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08090142 CITY OF CUPERTINO BUILDING DIVISION PERMIT WONTRAC"TWI0 YORMATIQN BUILDING ADDRESS: PERMIT NO. 10862 NORTHFIELD SQ FOUR SEASONS ROOFING 08090142 OWNER'S NAME: PERMIT ISSUE DATE PML MANAGEMENT P 0 BOX 1210 09/22/2008 NE: SANITARY NO. CONTROL NO. (408) 278-0330 ARCHITEC(ENGINEER: BUILDING PERMIT INFO BLDGELECT PLUMB MECH 0 0 0 0 oOp LICENSED CONTRACTOR'S DECLARATION S m 1 hereby affirm d u I w I"icenscd under provisions of Chapter 9 rmmmeneing Job Description with Section?Of10)of Division 7 orthe Business and Profcaviuv Cotl/card my license is RE-RF RMV CALSHK RF INSTL NEW GAF GRND CNYN RF -O m fWl forte W cf Lic.NI�^� ��� I,icerde❑ a SYSW/NEW 30#FLT UNDRLYMNT CLS A SOSQ-UNITS Date ARCHITECTS DECRA oN unscented 0'862, 10872, 10882&10892 I ucnund my plans anal)W used u Public records JyU g Licensed PmfessianW - 5 OWNER-BUILDER DECLARATION <E 1 krchy eRrm that 1 am exempt from the Contrsetors license law for Be 00 following reason.(Section 703I.5.Business and Profession Code:Any city or county 5_ which mention a permit to cnnuruet,alar.impmw,demolish,or repair any structure primus its women,slw rcquirn the applicant for inch permit no file a signed settlement lost at he is licensed pursuant to the provision or the Contractors la actars lw(Cnapmr9 Sq.Ft.Floor Area Valuation ell-la (eommemingwith Scalar 7O )ofDivision 3orlose Business and Professions Code)or 20400 Nat W is exempt therefrom and the baso Am the alleged eacmpcom Any violation of Section 9031.5 by arty,applicant for a Permit sebjects Ne applicant to a civil penalty of umber OGGn but mom Nut fisc hundred dollars($500). 31637040 .'°t M Occupancy Type ❑1,u owner of the property.a my mnployess with wags u their seta compewtian, and do use work andtic suncwreuur's Lienee Law co but apply 7o owner and Profession Cndc TW Contactors ted ho Law dna but appy lf an owner of Required Inspections proper4ywbo Wildamimpmvra ther improvements through his awn c ct ldus Wilding that inch improvements art not intended mdfered for ala Ir- howeverthebuildingmimprovement 4hin within amWildorimproerfortheweer- Wilder will have the 4nden of proving that nil did ms build m improver for purpose of tile.). ❑1.u owner or the property,am exclusively contracting with I eciand members to mnuuct the project.(Sec.7044.Business and Profetion Coder)The Countesses U. . cease law dots not apply to in owner of property who Wilds or improves thereon.and who contracts for aueh projects with a eomranor(s)licened pursuant to the conuxmrs Lic'eme law. ❑ime"emptuncesSee ,BAPCfmrWtmsmv Owner Dam WORKERS COMPENSATION DECLARATION 1 hereby afRm under penalty of perjury one of the following catenation: I ham and will msirssir a Cenificam of Consent m self-intim for Wolters Compeo- cation,as provided for by Section 31W of the labor Code.for the performance of the work for which Nu permit is issued. 1 hose and will maimam Workers Compenation Insurance,u outputted by Section 3 ofthelabor Cade,Im the purormarce oftW work fm whiN Nu permituiasued ' My Workers mnPeudion/Jl/y�ju�rantt artier end Policynum�Mr/am: carn .Li/a/z7A=,./v-s Policy No.: //-•�S �I-/ r�_ OC�� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thosectim need retbo completed If Ur permit Is foranehu dend doled(SIM) ter less) 1 ceniry cut in the performance of the work for which this Permit is issued,1001 not employ any person in any mammr an as to became subject to the Workers'Compendiums laws or California.Dene Applicant NOTICE TO APPLICANT:Ir,after making this Ccnifiae of Eaemptioq you ihouW become subject to the Wmkces Co oNmenion provisions of the labor Cod4 You muss .J z forthwith comply with such provision or this NTit snWl W deemed molted. Z O CONSTRUCTION LENDING AGENCY [—i I herebY which that then I..ed(Sm lending egenry Iter the perfurmuo:of IY> ate der s our which rola puma u mace(sea JW7,Cir,C) Q Lenders Name z l<ndcrs Address _ U O 1 eed(y that 1 have mad this application end sum that the above ideverm.is w comMeL I agree no complY wash all city and county ordination and sum laws relating to Wilding construction.and hereby utharim mprescnutiver of this city m inter upon de slave-mentiaae property for inspection purposes. F y (we)agree to caw;,indemnify and keep handless the City of Cupertino agmma ' rp Iiabiliues,jWgnome.cosuand eapenus which may in any way scenegsinl did City U z in consequence of the granting of this permit APPLICANTUUNDERSTANDS AND WILL COMPLY WITH ALL NPN-P01t(T Issued by: Date SOU J� / Signature of AppbcuUCenOde Re-roofs d� HAZARDO)tDO US MATERIALS DISCLOSURE Type of Roof Will use applicantnd(Municipal uni Willinge.Chaptdartorand th haddoumderill as defined by the 32(s)7 m MuniW Wl Code.Chapter 9.13,and the HCWth roti Safety Code.satied 25s3z(.)7 � All roofs shall be inspected prior to any roofing material being installed. ❑Yu Will ted, liearl m from bdldin oc n If a roof is installed without first obtaining an inspection,I agree to remove Ire g pant use equlpmcnt m devices Mich g P it havadnua ai UistricQ r ccbr minan u defined by the Bay Area Air Quality Managcmcnt all new materials for inspection. by. Nu I have read the hdardGms mderials m,prm menu undc,CWpmr Q95of the Califm. / no Hcal"SAlctYCode,Section BM5.25533 and25534.1 understand thenJtite Wilding dao not currently nem,some,ins u my tesponinility lo notify cid occupant of the CiK/ ouyuiremcn rt Lw➢dspn�ye usudnu afa Certificate of moi ' Signature of Applicant Date Owner orantherimdagenl Date All roof coverings to be Class'%?"or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31637040 . 6292 DATE ISSUED. . . . . . . : 09/22/2008 RECEIPT # . . . . . . . . . : BS000006148 REFERENCE ID # . . . : 08090142 SITE ADDRESS . . . . . : 10862 NORTHFIELD SQ SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER PML MANAGEMENT ADDRESS . . . . . . . . . . : 10989 NORTHSHORE SQ CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-0550 RECEIVED FROM JAMES CALDERON CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323 COMPANY FOUR SEASONS ROOFING ADDRESS P 0 BOX 1210 CITY/STATE/ZIP . . . : ALAMO, CA 95407 TELEPHONE (408) 278-0330 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 20, 400 . 00 2 .10 0 . 00 2 . 10 0 . 00 1REROOFRES SQ FEET 50 . 00 650 . 00 0 . 00 650 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 652 . 10 0 . 00 652 . 10 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 652 . 10 AMEX --------------- TOTAL RECEIPT 652 . 10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF. e -� CITY OF CUPERTINO REROOF OUPEkTINO PERMIT APPLICATION APN # Date: 3 /G37 oVO , bz9a Building Address: /o8&a - /O8'-72 - Owner's Name: e � Phone #: /�L 33y Contractor: Phone#: .✓ '� �� . a 3 3 0 Fax #: 27,ir- -o3a7 Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ;N\ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles Other(Specify) mow!S ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed i ❑ Provide Mfg. Installation Specs. Job Description: A1s..a C ram( yv r Q v l L w ��. vwQ W 3c. Residential / Commercial Green Building: Please"complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the there are any restrictions: ❑ application or if applicable, include in plan set & the sheet index. Valuation: • I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: -Signature CITY OF CUPERTINO S REROOF OUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B ISFDWLROOF IBSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B IMFDWLROOF r 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • Community Development Department Building Division City of Cupertino 10300 Tone 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: T Gy W-W /o8G2 - /C>e -4 7- job job Site Address: /-8 i'Z- - /"fi 5 2 Roofing Company Name: ;?:� .-3 4 4- Applicant's Signature: -- ate: • Greg Casteel Building Official Revised 11/2/04 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project Plans See below B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation 1. Use 15% Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 points E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points 4. B. Fiber Cement Siding, (Note/Spec. A4 2 points F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11.A 2500 Gal.Tank, (Note/Spec L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, Note/S ec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS �s 40 points Plan Review Process Work Book Page-I2-Revised 3/25/08 sm Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �UPEkTINO Building De artment JOB��DRfiSg: PERMIT #� a OWNER'S NAME: iy6- / PHONE # Lam- 6'33a GENERAL CONTRACTOR: FAX # I am not using any subcontractors: 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 • "��G? -- 9 / y Owner/Contractor Signature Date