESS 7558 LOCKFORD CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5047 RECEIVED FROM . . . . : WE,3TSHORE ROOFING CONTRACTOR . . . . . . . : PA:JL FOWLER LIC # 21417 COMPANY WE3TSHORE ROOFING INC ADDRESS 2215-A FORTUNE DR CITY/STATE/ZIP . . . : SA:1 JOSE, CA 95131 TELEPHONE . . . . . . . . : (4 )8) 694-0060 FEE ID UNIT QUANTITY %MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- 1BCBSC VALUATION 15, 290 . 00 1 . 00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 15, 290 . 00 1 . 60 0 . 00 1. 60 0 .00 1REROOFRES SQ FEET 27. 00 351 .00 0. 00 351 . 00 0 . 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 353 .60 0. 00 353 . 60 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 353 . 60 MASTE CARD --------------- TOTAL RECEIPT 353 .60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Community Development m "i'. 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 'UPEkTINO Building Department JOB ADDRESS: sS- g LOC V-For cl PERMIT # t)q ' OWNER'S NAME: Du V2 L (-ow-, Com ` PHONE # C�5 6 GENERAL CONTRACTOR: t�,/�5j %ho FAX # y S& -- D"z ? I am not using any subcontractors: Gi'i z- Signature Date 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Date Owner/Contractor Signature CITY OF CUPERTINO RF,ROOF CUPEkTINO PERMIT APPLICATION 0q0_76 I(P_� APN # Ce 22 ceoq�, 6V Date: Building Address: -� �'S� Svc Ec�c,r� e-t- , Owner's Name: �u�,�, f r� Coy Phone #: Z S Z� HOA: Yes ❑ No EX If yes, provide letter from HOA Contractor: (2-0 Vie i'n C _ Phone #: C-I S(, —o'Z v c� Fax #: Cupertino Business License #: Contractor License It: 383-1-Z) Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) A Other (Specify) 5166 ( 1 Number of existing coverings ❑ Provide I.C.C.E.S. Report# c5 R.-11 `l To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: �� 0.,.,P WOO d SViu n Sfi� I j e ) e-XI (n5 k VI i4t,s-e-d 30L V On S y5't- _rv' t ►✓l s)u l 1 e Vcj 1( d nror, 5Va" stee- 1 J 1� Fet.re, I5 : CCASS A Rot / 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 t�- I Z� I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signa re Revised 02/05/09 CITY OF CrUPERTINO -� REROOF CITY OF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1 BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F !� 1 BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee I 1 BSEISMICRE ` Seismic Residential B 1 REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee 1 BSEISMICRE Seismic Re;idential B 1 BUSLIC Business Li,,ense 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 building inspector. A final inspection and approval shall be obtained from the b-. lding 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 mz<terial 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 1/4 "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: LA V-t Lot r r cL✓1 con 1 Job Site Address: 7 �� $ �JG k I d c d G Roofing Company Name: ✓Le Applicant's Signature: - Date: V6)0\ Greg Casteel Building Official Revis!d 07/30/08