05100140 (2) CITY OF CUPERTINO 4'f' d -(- p ■ ,''7. ?
BUILDING DIVISION PE yyIT '° lJi\il,��TAy�Lv1Q,ll:*''
BUILDING ADDRESS: PERMIT NOO 510 014 0
550 RED FTR CT
NEWS NAME: PERMIT ISSUE DATE
MAHON ROBERT B AND EMILY Y TRU 2005
ONE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
�oo LICENSED CONTRACTORS DECLARATION 0lb Description
y1 1 herby affirm No
al I am licensed under provisions of Chapter 9(commencing p
a� with Salon 7")of Division 3 of the Business and Professions Code.md my license is
In full farce and effect. REPLACEMENT WINDOWS .
j ? License Clue L
B Date Connector
,a ARARCHITECTSSDECLARATION
y I understand my plea ahall be used as public rccarJs �^
/V
C
Licensed hereby Professional V/
OW NER-BUILDER DECLARATION va
i I hereby.(Sero that 1 1. exempt from the fissions o Licenu Low for the -
p O following mason.(Section 703 1.5,Business and tie,dem ns Cole:Any city s aunty
$ which zeyulrca a permit to construct.alter Improve,demolish.or repair any etmauro 14 5
prior to its Issuance.also inquires the applicant for such permil to rile reigned Statement
qq¢3< that he Is licensed pursum1.the provisions of the Cunuame,Comms lew(CW,mv 9 Sq.Ft.Floor Area Value
6 $ (commencing with Sudan 7000)of Division 3 of Ne Business and Profesninu Code)or
du Out he is exempt Uvacfrom and Bte bub fm the staged exemption.Any violation of
Section 7031.5 by my applicant for a permit subjects the applicant to a civil penalty of ar U Occupancy Type
not mom Nan foot hundred dollars($500).
❑1,as owner of die property,or my employees with wages as their We compensation, -
will&thework.and the structure lenot intended oroReredfor see(Sac.7044,Badnm, Required Inspections
end Professions Cade.The Conuacme,Licensewe ns Lew dues nal apply m sn owes,of q p
property who build,or impavestheran,endwhodoeuuch workhimselfor Waugh his
own employees,provided that such Improvements are not intended mo@red for We.If.
however,the building or improvement is mid within one year of cnmplelion,Ne awn"- s
builder will haw the burden of proving that he did net build or improve for purpose of '
talc.).
t1.u owner of she property,am exclusively contracting with licensed connector,to
ouuuct the project(Sec.7044,Budnea and Profesdou Code:)The Conmcmrs U.
cense Law does not apply to an owner of prvpeny.who bailie or improves Merton,and
who contacts for such projects with a commoners)licensed pursuant to the Canlractor's
Lacus,Law.
❑l ameumt,under Sec ` ,, , .B&P C far this reason
r V C_i[A1 - Data tJ I C,I U
WORK 'S COMPENSATION DECLARATION
1 hereby alBsen under penalty of perjury ata of the following declarations:
❑1 ham and will rodeos a CcNfmata of Consent to ulM1insum for Worker's Compn.
cation,u provided for by Section 3700 of the Labor Cade.for the Performance of the
work for which this permit is tamed.
❑1 have and will maintain Wedges Compensation Insurance,as required by Semon
3700 of the Labor Code,fa the performance urged work fare,hwh Nis permit i,lamed.
My Workers Compensation Insurance carder and Policy number are:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Misstating rued notbccomplue!if tie permit isforuchunduddollars($100)
or an)
1 tartly that In the performance of the work for which this permit Is lamed,I shall not
employ any paten In any muncrap,gs tp imemJ o da Workers'Compcuatlon
Laws of Califomipgic r
Applicant�I Irl-
N come subject
APPLICANT.Wad IL a er making Nb Certificate of FLabor o d you should
g
berme uompy the Waherl Compensation rtispermit
steal of the Labor Code,you muss
.,O fgrlhwiN comply with each provisions of this permit shallbedecreed rcvnketl.
'Z "r CONSTRUCTION LENDING AGENCY
[—r14 work
which
thi that NazeiuconswNnn7. agency(ar the prfurmamx of
CG�I the work for whah Nb permit b laud(Sa.31197.Co.Civ.CJ
04 Q Landers Name
]z (ander,Address
U Q i certify that 1 have read 01,application and Na that the be.information Is
II, F correct.I agree to comply with all city and county onfinances and state laws reading to
Q V building convection,and hereby authorize reprcsenmoc,of Nis city to enter upon the
{21 atavo-mendonW propny for Inspection purposes.
4L (We)sit.to save,indemnify and kap humlea Npert
e City of Cuino against
fA Ilabilitia,judgments,eosts and expenses which may in my way acme against mud City
V"� In consequence of the granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date �J—
SOUR OULA� _Nl M�ffIA A.� LJILa I / fL ,L .
K Re-roofs 45
Signuuu of Applian EADau
HAZARDORDO US MATERIALS DISCLOSURE Type of Roof
Will No applicant or future building Code,Chapter
emrc or dandle Health and Safety
ae al
ty
u defined Section
the Cupertino Municipal Coda Chapter 9.12,and the Health and Saf"y
we.section z3532(a)?
❑YuAll roofs shall be inspected prior to any roofing material being installed.
m
Will the applicant or future building occupant use equipment or devices which If a roof is installed without firs[obtaining an inspection,I agree to remove
emit hazardous air contaminants u denncd by the Bay Arca Air Quality Management all new materials for inspection.
District? ` n
❑re.,
I have caul the huadrms mauriab requirements under Chapter 6.95 drum Califor-
nisHealth&Safety Cade,Sections 25505.25533 and 25534.1 undersand that if the Wilding
does runt currently have a tenant that it is my mapnsieility to nodfy the occupant of the
myuimmcn wnignmmaxmClPnts...or.Cenifateafp(CJ1pP y./�� Signature of Applicant Date
Owner nrammad:edasgm D,le All roof coverings to be Class "B"or better
C' i CITY OF CUPERTI
CUP TYOF O PERMIT APPLICATION FORM
7B;uilding
N# Date: tV/Address: Mailing Address (if different from building address):
n is Nam : Phone#:
Contractor: License#:
CD l rTa,-
Co t t UAl_ Phone: Cupertino Business License#:
Rv "-, H,�, Fax:
Building P rmit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Job Description:
Residential Commercial ❑
Sq.Ft. Floor Area: q.Ft.:
Cost of Project: Occupancy Grou :
Type of Construction: Please check this box if the project is a
VP second-story addition: El
Project Size: Standard-E] Laze ❑ Major ❑
Quantity Fee ID Fee Description .Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL'
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V> j000A ELECTRICAL
BELEC200 Elec Svcs 600V <= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
1 of 3
i 0 CITY OF CUPERTUO
CUPERTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Descri tion Fee Group
BNOCELL Miscellaneous Fee BUILDING
BMPTIGATC Comm. Housing Mit.Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTEYM Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum . PLUMBING
BPCESSPOOL Cesspool PLUMBING
/ BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTR.AP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER InstalVAlter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfin MECHANICAL
BREMA IAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFDCT Li fing Fixtures. ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREN20LE Pole/Platform Fixture ELECTRICAL
BREMIPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl Switch & Outlets ELECTRICAL
BRE LOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
2 of 3
CITY OF CUPERTINO J
CUPEf�TINO PERMIT APPLICATION FORM
QuantityFee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Sips, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECLAL Special Insection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING
PLLONGRNGR Planning Long Ran a Residential PLANNING
ZADDCHG Address Change BUILDING
3of3
CITY OF CUPERTINO
ILDm 1 of 1 PERMIT. RECEIPT OPERATOR: chrietya
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
'APN 3.5905003 . 00
DATE ISSUED. ... . . . . : 10/19/20.05
RECEIPT #. . . . . . . . . : 31666
REFERENCE ID #, 05100140 .
SITE ADDRESS . . . . 10550 RED FIR CT
SUBDIVISION .
CITY . . . : CUPERTINO
IMPACT AREA
OWNER MAHON ROBERT B ANIS EMILY Y TRU
ADDRESS .
CITY/STATE/ZIP . . . : SAN JOSE CA, 95132-2303
RECEIVED 'FROM . . . . : BOBS
CONTRACTOR . . . . . . . : LIC #
COMPANY . . . . . . . . . .
ADDRESS . . :
CITY/STATE/ZIP ' . . . : ,
TELEPHONE . . . . . . . . .
FEE
E ID UNIT QUANTITY AMOUNT PD-TO-DTTHIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BENERGY PERMIT FEE 83 :16 39 . 92 0 . 00 39 . 92 0. 00
BPERMFEE VALUATION 1, 475 . 00 83 .16 0 . 00 83 . 16 0 . 00
BSEISMICRE VALUATION 1, 475 . 00 0 . 50 0 . 00 0 . 50 0 . 00
------ --- ----
---- - ------ ---- ---- -----
TOTAL PERMIT 123 .58 0 . 00 123 . 58 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 123 . 58 NOVUS
TOTAL RECEIPT 123 . 58 .
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OCT 1 S 2005
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COMMUNITY MANAGEMENT SERVICES, INCORPORATED
Emily Mahon
3005 Mauna Loa Ct.
San Jose, CA 95132
Re: 10550 Red Fir
Cupertino Roundtree
May 11, 2005
Dear Emily:
Thank you and your family for attending the Board of Directors meeting on April 270' to discuss
your architectural request. The information you were able to provide was very helpful to the
Board. As you know, your request was approved as described in your application and discussed
with the Board.
. Sincerely,
0"�
ROGER WERT
Association Manager
cc: Board
OCT 1 2005 j
r.-,, l
File "YS
1935 Dry Creek Road, Suite 203 • Campbell CA • 95008-3631 • voice (408) 559-1977 • fax (408) 559-1970