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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