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08100002 CITY OF CUPERTINO 4 ° = r r �ox+,a"� BUILDING DIVISION PERMIT CO1�IT1tACTppQ'''R IN.E'QRM,A'.TIiV �' 9 -�qa.8 i•��'r BUILDING ADDRESS: PERMIT NO. -. 5962 SUTTON PARK PL ALL PHASE ROOFING 08100002 IFNER'S NAME: PERMIT ISSUE DATE OWNBEY DONALD N AND FRANCES I 315 CLARKE LN 10/01/2008 PHONE: SANITARY NO. CONTROL NO, ARCHITECT/ENGINEER: BUILDING PERMIT INFO RE ROOF TEAR OFF SHAKES BLDG ELECT PLUMB MECH qffgii�Claw 0 0 0 0 900 LICENSED CONTRACTOR'S DECLARATION - UOn rd U I bemaffirm m HeartenedHeartenedby arm that Heartened under lob Description Provisions of Chapter 9(commencing ^- - ^^ - ^^ p - wit Section 7W0)of Division 3 ofte Businw and Pmfessiam Cade.and my license u s in full farce and effect j Z License Class La,g =F G Data�J��Cantsacu, e wwwy "'/ - !�'1S ARCHTIECTS OECLAAATION Y < 1 undersand my plans shall W used aspublic record lsWt; LieesucJ Professional - 10 5 OWNER-BUILDER DECLARATION 1 bemby amen Nm I am exempt from tc Contractors License Law for the z O O following mason.(Scdon 7(131.5.Business and Professions Code:Any city or county K a V which taqufms a permit in cmuwc.alter,improve,domalish,m¢pan any stmetum 4_�, priar to is issuance.also requires the applicant for such pmmiuo file a signed sutomem < thin he ulicensed Pursuant in the provision of de Contractors Liana Law(Chapter 9 Sq.Ft. Floor Area Valuation ydos-G (commencing wit Section 7000)of Division 3 of W Business and Pro@asium Code)or y tat W u exempt Ihnmfsam and to hada for to alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects de,applicant to a civil penalty of APN Number Occas net mom to five hundred dollars($500). Occupancy Type O 1,as owner of to property,or my employees wit wages as their sole compensation, win do to work and to shactare is not Wanted or offered far ale(Sec.7044,Business and Pmfessians Code:The Communes License Law does not apply to in owner of Required Inspections pmpenywho basitdsorireproves thereon,and who dossuch work himselfor thm igh his own emplayees,provided tat such improvements arenot intended araRered fressle.If. however.doe Wildingor improvement hisold witin are year ofcompletim,the owma- builder will have the burden of proving tat le td an,Wild or improve for purpose of lata.). ❑1,as owner of Ne propmy am exclusively contacting with licensed commu,am to construct the project(Sec.70x4.Business and Profcesiam Cade:)The Canbectors U. _ wase taw does not apply he an owner of property who Wilds or improves thereon.and. who contracts for such prejecu wit a ronuactor(s)licensed pursuant to the Contractors Lice.Law. 1 am exempt at Sec .B&P C for tis reason of Date WORKER'S COMPENSATION DECLARATION I hereby affirm under pertaty,of perjury nese of to(allowing declarations: ❑I have and will maintain a Certificate of Consent toself-hu be for WerkersCompen- adue,a provided fm by Section 3700 of to labor Code,for this pediarmance of doe work,for which tis permit is baud. 1 have and will main run Workers Compematiom Insearvra,as acquired by Section 3700 ofte Labor Code,for to performance of the weft for which this permit is issued. ' My Workers Compevation Ifn^s�umna es er and Policy number are: Cancer. �v}'{CNr A Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu section coned not W completed if to pemrit is fortune hunted dollar($100) or IMI) 1 certify tet in to performance of to work far which tis Permit Is issued.l shall amt employ any person in any maenera in to become subject to de Worknsa'CompemaJon laws of California.Data Applicant NOTICE TO APPLICANT:If,ager making this Certificate of Exemption,you should become subject to to Workers CompcwGan previsions of On labor Code.you mute .,z fortwith comply wit such provisions or tis permit shall W deemed invoked. Z 7) CONSTRUCTION LENDING AGENCY [-rte Ihereby.M.Wt theretea comuuctinn lendingagenry for to pcdo...of ani .�.0 to work far which tis permit is issued is..3097.Civ.C.) Q Lenders Name , Z) z Lenders Address U 0 1 cenify tat 1 have read this application and sate doss rhe above Warmadun is F correct.l arm to comply wit LI city and county ordinances and sum laws relating be 0 building corruuciGn,and hereby totods mpmeentafivcs oftis city to color upon use [t7 ahove-mentioned property for iespecdon purposes (We)agree to save,indemnify and keep harmless to City of Cupeninonst vF-i raA liabilities,JWgmcnr.case and expenses which may in any way accrue vgunst Car,ity U vZ in consequcnee of to gaming of this permit. ^ APPLICANT UNDERSTANDS ND WILL COMPLY WITH ALL NON-POINT Issued by: Date . SOURC ULA11ONS. t el Re-roofs ignetumaf Applican ontrx e HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will to applicant or future Wilding acupiessione or handle haardous material Bund by to Cupertino Municipal Code,Chapter 9.11,and the Hcalt and Safety _ section 25532(a)7 ❑Yes All roofs shall be inspected prior to any roofing material being installed. Gho Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit havardnus air Contaminants a defined by to Bay Area Air Quality Management all new materials for inspection. Duuics? Yu a I have mad to harardous mmcdalsmquiremcna under Chapter6.95 oftthe Califor- r /0 OV ria Halt&Safety .Sccan 25505,25533 arW 2$534.1undcrsaM tuffsilo Wilding docs not cuncnJY have a an tad it u my mspoesibilitY to noufY to raupant of Nc require ich made prior to issuance ofaCarufealoofOccupwrcy. Si nature of Applicant Date oro mthorb<dagnent 'D All roof coverings to be Class'%4."or better Community Development 10300 Torre Avenue Cupertino CA 95014 y h Telephone(408)777-3228 CITY OF Fax(408)777-3333 �CUPEkTINO Building Department JOB ADDRESS: PERMIT # 2 OWNER'S NAME: PHONE # GENERAL CONTRACTOR: 41( LW&el Geo Frit/ FAX # I am not using any subcontractors: r �� SigaAre bite 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 Roofing Septic Tank Sheet Metal Sheet Rock • Tile Owner/Contractor Signature Date • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . . 37535029 . 00 DATE ISSUED. . . . . . . : 10/01/2008 RECEIPT # . . . . . . .-. . : BS000006253 REFERENCE ID # . . . : 08100002 SITE ADDRESS . . . . . : 5962 SUTTON PARK PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : OWNBEY DONALD N AND FRANCES I ADDRESS . . . . . . . . . . : 5962 SUTTON PARK PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-3531 RECEIVED FROM . . . . : ALL PHASE ROOFING 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 11, 500 . 00, 1 . 20 0 . 00 1 . 20 0 . 00 1REROOFRES SQ FEET 21 . 00 273 . 00 0 . 00 273 . 00 - 0 . 00 ---------- ---------- ---------- --- TOTAL PERMIT 274 . 20 0 . 00 274 . 20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 274.20 9213 --------------- TOTAL RECEIPT 274.20 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- -------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605• FINAL REROOF • 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 2007 IBC Standards and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino municipal code 16.04.080. 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/ "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: Job Site Address: Roofing Company N✓ fiame:/I w EX�Y • v • Applicant's —— Date: Greg Castee , Building Official Revised 07/30/08 CITY OF CUPERTINO REROOF Zecildo r CUPERTINO PERMIT APPLICATION Sj CW0 2 APN # Date: S 3s 0 Building Address: Owner's Name: Phone #: VLA vv OS . �,? g F,_ (oS j7 Contractor: Phone #:�7s-37X0 Fax #: Cupertino Autness License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles *;t�sphalt 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. Job Description: 0-'-r Residential Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: *I Have Read, Underst nd Will Comply with Cupertino's Tear-Off Policy: r -qcn ature Revised 6/16/08 �� CITY OF CUPERTINO REROOF COF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group IREROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roofMulti-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 •