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0608001002 Z C V FL ! U V C C fit. f Uz CITY OF CUPERTINO m Ar.wnw+'--msv�: r BUILbING DIVISION PERMIT %CONTT, TORINFORMATION:• s �-� BUILDING ADDRESS: CASTO ROOFING PERMIT NO.O 6080010 19805 STEVENS CREEK BLVD NER'S NAME: OF, PERMIT ISSUE DATE YAMAOKA ASSOC INC 1938 OLD MIDDLEFIELD WAY 08/02/2006 NE: SANITARY N0, CONTROL NO. (650)961-8922 ARCHITECT/ENGWEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSEDCONT'RACTOR'SDECLARATION Chapter 9 Job Description P under or (commencing 1 bcrebY affirm that 1 am licensed uMar end Professions with Sccuon ]0110) of Division 3efthe Busineas aM Pra(cuiuns Cock. and my license if in full and CrrCCL 3 mea rg N REMOVE EXISTING ROO ILE 24 COMP F ANKt License LJe. Dam $' • 7 ' �! -. Contracmr ARCHTIECfS DECLARATION 1 understand my plans"I M used as public accords Owl u'S (�,Illn Licensed Pmfcuional OWNER -BUILDER DECLARATION I hereby .('firm I exempt from d License Law for the Cmimat r a fallowing mmaa (Satan ]031Business and Pmfestlons Cade: Any city or aunty maso on I.S. which requires •Permit on conswcL alter. Improve, demnlish, or repair any structure$345000 ! Prior m its I...,als� requirca the applicant for each permit to rile a signed summer that he is licensed pre am to Me provisions of Me Common's Liavc Law (Chapter 9 Sq. Ft. Floor Area uation (commencing wish Schon]000) or Division 3 of the Business; and Professions Cods) or that he h exempt thcmfmm and the basis for Ne alleged eaempdon. Any violation of Section 7031.5 by any appliam for a permit subjects she applicant to a civil penalty of P Y ' spy Occupancy e not mare man five hundred dollars (5500). )'P O I, u owner of title pmpmy, m my employers wish wgu u th4 sole eompensadon, o. and lathe wort and"The cumunovincodedoraw do fatale(Sec.us Manor and professions code: The Canuumrs Liame law dam WE apply b an away err Required Inspections propenywhobuilds mI Mmmeson.andwhodmssuchwordhimselforthroughhis own employees, provided that such improvements are not intended oroRered for We. IL however, the building or improvement 4 mid within ore you electroplated, she manner. Wilder IN have the burden of proving mat he did rat build or improve for purpme of salc.I. ❑ 1, as ewmr of the property, am exclusively contrsstng wim licam it contsassors to anstrom she project (Sec. ]OM, Business and Professions Code:) To, Conmaaora V. . cense law docs rat apply to an owner of import who builds art improves Narcan. and who conmcu for such projects with a conlmaar(s) licensed pursuant an me Contractors License Law. ❑ 1 am eaempt under See , B At P C for this reason Owner Dam WORKERS COMPENSATION DECLARATION I hereby affirm under poemy of perjury are of she following declaruions: I hum and will maintain a Certificate or Consent to self-Imurt far WmkcrS Compen- sation, a provided for by Sectan 3700 of she Labor Code. for she performance of the work for which this Permit is issued. ❑ 1 have and will maintain Workers Compensation Insunua. as required by Satan 37W of me labor Cada. for the perfarrnamc of the wort fm which mist permit is Wood. My Werks Insurance carrier and Polity nrum/bJer�art: (Compensation Cartier. o/TQ}'P -f Url (.i Poliq No.:2r LL r✓`�� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ('Ihu scahm need not 4 completed if the Permit is forone hundred donor (SIM) M- less) 1 certify Met in the prrformance of me word fm which this permit is .^••d. I shall not employ anyperson in my most u an become subject to the Workcra Compensation Laws of California. Dam Applicant NOTICE TO APPLICANT: If, arm, making his Certificate of Eamor don, you mould become subject in the Woftes Compensation provisions of the Labor Cade. You meta foMwith amply with such provisions m this Permit shall M domed mvoked. CONSTRUCTION LENDING AGENCY 1 herby affirm tPe mere u s construction lending agency for me Performance of Me work fur which this permit is issued (Sec. 7091, Civ. CJ (See.3 � Lender'sName LenderAdds Addrrss 1 anify Nat 1 have read this application and sum that the above anampatun 4 can t I agree m Comply with all city and county mlim es and star laws misting an building construction, and hereby mutants armsenutives of this city to enter upon the move-mcnuproperty for inspection purpos. se ( We) agree to save, inerrant hr nt fy and keepeders she City of Cupertino against liabilities,judgmdgmentscostsand ex pensesmayin any way accme against said Cityin LIeof UN egratorgig of thisPermit. RSTANDS A APPLICANT EAND WILL COMPLY WITH ALL NON -POINT n Issued by: Date SOURCE REGULATIONS. Re-roofs �7 ('a,a�A— Signalman,a(APplicaDam HAZARDOUS HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant err furore tar Indic ha'ramaus mamdal Co W defined Municipal e. Chanutore Ota Cupertino Municipal Codc. Chapter 9.12, and the Firalth and Safety Code. Schen 35312(x)? m ❑Yns 9n< All roofs shall be inspected prior to any roofing material being installed. Will she applicant or future building occupant ata equipment or which If a roof is installed without first obtainingan inspection, I agree to remove Pe emit hovamous air cantaminanu u dcfimd by the Bay Arta Air Quality Mamgcment M.M.l all new materials for inspection. Dixuict? ( / ❑Ys QNmm 1 have mad the Woolens mmcnalsrequirmnen r under Chapmr6.95 ofine Califon .is Haithd: SafctyCadc, Savcats 25505, 25533 and 25534.1 understand thmifthc Wilding does WE curmnlly hove a mnam, Mass it is my responsibility m atfy the aaupunt of she myuirtmcnu wh' muumtatprior m mamanceofa Cmrmam of Occupancy. �� R OCA Signature of Applicant Date All roof coverings to be Class "B" or better Owner or authorized agent Dam C` Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADD EGOS S�t�S i Cr1�'(31�d PERMIT # OWNER'S NAME: a mc.0 1aC_ w PHONE #720 —06"06 ` GENERAL CONTRACTOR d-rb Klvv P,h FAX # M I am not using any subcontractors: CS - a - U (" Signature Date Please check applicable subcontractors and complete the following information: 60 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 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Elk: Lot: APN ........: 31621032.00 DATE ISSUED.......: 08/02/2006 RECEIPT #.........: 35478 REFERENCE ID # ...: 06080010 SITE ADDRESS .....: 19805 STEVENS CREEK BLVD SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER YAMAOKA ASSOC INC ADDRESS ..........: CITY/STATE/ZIP .... , OPERATOR: bethe COPY # : 3 • RECEIVED FROM ....: CASTO ROOFING CONTRACTOR .......: CASTO, LINDSEY LIC # 21324 COMPANY ..........: CASTO ROOFING ADDRESS ..........: 1938 OLD MIDDLEFIELD WAY CITY/STATE/ZIP ...: MOUNTAIN VIEW, CA 94043 TELEPHONE ........: (650)961-8922 0E ______ ID UNIT QUANTITY _____________ __________ AMOUNT PD -TO -DT THIS REC __________ NEW BAL BPERMFEE VALUATION 345,000.00 __________ 1909.44 __________ __________ 0.00 1909.44 0.00 BSEISMICOM VALUATION 345,000.00 72.45 __________ 0.00 72.45 0.00 TOTAL PERMIT __________ 1981.89 __________ ---------- 0.00 1981.89 0.00 METHOD OF PAYMENT AMOUNT ----------------- NUMBER OTHER ------------ 1981.89 -__---__----_--___ MASTERCARD TOTAL RECEIPT 1981.89 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 • • CITY Of CUPEkTINO • 0 CITY OF CUPERTINO REROOF PERMIT APPLICATION FORM ,:R// - )I-nz7 APN # Bldg Permit Fees Date: 0-7 Building Address: �m'/ BUILDING Owner's Name- Ilama ` ('VK E� I /� ✓ r5��- 'Phone Contractor: �A e j l C J 1 CJ BUILDING License#: 9 -1ox-�)3 Contact: BUILDING Cupertino Busines License #: Business License Type of Roof Covering: Existing: Proposed: '!ilt- Built -Up Roof �It, 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 ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Com 1y With Cu ertino's Tear Off Policy: � Job Description: R,yyt ) i S n % /u, n k u/ -11-He Residential ❑ Commercial Fire Zone: Yes ❑ No Confirmed with Planning DePI, if there are any restrictions: U Costo Project: r1 Type of Construction: Occupancy group:� Qty. if Applicable Fee ID Fee Description Fee Gronn BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING 3 40 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 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. l Homeowner's Name: l Q m al-Qka, ( ! SSDC :5,�,G Job Site Address: /9 Roofing Company Name: n I I I d C`� Q (9 apt C Applicant's Signature: Date: �I Z 07 . Greg Casteel Building Official Revised 11/2/04 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 j 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, the will require 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 isnot 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. l Homeowner's Name: l Q m al-Qka, ( ! SSDC :5,�,G Job Site Address: /9 Roofing Company Name: n I I I d C`� Q (9 apt C Applicant's Signature: Date: �I Z 07 . Greg Casteel Building Official Revised 11/2/04