06080236CITY OFCUPERTINO
'BUILDINc DIVISION PERMIT�3COIV-TRACTOR
INFORMATIIQ:N
b I
s, d
BUILDING ADDRESS:
ALL SEASUNS ROOFING SERVI
ET"IRNo'06080236
10208 BARBARA LA
OWNER'S NAME
PERMTC ISSUE DATE
Mk CHRISTOPHER SINGER
1720 SMITH AVE
08/29/2006
NE:
SANITARY NO. CONTROL. NO.
(408)971-4455
ARCHIiECT/FNCINEER
BUING PERMINFO
ILDIT
BLDG ETiCf PLUMB MECH
0
LICENSED CONTRACTOR'S DECLARATION
Job Description
P
1 bmeby aRRai Thu 1 w Ikeud m oWabaseprof Oapter 9 (mmrncaing
wiw Section 1000) of DlrWon 3.r the Busmen and Praasau Code, Wd my 11. V
wlraa.durn �q 7 yU�f /
REMOVE 2 LAYERS OF COMP ROOF. INSTALL 31 SQUARE
Date ca'x� 6,�_ti,� .4
7/1611 OSB WITH RADIANT BARRIER & 31 SQUARES LIF
ARCHITECTS DECORATION
TIME COMP ROOF. WEIGHT 3.6 - CLASS A
1 ad<naaad my pWs N.11 m Ines tl wblie mason
Licnl¢d Pmressoul
OWNER-BUILDER DECLARATION
1 h,mby ,,an thu 1 em cumpt fmm Nc CmtractaY. I.ceaso Lw far tic
following Rum. (SaUm 10] 1.5, Bunten and Pmfa ns Calc: Any illy a tummy
Vlach Rg111mt a Permll to eoaa e1, NIG. Impm aaaaa Sh. or mpalr my PNemm
! prior W u issuance. aku rryulm de.pplkad fa>uch permit W ftk. ngned sumnat
Law (Cn,pG9
Sq. Ft. Floor Area
Valuation
t beit; Uamcdpomacttath,porism,armecamr=ter'rliGnaa
(eaamenang with Section 7000).f Divisaa 3 atbe Basnaaad Pmfaaka Code) ar
$11985
than be, is aemPL thoefmm td the basis fe, the clegrd tlempdm Any Mwallm a
APN Number
Occupancy TYPe
SceWn'IO51S by my appllaot for a peamit subjects the appf-wu to a IM) pevhY of
nal maR duo net hadRd doll»a (swan.
t]
l AA
Required Inspections
wulm taMwenmwawfe'eidraae`'ro"'B'm'
W Pmfeal..Cadc Thecarnr'L`ce"•a lar des act apply 0
cow sumohlrilNoal'°ta`eatbocoo,mdu8e actio mintwmkhor fiemJ at to, bas
mrd imps as asem
oro cmpinnm,providedwas
eam
sold sal ofcmaltim.f anama,
Lewmv, dR bwltliatg a Impaosemevt u mid Wrhln am yeu of canpk0on. me owra-
bwWG wN ha.e n,e badm a pmoNag was Y d'q not braid a iopm.e fon po mote of
' .
F1 LE
N,
❑ L tl awatG of the p apenY. w eadmrely conaua bs-g wont IkcmeE oamamt
' .
rntlamt do pmjto (Sec 1014, Bulnm ad Ihakadum Code:) The Caafl rot Li.
the. d
<mse law doss am Way an ower m a"ca, who bwWa a improaa and?
/�Y
rhe camuu for nasi pmjcm withtt emaaua(t) licemed Pvmms W we Camnenh
f'•"itt
Lkeaa IJr.
pQ�UIG
E] jam ,..mpl ontlo See ,B&PCfa mi. myon
ptlVplw
BUM
Fvmr Due
lYupl
WORKQIS COMPFllSATION DECORATION
1 beteby dam oder petllty a pGjaY arc of the fonoMaq dcclvulvte
K ad -ai mai.W. • Cenifi. of Comrnt to self-iomre fawwkea compen-
, u pmtdcd fa by section 3'100 of we Labar Code, for the perfamWa a the
r ((pr which W sim
pp k ismc&
B'I base and will malmain W , CampmiWan Invuvlce, tl aN-1mcI by ScCUM
Mau lobar Code. fa tha pafmmaee sante work fa sunk- alis permit u Wued
My Warkea CompeaaWm Inman¢ atria and Policy -umbo ase:
Crania: 4-c, n A-. =.ty No: I 111 $ I -u 4.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
_
(The eaim red not be caoptetod U the pamb u fa ane homnmd on., (5100)
orss)
1 ¢aifr dial N we po, .. a the Work fa which thla perm, is inmd. l a1Wl not
employ any puma in my manner to u bbecameaublat W the W.ek 'Cornpeonboa
Tars of Callfamia. Doc
Applicant
NOTICE TO APPLIGNi: V. afar mrkinj this Ce b5cac of EaempOaa. yon abo b!
became subj= to td Wak<Y. Compcmtdm worWau or the Labor Cod,, yon mou
forwwitb campy with such pmriaimu a dtia pcmlil shun be deemed RwketL
CONSTIlUCTIONLENDINGAGENCY
sunthem utccl(ix 30fmdin{.) fa the pafamaecof
I hor
,
haffirm
the weft fa which IhLs permit 4 mood (Sec 1(191, Cir. C.I
znda Nam
'
z ULenderees Artists
I anlfy mal 1 hate mud this Wile on arta ante that We aba c inramaW la
cannel. I g. to comply r nn all city and camty mdlonnco aad .= laws rtlLiat to
jbonding coamulion, ad AcRby amhodre mprtunwitcs of this cay to mer upon the
s
s]
daMc fa iuptnion p
I%) agate b tlre, idcmaedfy and hacp h Icao we City a Cupemao againn
n Ilabilil)n.Jdgmmttcats ud esptasa which may in my way ottani agalma tlid Cly
1Jabih ea jod& mcb
Z
APPLICANT UNDER RSM'-" S AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date
SOUR S
Re-roofs
Type of Roof
H WUS MATERIALS DISCLOSURE Dae
Win am aPPI=t a fWum bwWwg o,.,mc some a handle hamdaus national
u denoted by we Cap una Modmpal Code. ChapG 9.12 and the H Ut and Well
Cade. Stolon 25532(a)1
All roofs shall be inspected prior m any roofing material being installed.
❑ Ya 't3>�
If a roof is installed without first obtaining an inspection, I agree to remove
Win the appllca-t a reatR baUdine oa mpm tateeywpaem a derlaa .mkh
emit hares air contaminants tl defined by the Bay Arta Air Quality Mmagcmem
all new materials for inspection.
Diane'?
❑Ya Tyro
Ibac mad the huvdau+ mamri,io a,,hemew unttr Cba,I 6.95ofwe Caner.
wa Hualdt& Safay Cant, savao25505.25533 and 25534.1 tads,=" that if de building
(p
doa rot arrtmy hue .matt that it h my aaponsNlity to om y the occupant car de
mCQalRlnc t priar W romance a. Cosnaacd Ce'ancy.
Si of Appl' ant Date
-zj-6/6
All roof coverings to be Class "B" or better
r W rpt I Dae . .
Cm Of
•CUPEkTINO
•
•
Buil
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
artment
JOB ADDRESS
•Lm ea -00M Ln�. �� : •
I am not using any subcontractors: </Y//// tl
Signature
Please check applicable subcontractors and complete the following information
3_25-v(,o
Date
Owner/ Contractor Signature Date
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
Owner/ Contractor Signature Date
om 1 of 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35912021.00
DATE ISSUED.......: 08/29/2006
RECEIPT #......... 35812
REFERENCE ID # ...: 06080236
SITE ADDRESS .....
SUBDIVISION ......
CITY .............:
IMPACT AREA ......
CUPERTINO
OWNER ............: CHRISTOPHER SINGER
ADDRESS ..........:
CITY/STATE/ZIP ...: ,
OPERATOR: amyw
COPY # : 2
RECEIVED FROM ....: ALL SEASONS ROOFING
CONTRACTOR .......: GORSHTEIN, VLADISLAV LIC # 21035
COMPANY ..........: ALL SEASONS ROOFING SERVICES
ADDRESS ..........: 1720 SMITH AVE
CITY/STATE/ZIP ...: SAN JOSE, CA 95112
TELEPHONE ........: (408)971-4455
•FEE ID UNIT QUANTITY AMOUNT
---------- ------------- ---------- ----------
BPERMFEE VALUATION 12,000.00 191.16
BSEISMICRE VALUATION 12,000.00 1.20
TOTAL PERMIT : 192.36
•
PD -TO -DT THIS REC NEW BAL
------------------------------
•0.00 191.16 0.00
0.00 1.20 0.00
0.00 192.36 0.00
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 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:
Job Site Address: \ (»,b<S 11lCM-)(YA zc L.v-\ .
Roofing Company Namme::A
Applicant's Signature: 2`{ _ t.L` 6 Qb Date�
• Greg Casteel
Building Official
Revised 11/2/04
•
C�
�-a%.
or
CUPERTINO
CITY OF CUPERTINO wC&2-3(j
REROOF
PERMIT APPLICATION FORM
APN #
BldR Permit Fees
BUILDING
Date:
Ener
BUILDING
BSEISMICRE
Seismic Fee Res
Building Address:
BSEISMICOM
Seismic Commercial
ao
L -Y\-
Plan Check Fee
Owner's Name:
BUSLIC
Business License
Phone #:
CL�. —1 Utp —
C ntractor:
License #:
%ll
"75 0C�,,
Contact:
Cupertino Business License #:
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
O Provide Mfgr. Installation Specs.
I Have Read, Understand and Will Comply With Cu
ertino's Tear Off Policy:
Job Description: ve-
a-
V,-NOCKIirvS�,��\
o5QD t
1
c,>- to
Residential Ig
Commercial ❑
Fire Zone: Yes ❑ No ❑
Confirmed with Planning Dept. if
there are any restrictions: U
Cost of Project: /
Type of Construction: Occupancy group:
Qty. if
Applicable
Fee ID
Fee Description
Fee Group
BPERMFEE
BldR Permit Fees
BUILDING
BENERGY
Ener
BUILDING
BSEISMICRE
Seismic Fee Res
BUILDING
BSEISMICOM
Seismic Commercial
BUILDING
BPLANCHK
Plan Check Fee
BUILDING
BUSLIC
Business License
BUILDING