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08100105CI OF CUPERTINO �n�*k,��T- BUILDING DIVISION pELUYuT BUILDING ADDRESS: PERMIT NO. 11608 BIRCH SPRING CT CASTILLO'S ROOFING 08100105 NER'S NAME: PERMIT ISSUE DATE SINGH AVTAR AND SUMEET 1703 CATHAY DR 10/17/2008 PHONE: - SANITARY NO. CONTROL NO. ARCHITELT/ENGINEER: BUILDING PERMIT INFO - RE ROOF , TEAR OFF EXISTING BQ EO PLUMB MECH LICENSED CONTRACTORS DECLARATION^ ^ -- --^- m - Job Description 1 hereby affirm thst 1 am liccared under pmvitiv oof Chapter 9 (commencing - ^ with Section 7IXN1) of Divitlrn J of Ne Bviness and Profession Code. end my license is in fun force and cue, A 30 6� G 3 Lkerae Class Lld.« Dale Con ?� ARCHITECTS DEC A AT N lic cards d my Plans shall W used u pubre e a rand OWNER.BUILDER DECLARATION I hereby nt➢rm Nal 1 am exempt fmm the Contractors License Law for arc following reason. (Section NIS 1.5, Business and Professions Cale: Any city or county which requims a permit w construct, altar, ampmve, demolish, or repair any structure prior an its issuance. dao mat ins the applieanl for such permit to Elea sigocd,wement Sq. Ft. Floor Area Valuation that he is licensed pursuant W the providons of to CrAtr9Cmrl Lieenas aw(Chapmr9 (commencing with Senian 7Ot of Division 3 of the Business and Professions Code) or that he is exempt themfsom and the basis for the Alleged examplion. Any violation of APN Number Occupancy Type Section 7031.5 by Any applicant for a permit subjects the applicant in A civil Penalty of not mom than five huMmd dollars ($500). 0 1, As owner of the Property. On my employees with wages as their sole compensation, ' Required Inspections will do the wat and the awmurt is nut intended or offered for aAe(Sm. 7054. Box ... and Professions Cade: The Contracmrs License ns Law dooat apply m An owner Of property who builds or im proves tarrun, and who does such work himulf or through his awn employers, provided that such improvements art notimended aro@red forsde. If. . however, Ne building or impmwmnm is sold within one year of completion. the owner- , builder will have the burden of pmving tat he did not Wild or impmw for protest, of sale.). 0 1, As owner of am property, am exclusively contracting with licensed mnvaemrs on construct the pmjca (See. 7014, Business and Professions Code:) The Contractor's U. comm law does not apply An an owner of property who Wilds or improves tatmon, and, who contrast for such projects wit a eMlracbKs) Iichmod Pr AAHAE in the fAnVeemrs LKease Law. 0 l am exempt under See ,B&P C for Nis mason caner Dare WORKER'S COMPENSATION DECLARATION 1 hereby aillon under pendty of pnjury one Of the following doescutiav: ❑ I have and will maintain A Certifrvm of Conscnua self-usure forworherscompen. sadon, As pmvidcd for by Section 3700 of the abs Code, for the performance of tht, wmk for whim oris permit is issued. 0 I haw and will maintain Workers Compensation Insurance, As mululred by Section 3700 of the LAWr Code. for to performance ofta work furwhich Nis permit is issued. ' My Workers Insurance carrier and Policy number art: _Compensation Cartier. /UKN Policy No.: .2— 31P 00� 99 5. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thlssoction need mtleconplehed ifta permit is fame hunted dollars($IW) or to=) I certify tat in the performance of the work for which this permit it; issued, I Abel not employ any person in any manor an as m become subject m the Workers' Compensation Laws of California. Dane Applicant NOTICE TO APPLICANT: If, after making this onditcam of Exemption. you should became subjcm on the Workers Compensation provisions of to a Wr Cade, you must foMwilb comply with such provisions or Nis permit sh ll W doomed revoked. ) CONSTRUCTION LENDING AGENCY 1 hereby affmn that there isa construction lending agency for the Not. .. of ' to work for which this permit Is issued (Sec. 309'1. Civ. C.) ' jLendera Name louder' Address 1 certify that I haw read this application and Aute this the salve information is ' correct. l agree to comply with All city and county nNinances ane sate laws relating tu building convection. and hereby authosim repmamma0vv of Nu city to enusupon to show -mentioned pmpeny for inspection purposes . (We) agme to an, indemnify and kcep harmless the City of Cupertino against liabilities,judgments. costs and expenses which may in any way accrue against said City ofthegranting of this per mit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT A APPLICANT Issued by: Date SOURC REG Re -roofs Type of Roof naturea ApplinnlConumelmr Dam HAZARDOUS MATERIALS DISCLOSURE ill de applicant or forum building occupant.uom or handle Incurious material as deMnd by to Cupertino Municipal Code. Chapter 9.12, and the Health and Safety . Seetion 25532(x)+ All roofs shall be inspected prior to any roofing material being installed. El Y. No If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building Occupant use equipment or ticvbes whim ..it arardous air contsminants as defined by Ore Bay Am. Air Quality Managunman all new materials for inspection. Dumml7 OYes No I have read the hsrarasws matenalsrequimments underCapmr&95 ofthc CallfaF nix Heahh&Safely Cade, SecWns25505.25533 UW 25534.1 urbcnund thetiflhc does not currently haw a anent, that it u my responsibility b notify the Occupant of the myrr n r a rw,asamreaafacndreamofOccupancy. 1ri gnaturefApplicant Date �� au harad All roof coverings to be Class '%W' or better ' caner or agent Damm 2 ITEMS OF 2 • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN .......... 36654076.00 DATE ISSUED.......: 10/17/2008 RECEIPT #.........: BS000006382 REFERENCE ID # ...: 08100105 SITE ADDRESS .....: 11608 BIRCH SPRING CT SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 OWNER ............: SINGH AVTAR AND SUMEET ADDRESS 11608 BIRCH SPRING CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014-5138 RECEIVED FROM ....: CASTILLO ROOFING CONTRACTOR .......: JOSE CASTILLO LIC # 25850 COMPANY ..........: CASTILLO'S ROOFING ADDRESS 1703 CATHAY DR CITY/STATE/ZIP ...: SAN JOSE, CA 95122 TELEPHONE ........: (408)251-3565 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- ------------- 1BSEISMICR VALUATION ---------- 8,500.00 ---------- 0.90 ---------- 0.00 ---------- 0.90 ---------- 0.00 1REROOFRES SQ FEET 18.00 234.00 ---------- 0.00 234.00 0.00 TOTAL PERMIT 234.90 ---------- 0.00 ---------- 234.90 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT AMOUNT --------------- 234.90 --------------- 234.90 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF _ 604 ROOF IN -PROGRESS 0 REFERENCE NUMBER -------------------- 15414 VOICE ID DESCRIPTION -- ---------------------------- 602 ROOF PLYWOOD NAIL 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:Iff cc S Job Site Address: l I. tG � � � 1^ Gyl -n —l`' ig,5 fi Roong Company Name: l (jaa 5 �j _ 1 k V ,�{' • Applicant's Signature: Date: /d �( %'thy Greg Casteel Building Official Revised 07/30/08 aonlCITY OF CUPERTINO REROOF or •CUPERTINO PERMIT APPLICATION r- L (/0 IM0 APN # 3, ! Date: Y Building Address: I coosialim 'V Owner's Name: Phone #: rSh -79 5— fz4 U Contractor: v Phone #:� l L Cash I (O5 Fax#: Cupertino Business License #: Contractor License #: 4,3 dlJto Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑wilt -Up roof ❑ Asphalt Shingles VAsphalt Shingles _p-*Wobd Shakes ❑ Wood Shakes o Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ,p 1 o be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Tear O -C -P e+0ISI- n') w Sac( -a f �kog 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: � 3 •I Have Rad,Understand and Will Comply with Cupertino's Tear -Off Policy: g Revised 6/16/08 #Rke". 4 CC, OF CUPEI,TINO CITY OF CUPERTINO REROOF FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1RER00FC0M Re -roof Commercial B 1COMMLROOF IBSEISMICO Seismic Commercial B IREROOFRES Re -roof Residential B 1SFDWLROOF IBSEISMICRE Seismic Residential B 1RER00FMRES Re -roof Multi -Family B JMFDWLROOF 1BSEISMICRE Seismic Residential B LICBusiness LicenseTiyu B Revised 6/16/08 0