Loading...
03090119 CITYIOP CUIFEWHNOe ` BUILDING DIVISION PERMI18 CONTRACTOR iNFORMAVWN::. BUILDING ADDRESS: SECURITY ROOFING AIR SYSTE YMfr"903090119 10321 MARY AUR 4 2 OWNER'S NAME: 677 KINGS ROW PERMIT ISSUE DATE 140,"E' (408) 971-1777 SANITARY NO. CONTROL NO, ARCIIITE-C`UENGINEER: BUILDING PERMIT INFO BLDG ELECTPLUMB MECII 1K� G7 O O O too LICENSED CONfRACIDR'S DECLARATION Job Description U U 1 hereby affirm that I am liecnwd under provisions of Chapter 9(mm cconang p w with Sectio NXIB of Divi.' 3of Me Busines,and Professions Code,srd my damsels Division jqTd iafaufareenndefm.C3 "D v9'a REROOF .. . Llccnsc Cl' a Courtrai_� ) t„� !, - t, gyp Dam�_a�_Cnmacmr t}` CFFii1TECTS DECLARATI r K a I understand my plansshall M used ani records All I I, 7000. eaV ay Licenwd Professional Is as OWNER BUILDER DECLARATION aS 1 hereby affirm that I am exempt from the Contractor's License Law lot the - SI I v p o following mason.(Section 711315,Business and Profcsxinns Colo:Any coy nr county ( .. .'.�.�-. <m which requires a penult la construct,altar,improve,dcmnliM,or repair any structure 230 ando In its itmance,than requires the applicant forsuch permit to lila a signed slatcnmat 5S&thatheiaueensedpursuamlameprovootmtsnrmeContractorsLicenseLiw(Chapter9 Sq.Ft. Floor Area Valuation 2'a (commencing with Soetion 7000)ol'Division 3 ofthe Business and Ptomsdans Cwle)or i R$ that hecisempt therefrom and the basis for Me alleged exemption.Any violation of 32652009 . 00 Section 7031.5 by any apdoon,fnr a permit subJecu the applicant to a civil penally of APN Number Occupancy Type not dt store than five htmed dollars($500). P Y YP ❑ I,as owner of parr,party.or my employees with wages for their.sole compensation, will do the work.and the structure is not intended ser offemd for Into(Sec.70M•1,Bmsiness and Professions Code:The Contractor's License Law does am apply In an owner of Required Inspections property who builds or improves Mereun,ind who does...b work himselfnrthrough his 307 — INSULATION own empleyeas,provided that such improvemenu are not intended proffered for sale.If. 601 — ROOF TEAR OFF however,the building or impravemna is sold within one year of completion,the owner- but Mar will have the burden of proving that he did not build ry or improve for puosc of 602 — ROOF PLYWOOD NAIL sale')' 603 — ROOF BATTENS ❑ 1,as owner of Me property,am exclusively contacting with licensed emtracmrs to renamed the project yaw.7044,11 striate;and Prntcssinns Code)lite Contractors Lt. 604 — ROOF IN—PROGRESS we law does not appy to an owner of property who builds or an proves memos,and who matmets for such projects with a conuacm,E)licensed pursuant to the Conoach is Liecnse Law. ❑I am exempt under Sec. ,13&P C for this reason Owner Dam WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of tis following declarations: have and will maintain a Certificate of Consent m sel Fissure for Worker's Compcm workas provided for by Section 37M of the Tabor Code,fnr the pcdnrmancc of the for which this perdu is issued. ❑1 have and will maintain Workers Compensation IaSuadox.as required by Sectio 37W of Mc Labor Code,for Bre verfmmanm of the work for which this permit is i,esued. My Workcr'sC pensI lnsumncc c'"icrand Policy numbcrace comm: ?l�J� F+� policy Na.: °./13o q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need nm be complered if the permit is forma hundred dollars($100) Its”) I ccnify that in the performance of the walk fnr which this permit is issued,1 shall not employ any perm any mannerso u m become subjeCvo the Workers'Compenaalled Laws of California!Dale Applicant NOTICE TO APPLICANT:If,after making this CcriEcmc of Estradion,you should become a miccl la the Workcrf Compcatuden pmvisions of the labor Code,yen mast � z forthwith Comply with such provisions or this Permit shall Five deemed revoked. Z O CONSTRUCTION LENDING AGENCY 1 herchy unfair Mat Mere is a counteraction lending agency for the performance of Y. the work far which this permit is issued(See.3097.Civ.C.) QLender's Name 3. z Lender's Address J p 1 ccnify Mal l have read this apPlicatinn and stem that the above information is F-' cored.1 agree to comply with all city and county ordinances and state laws relating to U building conswese ction,and hereby authorise mprnms it city tivato enter upon the U .hove-mentioned property for inspection pmpous. (We)agree to save,indemnify and keep harmless the City of Cupc,line against J~ fA liabilities,judgments,costs and expenses which may in any way accrue agmnsl said City '7 z in consequence of the gmming or this permit. "-' APPLICANT UNDER TANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCEREGUL N 34to_� a __$ 1 ) "? —1 C -3 Re-roofs Signature or AppliCATUMantracher Date HAZARDOUS MATERIALS DISCLOSURE. Type of Roof Will Mc applicant or future building actuator store or handle ha'zaNuus material as dcGned by the Cupertino Municipal Coda.Chapter 9.12,and the Health and Safety Code,Section 25532(x)? / All roofs shall be inspected prior to any roofing material being installed. ­1 Yes 14 Will the applicant or future building occttpam use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove 40,hazardous air Canmminan6 as derned by the Bay Area Air Quality Mamagcmcil all new materials for inspection. at? 0Ycs Nu I have read Me hazardous masrials requirements under Chapter 695 ofthe Califon .in Health an Safely Cale,Sections 25505,25533 and M534.Iunderstand Motiflhc building does not curcnlly Item a t Ma it is my rcsPonsibiliry m nobly the txcupant of Mc regm,emcnm wbiclaZ to lssu.acenr a Ccrtfiemo of ocmpretcy, Signature of Applicant Date or -i f. I Owner ar authorised ageat Data All roof coverings to be Class "B" or better CITY OF CUPERTINO aea REROOF ® CUPERTINO PERMIT APPLICATION FORM APN # r3 a ' Date: Building Address:) /o 33 I Pv\ ky�, Owner's Name: /�vA Phone#: 9� C/40 D£ AA2A Contractor: Phone#: License #: i SSUXj a SJ-Xrns � �/ ��� 3 50 Contact: Contact: Phone #: Cupertino Business License#: -Scoff �6F�n�t-�, � H �-� -t�•� 3- Type of Roof Covering: Existing: Proposed: X l"' Built-Up Roof Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles O Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O.Report It ❑ To be Removed ❑ Provide Mfgr. installation Specs. • I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑ Job Description: ��Ma✓t f34,1 /�l•fh-// fj��.� Residential ❑ Commercial ❑ Fire Zone: Yes ❑ No ❑ Confirmed with PlanningDe t. if there are an res,jet,' tons: Cost Pr ro : Type of Const OccupancyVeA up(� Qty. . A 1'ca e Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING ENERGY Energy BUILDING SEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING � Z316� Z28. 7� BUILDING UNIT PARCEL 0 F F I C E O F COUNTY ASSESSOR, S A N T q ,C L A R A C O U N T Y C,A L I FOR N I A NO NO N I MgRY .:1 +Ao �fgRY'T LL2bS0 A� ,)r C0 PIL C " „ RN ANCEw �f [ 3[=f3 � °h 0 TH FEVENUE AI CATlok a 4 m 4J/ ' EF E^-IVEGATE MARC p MATMIESE -A 9 12 12 E asy q0, 13 13 NOTES;MAP SHOWS FIRST FLOOR ONLY. / s>f •°ss ys .spa iA s3L lit '0Q 3 G DENOTES GARAGE LIVING AREA. 14 14 L DENOTES MAIN LIVING AREA. +)s +ar °''E4, r I aGr 15 15 S DENOTES INTERIOR STAIRWAY AREA ',E- MC • sp ''bE 16 16 D DENOTES DRIVEWAY AREA h} Is '�zs ;s L .b J>E 8r 3,6 17 17 E DENOTES ENTRY AREA. Is- •'kU L aao - I� --- is I B G a P DENOTES PARKING AREA +s J ' 1 1 Y DENOTES REAR YARD AREA. t,s vy b J ` ' aaL 3> s+f L C L " A; act 20 20 sir •y • JOJ �f 2 22 s 2 bs •la'r Js bL�'( J+t "•s• - 4 4 "a _ a>} E aJE ..-a°s JJL 25 ,JE A ' fl 2 8 - 9 J A42'rt au see D 24r aar I ` 1,+ 29st 29 2 i 1O: ( f ' JOY ° . +93 SpL(, J: SIL @L'. SqE Jn. E 33 33 mss. ss Z 34 34 35 33 Q ,9r JIE J/L ssL E so, 36 I 2 Sor szE as i Jk by ap 37 OQ seL-- ..sJJ 7 US a B 38 6 SiG -_=•u 39 39 O APG Jar JSE Y S}L JB( % ,' 39L alE G 4Y EI`•�� 40 40 7 J+r JGE a>s sql r zE ",r -� 41 41 42 VQ • SSG Jse S GOS,�A�. bL r I .L Z? 4 4 44 lr ssE^ eRL ' i fai 43 43 lea A ��,Saj Got V 4'J M i ` 6"s... 4B a 48 48 2 )JG ?at bG 6IY Gat p - I 49 49 1 szr ae 50 50 V >ap >sL• >Js 44 A 51 1 51 s 54< _, �t B pn 56 t>c 57 57 >sr »E Ns >+E ` 6 sbc NL,,.._�t rt1 134 63 6 I 64 54 apE yr > .�is ) y >e C 1 63 65 67 7 `y.,y': ser ?1, >zL > sac ah KE �t � 6 B 6B aL nR ?IE �y U, - SEP- . . B 6 9 9 82Y AV >,L. '<J - I Z 2003 hL7 71 72 72 azs a2 ah E au 'o, >u )�r ,, KL sac r • �: i 7 a� „)ps 74 74 - ;a i •;...� ah 43 43 A 76 76 - - sh 41L air �� a Ib} T7 Fa r .. 7 7 :�x..«s 4f sff . aar s1r a i 8 .w 4 94 WEST - VALLEY FY. - - iWARY OFFICE- OF COUNTY ASS_rSSOR SANTA C L A RA COUNTY CALIFORNIA AVENUE- - - 3�6 P A GE r DZG 32E 32L 32Y S7 'S�9L K 9G `-'1.J5 EG JEE2LE IY3H. /6 9E aL IOr IOL IOE I03.=.� 7G 2T7E 7l 7y 30Y 30L 30E r__= 30G 30p IID IIG ❑E_ IIL-,IIS Ilr l71 27 r� a s' 1� ---_ 1 29Y 29L 29E 29G 290 QD 12G fG L 12E 12l 12T I .. _ 1 S 283 - ' 2SG 2BE 7SL 2BY 131_____. 13Y 13L CE 27G27Y 4THY 14L' 14E I4G149'___F_-P24Y -�-� 3T6l -�153 26[ 26G150I5G ISE ISl 1STL 25E 25G 2SD 160 MG16E I6l.---• r-p-�16324S i24L 24T 17Y 175.�__rill 17Ei7623L23Y ISY IBL ISEM6�--7235 ISS'_3.___L 22E 22G 220 l 2IE 216 2Ip-- 20s20L 207 196 19E 19L - 19T N c9► H,LP.GO Eav G3`L O� P NOTES MAP SHOWS FIRST FLOOR ONLY LDG �3� Gp L` 6 DENOTES GARAGE LIVING AREA A 1 L DENOTES - MAIN LIVING AREA S DENOTES INTE9fCf1 STAIRWAY AREA N- P� D DENOTES CFO\e"WAY AREA S¢PGt E DENOTES ENTRY AREA - I P DENOTES PARKING AREA Y DENOTES REAR YARD AREA ' 9 COM FI LED IN CONFONMANCE WITH SEC 327 OF THE REVENUE AND TAXATION COLE EFFECTIVE DATE MARCH 1,1975 DWIGHT L. MATH IESEN-ASSESSOR • • m 0 CASA DE ANZA a';,a;''fCO'. Condoi ii1i"It1S_ f!lllArti[lo =c-l�l�. Ir: ACCORDANCE VATWITO l� 9CUPERTfNO CODES AND'ORDS�. ,: II(III�' Yp r DATE [h - l silver real < ' z j IK res{,te This set 0L-anti ' :pull:',:, atl,. 61 IIIIU cupertinc� , kali(. ne.w ,�A:e`;''�a ZILI �Ls[n r ` ° 40R ?55— -' 1070 _ '��(al'lfLS i0�-s"-�"en�. _. j II 1I c ozsame.rait u: �. Ltca perm# b�jc'�=�_p..� bgs lltllll4 '"S I,,,nit I'll-Y tr naive c 1'0I! iRONN n' xe�ll�ll�i ,s�,anandssscatiorfl BARRANCA I Cl VI S U-1 y., cy�� 1 be z . ' M J Jf r d r I7]'7lN .ola'ic4 .1� pt Nisi.. �l iii-- :t• _ - I-� .� 3A .J, (�I 11 C� ; , 20 SEGOVIAi IC r . � 37�' III of .<Q�. L... ' �� �. �_� _ J J' •Q4�� .g..,t��1 —I Ii.. _ . • [ IIr 1 --�+i.�' X � .!. I —_! _ Q . �_� I�� j I g I i I I I C) JJ i — I I .. , CD i I cn ,rel MARY STREET) I ' � � 1 / ? f 11 O 71 n; CASA DE ANZA I condominiums 41 Calif. OfMIIIIM cuperlino, Calif, LU Pt) o silvelt re, estate 409 255-1910 �1017 p I&Y --se IL I RARRAN.CA C I (t (D tennis SEGOVIA: ICI LLI jujl�k 'j i4 co i . C9 Lij cn lois �n�r9 MARY S1 REET) J 0(7 - y . N ACIFIC NATES MANAGEMENT COMPANY. 2510 Stevens Creek Boulevard San Jose,CA95128 Fax: (408)885-9125 r (408)RR5-9160 Selitetrtbe;115,20 03 City of Cupertino J� Re: Casa de Anza Homeowners Assocls tion Roof Work Dear Sirs, This letter saves as confirmation th it the Casa de Anza Board of Directors has awarded Security Roofing Servicos the contract to perform the roofwork. Please let us know if you have any c uestions or need additional information. Sincerely, Pacific States Management 8 c: Cotlee sCst BOD — -- --- — -- (C'p j'78 SEH 1 � ?003 zo/Z9 3E)Vd 1W9W S31ti1S 9IdI9tid 9LI6988894 42 :92 E99L/9L/69