Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
99100062
3ie - filial - o S� i� p ' PERMIT APPLICATION FOR CITY OF CUPERTINO NUMBER INSPECTION DIVISION PERMIT EXPIRATION REROOF PERMIT (408)777-3228 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 18D DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION, BUILDING ADDRESS �J 1730 //<<«ltt RESIDENTIAL 111-�'GOMMERCIAL OTHER OWNER's HAZARDOUS FIRE AREA ILS` YES ❑ It yes—I understand that a Class A NAME - /�'—tte //� 9 root Assam is required. "'' NO O Initial I.C.B.0.11 ADDRESS EXISTING ROOF COVERING PHONE NUMBER OF EXISTING COVERINGS CONTRACTOR'S - NAME �C��^f TO BE REMOVED ©nom TO BE RETAINED " ADDRESS 33 Z- ��++ S,�, 95—II Z TYPE OF ROOF COVERING CITY&ZIP EXISTING PHONE 70D� Z9f-7615 BUILT-UPROOF ❑ LICENSE '�/fto - ASPHALT SHINGLES NUMBER ❑ LICENSED CONTRACTORS DECLARATION I hereby all that I am hcensetl under provisions of Chapter B(commencing with Section OCD SHAKES . 7000)of Divwon 3 of the Business and Professions Cods.antl my license is in fall force and effect. ; i OOD SHINGLES ❑ License Claes �— Oc.Number 2�I�'S Datel,,5Ac ( ContrU' (SPECIFY) ❑ OWNER-BUILDER DECLARATION MWOODSHINN hereby 7031. ,Buirm Met em exempt from the ia: Any or county Lew for the allowvires ng neem. Q l�f(S .70315,Business antl Professions Cade: Arty dry or county which requires a permit toconstrI�IIIapplicun,alter,Improve,tl file asi or repair any ntrthathe La lik n IIs Issuance,alae reproves ns Dapplicant tr such permit to Ills a signed statement that W us Iioeneetl pursuant to the provisionso!Me ss and Prof scions Lew(Chapter th(c,exa pt t with Section]000)of Divlsl a ale the7 1 cs _ _Bhmimse end violation of Smani or that he le exempt therefrom antl gre basis for the allegetl 1 G 1�:VYJJmption.Anyf not ma of han fivl]0 ndr by ally s 11150 til bra permit sublecta tlta epplkant to e civil penally of not mora then five Wrdretl dolun(5500).):I,as owner of the property,or my employees with wages as their sole compensallon,will ce ❑Me work,antl Me structure Is Prot intended or offered I«seta(Sec.7044,Business and Profes-sions Code.The Contractors Cwense Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or through his own employees,provided Mat stcth Improvements are not intended or offered for Bele.It,hpwever,the WildN or Improvement Is said within one year of completion,the owner-Wllder will hexa the burden of proving Mat to did OTHER(SPECIFY) ❑ not bulb or aWom for purpose d sale.). - _ 01,as owner of the property,am exclusively mntrantr with licensed contractors to construct the protect(Sec.]044,Business end Professions Code:The Contractors License Law does net PROVIDE I.C.B.O. REPORT NO. apply to an owner of property who butts or Improves thereon,and who contracts for such projects with a ccm mctor(s)licensed pursuant to the Contractors umnsu Lew. PROVIDE MFGR.INSTALLATION SPECS. 01 am exempt under Sec. ,B&P.C.for this reason onrwr Dela WORKERS COMPENSATION DECLARATION APPLICATION DATE VALUATION PERMIT FEE der 1 hereby ams ill ma penally of perjury,one of the following tlure for Wor / hl�O /� 1have arts Section ofthe Labor abof Consent toeeWomafor Workers Comp which his / Building as provitlatl for by Smtlon 3700 0l the Labor Coda,for the performance of the work for which Ihls Q per mitigi lsf have antl will member,Worker's Compensation Insurance,in recruited by Sectors 3700 of elSm[ the Labor Code,for the performance of the work for which Mts permit Is issued.My Workers Cmhpmsatlon Insurance carrrier_en Polity number are: y otal W Carrier $t;i I 1.4 PmkyNo. 2eT,99-800°vs— PERMIT AUTHORIZATION DATE _.CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE N.CQ (This section read not be completed If the permit is for one hundred nature(E1 D0)or less.) I certify that in the Performance of the work for which this permit Ie Issued,I shall not empty - any person in any manner m as to become subject to Me Workers Compensation Lowe n CeII- All roofs 91 Inspected prior to any roofing material being forma. installed. If a roof is installed without first obtaining an .plus Applicant inspection,I agree to remove all new materials for inspection. NOTICE TO APPLICANT: It,after making this Certificate of Exemptkm,yon should become Applicant understands and will comply with all non point subject to the Workers'Compensation prwith ovisions of the Labor Code,you must forthcomply with such provisions or this permit shall be doomed revoked. Source regulations. I cer8ty that I have read this application and stale that the above informatlon fs correct.I agree to comply with all city and county ordinances;and state laws retailing to Wilding construction,and All roof cov i get be class"C"or better. hereby authorize reprosentatims of Nis city to enter upon the above-mentioned property for In- /O—' —is 7 epaction purposes. /+J (We)agree to save, Indemnify and keep harmless the City of Cupertim egunal liabilities, judgments,costs and expenses which may In any way accrue against sold City In consequence SIGNATURE OF APPLICANT DATE of l e granting of this inner. PRE-INSPECTION: - PLYWOOD: - IN-PROGRESS: INSP. DATE INSP. DATE INSP. DATE TEAR OFF INSPECTION: BATTENS: FINAL: INSP. DATE INSP. DATE INSP. DATE NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION OFFICE COPY CITY OF CUPERTINO - BUILDING DEPARTMENT RE-ROOFING POLICY 1. Prior to permit issuance, you must agree to comply with U.B.C. standards and manufacturers specs on re-roofing. 2 New roof coverings shall not be applied without first obtaining all inspections 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 types of roofs shall be inspected prior to any roof being installed. 4. In order to receive a final, you must complete steps 1,2, and 3. 1. Pre-inspection or tear-off approval 2. - In-progress inspection approval 3. Final inspection approval a. Operable smoke detector verification 5. If plywood is installed, a plywood nail inspection is required. • 6. If any roof is applied without first obtaining an.inspection, you will be required to remove all new material down to the sheating and a building inspector will inspect all sheating at that time. IMPORTANT: 1. Flat roofs must have a %<" per foot slope, or demonstrate that there is no ponding. 2. I.C.B.O. reports are required to be on the job site at the time of inspection. If you do not have one, contact the building department. WE UNDERSTAND THE ABOVE POLICY ON RE-ROOFING AND NVILL COMPLY WITH THE POLICY. HOMEOWNER'S NAME: l� t fly iU9 ADDRESS: 19730 RE-ROOFING COMPNAY NAME: APPLICANT'S SIGNATURE: • CITY OF CUPERTINO BUILDING DEPARTMENT Re-root7winword INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: karenb Sec: Twp: RnB: Sub: Blk: Lot:31629045.00 INVOICE DATE...... : 10/12/1999 _ REFERENCE ID 0 ... : 99100062 SITE ADDRESS ..... : 19730 MERRITT DR SUBDIVISION ...... . CITY . . . . . . . ...... : CUPERTINO IMPACT AREA ...... . OWNER . . . . . ....... : KITTY NG ADDRESS . . . ....... : CITY/STATE/ZIP ... : CUPERTINO CA, CA 95014-2440 CONTRACTOR ....... : CORPORATION LIC 0 20585 COMPANY . . ........ : CONRADO COMPANY INC, THE ADDRESS . . ....... . : 14363 SARATOGA AVE CITY/STATE/ZIP . . . : SARATOGA, CA 95070 TELEPHONE ..... . . . : (408)867-2095 FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE BPERMFEE P 126.90 0.00 126.90 BSEISMICRE P 0.90 0.00 0.90 --------- ------------ ----------- 127.80 0.00 127.80 VO ID _----_-_DESCRIPTION VOICE ID --DESCRIPTION .. ..... ........ ...... ......... FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS CITY OF CUPERTINO 1 of 1 BUILDING PERMIT RECEIPT OPERATOR: karenb COPY q 1 Sec: 'I p: RnB: Sub: Blk: LOC:31629045.00 DATE ISSUED. . . . . . .: 10/12/1999 RECEIPT #..... . . . . : 10321 REFERENCE ID # .. . : 99100062 SITE ADDRESS .. . . . : 19730 MERRITT DR SUBDIVISION ..... . . CITY . . . ......... . : CUPERTINO IMPACT AREA ...... . ' OWNER . ....... . . . . : KITTY NO ADDRESS ..... . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-2440 RECEIVED FROM . . . . : ALAN CONTRACTOR ... . . . . : CORPORATION LIC # 20585 COMPANY . ..... . . . . : CONRADO`COMPANY INC, THE ADDRESS ...... .. . . : 14363 SARATOGA AVE CITY/STATE/ZIP .. . : SARATOGA, CA 95070 TELEPHONE ........ : (408)867-2095 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 9,000.00 126.90 0.00 126.90 0.00 BSEISMICRE VALUATION 9,000.00 0.90 0.00 0.90 0.00 ---------- ---------- ---------- ---------- T�PERMIT 127.80 0.00 127.80 0.00 `NOTE-: THIS RECEIPT HAS FEE CREDITS TOTALING: 20.10 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 127.80 'i • TOTAL RECEIPT 127 BO VOICE ID DESCRIPTION VOICE ID DESCRIPTION ........ ............................ ........ .......................... 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS •