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08040005
CITY OF CUPppERTINO ` BUILDINOdIVISION" PERMIT 'e ON�RA.CT�,OR IN .�QORMATIONN, �+r�� Bu1It9'§'d'2DWBINDELL WAY ALL PHASE ROOFING "M'40005 OWNER'S NAME: PERMIT ISSUE DATE CORRAL BARBARA M 315 CLARKE LN 04/03/2008 HONE: SANITARY NO, CONTROL NO, RCHITELT/PNGINEER: BUILDING PERMIT INFO RE-RF,T/0 1CMP RF, RPLC W/CLS BLDG elEcr PLUMB MECH 0 0 0 0 �Ocs LICENSED CONTRACTOR'S DECLARATION Job Description hereby afnrm Jut i w Ilmneed ns under Provisioof Chapter 9(commencing with Section 70M)ofDivlswo3ofJreB�yp( and PmrsomuCode.and mylicense is << to full forte anile�.�,�''] � C w Z License am Lle.M S fryry , - S Dere mos=ARCHITECTS DECLARATION 1 send m plans syall Ec used u public records 5G Lj�offd Pm mi...1 OWNER BUILDER DECLARATION <� 1 hereby anirm that 1 em exempt from to Conlrenare License law for the E O o following moan.(Swoon 7031.5,Business and Profession Cote:Any city or county $ which requires a Permit on conoul,alter.improve,demnlixh,or repsr my structure _ZSm prim in its issuance.alw requires to applicant rorsuch permit in Ills a signed staremem E G than he is licensed pummm to the provisions or the conuecter's iJceese Law(charter 9 Sq.Ft. Floor Area Valuation 3 (commencing with Section 7000)of Division 3 of the Business and Pwfwou Code)or e5— that he a exempt drerefom and the basis for the alleged co mptian.Any Holadon of Section 7031.5 by airy appiment for a permit subjecu the applicant in a evil penalty of APN Number Occupancy e owl mare Nut Eve hundred dollars ISMp y •T'y p I,u owner of tW prvpmty,or my employm with mgu u then sole eompewaJan, will do the work,and thestrocium is notirmnded or offered forest.(Sm.70 a4.B.Anwni and Profeaiaw Cade:The Quoracsers License Law dwu of apply w an awn,of Required Inspections prop.ny who Wilde orimproves thetron,and whodoweuch work him elforthrough his own employers,provided that such improvemenu art not intended oroffiano for ala If. however,Ne building or improvement Is old within one year of completion.the owner. builder will ban this,Workers of proving that he did not Wild or improve for purpose of ask.). ❑1,u own,of de property am exclusively comms ing with licensed conuusen in censwet the prole,(Seo 7014,Bwinws ant Professou Code)The Cuuowra Li. mem taw does not apply in an owner of property who Wilde or imprem Jwmen,and who...fo,osis projects with.conua,or(O imcowed purawnt se sea Camusesera - Limman,law. ❑I sm..crept under See .B k P C for that moan Owner Data WORKER'S COMPENSATION DECLARATION _ I hereby of nn under peulty of perjury one of the following declinations: I have and will maintain•Certificates of Consent in self-inure for WorkersComper- Wrku Provided for by Section 3700 of the labor Code,for the performance of the for which this permit is issuel ❑I have and will maintain Workers Compensation Iwuanm,as wished by Section 3700 of Jre Iabor the perfumanm of the work for which this permit u issued. ' My Workers nnwo artier od Policy number am: C. r Polley No.: ir1�RTi`CA7E0 NMON INSURAN WORKERS 41"1 asT SATION INSURANCE (This amour wed not W compared If the permit taformn hundlNdollus(SIM) or lees.) 1 cenify that in the performance d the work for which this permit Is issued,l still rat employ any person in my memento u at become object to the WorkerCompensti Laws of California.Data Applicant NOTICE TO APPLICANT.If,afar making this Dominate of Exemption.you swuld bwome subian to the Workers CompenatIon provisions of the laher Code you most Oforthwith comply with such provisoes or thio permit Nall W deemed mated. LZy^ CONSTRUCTION LENDING AGENCY I hereby affirm that Nem is a awuunion lending agency for thelerfermanm of G' > de work for which Nis permit a issued(Sec.309'1.Co.C.) ' W Lenders Name Z lander.AM. U O I certify that 1 haw and this application,and me thin the show informNun Is I& F correct.I atm:to amply with all city and county ordinances and sum lam misting to OU building comstaction,and berebyodarice mpresenmim of do.city in enter upon use UQ above-mentioned property for Inspection pugweL LL (We)agree to save,indemnify and amp harmless the City of Cupertino agaWt ww fn Ilabilitimjudgments.tutu and exp•^.-nt which may in my my ac,nc against said City - („)'Z to coucguenc.of the gaoling of this permh. ^' APPLICANT RSTANDS AND ILL COMPLY WITH AL 0 OINr Issued by:9 Date SOURCE LA ONS. . s/ D signature of pplianUConu.c r r'r � Re-roofs HAZAROOUSM AIS OISCLO E Type of Roof Will the.pplirsnt 0, future Wilding wapanlamm or Mle heuAow material as dented by the Cupertino Municipal Cade.Chapter 9.I2,sed the Health and Safety caJc,Sc y. No z5s3zp)7 ❑Yrs �p All roofs shall be inspected prior to any roofing material being installed. Will the.pplicam or future Wilding oc ipam to Wuipho nt a devices which If a roof is installed without first obtaining an inspection,I agree to remove It hrurdws air conumimnts u denied by the Bay Arta Air Quality Management all new materials for inspection. W07 �J ❑Yrs 'a' No I ban mad ftheurdus\marerlalemquhemcnu underohmour6.95 aline Califnr- 14� eta Health k S.fctyCade S.6=25505.25533anti 75334.1 understood thanlfthe 'Idin9dors rat torn a Imam,than It's my respon ibility u nmiry tie scat t of requirements Welchm Wmet Loisam ue.I.Cerofca¢af Ce Signature of Applica cororauthQ6Mdagm, are All roof coverings to be Class'p"or better CITY OF CUPERTINO • 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36223002 .00 DATE ISSUED. . . . . . . : 04/03/2008 RECEIPT # . . . . . . . . . : , BS000004334 REFERENCE ID # . . . : 08040005 SITE ADDRESS . . . . . : 7802 ROBINDELL WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CORRAL BARBARA M ADDRESS . . . . . . . . . . : 7802 ROBINDELL WY CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5015 RECEIVED FROM . . . . : ALL PHASE RAINGUTTE CONTRACTOR . . . . . . . : LOUIS J. REBOZZI LIC # 27941 COMPANY . . . . . . . . . . : ALL PHASE ROOFING ADDRESS . . . . . . . . . . : 315 CLARKE LN CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (408)779-3740 • FEE ID UNIT QUANTITY AMOUNT �PD-TO-DT THIS REC NEW BAL ---------- - ------------ ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 7, 900 . 00 0. 80 0. 00 0.80 0. 00 1REROOFRES SQ FEET 26 . 00 338. 00 0. 00 338 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 338 . 80 0. 00 338 . 80 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF oh nc�oS CITY OF CUPERTINO REROOF CUPERTINO PERMIT APPLICATION A APN# 3 (,0 AA � C)va • Date: Y u3— Building Address: e Owner's Name: Phone #: caaa Contractor: Phone #: `7-7ci- 3-2510 Fc' Fax#: -7 7GI-3 Cupertino 13usiness License #: Contractor License #: S& cc Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof o Built-Up roof X Asphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings o Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 'QAC o-P -P o t✓ Q Cem� (Z o© ee foo Residential Commerci Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: od •'� I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: gnature p` CITY OF CUPERTINO REROOF CUPEkT NO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B 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: i6a b o-r A-- CCS r rcA L Job Site Address: `7 D q X V.,,ti 'lt'L L Roofing Company Name: &CD Fh Applicant's Signature: Date: 3 G jf • Greg Casteel Building Official Revised 11/2/04 R Community Development 10300 Torte Avenue Ira . Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 CUPEkTINO • Building De artment JOB ADDRESS: PERMIT # OWNER'S NAME: ,o eo Y✓ jC PHO # Y GENERAL CONTRACTOR: S tD FAX # ^7 I am not using any subcontractors: 3 d SignaturP 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 I Owner/Contract gnature Date