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08020089 (2) CITY OF CUPERTINO BUILDING'urvlstoN• PERMIT CUNTyRACT#OR INF IZMATION BUIL 1 0 DDRESS: PERMIT NO. D8�� HYDE AVE RESPONSIBLE ROOFING INC 08020089 40 NER'S NAME: PERMIT ISSUE DATE SEAMAN FLOYD E 2882 SPRING ST 02/14/2008 PHONE: SANITARY NO. CONTROL NO. (650) 969-6151 ARCHr1ECf/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH C= O O O X00 LICENSED CONTRACTOR'S DECLARATION I Job Description rd Or 1 hereby affirm that I me licensed under provisions of Chapter 9(commencing P Z with Section 70110)ofDiviaion3of line Business adProressionsCode.admylicense I. RE-RF, SWEEP OFF GRVL TO EXPOS PLYWD& INSTL NEW r=„ it full race and err '1 8q O jaZ Unna a LIc.N O` FOAM RF,CLASS A 26SQ F Dab Comraar O I eQ ARCHf1ELTS OECLA ATI0 a oT 1 undasund my plans shall he used a public mcoms, u.0�U yen Licensed Professional - 7o the I am campt IR food ft RATION i 0 i I hemhy,'ricer that 1 am camel Item I' Conmcmr,License Law for the O O following maaon.(Section 10313,Business ad ve.de nu Cade:AnY em or county $�i which rots i ms•Feast re corm,then tiler,improve,demolish.t fi repair any awctom tey Prbrtuin fused Innocent to the dm applicant for Con=luitto eientsle am Laed w(Chap em �g (h...'cigwitpunuanu0thcpmvisions of the 3ofthenUamr'aLa"slAw(LTapa9 Sq.Ft.Floor Area Valuation (commencingwith Section7000)of Division3 of theegeBusiness ad Professvi Code)or $14100 $ that h<u campy mbmfrom and the East for the alleged emmption AnY violation of Session more flue airyreddollfor aPermit abject the,pplicauo acivil Fealty of Number Occupancy Type mrmae then nn bunama dollars($50B. 37539010 �(� I,uawarof tib property,army wplvyw with wage uthcb sok tompewtion, will do the work;ad thenrmure Is maintended or offered Waste(Scc.70Sa.Business Required Inspections ad Profession Code:The Comm uses License Law does al apply b a owee nsr of q P property who builds n)mprovn themon,and who does suc h work himself a Brough his awe employers,provided that such improvements w not intended moffered formie IL however,the building or improvement k aid within ane year of compledon.the eater. builder will have the Widen of proving that he did at build or improve for purpose of sok.). O 1,a owner of the property am exclusively contracting with licensed cenosemn to construct the pmimn(Sec.70/a,Business and Rvfessians Codc)TAM Centimeter's U. cense law does not apply b an ower of propemY who Wilds or improves theman.ad, - whocomsessfaauchprojeeowith•cemme r(s)licensed Formant to the onlrame. License Law. ❑I oro exempt under See ,B&PC for this40 recon Was-1 Dae WORKER'S COMPENSATION DECLARATION I hereby aRrm under penalty of perjury one of the fallowing declanulons ❑1"M end will maintain a Cenifieso ofC"nanl to alydaum for Worker,Comprn sedan.a provided for by Section 37M of Ne labor Code,for the performemn of six were for which this permit is issued. ❑1 have ad will maintain Workers Compensation Insurance,as required by Section 3700 ofthe labor Code.for the pertomtance ofthe work forwhich this permit is issued. ' My Workers Com ata lye' ,,a sPs ad Policy number me: Cart t �=�_ T 0,; P I"N°.: W 07S6s CERTIFICATE OF N FROM WORKERS COMPENSATION INSURANCE (ITB ammo need at W completed if be permit Iafmoa hundred dollen(SIO() or leu) I anifv that in the performance of the work fu which this permit la issued.I Nall not employ any person in my mama as b(become,abject to the Woflmre Corepa melon Laws of Califomia Duck Applicant NOTICE TO APPLICANT.If,after making this Coniriab of Exemption,you should become Subject to the WaRcts Compensation provisions of the lobar Code you most .J z forthwith comply with such povis as"is Permit Nall be deemed rowelled, Lz.tcvI CONSTRUCTION LENDING AGENCY E••� I hereby errors Nat tem is a construction lending agency for the performance of CL the work for which this permit Is issued(Sec.3097,Or.C.) ' W Q Lenders Name 7 Z Lender,Address V Q 1 certifY Na I have read this applieaiom ad son dor the AM.infatuation Is [L^ cmrea 1 Agree to comply with LI city ad county ordinances and Nle tan mating to SV' Wilding construction,ad hereby mthmin representatives of Nu city to enter upon site H7 aWve-mentioned progeny rte WIs, puryosea f��r 0. (We)ague le ave,Indemnity and p humlra the City of Cupertino agues) Ihbilitin.Judgmcnu,commdapcnaa hich meY in aywY anu"agalnst aid Cuy V z in co os"Im sof the lingofthis mit. APPL Nr UND STANDS A WILL MPLY ITH ALL NON-POINT Issued by: Date �. —� '1-ev SO ONS. I /� Re-roofs 2ci�_k_ a t nacol'Applian✓C br Doc ic RDOUS MATERIALS DISCLOSURE Type Of Roof Will the appliemt or future Wilding acupatsmm a handle hazardous materia dented by the Cupertino Municipal Code.Chapter 9.12,ad the Health ad Safely tether25532U>7 ❑Yes '' All roofs shall be inspected prior to any roofing material being installed. p o Will the applicant serrffuture Wading oro pam use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit MON.us air comarrha is a defined by the Bay Area Air Quality Management all new materials for inspection. Dlmrict7 ❑m a I ban road the haustmous muariJsnqu))'mmenot under Chapterb.95ofthe Cuiror- — ni,HeslthkSdmyCode,SeeJJJJJ m25505.25;1 uW2133/.luMenond mm if the Wilding v/Y �.... Qr, dao mol Oy have n4 that II k mspanpldlitY b notify the aaupant of site i x recutdoes .en I nbtpriai 'aa bdrythep tY' l Sgnatureof Pelican Date ��� �T �1�/�g All roof coverings to be Class"B"or better Owner or authomcd engem Gam off© o09 CITY OF CUPERTINO REROOF OCUPERTINO PERMIT APPLICATION APN # Date: 3? - 3 010 , 00 Fe.� /H Building Address: BH e Owner's Name. Phone #: OM e-v 5 0ry�I ck qoq Contractor: Phone #: S O 5 1'1 Fax #: Cupertino Business License #: Contractor License #: 39,8190 Type of Roof Covering: Existing: Proposed: rX Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ .Wood Shingles ❑ Other(Specify) >t Other(Specify) FOC) V✓1 Number of existing coverings ❑ Provide I.C.B.O. Report# ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: 5 ve ] ' A/�W nG � 00�� cf✓ Residential Commercial ' Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: ly/oo 59 I Have Read, Understand ao Wil Comply with Cupertino's Tear-Off Policy: • Signature CITY OF CUPERTINO �m REROOF OCUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 113SEISMICO Seismic Commercial B 2 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • 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 1/4" P P" 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: /oJr S/Om r c b Job Site Address: _ 22,y A,,lJe A-l7e Roofing Company Name: Applicant's Signature: Date: �� • Greg Casteel Building Official Revised 11/2/04 • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37539010. 00 DATE ISSUED. . . . . . . : 02/14/2008 RECEIPT #. . . . . . . . . : BS000003937 REFERENCE ID # . . . : 08020089 SITE ADDRESS . . . . . : 884 HYDE AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER. . . . . . . . . . . . : SEAMAN FLOYD E ADDRESS . . . . . . . . . . : 884 HYDE AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4639 RECEIVED FROM RESPONSIBLE ROOFING CONTRACTOR . . . . . . . : ELMORE, PAUL M. LIC # 105 COMPANY . . . . . . . . . . : RESPONSIBLE ROOFING INC ADDRESS . . . . . . . . . . : 2882 SPRING ST CITY/STATE/ZIP . . . : REDWOOD CITY, CA 94063 • TELEPHONE . . . . . . . . : (650) 969-6151 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 14, 100. 00 1 .50 0. 00 1.50 0. 00 1REROOFRES SQ FEET 26. 00 338. 00 0. 00 338. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 339 . 50 0. 00 339 .50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 339 .50 #11951 --------------- TOTAL RECEIPT 339 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS . -.. 604 ROOF IN-PROGRESS 605 FINAL REROOF 1 - Community Development 0 Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 UPEkj1N0 Building Department JOB ADDRESS: PERMIT # R2oFoZaoe-y OWNER'S N c X t r' I G PHONE # qOq GENERAL CONTRACTOR: 5 ods (o # I am not using any subcontractors: _ 2. /f//09 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 Septic Tank Sheet Metal Sheet Rock Tile / o� Owner/Contractor Signature Date