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08100148 CITY: RTINO ,P 33.'.x- C " 'h� lio• BUIJJW.ISZON PERMIT C�1V,TRACTOR^I ''OR AT BUILDING ADDRESS: PERMITNO. 10725 ORLINE CT EASTMAN ROOFIN OWNER'S NAME: WATERPROOFING INC PERMIT ISSUE DATE ONE: CONTROL NO. DONE. (408) 97.1-9000 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH app -LICENSED CONfRlunderS DECLARATION Job Description thereby )of Jul1am listed underndPieteso<Cheper9(ammense it P with Section 7000)ofDivisian J refit 8utinev and Pretensions Code.and my license u imm�rmn'naerr SO`- RE-RF RMV LYR SHK INSTL NEW PLYWOD &NEW PRES p�z Dance i Lies Dam comramar mess -`m SHNGLS 35SQ CLS A nh- ARCHITECTS DECLA'h ATION _T ee 1 musersund my plans mall be used as public records r C Licensed Fufessional - OWNER-BUILDER DECLARATION 1 hereby alarm that L ren exempt from the Conuanurs License Law for the Do following reaue.(Section 7M 1.5.Business and Propulsions Cade:Any city or county 3$V which requires a permit or cnruuct atm,.improve.demolish,or repair any swmarc _dun prior in its issuance.also requires W applicant for such permit to file a signed summa, ss< Juthculicensedpursuanttothe powisimuofthe ConuacmrsliameLaw(Chaptcr9 Sq.Ft.Floor Area Valuation Ia (commencing with Section 70)())of Division J of the Business and Professions Code)or r3 its M isesempl therefrom and ithe basis for e alleged exemption.Any violation of $24826 Sector 7031.5 by any applicant for a permit subjects Jur APpleanl to a civil penally of APN Number Occupancy Type not mar than five hundred dollars(5500). 35922066 . 00 0 I,M owsme of tie pmpmy,m my mplayrca with wage u Jmir wle campc=dan, wits da lament ands: he ctamuretintendede Law an ownircv and property W Cade:The Cuntncmrs Cicero Law dives net apply lf an owner of Required Inspections pmpeuy who Wads orimprows thereon.and who dassoehwork nimselfor Wougn his awo employees,provided Jutsatomtiswlmuntsart retinmrofc m kdon.rormin r- Wilderr,ie Wildingntole.op.A.is soldwhinorayw or cprove our tlmp of Wilder will have Jur bother of proving Jw he did not build aro Improve for puryose of a1c.I 0 1,as owner of the property.w exclusively contracting with licensed an=.in construct the project(Sec 7OYI,Badness and Professions Code:)The Conuaemra U. come Law does nm apply in an owner a propenY who Wilds or impmws lemon.and. who contracts for such projects with a comrsctor(s)licensed pursuant to the Contractors License Law. 0 l am exempt under sec ,B h P C for this renin Oww Dam WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of pedury arc of the following dnclentiunr II have and will maintain aCcrtiBam ofCmuml to self-insure for Wmkc's Compen. . .,as provided for by Section 3700 of the Labor Code.for the p:Romance of the 21 for which this permit is isuN. have and will maintain Workers Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is iswmd. . My Workers Compos atfiion�n lnsupnce artier and Policy number are: Cartier. –3CU� eUA6 Policy No.:121Yu.I;Ap— UU CERTIFICATE OF EXEMPTION FROM WORKERS` COMPENSATION INSURANCE (This seNa cored rot be completed Uthe permb is fmonchundred dollar(2100) or less) 1 certify tont in the performance of the work for which this permit is issecd.l"I not employ any penin in any manrcrse as to become subject to the Warimrs'ComPewtion Laws of California.Dam Applicant NOTICE TO APPLICANT.If.afar roW ng this Certificate of Eumption,you should ,eco e,subject to ie Worker's Compensation provisions of ie labor Code,you most 0 O forthwith comply with such provisions w this Permit shall ho dameA revoked. z 0 CONsmtjcn0N LENDING AGENCY [–m IhorcbyaM.las there,is a construction lending agency for is perfunnanec of ai r1 Jur work for which thin permit Is issued(Sec 3097,Civ.C.) QLenders Name Landers Address U 0 I certify mal 1 haw read this application and sats its Jur show irdormatioe is IL P cgsrecL I agree in amply with all city and county oNinanca and avec Ire relating or 0 U Wilding coauuction,and hereby solitaire representatives ofiis city to cnwr upon the W above-mentioned property for inspection purposes �" gy (hoc)ogre m ,'ndcmnify and keep harmless the City of Cvpctino against Vl liabilitia,judgmcnu, dexPe"•"•winch may tsany way aceta against said City U Z APPLmICA ncef the DS A WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE R 1$ Re-roofs Signature a pati vex oh Dam AZARDOUS MATERIALS DISCLOSURE Type of Roof Will tk peplican or future Wilding occupatsmrc or handle hauAoa mmnial as defined by ie Cupahm Muni"pal Code.Chapter 9.12,and the Health and Safety Code.secure Vi=(.)? All roofs shall be inspected prior to any roofing material being installed.❑Ya No Will the applicant or future Wilding occupant use Net".,or devices which If a roof is installed without first obtaining an inspection,I agree to remove b hoaNna air camaminanu as fined by the Bay Arca Air Quality Management all new materials for inspection. vict7 C3 Y, o I have road the by requirements unJcr Chapmrb.95ofJmCalifar- niaHalthhS my Code, 25305. 33anJ 25314.1urldersund iufie building . dors rct curmn ha my responsibility m notify Je occupant of the requircmcma who ' r 'suana ofa Caufl..mc of Occupy�r. Signature of Applicant Date Owner or outm500L, Dam All roof coverings to be Class'nQ 'or better . CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN 35922066 . 00 DATE ISSUED. . . . . . . : 10/23/2008 RECEIPT #. . . . . . . . . : BS000006444 REFERENCE ID # . . . : 08100148 SITE ADDRESS . . . . . : 10725. ORLINE CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BRUNO PILLET ADDRESS . . . . . . . . . . : 10725 ORLINE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4351 RECEIVED FROM . . . . : EASTMAN ROOFING & W CONTRACTOR . . . . . . . : JAMES EASTMAN LIC # 22140 COMPANY . . . . . . . . . . : EASTMAN ROOFING & WATERPROOFIN ADDRESS . . . . . . . . . . : 1418 DOUGLAS ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95126 TELEPHONE . . . . . . . . : (408) 971-9000 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --------- -------- ---- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 24, 826 . 00 2 . 50 0 . 00 2 . 50 0 . 00 1REROOFRES SQ FEET 35 . 00 455 . 00 0 . 00 455 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 457 . 50 0 . 00 457 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------- --------------- - ------------- CHECK 457 . 50 #35094 --------------- TOTAL RECEIPT 457 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- ----------------- - -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Community Development 10300 Torre Avenue Cupertino CA 95014 H H Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *UPEf�TINO Building De artment JO 0 ADOB ADDRESS: ``n �/ PERMIT# 0 t lt OWNER'S NAME: { ; PHONE #LLjOg CA-3 I- 8000 GENERAL CONTRACTOR: FAX #( S) \- 7 I am not using any subcontractors: Si Date Please check applicable subcontractors and comp to 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 • Owner/Contractor Signature Date 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$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/ " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: C�3 A 6 A ��e-\ job Site Address n� �S l )C��1\C C� • \ Roofing Company Name: n F I1 pon *C7 p OIIF%f�� _n C, l Applicant's Signature: Date: 3�F5 • Greg Casteel Building Official Revised 07/30/08 CITY OF CUPERTINO « " REROOF CITY OF •CUPERTINO PERMIT APPLICATION APN #3 0('0 O Date: Builn Address: Owner's Name: Phone #: Lf U 06, Contractor: Phone #: Lyp$) �-7 — CiO60 St q\ Mq1AC, 0A Fax #: &o`6) Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles X Asphalt Shingles p� Wood Shakes a Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # )l To be Removed ❑ Provide Mfg. Installation Specs. Job Description: `�N�UUe one. to, oC- S o.\Le 3S s(l'J�eS ,ns�c,�,\\ new \ C� CL4 nevi veS:�eA%ON S�1;n��rS 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: 2 C6 2-6 . \ 5 I Have Read, Utsn WillComply with Cupertino's Tear-Off Policy: • Signature Revised 6/16/08 r CITY OF CUPERTINO ' REROOF 1CUPER, TINO FEE SCHEDULE Number of Fee ID . Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 3s 1RER00FRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B IREROOFMRES Re-roof Multi-Family B 1MFDWLROOF IBSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 •