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06050040 (2)02 z 1r CITY OF CUPERTINO ' • vx+ ' BUILDING DIVISION PERMIT C0NT-RACT , ;1N WORM JU BUILDING ADDRESS: FOUR SEASONS ROOFING PERMIT No. 06050040 10079 RIDGEWAY DR OWNER'S NAME: PERMR'LSSUEDATE DEANZA OAKS HOA 502 HORNING ST 05/04/2006 NE: SANITARY NO. CONTROL NO. (408)278-0330 ARCHI ECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECTPLUMB MECH o. 0 0 0 LICENSED CONTRACT'OR'S DECLARATION 1pb Description ffirm al 1 ame li¢vN ns under provision of Chapter 9 (commencing kmby aN with Section 7").f Division 3.1' me Business and Professions Code, and my license is in full forte and affect. S TEAR OFF SHAKES INSTALL 1/2" CDX, AND GAF GRAND Licame,am Lk'IQ Da rE GmO QUOIA SHI 0 Y CLASS A /�� ARCHITECTS DECR usu rt comasorN I my s Nall bed i� undersand plans public J bAA vl�/ UN � ,5006 Licensed PmRssional OWNER -BUILDER DECLARATION 1 hereby that 1 a.1. eumpt from the Contra. n taw for dm . (Sce o t: A c i following muon. (Section 703 1.5, Business and Profnssions Cao: Any city or county which requires a permit to construct, aver. Improve, dcmnl W, or repair any swclum _ ! prior an its issuance, alsu requires the appliatsforsuch permit ro rile a signed statement Nat he is licensed pursuant the pmvisiom of the Conuacto's Liccns. Law (Chapter 9 Valuati I (commencing wish section]1)00)of Division 3.1' the Business and Professions Code)., Nat M Is exempt therefrom and the bask for the alleged exemption. Any violation of 4p lyret OCCIPanCY Type Section 7031.5 by any applicant for a permit subjccu Nc appikant In a civil penalty of not moNan five hundred dollars (S30). .00 ❑ I.uawnv al Ne pmpmY•mmY wpbyas wish wgu uNe'v sok competssation, Required Inspections win do the work and Ne...tort u not kmndcd m.Bered intrude (Sec. 7014, Business and Professions Calc The cmunicwra Liave law does not apply to an owner of property who Wilds or improves thmc.n. and who d.such work himself., through his Own employees, provided Out such improvements art not intended Oroffead fa sale If. however, the Wilding or improvement Is sad within am year of completion, the owner - builder will have the Wrden of proving that M did rot Wild Or improve for purpose .f sale.). O 1, as o ner of to property. am exclusively contracting with licensed contractors to comment the Project (Sec. 7014. Business and Professions Cade:) The Contractors V - Ounce taw doss not apply in in owner of property who Wilds or improves thereon. and, who concocts for such projects with a c.nuacmrm) licensed pursuant in the Contractors Lkeme Law. O lameumptunder Sec ,BhPcf.rthkrasom. Owner Da¢ WORKERS COMPENSATION DECLARATION I hereby affinm under penalty of perjury one of Ne following declaration: o ker'sCompen- O I brim and will maintain. Cera ics. of Common to ml! -insure for Worker's Compact. antion. antion, as provided for by section 3700 of the Inner Code. for the p,domance of the wok for which this permit is issued. O 1 have aed will maintain Workers Compensation Insurance. u Oxim ed by Section 3700 of she Labor Code, fro Ne performance of the work fon which this pemtit is issued My War Ors Compensation hsu artier and Polity number are: Ssk 2 _ Grrier.�dv N.MwoRkERS y R CATS OF X • 1Pf10N FROM N COMPENSATION INSURANCE Crisis mcvm need not W compound if the permit is forom hundrNdollars (SIM) r less.) I arab dist in the pmformem. of the wort for which this parnit u issued, l shall not employ anypersun in any manner m as or become subject to the Workers' Compemadon Laws of Califomia. Dale Applicant NOTICE TO APPLICANT: If, after making Nis Cenificale of Eacmpti.n, you should became subject on No Workers Co nscnsati.n provisions or me Iahnr Code, you mmt ' f.Mwith comply with such provisions Or mu permit shall be deemed minded. i CO, TIONLENDING AGENCY 1 thereby On. u. Nat mart v a agency for dm perfurmarme of whaffirm the work for which the permit s isssmd (Sec. l09], div. C.) ed (S.. 0 7, Ch, Leaders Namc Lendefs Address ' T ni nify that 1 have rad Ods application and sate Nat the shoe information u ' torrent 1 agree to comply with all city and county onlinances and sue: laws relating to building construction, and hereby aushona represcoutivos of this city in enter upon ted move-menlldnod I (ort cxpeeti.n purpowhich (We) agree m save, indemnify and keep harmless the City of Cupenino against cost gmcno.p may isswhidsmay in my way accrue against sell City j liabilitimtsenco cnts,c.stsondOf m comeguemc.[ she granting of this permit. this ' APPLICANT UNDERST ND WILL COMPLY WITH ALL NON -POINT Issued by: Date EGULATION . Re -roofs Sgnuurt.f ApplicarNco sur o Dam AZ OUS MATERIALS DISCLOSURE Type of Roof Will the appli .r future Wilding occupant more or handle Ishurdom material as demand by the Cupertino Municipal Code. Chapter 9.11. and the Hea1N and We,, Code, Section 2553241L. a �Ym All roofs shall be inspected prior to any roofing material being installed. Wall the applicant or future Wilding occupant tau equipment., devices which If a roof is installed without first obtaining an inspection, I agree to remove emit harardnus air commilm ns u denied by Nc Bay Area Air Quality Management all new materials for inspection. Di trix? \ — OYa No I have mail the Incurious mannish aquimm r s under Chapmr 6.95 ofdm CIdifur- m-HealN& Safety Code. Sections 25505,15533 and 25534.1 on&.it Or. if the Wilding dna currently baro a sono Nat it is my responsibility m notil, Ne acupant of the @of rtquinmcnts roIn ti cox .rloimmame.racenifxemor atiltglmx Signature of Applicant Date All roof coverings to be Class "B" or better owner., atrm.dze .n, D,m n U 10 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: 10 " PERMIT # as00 `z o OWNER'S N FkS H, PHONE # GENERAL CONTRACTO • FAX # I am not using any subcontractors: i ignature Date Please check applicable subcontractors an plete the following information: /Contractor Signature Date 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 /Contractor Signature Date am 7 of 7 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34241020.00 DATE ISSUED.......: 05/04/2006 RECEIPT 4.........: 34240 REFERENCE ID # ...: 06050040 SITE ADDRESS ..... SUBDIVISION ...... CITY .............: IMPACT AREA ...... 10079 RIDGEWAY DR CUPERTINO OPERATOR: amyw COPY # : 2 OWNER ............: DEANZA OAKS HOA ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2658 RECEIVED FROM ....: FOUR SEASONS ROOFING CONTRACTOR .......: DIAZ, ALFRED LIC # 21323 COMPANY ..........: FOUR SEASONS ROOFING ADDRESS ..........: 502 HORNING ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408)278-0330 •FEE 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 TOTAL PERMIT : 126.96 0.00 126.96 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT ----- ---888.72 888.72 NUMBER ------------------ 005523 • 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 $176.18. The re -inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate, that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re -roofing. Homeowner's Name: !" /n��Z CI � �A Job Site Address: 100-7 Roofing Company Name: Applicant's Signature: Greg Casteel Building Official Revised 11/2/04 • 0 cn r of CUPEkTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION FORM APN # Bldg Permit Fees Date: BENERGY Energy BUILDING Building Address: Seismic Fee Res 10 BSEISMICOM Seismic Commercial r Owner's Name: Plan Check Fee Phone #: ti Business License BUILDING Contractor: License #: S 5/71Z.2� Contact: Cupertino Business License #: t,e Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles )2'—Asphalt Shingles AF- Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) _ _ ❑ Other (Specify) Number of existing coverings / ❑ Provide I.C.B.O. Report # ,% To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Com2ly With Cu ertino's Tear Off Policy: ❑ Job Description: 'nolrF �£ 5 g tNsi �� t Z t CD�1 0^ C�+a Gr4n t o y Rhz Residential ®._ Commercial ❑ Fire Zone: Yes ❑ Nom] Confirmed with Planning DMt. if there are Rnv restrictions: LJ Cost of Project: oo Type of Construction: Occupancy group: S Soo 3 Qty. if A licable Fee ID Fee Descri tion F G BPERMFEE Bldg Permit Fees ee roup BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING r e$uotr