06040103 CITY OF CUPERTINO �
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GON1fRACT�OR IrrFATI
BUILDING DIVISION PERMIT , �,.
BDunINCADDRESS: FLORENTINO SERVICES INC. "rrbD. 06040103
10216 AVOCADO PL
PERMIT➢SUE DATE
OWNER'S NAME:
SHEEHADRI GOPALAIENAAR 31241 FREDI. ST. 04 /19/2006
ONE SANITARY NO. CONTROL NO.
(877) 374-4897
ARCHEER/ENGINEER: BI7II.DINO PERMIT INFO
BLDO ELECT PLUMB MECH
+Op LICENSED CONTRACTORS DECLARATION lob Description
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mmRr«aW ffa TEAR OFF EXISTING REPAIR DRIROOT INSTALL IB SYS
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]F' ARCHITECTS DECL CATION - --
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OWNER-BUILDER DECLARATION
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WORKERS COMPENSATION DECLARATION
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work f«whkh Ihis permit u usmd
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]700 aJe Lab«Code,fa the pufamwta of de work f«wbkh this permit is u",1
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CERTIFICATE OF N MOM WORKERS'
COMPEISATION SATONINSURANCE e '
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become i O y=n&Ws Canpcwum proyidom ado Lab«Cade you torn
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APPLICANT UNDER ANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: L6
SOURCEREGUTATI NY
f1-+4-b6 Re-roofs
Signrurt aAppll HAZ�Icma s MATERIALS DLSCLOSUPE Type of Roof
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u&11OOd by Nc Cupmirw Munki*CodO.Ch.Ptc 9.12,W IM f Eb W Wmy
Code.Se4.25532(.)' '�, All roofs shall be inspected prior to any roofing material being installed.
❑Ym 91No
WTn Je.ppliam«,rams bdkmg ormap,m�cgaiprdm«arim which If a roof is installed without first obtaining an inspection,I agree to remove
Omit huurdou dr m.. M v&a d by the Bay Am A;r QudILY MmW-Ol all new materials for inspection.
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m�IxmcPbrmw afac=A=ofatyincy__ Signature of Applicant Date
owner«.u�Siamm, ent V—*D, 06 All roof coverings to be Class"B"'or better
CITY OF CUPERTINO
•em 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . . 36909014 . 00
DATE ISSUED. . . . . . . : 04/19/2006
RECEIPT # . . . . . . . . . : 34050 '
REFERENCE ID # . . . : 06040103
SITE ADDRESS . . . . . : 10216 AVOCADO PL
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO .
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : SHEEHADRI GOPALAIENAAR
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-3323
RECEIVED FROM . . . . : FLORENTINO SERVICES
CONTRACTOR . . . . . . . : FLORENTINO COUARRUBIAS LIC # 24291
COMPANY . . . . . . . . . . : FLORENTINO SERVICES INC.
ADDRESS . . . . . . . . . . .. 31241 FREDI ST.
CITY/STATE/ZIP . . . : UNION CITY, CA 94587
TELEPHONE . . . . . . . . : (877) 374-4897
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- --- ---------- ------- -------- ----- ------
BPERMFEE VALUATION 3 , 000 . 00 83,.'16 0 . 00 83 . 16 0 . 00
BSEISMICRE VALUATION 2, 200 . 00 0 . 50 0 . 00 0 . 50 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
TOTAL PERMIT 188 . 66 0 . 00 188 . 66 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
- ---------------- ------- - ---- ---------------`--
CHECK 188 . 66 2594
TOTAL RECEIPT 188 . 66
•
Community Development Department 1
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 1997 UBC Standards
and manufacturers specifications on re-roofing.
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 building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any 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 material 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 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: !;PWx- 0,,,40" 6bPALA ttw"AAO-
Job Site Address: ( 0 Z 16 A UO fade pl—
Roofing Company Name: G
Applicant's Signature: Date: 4_.-. .0 6
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
(G" REROOF
CUPEkTINO PERMIT APPLICATION FORM
APN# 5 uci - e I —w 4
Building Address:
/O Z16 AVOCA00 PLI Gt/Perr/n/d C.A 9,5"'6F/c/
Owner's Name: Phone#:
6tEWA 1)V 60PAA16�YVAAIL Yoe- V80 - 7oqll
Contractor: License#: 7989 3
lor2i✓TiNO 5 6e&�� INC
Contact: C776J 11 3 a8-9 ZS/ Cupertino Business License #:
Grv�z�n/r//Ila
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) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: 0
Job Description:
T. O exar c 2cPAt2 orluemrr 4'1VrTq t / B. Sir Eos Bv'"i prooct
Residential V1 Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dot. if
there are any restrictions: LJ
Cost of Project: Type of Construction: Occupancy group:
220 0
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCRK Plan Check Fee BUILDING
BUSLIC Business License BUILDING