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06050040 CITY OF CUPERTINO '• vx + , na,' r ao: r ! - BUILDING DIVISION PERMIT C0NT-RACT , WORMATION JU BUILDING ADDRESS: FOUR SEASONS ROOFING PERMIT No.06050040 10079 RIDGEWAY DR OWNER'S NAME: PERMITLSSUEDATE DEANZA OAKS HOA 502 HORNING ST 05/04/2006 NE: SANITARY NO. CONTROL NO. (408) 278-0330 ARC HITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH ;eco LICENSED CONTRACTOR'S DECLARATION Job DBSCiIptlOn i Z e I kmby affirm that 1 ame li¢mN under provisions of Chapter 9 mommrxing <6 with Sccim.7")af Division 3.1'0,Business and Prolinecom Code,and my license is in full force and affect. g TEAR OFF SHAKES INSTALL 1/2" CDX, AND GAF GRAND "rt0.� ca�,rmm QUOIA SHI 0 Y CLASS A CTS DEC R 10 1 -t I undersand my plans mall be=it u public records �~J PyU �Gr^ Licensed PmRssional 5 OWNER-BUILDER DECLARATION 1''� r5006 aF I herchy alTtrm Jut I am comp,from the C.nlramoes License Law for the JUN a o following moon.(Section 703 1.5,Business and Pmlessions Cala:Any city or county <m�+ which requires a permit in construct,almr.Improve,dcmnllm,or repair any suuctum nil mplat - °zy prior an its issuance,also nations the applicatsforsuch permit to rile a signed statement ss< that he is licensed puranuo she provisions of the Conuactoes Licemo Law(Chapter 9 Sq.Ft. Valuati Cl-C m (commencing with section 70(10)of Division 3o1'the Business and Professions Code)., y Nat M Is exempt therefrom and the bask for the alleged eaemptio.Any violation of Section 7031.5 by any applicant for a permit subjccu dre appikant to a civil penalty ofpp�tN�711rtt Occupancy YP out more Nan five hundred dollars(S30W). 3 n ��b�r 0 0 Occu ane T e ❑1,u owner a!the propmY•a mY wpbycv with wgu u Ne'v sok c.mp<ruati.n, 1 v e, will do me work end the...tore u not kmndcd w.flared finitude(Sec.7014,Busincu and Professions Calc Tho Contractors License law doss not apply to an owner of Required Inspections property he Wilds or improves thereon.and who dousuch work himself.,through his Own employees,provided Out such improvements art not intended Or offered(mule If. however,the Wilding or improvement Is sad within am year of completion,the owner- builder will have the Wrden of proving the M did set Wild Or improve for purpose of sale.). O 1,as owner of to property.am exclusively contracting with licensed contractors to comment the Project(Sec.7014.Business and Protections Cade:)The Contractors V- cove taw dos out apply to in owner of property who Wilds or improves Neuron.and, who contracts for such projects with a contractors)licensed pursuant to the Convector's Lkarue Law. O lameompsunder See ,BhPCforthkreawn Owner Dam WORKERS COMPENSATION DECLARATION 41 I hereby affi m under Penalty of perjury one of Ne following declaration: O I brim and will maintain.CerdBeu of Common to self-insure for Worker's Compton. antion. o ker'sCompen- ution,as provided for by section 3700 of the Latour Code.for the pedomu¢of the wok for which this permit is Wood. O 1 have aed will maintain Workers Compensation Inpuance.u tcquhed by Section 3700 of me Labor Code,fro Ne performance of the work for which this pemtit is issued My War crs Compensation hue carrier and Polity number are: R CATS OF X• 1Pf10N FROM Ssk 2_q COMPENSATION INSURANCE Crisis section aced not W compound if the peirnis is forum hundieddollars(SIM) r v Icss.) I cerdfv Jot in the Mr..of the wort for which this pmol,u issued,l shall set employ anypterson in try manner m as to kcomc subject to the Workers'Compevadon Laws of Califomia.Dam Applicnd NOTICE TO APPLICANT:If,after making Nis Cenificam of Eacmpti.n,you mould became subject on No Workers Comperueian provisions of me LidW,Code,you mot 0z foMwith comply with such provisions o mu permit mall be damed revoked. ZO CONSTRUCTION LENDING AGENCY [-i 1 hereby affirm Nat there u a construction lending agency for the perfurmarme of a the work fur which this permit is issued(Sec.3097.Civ,C.) GQ Landers None z Lender's Addreas U O 1 certify that 1 have read Jds application and sem mat the.bee information k W f^ torrent 1 agree to comply with all city and county onlinances and sum laws relating to 0 U building construction,and hereby authorirz represcrativn of Nis city in cou:r upon the r0. abevc-mcnGuncdpmpertyst rue ivpOrmsfccuion purpowhich ms (We)agree to save,indemnify tad kap hermleas the City of Cupenino against o-F.fA inconsequeceofth,crats and cxpoues which may in my way accmc against said City Uz in covegueac.[mc grating of this permit. ^" APPLICANT UNDERST ND WILL COMPLY WITH ALL NON-POINT Issued by: Date tEGULATION . T / " f�� - 4-^3-t)Ch Re-roofs Sgnuurt of ApplicamKo for o Dam AZ OUS MATERIALS DISCLOSURE Type of Roof Will the appli .r In.Wilding occupant more or herdic hauNov material as de0and by the Cupertino Municipal Code.Chapter 9.11.tad the Health and safetyCoJc,Scales 21511(4Z_ a All roofs shall be inspected prior to any roofing material being installed. �Yns � Well the applicant or future Wilding occupant tau equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air commitments u JcOnnd by Nc Bay Area Air Quality Maragemem all new materials for inspection. District? \— OyerL No I have read the Incurious messiah mquimma nu under Chapmr 6.95.fthe Caiif.r- m-HealN&Safety Code.Sections 25505,15533 and 25534.1 on&.it Or.if the Wilding Jos not currently baro a sena Nat it is my mspovibility to mul,the acupart of me rewi�mn/ti mat .rtoi tam .racnfxemoratM Signature of Applicant Date ~-�� j old owners atrm.d,e en, D,m All roof coverings to be Class"B"or better Community Development �' 10300 Torre Avenue 'Y Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 &UPEkTINO Building De artment JOB ADDRESS: PERMIT # 10 0s00 `z o OWNER'S N PHONE # GENERAL CONTRACTO • FAX # I am not using any subcontractors: i ignature Date Please check applicable subcontractors an lete the followin 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 caner/Contractor Signature Date CITY OF CUPERTINO am 7 of 7 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34241020 . 00 DATE ISSUED. . . . . . . : 05/04/2006 RECEIPT 4 . . . . . . . . . : 34240 REFERENCE ID # . . . : 06050040 SITE ADDRESS . . . . . : 10079 RIDGEWAY DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DEANZA OAKS HOA ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-2658 RECEIVED FROM . . . . : FOUR SEASONS ROOFING CONTRACTOR . . . . . . . : DIAZ, ALFRED LIC # 21323 COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING ADDRESS . . . . . . . . . . : 502 HORNING ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 278-0330 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 6, 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00 BSEISMICRE VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 126 . 96 0 . 00 126 . 96 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 888 . 72 005523 TOTAL RECEIPT 888 . 72 • 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$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate, that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: CIA �AQ.�s, Job Site Address: j 00 Roofing Company Name: Applicant's Signature: c • Greg Casteel Building Official Revised 11/2/04 CITY OF CUPERTINO • w �"' REROOF CUPEkTINO PERMIT APPLICATION FORM APN# Date: Building Address: 10 r Owner's Name: Phone #: ti Contractor: License#: S5/71Z. 2 � Contact: Cupertino Business License #: t� Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles V" Asphalt Shingles AF- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) __ ❑ Other(Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report# ,% To be Removed ❑ Provide Mfgr. Installation Specs. • I Have Read, Understand and Will Com2ly With Cu ertino's Tear Off Policy: ❑ Job Description: 'no�C-F �£ 5►.�kcs f tNs�� t Z t CD'/ I 0^Gk C,.4 R$uoi IA) o y Rhz Residential ®._ Commercial ❑ Fire Zone: Yes ❑ Nom] Confirmed with Planning DMt. if there are any restrictions: LJ Cost of Project: oo Type of Construction: Occupancy group: S Soo 3 Qty. if A licable Fee ID Fee Description Fee Group BPERMFEE Bld Permit Fees BUILDING BENERGY EneEgy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING •