08030149 CITY OF CUPERTINO � , h'a
BUILonc DlvlSIo19 PERMIT RC0NTR�iGTC�1(jN +,��RN�:1T,I •.,,:
";04
!t.>d'S x`+C' su--Yl;• g1�r�Np
BUII�bu�,5 FT� EVENS CREEK BLVD D.C. TAYLOR COMPANY 9956149
ER'S NAME: �1 PERMIT ISSUE DATE
BYER PROPERTIES 5060 FORNI DR 03/26/2008
PHONE: (925) 603-1100 SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BO EO PLUMB
MECH
O
Sop LICENSED CONTRACTOR'S DECLARATION lob Description
d 1 bemby,(perm in.,1 am licensed undo povidone of Chapter 9(mo mcnciny
nZ� with Section XXXI)of Division 3 at the Buono and Professions Coda,and my license is RE—RF,T/O LYRS OF BUR INNSTL CLS A, 486SQ INSTL
in amt roma and if n/ Is.X t�/ � j CARLISLE TPO R8103 TO MFG SPECS
��_ Lieemo Clmie
Continuum
ARCHI'TECT'S DECLARATION
l achum sad ney plana Nail be used ia,blic recals
yQ Licensed Professional
N OWNER-BUILDER in am CATION
ZOO krehy.(sero o n I em exempt Bum the Contras ors Limo=law rat the
O O following sewn.(section]fD IJ,Basion. and Profosmum Code:My ally aro aunty
ZOO
� which mqulmns•permit to ennatemL alar,improve.demolish.or repair any structure
1.4 S° prior bill issuance,also millions the applieml for such Permit o 111mountainle a signed menr -
a That he Is licensed pumeanitothe provisions ofNeCeramics'sLimmnLaw(chapter 9 Sq.Ft. Floor Area Valuation
B (commencing with Seon 7000)of Division 3 or the Business Professinm Code) $242814
Nw
r3- mat he la natio Neorrom and the basis for the alleged exemption.My violation of
Section 7031.5 by my,appRnnl for a park subject,the applicant to a civil penalty or Number Occupancy
mtmom the 500I.IT.hundred dallan(S35908020 .E P Y Type
❑I,uowne a(Ne proprny,amy wplaym with wages¢Heir sole compewtim,
will do the work,and the avuchme i,trot intended or offered for sale(Sec.70th,Burins
and ProGamaos Cade The Canons Liar Law don Out apply to an panic of _ Required Inspections
papery who bund,or Initiatives Nemo and who does such wok himself or Brough his
awn cmplayae,provided dist each improvements tie not intended or offered for ale If. _
however,the building or improvement Is mid within am year of completion.the owner.
builder will have the laiden of paving that k did not build or impar'^for pulp=of
ala.).
0 1.as an=of the memory,am mchnowly eonusecing with nmatsed tmm1Kw ut
comleat We Tunica(gee.7Bdd.BLLmnN and PrefeGam Code)Thai Committees teff LI-
ceme Law does not apply in an owner of property who Wilds of)mpaves thereon.rod,
who cantmets for each pmjecu with a conuactor(s)licensed Panama on the Canuacmfa
Liner Lew.
❑I are exempt under See .B&PC rear this won
Dau
WORKER'S COMPENSATION DECLARATION
1 hereby Lahr under penalty of perjury arc of the following dttlendam:
❑Leve i&df.byneCatif roof Courant Codd furtha Worteh Compere
alien.r pavidei foe mi Section J700 of do lake Cade,rt W peRormena of tk
wart for which this permit is issued.
I have ad will mainnin Mashes Compensation Insurance,u rryuirttl by Section
7M of ted labor Cade,far ted performance of the work fro which this peraft is Issued. '
My Worker,Compensation lmumna carrier and Policy number me:
Carter. 4V Policy No.:b3P-0.000"
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thi,amnion mad atecamphned if da pump is fa one hundred dollen($100)
or leu)
1 artily that in the performance of ted work for which this permit is iuued,l shall not
employanypermn in mym ran le 10 e�bjec11o1kworkcn,c.pemadon
Laws of Ceti fo i sou
Applicant w..-.e. - 7
NOTICE TO APPLICANT If.after making this, tint aro of Eamption,you should
WYtlm sublet in thC Workefa CompenLtion pMimam of Ik labra Codc.you am '
.,O forthwith comply with such pavisiaOr too U permit Nall he deemed mated. -
,Zy a~N.rCONSTRUCTION LENDING AGENCY
[.r I kmby affirm that them is a comtructinn lending agemy for the arfam em or
C the wort ror which this permit is issued(Sm.3097,Civ.C.)
QLatices Name
0 z Lender,Addw .
C)p I certify that I have mad this application arta sure that the above Infatuation is
Iy^. torero 1 agar m comply with all city and county oNinamo and suss lam retailing in
0 rV^ Wilding construction,and hereby mthorinapmsenudvn ofthu city umur upon that
W above-madared property for inspection purposes.
(We)agree to an.indemnify and lusp humleas the City of Cupertino agaiost
n Iiabilldq Judgments,costs and expenses which may in my way same Qalml said City
V Z in coracgmnee of the granting of this moral,.
^'
APPLICANJVNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCEG LATION
1�e 160 Re-roofs Signature or AppliesHAZARDOU Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIII theapplicantmfuture ipbuilding Coa.Chap r9.1tom oeandth Hentldommateriel
deamd by the CupeNno Munidpel Code.LTapter 9.@.roti the Hnith mtl Safely
.Section 25532(0 '�/ All roofs shall be inspected prior to any roofing material being installed.
❑Yea Lrno
Will the applicant or ruum building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit harardnus air cenutlnants as dcnncd by the Bey Area Air Quality Management all new materials for inspection.
District
❑yes ❑pr
Im"a mad the huaNeu matedWs requirements under Chapter 6.95 or the Caller.
.in Health&Safety Code,Simmim 255(15,25533 and 25534.1underatend that if the Wilding
does ml curendy haw a serol That it u my mspomihility u notify the mcupmt of the
rawhich mlm E "arwiuuanmaticeNlkateoroccupawy. Signature of Applicant
Owner air mlhomcgen Daeow Date
All roof coverings to be Class'W'or better
• CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35908020 .ALL
DATE ISSUED. . . . . . . : 03/26/2008
RECEIPT # . . . . . . . . . : BS000004270
REFERENCE ID # . . . : 08030149
SITE ADDRESS . . . . . : 20730 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BYER PROPERTIES
ADDRESS . . . . . . . . . . : 66 PROTRERO AVE
CITY/STATE/ZIP . . . : SAN FRANCISCO CA, 94103
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : BILL TAYOR LIC # 23898
COMPANY . . . . . . . . . . : D.C. TAYLOR COMPANY
ADDRESS . . . . . . . . . . : 5060 FORNI DR
CITY/STATE/ZIP . . . : CONCORD, CA 94520
• TELEPHONE . . . . . . . . : (925) 603-1100
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICO VALUATION 242, 814 . 00 51 . 03 0. 00 51.03 0 . 00
1REROOFCOM SQUARES 486. 00 3091 . 00 0. 00 3091. 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 3142 . 03 0. 00 3142 .03 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 3, 142 . 03 MC
---------------
TOTAL RECEIPT ' : 3, 142 . 03
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- ------ ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
(m CITY OF CUPERTINO
REROOF
*CUPERTINO PERMIT APPLICATION
APN# 2 6- Date:
Building Address: ZO 730
S-leveA s Oi-tGk
Owner's Name: �J Phone#:
6 �O� r;5yA G Q �JP! 'f, e $
�� 4 Yid
Contractor: -DC Co Phone
35060 'CORAL r /09 gQ Co✓ Coo -J C�4 9frS7c) Fax #: Fzs- 6D3llop
Cupertino Business License#: Contractor License#:
Ys 6-56
Type of Roof Covering:
Existing: Proposed:
Built-Up Roof X Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings 2 ❑ Provide I.C.B.O.Report# /O 3
To be Removed ❑ Provide Mfgr. Installation Specs. n
Job Description: ec.- OIrv[ SKr' i <S Z1-QYers oF_� AS OR Gl9rs N-
1K 7 /00 ?lv3 4, si��s yd'6 s9s
Residential Commercial -&4,0 2 Stiv�i e
Fire Zone: Yes ❑ No ❑ Confirmed with Planning.D t. if
there are any restrictions: LJ
Valuation:
�!_ �!
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO
REROOF r
CUPEkTINO FEE SCHEDULE
Number of
Squares Fee ID Fee Description Fee Group Permit Type
yP6 REROOFCOM Re-roof Commercial B COMML-ROOF
BSEISMICOM Seismic Commercial B
REROOFRES Re-roof Residential B SFDWL-ROOF
BSEISMICRE Seismic Residential B
REROOFMRES Re-roof Multi-Family B MFDWL-ROOF
BUSLIC Business License B
0
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: _ Y 2 TI-o✓Je!'7 e S
Job Site Address: Z 0 73 D S 4 e vent S 01,-eee 'a 1v J,
Roofing Company Name: C' - "?���` X060 -�O?A/S DR t3
Applicant's Signature: o� Date:3-a6-- 02F-
•
Greg Casteel
Building Official
Revised 11/2/04
Community Development
10300 Torre Avenue
G
Cupertino CA 95014
Telephone(408)777-3228
PEkj1NO Fax(408)777-3333
4tU
Buildin De utment
JOB ADDRESS:t9 O 73 4=:�4 e-ve. s Cr-eGk- e3l vk PERMIT # D90
2 OM
OWNER'S NAME: er- r-v e es PHONE # r?- S-- 603-//00
GENERAL CONTRACTOR: G, 1/ rQo, FAX # 2S— 63 - / d er
I am not using any subcontractors 3 ab r
Signature Date
Please check applicable subcontractors and complete the followinginformation:
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
AW Tile
- aZ�� ��
Owner/Contractor a e Date