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07110138 CTTY OF CUPERTINO : < ' 6'JILDING �IVISION PERMIT �������� ���������'' ;;,� . :;: . . . . .. . ,:: _ :: ..:.��:i .. ... .:::r: . �� .:.::,::... . BUILDING ADDRFSS: PERMIT NO. 10630 GLENVIEW AVE TBD - ��0 BE DETERMINED 07110138 . YNER'S NAME: P�R�ITLS6UEDATE PABON GUS C ET AL 11/26/2007 PHONE: SANITARY NO. CONTROL NO. ARCHITECTlEWGINEER: BUILDING PERMffINFO 1/ 2 OSl3 3 0 LB FELT PRES TL, aLDC E�.ecr PLUMB MscH 0 0 0 � � O p LICENSED CONTRACfOR'S DECLARATION � ' i� V I hcreby sflirm thal I am liccnscd umlcr provisiona of Chaptcr 9(commencing ^^-^^, .. ^ �-- �---- ---- -- --- Joh Bescuption '� � wi�h Secdon 700U) of Division 3 of ihc Business �nd Protcssions Code, snd my liccnsc is y in full focce and e t �, �j ? Lice�ae asa Lic. M n F � Da�c � — - Conusctnr � ARCHRECi'S DECLARA770N ;� U 1 undcrsund my plans shall be used u public rccords e. i p y Liccnsed Prufcssional n y � OWNER-BUILDER DECLARATION � t� I hercby a[firm t�at I am excmpt Gum �hc Contrutors Licensc Law for �hc i p O following rcason. (Scc6on 7031.5, Business and Profcssions Cafc: Any ciry ar rnun�y K�� which requims a permit to conswct, altcr, impravc, dcmolish, ar m�mir any swctwc y Z y prior �o i�s issuancc, alsc� rcquims �hc applicant for such permit to filc a signcd s�atcmcnt x < that he is licenscd pursuant lo thc p�ovisions af ihc Conuactor's Licensc [aw (CAapicr 9 5q. Ft. Floor Area Valuation y I- �(commencing wiih Scction 7000) of Division 3 of ihe Busincss and Profcssions Codc) or 1 �.. that he is exempt the�efrom and Ne basia for the allcgcd exemption. Any vioiauon af Section 7031.3 by azry applicant for a pecmit subjecu ihe applicant w a civil penaity of ppN Number Occupancy Type not mme than tw dundred dollars (5500� 0[. u owner o[ the pmpccty. a my cmployces with wages u the'v sole compenaadoe, will do ihe worlc. �nd ihe stcucwee is not imm�ded or ofteced for asle (Sa. 7044. Business Re uired Ins eetions snd Rofessions Codc: The Conuacwr's Lianse L.aw does not apply ta m ow�r of Q P property who builda or improves thereon, and who daes such work himult or theongh hia own employccs, providcd ihat wch improvements are not imm�ded or otCered for sala If, however, the building or impmvement ia sold within one yar oC compkuon, the owner- builder will have the burden oC proving tAat he did irot build or improvc far purpox o( saleJ. ❑ 1, u aaner oC 1he property. am exclusively conhacting wilh lianud conuactors W consuuct the project (Sec. 7044, Husiness and Pra[usions Code:) The Coatracwr's Li- ccnse Law docs not spply w an owrrer of propeny who 6uilds or improves Iheieon, snd , w6o conuscts for such projecis with a conuactor(s) licensed pursusnt to We Convactors Licenae L.aw. ❑( am exempt under Sec. , B dc P C for this reasan iner Da1e WORKER'S COMPENSA'ITON DECLARA7'[ON I hereby adimi under ponalty of pe�jury one o[ �he follawing dalarations: ❑ I have and will mainuin a Cenificate olConunt to self-insuce for Worlmrs Compen- ution, as provided far by Secuon 3700 of the [abor Code, for the performancc o[ thc wwk for which this permit is issucd. ❑ I havc and will mainlsin Wwkcr's Compensatian Insurana, as mquired by Scction 3700 of the Labar Cadc, for thc pcdormance of Ihe work for which this permi� is iuued. My Worke�'s C mpensation Inwrance cartier and Poliry number am: CaRier: Poliry Na.: CERITFIC� lE OF EXEMPITON FROM WORKERS' COMPENSATION INSURANCE • (This section necd not be completeJ if ihe permit is far onc hundred dodua (5100) or Icss.) • I cenify Ihas in thc perfarmancc of t6c work for which �his pcm�it u isauc4 [ shall not e:nploy any person in any manner so u w become subject io the Worlcen' Compensation Laws of Califomia. Da�c AppGcanl NOTICE TO APPLICANT: If, allcr making this Ccrtificate of Excmption, you should become subject to thc Worker'e Compcnsadon provisions of U�c Labor Codc, you muu . O fonhwith comply with such provisions or this pecmit shall6c dccmed revokcd. '� "" CONSIRUCflON LENDING AGENCY [- �- I hcroby slTirm Uut then ia p consuuctian knding agcncy (or thc perCurtnancc uC �� thc work for which ihis pertnit is issucd (Scc. 3097. Civ. C.) W� Q Lendc�s Namc • � z Lcnde�s Add�cts V 0 I certi[y that 1 have read this applicuion and s�a� ihu ihc above informadun is w�"� cortcc� 1 agex to comply wi�h all city and counry oniinsnces and su�e laws relaGng w � U building conswcuon, and hereby suWori�t mpresentauves of this cily to cnicr upon tMc � a abovc-mcntioned propcny (or inspec�ion purposea (Wc) agree to save, indcmnify and keep ham�less �he City of Cupertino against �� liabilities,judgmcnts, casts and expenscs which may in any way uccuc agtinsl said City V;� in consequence oC U�c granting aC U�is permi� / �"� APPLICANT UNDER NDS AND W1LL COMPLY WITH ALL NON-POINT Issued by: Date //i Z U'�� SO E REGULATI � � ` Re-roofs Signuuro of Applicant/Conuac Da�c ��/ A ` H S MATERIALS DISCLOSURE Type of R � )Of ��/ wll lhc applicant w Cuturc building occupant sarc or handle haiardous matcrial defincd by 1he Cupertino Municipal Cade. Chapmr 9.12, and thc Heal�h and SaCety k. Section 25532(a)? All roofs : hall be inspected pcior to any roofing material being installed. ❑ Ycs � No Will Wc applicant or fulurc building occupant usc cquipmrnt or dcviccs which If a roof i: installed without first obtaining an inspection, I agree to remove emit har.azdous air conwninanis at dcfincd by �hc Bay Area Air Quslity Managcmcn� all new m; �terials for inspection. District? Q Ycs No 1 havc macl �he hvard ma�crials requiremcn�s undcr Chap�cr 6.95 of thc Glifor- nia Hcalih & SafcryCodc, Sectiatt 25505. 25533 aru125534. [ un�rs�v�d that if ihc 6uiWing docs not cwicn�y havc an�, �hat it is my nsibiliry to noufy �hc occupant nf ihe rc i mcnls which be met prior w iu of a Ccrtificaic o( Occu �r. S ignature �f Appl icant Date �� °" d All roof coverings to be Class "B" or better Owner or author'vtd agcnt D�� CITY OF CUPERTINO � ' ' � REROOF CuP��T�NO PERMIT APPLICATION � l� /3 APN # Date: 3 Qa�ooa.ao � - � - � �- Building Address: � G G 3 � G � �� - �-�, E, , .� �� Owner's Name: Phone #: �� �, ('a b c� �--` . 'fi0�s � �� S' -- 333 S Contractor: Phone #: !��'b -- N G a - / (c � � c (�t�..e � o c� a�r c�` - Fax #: G 5 0� l-- a 3 0 3 Cupertino Business License #: Contractor License #: � � �- , Type of R.00f 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.B.O. Report # � To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: ,. ,� %`�os �6 a 3� (� �� � ���s i �-- . ��-s � ` �- � l�sS d Residential Commercial ❑ Fire Zone: Yes ❑ No ' Confirmed with Planning Dept. if there are any restrictions: L� Valuation: _-- ll� ddC� �- I Have Read, Understand and Will Co y with Cup�;rtino's Tear-Off Policy: / Signature CITY OF CUPERTINO � REROOF CuP�r�TiNO FEE SCl3EDULE Number of '' S uares Fee ID Fee Description Fee Group Permit T e REROOFCOM Re-roof Commerci al B COMML-ROOF BSEISMICOM Seismic Commerci al B � REROOFRES Re-roof Residential B SFDWL-ROOF / BSEISMICRE Seismic Residential B REROOFMRES Re-roof Multi-Fam: ly B MFDWL-ROOF BUSLIC Business License B Community Development Departrnent Building Division City of Cupertino 10300 Tone Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building �Department Subject: Re-roofing policy for the (:ity of Cupertino 1. Prior to permit issuance, you must agr��e to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applie 3 without first obtaining all inspection and written approval from the buildin;; 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 an�� roofing installation. 4. To receive a final sign off from the City, the following steps are required: 1) Pre-inspection and/or tear off appr��val. 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 ','irst obtaining an inspection, will require the removal of all new mai erial down to the sheathing, so a proper City inspection can be perf �rmed. 7. NOTE: If you call for a plywood nail i:ispection 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 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: �s U 5 �4 I� q� �' Job Site Address: l0 �t 3 G �r �-e •r� 1r' t,-e � Roofing Company Name: (9>.9 Ce �� �) v' Applicant's Signature: Date: l�' aG �O � � Greg Casteel Building Official RevisE�d 11/2/04 CITY OF �UPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPER.ATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 36925002.00 DATE ISSUED.......: 11/26/2007 REC�IPT #.........: BS000003317 REFERENCE ID # ...: 07110138 SITE ADDRESS .....: 10630 GLENVIEW AVE SUBDIVISION ....... CITY .............. CUFERTINO IMPACT AREA ....... OWNER ............: PAEON GUS C ET AL ADDRESS ........... 10630 GLENVIEW CITY/STATE/ZIP ...: CUFERTINO CA, CA 95014-4568 RECEIVED FROM ....: HO�ARD M WAUGH CONTRACTOR .......: TBL - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBL - TO BE DETERMINED ADDRESS ........... CITY/STATE/ZIP ...: , TELEPHONE ......... FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1REROOFRES SQ FEET 24.00 312.00 0.00 312.00 0.00 BSEISMICRE VALUATION 10,000.00 1.00 0.00 1.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 313.00 0.00 313.00 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 313.00 #4315 --------------- TOTAL RECEIPT : 313.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 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 CUPEI�TINO ��� `��� Buildi�n De artment JOB ADDRESS: . PERMIT # ,� G � I �e r, r -� �.c.9 � / � , OWNER'S NAME: U c, —' ' PHONE #(So � GENERAL CONTRACTOR: �;ef �r � ��� FAX # �. --O 3 I am not using any subcontractors: Si�;nature Date Please check a licable subcontractors and com �lete the followin information: SUBCONTRACTOR BUSIrfESS N�ME 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 /� o � � o� �u� Owne - ntractor Signature Date