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08030103 (2) CITY OF CUPERTINO S '�Y'5��-,'wc1•b 3'-T" �',4'��" `� �yT1`� BUILDING DIVISION PERMIT yC�NTRACTC7IiiTNk,', PERM FNO. RUTLD1jarIA T'8IERRA SPRING CT CASTILLO' S ROOFING 08030103 OWNER'S NAME: PERMR ISSUE DATE. DIANA MATLEY 1703 CATHAY DR 03/19/2008 E: SANITARY NO. CONTROL NO. (408) 251-3565 ARCHITECrIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 op LICENSED CONTRACTORS DECLARATION Job Description w 1 hereby affirm that 1 am liamed under previsions of Chapter 9(commencing with SectionttlflU)afDlvision7ofdeBusinmaMProfessionsCoM.arWmyliceraseu RE—ROOF,RMV EXTNG WD SHNGLS, INSTL CLS A 20SQ �H is full Parte and effc O ,q? LkenseC sLie.g � Dam con r 5y$ ARCHITECTS DECLARONON C T undenund my plans shall M used as public records jyU C t; Licco d Profc en...I 5 OWNER-BUILDER DECLARATION 1 herehy wrirm Nm I me exempt from the Canmemer License Law for see 00 following rcunn.($tttian 77131.5,Business arm Professions CoM:Any city ar county $ which requires a permit to conserver,alter,improve,Mmnluh,or repair anY nmctum �zi Priwuits issuaree.sLLu requires de applicant foreschpemittofrleaslgnedsuummr :♦<� that he is licensed Pursuant to the provisions of de Contractor's Umme Law(Chapter Sq FFt. Floor Area Va1Da[ion (commencing with Section 7000)of Division 7 or the Business and Professions Code)or $8 2 0 0 a rt3 9 that he is exempt therefrom and the burs for the alleged memption.Any violation of Section 7031.5 by any applldm for a permit subjects the applicant m a civil penalty of �,ppr Number Occupancy Type nor more than five hundred dollars(s500). 36653051 .V V ❑Luownerthe k dd proPmq•,w my mirumded!cn withtarederak,(ankTOU,Business will dotUsImU soddesuuctoreisme,Liens arawdoes,rtared adme(ply 0 an ow.a Required Inspections and property wh oho Cade The Conheame.License Law dad ter apply if an amid N q p man= lay builds wimprova therrepur mwha ammut ihwarkbimvJforNrovgb his man=play=.the d,ping or idururmatis id within not earMrdwaBued for ala R, build., .the have t1ne o(impso ponvi is halo within arc year or Improve, faron.thepose of builder will have rhe human of proving Nu he did nm build m improv(w Purpose of Dole.). ❑1.as owner a(the Property.w eaclusivcly...adios wild fiRnsnd aanurtas to cadrmm the project face.7814.amounts and Pafeemos Code:)Th Conamaafs U. ¢are Law does mot apply to an owner of perpeny who builds or improves demon,and, who concocts for such projects with a conuantor(s)licensed pursuant m the Coouactafa License Law. ❑L am exempt under See ,B R P C ran aces reason Com r Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one or the following dcelaruiane: I lure and will maintain a Certificate of Conant to self-insure for Workers Compms- momi,as provided fm by Section 3700 of the Labor Code.for Use peeformaa¢or de work for w Nis Permit is issued. ave and will maintain Worker's Compensation Insurance,as retained by Sechan 3700 of the Tabor Coda,for dm performance of the work for which this permit is issued. My Werkeh Co�pt�N tion lance.dei and Policy number ue:OD� Gofer. >'h/ ��1� Policy Ne.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ('This seNtas need mtbecompleed if the Permit is forms,hunde ddaBare(Slop) or lou.) I Damfv Not in the p uromance of the.,it far which this perch is issued.)shall nm employ any person in any mannerso as to bccoma subject or the Wmiacee Cimpevatirm Laws of California.Dam A,000rt NOTICE TO APPLICANT:If,after making this Certificate of Exemption.you shauM become subject on the Worker's Compensation provisions of the Labar Code,you muss .J z forthwith comply with such proved..or this permit shall be dttmed revoked. z CONSTRUCTION LENDING AGENCY [-. .�.. I hereby affirm d,m Nem is a contraction lending agency for the perfomur¢af C4 „� de work for which this permit is issued(See.3097,Civ.C.) - 6i Q lender's Name Z) z Lender's Address U C) I certify Nat 1 have read this application and sista d,m dm above information is - I,L F^ comer.I agree to comply with all city and county eminences and sum laws reatisg to U buildin g construction,and hereby authorim representatives of Nis city to enter upon the W ahove-mentioned Property for inspection proposal OL (We)agree to ave,indemnify and keep harmless the City of Cupertino against cn Iiabili0d.judgmcnu,costs and expeow which may in any way scene against sold City U Z in cotamuance of the grandag of this Permit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POVIT Issued by: Date SOU CE TIONS, _ /k O S-, Re-roofs ignu a ppli HAAZAOnRt DOUS MATERIALS DISCLOSURE DateType of Roof Will the applicant or future building occupant store or handle hammous material as defined by tie Cupertino Muni'Pat .Chapter 9.12,and be Health and Safety Cock,Section 255324)? All roofs shall be inspected prior to any roofing material being installed: ❑Yea ❑ 41 Will thc applicant or fume thaildingoccupant use equipment or Mesas which If a roof is installed without first obtaining an inspection,I agree to remove nit Im at,on nus it conuntinants u d by rhe Bay AAmAir Quality Mangcmcnt all new materials for inspection. Dix ? Ihavcread the c,Seen 25505, 553u a dM534.der C'hmpmrd.95ofdm Glifa- J /� �✓ CrJY'/ .is HdTN&Safety Code,wm mer re I,i 25573 am125574,T to Dor,t thatifdc h,or t dad not cumndy have•tenant.dist it is my respodlhllity m notil'Y the ott t or the raqul am khmombcmatpriortoiscnartccor.CamOc f ignaureo Applicant Date �i o wwr 1mthwi edagent Date All roof coverings to be Class "B"or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: B1k: Lot: APN 36653051. 00 DATE ISSUED. . . . . . . : 03/19/2008 RECEIPT #. . . . . . . . . : BS000004199 REFERENCE ID # . . . : 08030103 SITE ADDRESS . . . . . : 11771 SIERRA SPRING CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : DIANA MATLEY ADDRESS . . . . . . . . . . : 11771 SIERRA SPRING CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5143 RECEIVED FROM . . . . : CASTILLO'S ROOFING CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850 COMPANY . . . . . . . . . . : CASTILLO'S ROOFING ADDRESS . . . . . . . . . . : 1703 CATHAY DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE (408)251-3565 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 8, 200. 00 0.90 0. 00 0.90 0. 00 1REROOFRES SQ FEET 20. 00 260 . 00 0. 00 260.00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 260 .90 0. 00 260.90 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 260.90 #15000 --------------- TOTAL RECEIPT 260. 90 VOICE ID - DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO D. REROOF •CUPEkTINO PERMIT APPLICATION APN # 2 �3 0 S I 0 Date: Building Address• 11 �►�► Owner's Name: Phone #: L40 g - 25_7— 3 ZZ-1 DI � Contractor: Phone #: g08..25 1 '3Sto s CASTi LL6?, VD Fax #: Cupertino Business License #: Contrac or License #: 30451 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof Built-Up roof ❑ ❑Asphalt Shingles Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes . 41 Wood Shingles a .Wood Shingles ❑ Other(Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Q•ery- dd2, eyos4..i rl W OoA Sh i noleS ` -P54-(� I1 3O(b . i q C-, Pj F Grana4 Can on eS;h i n91e� Residential NJ Commercial Fire Zone: YesEl No Confirmed with Planning Dept, if there are any restrictions: ❑ Valuation: 0 . 0 20 5 I Have Read, Und t and Will Comply with Cupertino's Tear-Off Policy: ignatur CITY OF CUPERTINO REROOF I F •CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B ICOMMLROOF 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Community Development Department Building Division City of Cupertino 10300 Tone 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$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: ✓ /(x-C� Job Site Address: I I ( e Roofing Company Name: 41,-b )J Applicant's Signature: Date: ` Greg Casteel Building Official Revised 11/2/04 Community Development S100 COp 0 Torre Avenue rtinnoCA 95014 11 1 Telephone(408)777-3228 CITY OF Fax(408)777-3333 •CUPERTINO. Building De artment JOB ADDRESS: , I errs i PERMIT # OWNER'S NAME: I p p1 PHONE # b$- 2 S('3S(o GENERAL CONTRACTOR: FAX # I am not using any subcon 5- R- c� Signature Date Please check applicable subcontractors d com lete 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/Contractor Sigfiature Date