06060038 CITY OFCUPERTINO a C*Ta.ytQ:iR5�6+a.,+z OBJILDINGDIVISION PEAUT
s
BUILDING ADDRESS: 5�-'7^j�''•�{�"''
MARTINEZ ROOFING INC PERMIT NO-06060038
10640 E ESTATES DR
OWNER'S NAME: A PERNUTISSUEDATE
MRS BOWMAN 1202 SPENCER AVE 06
E: SANITARY NO. CONTROL NO.
(4 08) 298-9361
ARCHITEC IENCINEER: BUILDING PERMIT INFO
BLDG ELECT' PLUMB MECH
0 0 0
p LICENSED CONTRACTOR'S DECLARATION lob Description
1 hereby affirm Nat 1 an licensed under prusWone of Chapter 9(commencing
with Section 70110)of Division 3 of He Business and Professions Code.and my licenmts
� inkllramand o Z REMOVE SHAKE. REROOF WITH 1/2" OSB & 40 YEAR CO
Lkcn l Lic.B CLASS A
i � Date ARCHrfEC SDECContracto` ON MARTINEZ ROOFING INC PAID FOR BL RENEWAL 6/6/06
i I maknumd my plans shall be used as public records
s2
W Licensed Professional
sto OWNER-BUILDER DECLARATION
5i I hereby affirm that I am mempt Dean Ne Contractors License Law for than
HO�• followin{mason.(Saturn No 1.5,Business and Pmfessiom Code:Any city or county
:BE which require a permit to construct,Ober,Improve,demWssh,or repair my manure
prior an ississuance,Rla requires the applicant rot such permit to file a signed sutement
, 0 the he i,licensed Nomam to Ne provisions of Me Corurectars License Law(Cimpto 9 Sq,Ft.Floor Area Valuation
(commencing with Sathm 7000)of Division 7 at Ne Business ad Profession,Code)or $5700
.. than he b ammpl thctefmm and the basis for He Wlei asempdan.MY vklallm of
Section 7031.5 by any applicant for a permit subjects the appllam e a dull penally of AFN Num r Occupancy Type
an more d m five bundmd dhiW (1500).
❑I,ss rams of the property.a anY amPbYem AIN wgd a throb sok tornpematian. _
will do the work and mesmu,woe krunimended aroReced foram(Sec.70M,It". � ( �'Rp-pg�fyeatTlYa;pections
and Pefesuons Cade:The Comecurs License Law dose at apply e m caner of a �tG [tfIJIJ
property who build,orimpovm Merron,mtlwho docssuch wank hlmfelfarmmughhk
hu { Limprovementsthat such for sale If.
�evIN m npmvemd within imoMe w
sulker will haw the bNn,(proving that he did nat build or improve for a y' t �I IQ/.�.-•'Qat
purpose of I�(f� tf I�ILFIt�J/tJ7lltlli lIF'lllf\�Vrpt
mk.t,
❑1,as owns of Ne Property.an exclusively conuaNng aim Brand eummeton to
mmtmet the Project(Sec.70aa.Business and P otessien,Code:)The COMsmer,LI-
«me taw docs mol apWY to m ower of DtoRnY rho boldo ar Mpews Hereon.and.
who contracts(oraueh projects with am ucacmr(s)Ikemed pu^wnt to the Concours '
License Law.
❑I Om aaempt under Sec B B P C for this teaser
Owner Dam
WORKERS COMPENSATION DECLARATION
1 hereby afann under penalty of perjury an of the following declentiam:
I have and wi l munuin sCeruficemof Consent tomlf-ituure fa WotkersComium-
sadrn,a provided rot by Section 3700 of Ne labor Code.far the performance of the
wort for which this pcmit is issued.
❑1 haw and will maintain WorteYs Compensation Ismamce,as required by Section
3700.(He lora Code,far He paremanme of de wank fa which anis permit k lamed.
My Wort ompemad nine co carrier and Policy number are:
Gni Policy Na.�
C Fl 'TE OFCOMPENSATION
SATION10N PRAM E C 5
COMPENSAl10N INSURANCE
(This sembon mend mtbeeanpkted Bthe Permit is fmrcoc hundred dollar($100)
or loss)
1 c oily can In the performance of the work for which this Permit is Wood,I shut not
employ any person in my mmnerso an m became subject In the Wrrkcts'Crmpem tdon
law of California.Dam
Applicml
NOTICE TO APPLICANT.If,after making N4 Cenifimm of Exemption,you should
became subject an the Woraces Compensation provisions of 0e Labor Coda you mon
Q",L forthwith comply with such provisions or this permit Nail he deemnd rewired.
zO CONSTRUCTION LENDING AGENCY
[r iherebyteam Mw Mere iso construction lending agency fa the perforounco of
D:> tho wank for which this permit is W ocd(Sec.3097,Civ.Cd
tf7 Q Lenders Nanny
z Landers Add.
(„)Q 1 sonify Nat I haw seed this application and sok man the show information Is
F
correct.1 agree to comply with all city and manly,on inmm,end aum law relating In
OU building construction,and hereby authrrice rapomntanves of this city to coat upon the
Ld7 move-memioned property for insmcdon purposes.
0. (We)agree to saws indemnify and trap harmless the City of Cape nin.Tor"fA lkidlitim,judgrumm costs and expenses which may In my my mLTm against and City
U z MIL
APPLII ANTcUNDEor ft R ti NDS ANOf this D WILL COMPLY WITH ALL NON-POINT Issued by: Date 1- �—pZ
SOU 0. S.
Re-roofs �—
Signature a(A IranVCon sur Dete
H uS DISCLOSURE Type of Roof
Will the appllcantor Imng e«upant store w handle humorous martial
as dented by Oe Cupenim Municipal Code.Chapter 9.13,and be Health and Safety
Code.Section 35533(a)744 All roofs shall be inspected prior to any roofing material being installed.
❑Ye, ®No
Will the applicant or future building occupant um equipment a devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hansmsus all conumimnu as defined by He Bay Atom Air Quality Management all new materials for inspection.
District?
❑YesNu
Thaw mad dm hvaAn smalorimrequiremntsunderCheperQ95afthcGlifor-
ntaHeaW&SLfclyCnde.Sec 25305.35533ud2153/.lundcnund Nnlrthe Wilding
does cot cumn0y haw•mn..L Nan h u my responsibility to notify the aaupml or He
matal �nh7 he mal Prior an issuance or.ccNlkamof Signature of Applicant Date
iNfrieror a t redag ODam All roof coverings to be Class"B"or better
a - Community Development
10300 Torre Avenue
`J Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
6UPEf�TINO
Building. Department
Jos ADDRESS: �srs r PE06 a6oa3 d--1-
OWNER'S NAME:/`1�P M PHONE # Z
GENERAL CONTRACTOR: /V Z FAX #
I am not using any subcontractors: (1 +O bra
Signa Date
Please check applicable subcontractors and complete 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/C r ignat e Date
CITY OF CUPERTINO
om 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36925019 . 00
DATE ISSUED. . . . . . . : 06/06/2006
RECEIPT # . . . . . . . . . : 34702
REFERENCE ID # . . . : 06060038
SITE ADDRESS . . . . . : 10640 E ESTATES DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MRS BOWMAN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : MARTINEZ ROOFING
CONTRACTOR . . . . . . . : MARTINEZ, ALBERT LIC # 21474
COMPANY . . . . . . . . . . : MARTINEZ ROOFING INC
ADDRESS . . . . . . . . . . : 1202 SPENCER AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 298-9361
41FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- -------=--
BPERMFEE VALUATION 6, 000 . 00 126 . 36 0 . 00 126 . 36 0 . 00
BSEISMICRE VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00
BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 231 . 96 0 . 00 231 . 96 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 231 . 96 6608
TOTAL RECEIPT 231 . 96
•
WCCO 36
CITY OF CUPERTINO
• �C REROOF
CUPEkTINO PERMIT APPLICATION FORM
APN# 25,01 � Date
Building Address:O/(O Q
Owner's Igge m� Phone#Or7 1
4
Contractor l License0
Contact: / 2i Cupertino Business License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles P<1 Asphalt Shingles
Wood Shakes LIWood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report# -
❑ Tobe Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read,Understand and Will Com 1 With Cu ertino's Tear Off Policy:
Job Description• pvc �j j Z 'r mr-6 O ;P-tv
`40_
Residential Commercial ❑
FireEYes ❑ No ❑ Confirmed with Planning Det. if
there are an restrictions: LJ
Cot: Type ofnstruction: Occupancxgro
Qty. if
Applicable Fee ID Fee Description Fee Group
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
•
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 V4" 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: /4-1/zs 3&W/4AVv
Job Site Address: --/0 6 1/0 E A22t 4 kS
Roofing Company Name:
Applicant's Signature: Date: G' Gfo
Greg Casteel
Building Official
Revised 11/2/04