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08030082 CITY OF CUPERTINO .a/��'^k���7.yvy�a r�s �g. a ^��"`'-� '>+� `�•'" rx'* BUILDING DIVIS16N PERNHT Buagl"T"kESTACRES DR BECKS ROOFING 08030082 NER'S NAME: PERMIT ISSUE DATE RAKIB 6191 OCHO RLOS DR 03/17/2008 14MNE: SANITARY NO. CONTROL NO. (408) 365-8979 ARCHTECT/ENGINEER: BUILDING PERMIT MPo BLDG ELECT PLUMB MECH 30a LICENSED CONTRACTOR'S DECLARATION 1d; 1 hereby union that 1 am licensed under provisions of Chapter 9(commencing Job Description w t1 ww SeNon7IXN)ofDIvWon3of Budneuand Prarauinm r dmyficemeu RE—RF,T/O,OSB, #30LBFLT, PRES COMP, CLS A 27SQ 0 or in roll tone sed e Z_ License elm Lm,t ` ' 5� Dau �f1ECi-S DECLARATION 1 undemanJ my plum Nall W used as,public records Dsu k Licensed Profusional OWNER-BUILDER DECLARATION ir i I hereby oflim that I em Hemp,from the Contractors Lwenu Law for Ne p 0 fallowing recon.(Sectio 7831.5,Business and Pmfeaoiom Codc:Any City or County $ which mgdrm a permit to construct.alta.improve,demnl W,or repur any{4Ynure 0 Z_i Prior to its issuance.livelivemqumes the applicant far each Permit to rile a signed summa, aut < that he is licensed purto the provisions of tha Use Cormier's lame Law(Clupe,9 Sq.Ft.FI00r Area Valuation �s (commendngwihS .7000)of Di,ision3offt SB .ineuad Professtan,Cede)Or 1500 Wt W u esempt therefrom and de basis fee the alleged assumption.Any violation of Section 7031.5 by any sppllant fm a permit subjccs the applicant to a civil penalty onNumber Occupancy not mom dun five hundred dollars(551101. 3 5 9110 3 4 . Pane y 1YPe ❑1,u mover of the propvty,Or my employees with wage u them sem cmnpemadon, will do the work.and the stem.is but Intended or offined for saw(Sec.7(111.Bud. and Professions Code:The Cnntracmrs License Law dor rot apply to an owmr of Required Inspections property who Wilda oriumm us demon,and whodoessuchwork Mmselfor through his own employees,pavided W,such impmvemau the not mounded aaRveed fmgale.B, however,we Wilding or Improvement Is sold within ane year of compledon.the owecr. Wildor will haw the burden of proving that M did not Wild Or improve for purpose of ❑1.u caner of Use progeny.am exclusively contracting with licensed contractors in comment Use project(Seo.7014,Business and Profusions Code:)The Catncur'a Li. wu¢Law does not apply u an owner,of property who Wilda or imryovea demon.and, who comams far such projects with a conuamm e)licensed purwtsnt to tM Contractors License Law, ❑l an emenp,under See .B k P C for this mown la Dom WORKERS COMPENSATION DECLARATION 1 hereby aBhm order penally of Perjury am of the fallowing declarWom: 0 I haveand will munutn.Cur ifuma of Caomot toself-Insure fa WmWo`sCmn,m- ution,u provided for by Section 37M of the labor Code,for the performance of the , wort for which this permit is issued. ❑1 how and will munuin Workes Compensation lasma ce,u acquired by Section 3]ODef tie lAbw Cade,for we per(mmace of Ne we Ter which this permit is issued. My Wortera Compem 'ml semi dPolirynumber Cartkr. Poliry No.M RKERS' • 71flC O Op XFTIONI S RAM WORKERS' COMPENSATION INSURANCE Crum mice need not M camplemd lithe lemic is franc hundreddoll.($100) or mss) I certify that a the performance of Use wok for which this remit is issued.I Nall not employ anlpenton in soy mammrso u to became subject to Use Walkrs'CompemNa Laws of Calilmeia.Dam AppBCYa NOTICE TO APPLICANT 1f,after mating this Cenifiate of Eicmp ion,Into should become subject in the Worker'Compensation provisions of the Labor Cede,you most O forthwith comply with such provisions a this permit shall W deemedw mkd. z y CONSTRUCTION LENDINGAGENCY [ti I hemby stun Wt them is a construction lending agency for Is performance of dm work for which this permit a muted(Sce.3097.Civ.Q Ir]Q Lenders Num , ta7 z Lenders Aidsus V Q I cutify that I Mw cud this application and slow tied the move infoneodun a ly r" Ounces-I agme u Comply old all city and County orda nnand ae Im reading u p SV' Wilding ansmction,and hereby authenticuprrxmudva of da City m enmr upon we W above-mentioned property for inspection proposes. a. (We)agree to gave,indemnify and kap homeless Use City of Cupertino agalmt V) liNilWq judgments.coats aan d expenses which may in y way Amex agumt sou" City V Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND W COMPLY WITH ALL NON-POINT Issued by: Date 7 SOURCE REGUyq�O L 3-17-606Re-roofs Signuum of AppliaudConuamm Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the appllcant or factum building occopent stem orhandle houdom materia U deftned by the Copeman Municipal Code.Chapter 9.12.and de Health and Safety ` ode,saedou 25532(a)7 // All roofs shall be inspected prior to any roofing material being installed. Ir ❑Yes NI�Na Will the applical a fllllutV ou building occupant sou equipment or devi=which If a roof is installed without first obtaining an inspection,I agree to remove ..It hmardeu sir coDt"warialsesprimummundcrClumarli.95 defined by de Bay Ates Air Quality Management all new'materials for inspection. ❑Yesu I have rood theoftheCalifm- -I.Huldh Safety Cadc,Secdans25505.25533 and 25534.1 undenmnd dmi(de Wilding does net Ctmently hew emn4 dist a my map actin Pity or netify de,me.,., r d uotmnu m e ut Werameofa Coni f� "q `Y �' "'pYef' Signature of Applicant Date "-p— !2—© All roof coverings to be Class'pW'or better Owmr or authariw agent Dow' • CITY OF CUPERTINO 2 ITEMS OF 2PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35911034 . 00 DATE ISSUED. . . . . . . : 03/17/2008 RECEIPT # . . . . . . . . . : BS000004168 REFERENCE ID # . . . : 08030082 SITE ADDRESS . . . . . : 10271 WESTACRES DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : RAKIB ADDRESS . . . . . . . . . . : 10271 WESTACRES DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2937 RECEIVED FROM . . . . : CARL BECKS E SONS CONTRACTOR . . . . . . . : BECKS, CARL LIC # 21908 COMPANY . . . . . . . . . . : BECKS ROOFING ADDRESS . . . . . . . . . . : 6191 OCHO RLOS DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95123 • TELEPHONE . . . . . . . . : (408) 365-8979 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- -------=- --------- ---------- 1BSEISMICR VALUATION 15, 000. 00 1 .50 0. 00 1. 50 0. 00 1RER00FRES SQ FEET 27 . 00 351 . 00 0. 00 351. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 352 .50 0. 00 352 . 50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 352 .50 #24578 --------------- TOTAL RECEIPT 352 .50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS :'604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO REROOF *CUPERTINO PERMIT APPLICATION APN # /l /V 0 Date: Building Address:l Owner's Name: !/v Phone #: h 3 6 ,6 a G7S- Contractor: Phone #: 9jb S??79 Fax#: ZZl 7o 6 Cupertino Business License #: �D Contractor License #: 2-3 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ 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# `y To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Caryl 5/ Yl 0 AJ Cf�- Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: �r I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO REROOF OCUPER,TovO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMIC0 Seismic Commercial B 1REROOFRES Re-roof Residential B 1SFDWLR00F 2� / 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B IBUSLIC 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: &rel b Job Site Address: T2:7 1 U/{�i"--t hcreS Roofing Company Name: /C —S /`--0 o-F�A-/ /o� Applicant's Signature: ( �Jt Date: 3 1 7 —63 • Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 4RUPEkTINO Building De artment JOB ADDRESS: O Z / �� ��Cr�S PERMIT # �o �G O OWNER'S NAME: PHONE # 33 GENERAL CONTRACTOR: 16erkSf FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followinginformation: 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 x Roofing Septic Tank Sheet Metal Sheet Rock Tile p� - -D O Owner/Contractor Signature Date