Loading...
08050244 (2) CITY OF CUPERTINO - BUILDINCDIVISION PERMIT xC�NTRACTORI1�Tk'ORMATIf3N.%: BInL,p�Irq p�pa LAS ONDAS WAY LOS GATOS ROOFING PE 0690244 OWNER'S NAME: PERMIT ISSUE DATE H'LIZABETH MILLER P 0 BOX 1726 05/30/2008 ONE: SANITARY NO. CONTROL NO. AacxITF-CDENCINEEa: RE—RF RMV EXSTNG SHKRF -BLDG BEIIECTG PERMITPLUMB O MECH u00 LICENSED CONTRACTOR'S DECLARATION 7ob DaSCTI uOn w 1 hcrtby,film Nit l m licensed under provisions of Chapter 9(commencing -"" �-"-'-" "' " - ..— p zW with Section y0fl0)of Division l of the Business and Professions Cum,and my liceneis - in full faresandoffices O n License CS oE—Cantnctor D . gF0 Dae 'may n m� �'T—�IIECTS DECLARATION U 1 understand my plans slWl a used as public records & Licmred Professional =03 OWNER-BUILDER DECLARATION 'ys E I hreby alErm mat I am exempt from the Contractors License,LAw far the i o O following rcamn.(Scevon 701.5.Business and Professions Cole:Any city Or county e m_ff! which requires a permit on construct cher,improve,demollsh,or minor any sl(trmure uiy prior to its issuance,also resumes tM applicant forsuch Permit re file a signed statement ESG Out Wislicensed pursuantmthe provisions ofthe ConuacbriLicanaLaw(Chapter9 Sq.FL Floor Area Valuation x-S (commend.&with Section 7=1 of Division J of live,Business and Professions Code)or Q`<- Cut W u earnpt time(¢¢and the baso for the a leged mxcmpums My A.Istfan of Section 70 M by any applicant fm a permit subjccu the applicant to a civil penalty,of APN Number Occupancy Type . let mom than five hundred dollars nXn P y yp ❑I,asewner ofue property,amympl%ccs with wagesa Netr sole eampewtion, wid dmfewort,andthe he ConturosLia craw desfarsak(Sec.in a,..of and Ply-MWilds Cade:The Contemns Liceve oes does not apply m rt owner of Required Inspections ownenywyeact. doActed oven himpre ndwho daessahsoakhimrelfaf Waugh his awn however. rbuipmNded that sato int is semenu are trot ear ldc mrmlced for sale a, Wilder the building or res avemvnt u hatd within ane year of c prove for Nepose of Wilder ill have tfe nurdco of provin8 that k did rot GUW a improve for purpose of sok.). r 0 1,a owhher of she propeny,am sore usivsly contracting wits licensed contractors in construct the pmjeer(Sec.]Oso,Busince,aM Professions Cade)The Contractors U, cense Law does not apply an an owner of progeny who Wilds or improves thereon,mad, who comm far such projects with a cenuacmr(s)Braved puauant on Ne Contractors License Law. ❑1 an,mompt under See ,B b.P C for this recon Winer Dau WORKERS COMPENSATION DECLARATION I hereby affirm under Fenslty,of perjury one of the fallowing declanuone ❑I hsve and will munuin a Ceniunte of Conscm m self.houre for Workers Compen- t sasom.as provided for by Section 377 of the Labor Code,far Ne performance of the ' wart for which Nis Permit is issued. ❑1 have and will maintain Workers Compensation Insurance,m required by Sceoon 37W of due Latour Code.for Ne performance of the work for which de,Permit u Issued. ' My WorkersCompensationWumrm cap and Policy number art: Cartier.JrTnT( Zt f, Fac.. PolicyNo.: /99-0009 CERTIFICATE OF]EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu securn need oat x completed If the permit is forms,hundred dollars(SIM) or less) I terrify Nat in the Performance of the work for which this Permit at issued.I shall not employ any Forma in any manner so as in become abject to the Waoen'Compensation Laws of Cuifomia.Dam Applicant NOTICE TO APPUCANP.If,after making this Certificate of Exemption,you should become subject m the Workers Compensation provisions of the Labor Code,you most Qforthwith comply with such Proviunns of Nu permit soul W doomed nevek,d. Z CONSTBUCr10N LENDING AGENCY [-s Ihereby alrum Nat Nem isaconstratirm lending agency for the perfurmance of rt Ne work for which this Pennell is issued(Sm.309y,Civ.C.) tender's Name Qvz Lenders Address U Q 1 certify Nat 1 have read this application and sum this the above information in Uv F coven.)agree In comply wit all city and county ordinances and sum laws rtbaung m 0U building conutratian,and hereby waitede¢Presscnutivcs of this city to c.W,.,a tie vbov,-mentioned pmpeny for inspection purposes Fes„y (We)agree to nae,indemnify and lace,harmless do City of Cupertino!guns, (11liabilities,judgmcnu,cons and expenses which may in any way acermc agmeat aid City U Z in consequence of tM&recon&of this permit. APPLICANT NDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date sOURCER LATIONS. S "ate Sm&oat Re-roofs mApphcanJConuacmr ,m HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the appliant an future building amupant core.,hand),hauAo o maeriu a defloorl by the Cupertino Municipal Cade,Couper 9.11,and the Health and Safety code,Section uss3(,)± 05NO All roofs shall be inspected prior to any roofing material being installed. Will the, Resitorfume whdin occur ant If a roof is installed without first obtainingan inspection,I agree to remove mit haaardnos sir contsminanu as defined b the Bay Arco Air Quality Management oi,tric%7 A y all new materials for inspection. ❑Ya gy No Ihave mad the ha,aces¢smaterials requirements underChaperdmat line, the Califon- nu Flaw&$afctyhim,a i mou1,. 5533 myrand355Jd.1 understand tram consbuof the ,fG`�_ S�3 B�a8 dans not caU h hvaa,roma L this it u ver maponuhility m rotirY the mvpanl ver the .Gr._ negaimmenu rich¢hut be epnarmivuanccor,Cenirncae afOcmparncy. Sig ure of Applicant Date ' Yom+ ✓�. 1 SLo/o S ow raumori>magcm IAll roof coverings to be Class'%T'or better CITY OF' CUPERTINO • 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36932030 . 00 DATE ISSUED. . . . . . . : 05/30/2008 RECEIPT # . . . . . . . . . : BS000004951 REFERENCE ID # . . . : 08050244 SITE ADDRESS . . . . . : 20071 LAS ONDAS WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ELIZABETH MILLER ADDRESS . . . . . . . . . . : 20071 LAS ONDAS WY CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3132 RECEIVED FROM . . . . : LOS GATOS ROOFING . CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481 COMPANY . . . . . . . . : . : LOS GATOS ROOFING ADDRESS . . . . . . . . . . : P 0 BOX 1726 CITY/STATE/ZIP . LOS GATOS, CA 95031 • TELEPHONE (408) 298-9399 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- -------- ---------- ---------- 1BSEISMICR VALUATION 7, 915 . 00 0 . 80 0 . 00 0 . 80 0 . 00 1REROOFRES SQ FEET 26 . 00 338 . 00 0 . 00 338 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 338 . 80 0 . 00 338 . 80 0 . 00 VOICE ID, DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • PERMIT INVOICE OPERATOR: patg Sec : Twp: Rng: Sub: Blk: Lot: APN 36932030 . 00 INVOICE DATE. . . . . . : 05/30/2008 REFERENCE ID # . . 08050244 SITE ADDRESS . . . . . : 20071 LAS ONDAS WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ELIZABETH MILLER ADDRESS . . . . . . . . . . : 20071 LAS ONDAS WY - CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3132 CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481 COMPANY . . . . . . . . . . : LOS GATOS ROOFING ADDRESS . . . . . . . . . . : P 0 BOX 1726 CITY/STATE/ZIP . . . : LOS GATOS, CA 95031 TELEPHONE . . . . . . . . : (408) 298-9399 FEE DESCRIPTIONDUE FOR AMOUNT DUE PAID BALANCE --------------------------- -------------- ---------- ---------- ---------- SEISMIC RESIDENTIAL PRINTING PERMIT 0 . 80 0. 00 0 . 80 RE-ROOF: RESIDENTIAL PRINTING PERMIT 338 . 00 0 . 00 338 . 00 ---------- ---------- ---------- 338 . 80 0 . 00 338 . 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • SCD CITY OF CUPERTINO REROOF cm o *CUPERTINO PERMIT APPLICATION APN# Date: Building Address: ✓ O 2 "o w Owner's Name: Phone #: Contractor: L 0 S 6—CL.7—o S U 0 y 1 r?j Phone #: Fax #: Cupertino Business License #: 2 ? ' / / Contractor License #: J'7 0 70 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles Asphalt Shingles jb�J >11 Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) X Other (Specify) �IL" OS Number of existing coverings / ❑ Provide I.C.B.O. Report # To be Removed o Provide Mfgr. Installation Specs. S s ooP C!l4sS — Job Description: Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if Valuation: there are any restrictions: ❑ � ,V q s .�� I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Qature CITY OF CUPERTINO SIM REROOF OcuPEROF TINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B ISFDWLROOF 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roofMulti-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" 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: Job Site Address: ,b Roofing Company Name: S n Applicant's Signature: /}�/�� ) r� C70Date> / j • Greg Casteel Building Official Revised 11/2/04 Community Development 10300 Torte Avenue A-1 Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *CUPERTINO Building Department JOB ADDRESS: PERMIT # _ 20'7/ ��c5 ���s /�f/ OWNER'S NAME: p/rJ g< y r- �� PHONE # GENERAL CONTRACTOR: s FAX # G__�9 _q I am not using any subcontractors: G Signature D te- Please check ap2licable subcontractors and complete the followin 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 D e