Loading...
06060180 CITY OF CUPERTINO ax `' BJILDING'VIVIS ION PERMIT C0NTRikeTO INFORMATIO , N R... BUILDING wDORE55: CUP RTINO ROOF„ INC PERMIT NO.06060180 1158 SCOTLAND DR OWNER'S NAME: PERMIT ISSUE DATE CINDEE CHRISTENSEN 1052 KELLY DR. 20 2006 ONE: SANITARY NO. CONTROL NO. (408) 973-9427 ARCL_Mmbyaffim�atIm,ficcamAmd.r INEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 u00ICENSED CONTRACTOR'S DECLARATION Job Df:SCrlptlon e rm Nal 1 amBecameunder provielons ofChspmr9(commencingZ� f Oiviuon3in Bilett / j TEAR OFF COMP INSTALL COMP CLASS A - EXISTING D LiceLk.Nf0p DalG Ir eonuact (((nff111 ,Qt ds g{11 g� m< ARCHRECI'S DEC A Y � ( �ry I undersand my plans shill E used I public ATI00 ffrlt l g JdU Z., Licensed Professional aOj OWNER-BUILDER DECLARATION if I hereby IITm Nal 1 am exempt from the Conuamors Lkcnae Law for the ')��C p CO following ruon.(Section 703 1.5,Business and Profcssiuu Cale:Any city ar caumy / �1 m LL which mquiru a Permit In communist,aha,hnprow,demolish,nr ropair try s ssen e $7100 4i< prior to its issuance.also inquires the applicant for such Permit o rile a signed suramin that he is licensed pussom to led provisions of dm Coneomri Liansc Law(Chaptm9 Sq.Ft. Floor Are /, [yy +gip Valuation xts-� (commencing with Sanson 7000)of Division 3 of the Business and Professions Cook)or 1{��' 1;1 �� y — that he u exempt Ibemfmm and the basis(a the alleged exemption.My violation of llll..11ll tf J7 4 111 //JJ Section 7031.5 by amy applicant for a Permit subjects the applicant m a civil penalty Of er - Occupancy Type ,rot mom than five bonded dollars(16500). ❑I,u ower of to property,in my employees with wages u Nen sale compcnedmn, will do the work and Be susmme isnot mended oroffercd fm sak(Sec.7044.Business Required Inspections and Pmfcam.Cods,-The Cnmscbrs License law does out apply a e an Owner or q P property who Wildsa improves Namn,and who doesauch workhimselfor through his own emplayvs,provided that such improvements am nal imeMe f oroQemd for sale.If. however,the Wilding or improvement is sold monsoon year of compmuon,the owner, builder win saw has Woken of proving that he did mt Wild or improve for purpose of sale). Q 1.u mvrcr of the property am aclusivelY convecting with licensed mnmumem in warmer the project(Sec.71%4.Business and Professions Code:)The Conmrama's U cense law dao am apply to an owner Of proper who Wilds or improves themes,and, was contracts fa such pmjecu with awntra bor(s)licensed pursoam us the Courtrai L.icena law. ❑Izmesnsinudm Sec, .B&PClor Nismsoon Owrcr Data WORKERS COMPENSATION DECLARATION 1 hcmby affirm under penalty of perjury me Of the following declarations: 1 have and wRl affirm aCeruficau of Consem to self-insure far WortersCompcn- sation,as provided for by Section 3700 of the Labor Code.for the Performance Of the work for which this permit is based. ❑I have and will mainum Workers Compensation Imurtna,as required by Semon 3700 of Nc Labor Case.(Or to ponformuee O(the won ra which this parent,Or issued My WallacesCOmpnssiioIancarrier and Policy number Carer. < Y FEXEPolicyNa.: II 7,/'o--o FlMP ION FROM WORKERS' COMPENSATION INSURANCE (Diaecton aced antbecempkmd if the permit Is Were hundred damn($100) an kis) I unify trot in ted Pesfonsomex Of the work for which this Permit is Lased,I shall not employ any fission in any submerse as m become subject to the Workers!Compensation Laws of Cali(omia.Dae Applicant NOTICE TO APPLICANT:If,afar making Nu Cenlfheam of Eacmpmion,you should become subject to Ne Workers Compensation provisions of ten Labs Code,you mus .J az forthwith comply with such provisions or this permit shall be doomed rooked. O CONSTRUCTION LENDING AGENCY F Ibe,bY which fue that Vert uaed(See 3097,Ch,C) for the perfunnance of 2' Ne work fur which Nis permit u issued(Sec.0497,Civ.C.) G Q lender's 7 z Lenders Add. C)Q 1 sonify that I have read this application and state that Ne above information is [2. F comm,l 19MC to complY with all city and county ordinances and sum laws elating to C U Wilding construction.and hereby allOGfiM apeenutives of this city to enter upon the inir,a W abovc-cajudgcdpmpcst fond epenses which m. (~r0.j1 Iiabiliti IWO.9.1 cots,cases and corefy and keep humid.the City of Cupcsinoagainst expenses which may in try way acwm against aid City ,'L in �t (J RIeOf the gaming of this Permit. Date — Q� (CANT CANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: ... SOI E REGUL�NS. to-(D(, i l/Re-roofs HAZARDOUS Signature of AppliaHAZARDOU Dem S MATERIALS DISCLOSURE Type of Roof Will ten a Culut Or forum Wilding e,Chapter 9A or handle Health ad u deflnctl by the CupeNno Municipal Code.Chapter 9.12,and led HGIf utl Safety Corks,Secuon 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes � In 41 If a roof is installed without first obtaining an inspection,I Will the applicant or,forum building Occupant use equipment or dcvicea which g agree to remove P emit harafdous air conmminanu as tcriacd by the Bay Area Air Quality Management all new materials for inspection. District? C]Yea �No I have mad the hacardous materials mquimmenu under Chapter 6.95 film Califon ncalf&SafctyCodc,&C ou25505,25533ud25534.1undcmundfazif Ncbui)ding rocs norcnmnEly ham a an4 that it u my respomibility m notily be cecupent of the mqui menhchmustbe=1PtiorInissuuaofaCcniucmcofOcppap_Wry. Signature of Applicant Date R b Z o-6 All roof coverings to be Class "B"or better Own r or authorncd agora Dam CITY OF CUPERTINO •em 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36228008 . 00 DATE ISSUED. . . . . . . : 06/20/2006 RECEIPT # . . . . . . . . . : 34940 REFERENCE ID # . . . : 06060180 SITE ADDRESS . . . . . : 1158 SCOTLAND DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : CINDEE CHRISTENSEN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : CUPERTINO ROOFING CONTRACTOR . . . . . . . : DAVE SMITH LIC # 25701 COMPANY . . . . . . . . . . : CUPERTINO ROOF, INC ADDRESS . . . . . . . . . . : 1052 KELLY DR. CITY/STATE/ZIP . . . : SAN JOSE, CA 95129 TELEPHONE . . . . . . . . : (408) 973-9427 •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- --- ------- ---------- ---------- ---------- BPERMFEE VALUATION 8 , 000 . 00 147 . 96 0 . 00 147 . 96 0 . 00 BSEISMICRE VALUATION 8 , 000 . 00 0 . 80 0 . 00 0 . 80 0 . 00 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 253 . 76 0 . 00 253 . 76 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 253 . 76 1780 TOTAL RECEIPT 253 . 76 • sm Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 . CUPERTINO Building Department JOB ADDRESS: PERMIT # SSS' cartLq 0 (D6al �� OWNER'S NAME: C i w f>z �_ , PHONE # 2 (c —S / 1 GENERAL CONTRACTOR: C 'I FAX # I am not using any subcontractors: Signature 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 C u Septic Tank Sheet Metal Sheet Rock ,._Tile Owner/Contractor Signature Date CITY OF CUPERTINO NO I M :zni' REBOOT+ • CUPERTINO PERMIT APPLICATION FORM APN# 31n- 'n - 7 Q (�(� Date: Building Address: I I S G11cCW01/ I C n 1� Owner's Name: D J ` cY Phone#: Contract License L "NJ Contact: Cupertino Business License #: 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) Numbcr of existing coverings ❑ Provide I.C.B.O. Report# ❑ To be Removed ❑ Provide Mfgr.Installation Specs. • I Have Read, Understand and Will Comply With Cu ertino's Tear Off Polic Job Description: IS T c IL �c �2 oJ4-co Residenti Commercial ❑ Fire Zone: Yes ❑ No= Confirmed with Planning D�t. if there are any restrictions: Cost of Project: —) Type of Construction: Occupancy group: / ) 00 Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Ener y 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 Y4 " 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: � ) `ICY V 1 01 $�-Z 1�S Q r\_/ Job Site Address: I ' S co-TtL a-4 1J2 Roofing Company Nr C l V R ��-�-1 ` U 0 � Applicants Signature: Date: _10 — (0 )b • Greg Casteel Building Official Revised 11/2/04