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06090268 CITY QF CUPERTINO 4. BUILDING DIVISION PERMIT ;,?CONTRACTOR INFORMATION BUILDING ADDRESS: PERMIT NO.06090268 10310 WUNDERLICH DR OWNER'S NAME: PERMIT ISSUE DATE Ak MARIO SCHERR NE: SANITARY NO. CONTROL NO. ARCHI ECUENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH ±aa LICENSED CONIAACTOR'S DECLARATION Job Description w FF 1 Wrchy,affirm dons 1 am licensed unser provision of Chapter 9(mmmcwin8 P t4i with Section 70M)of Division 3 ofthe Busineumd Profession Code,urd v my licee is +n„ in full force andeffen 1 SWEEP LOOSE GRAVEL, . INSTALL MODIFIED ROOF WITH Ll License Class LicJ6 a Y754 ego Dow ���ptL2;>'tZCContracts, J n R ,i' FIBERGLASS BASE, AND INSULATE IF NEEDED. sEt� ARCHITECTSDECLARATION CLASS A OR B 4 i U I uMersmnJ my plans shall he used u public.,or& 'u. Licensed Pmessional 3 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contuacrora License law for We ❑O following mamn.(Section 7031.5,Business and Professions Cade:Any dry or county <m which require a permit W construct.a@r,improve,demolish,or repair my structure Ui< prior W its issuance.also require de applicator for such Permit W file a signed sutement EsO that he is licensed parmana to dm provisions of like Conuusur''sLice=Law(Chapwr9 Sq.Ft. Floor Area Valuation Lf- (commencing with Section 7000)of Division 3 of the Business and Professions Cods)or $4750 9 Nat he u compo thoofrom and the basis for the alleged exemption.Any violation of Section 7031.5 by airy applicant for a permit subjects 1W applicant o a civil penalty of APN Number Occupancy Type not mart than five hundred dollars(SRXI} P y YP I,as owner of the Pvpcny.a my employees with wages as their sole compensation, war dathdomotioned!ara . a . e and Pnfoson.Cale;The ConuuesLane dors no,applyto owmar of Requireduired Inspectionsections pmpnywhWim hm dwhodemhwrthmnarWugh his awnemployed,provided that such impmOoments are me year ora@red rmsile If. however,the hoisting or e.of pmant amid within one mead of completion,the ower- builder will pave lW burden o!parsing dont W did on,Wild Or improve for purpose of sale.). ❑I.asownerat ojct pee.7 aminesiv ad conuaning with,leeredmnuursW p coven Ne Project(Sec.71114,weer or red property wh ions Code:)The Contractors nd O� Li- ,max,Law dose not apply c m owner of PropenY who Wilds as improvd tWmon.ors who conlrscts for such projects with a contractor(s)licensed pursuant W the Contractors a law. [-I I ❑ am exempt under Sec ,B&P C for this reason Owner Data WORKER'S COMPENSATION DECLARATION I hereby animf under penalty of perjury ane of the following dfoWuian: 1 ham and will maintain a Cer ifsnw of Covent W felf-msum(w Warkeri Compen- .art..as pmvided for by Section 3700 of be Labor Code,for the performma of the work far which Nis Permit is iamd. ❑1 have and will maimain Workeri Compenatian I..,as emitted by Secdon 3700 of the labor Cade,far Ne pedofmanee of the work for which this Permit is iuued. My Workers CompecaS.on Insurance carticr and Policy number are: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE mos union wed not W completed if the pcmit is for one hundred dollars(SIM) or less) I cenify that in the Performance of the work for which this Panic is banned,I shill not employ any Person in any mmner an az to become subject to the Workers'Compensation Law of Califomia Daw Appliamf NOTICE TO APPLICANT:IL after making this Certificate of Eaemption,you should became subjen to the Workers Compcvarion provisions of the Labor Cade,you mit .J O foMwith comply with such provision an this Permit shall W deemod mmi c 1. iz CONSTRUCTION LENDING AGENCY .Nw F I herebyRum that them is a construction lending gagcncy for Je perfurmancc or �i the wash fur which Nis permit is issued Soc.3097.Civ.f.) 0 Lender's Name 7 z lenders Address, O Q I ceniry that 1 have rad this application aM sato that the aWm infomatiun is fid correct.l agree to comply with all city and county ordinances and saw laws misting to QU building construction.and hereby authmirc npfescnCaLreS of Nis city to enter upon the r Lk1 ahovc-mcmfoned property fon W save, purposes. F^gy (We)agree ,indemnify and keep hurtles f e City fir Cupertino against � liabiliies,judgmcnts,cosy and expenses which may in any way seemagainst said City V z A covrqucnc fir to granting of this Permit. 2 Q L '-� APPLICANT UN RSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULA 0 z Re-roofs Signature of Ap toe onlromr Data AZARDOUS MATERIALS DISCLOSURE Type of Roof will be cant or future building ocmpant store of handle hrrardov material as defred by the Cupenim Municipal Cade.Chaptor 9.11,and are Health and Safety Code.Section 15531(x)? 0Ye IdNu All roofs shall be inspected prior to any roofing material being installed. 41 Will use uPplicam or future Wilding occupant use equipment of devices which If a roof is installed without first obtaining an inspection,I agree to remove emit havafdov air cmumbinants as Jcfncd by the Bay Area Air Quality Management all new materials for inspection. Dices? A,O ❑Yes CI Nu 1 have mut Ne AaaNms materials mquirementsundcr Chapter 6.95 ofthe Gtifor iiia Heal hSafctyCadc,Sccdon15A)5.8533 and25534.1 umkrsund Umifthc building does not eYrteally ha'.e a tenam,that it w my espanlbany to fairy are:accuPml or the ' amuimm=mx whieus he met prior to asumcc Cr,ccniricam of Occupancy. Signature of Applicant Date TIL/Al- 5,zr-,)6 Owner of andsidoeff agem D,to. All roof coverings to be Class "B"or better CITY OF CUPERTINO �m 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . . : 37517013 . 00 DATE ISSUED. . . . . . . : 09/28/2006 RECEIPT # . . . . . . . . . : 36245 REFERENCE ID # . . . : 06090268 SITE ADDRESS . . . . . : 10310 WUNDERLICH DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : MARIO SCHERR ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : JOHN KURZ CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , TELEPHONE . . . . . . . . : •FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- - ------ ------------ - - - -------- -- - - ------ ---------- ---------- ---------- BPERMFEE VALUATION 5 , 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00 BSEISMICRE VALUATION 4 , 750 . 00 0 . 50 0 . 00 0 . 50 0 . 00 BUSLIC FLAT RATE 1 . 00 105 . 00 0 . 00 105 . 00 0 . 00 -- - ------- ---------- --------- - -------- -- TOTAL PERMIT 221 . 06 0 . 00 221 . 06 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ OTHER 221 . 06 VISA TOTAL RECEIPT 221 . 06 Community Development i ' 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 g UM TINO Building Department JOB ADDRESS: PERMIT # /c9 1/o 06O fro Z. 6 � OWNER'S NAME: Scher RR PHONE 1-0- GENERAL CONTRACTOR: �n 1_ i eat FAX # I am not using any subcontractors: -?-2 ^o Signature Date Please check applicable subcontractors complete 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 Signature Date CITY OF CUPERTINO S(N REROOF • CUPERTINO PERMIT APPLICATION FORM APN# 3--1�J—' �^I"'C�I 3 DSe Buildin Address: Owner's Name: Phone#: 2.o G SSS Contractor: License#: - E'J JS`iCt/Cfiu � Al Contact: Cupertino Business License #: Type of Roof Covering: Existing: Proposed: Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles _ ❑ Other(Specify) ❑ Other(Specify) nl.o-0(4L Number of existing coverings ❑ Provide I.C.B.O. Report# ❑ To be Removed ❑ Provide Mfgr.Installation Specs. • I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑ Job Description: t t 111 d M tA� 5u�, egVe — N rAt d�`� rh ]Ct�� arlizAJc' �cnt� Residential ® Commercial ❑ �(u,-j �( �,, (j- I Fire Zone: Yes ❑ No ©— Confirmed with Planning Det. if there are an restrictions: Cost of Project: Typ of Construction: Occupancy group: Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING • 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. Fiat roofs must have a minimum of i/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: Job Site Address: lo l/Ddbc0�^e4 i f L Roofing Company Name: Applicant's Signature: Date:O 6 Greg Casteel Building Official Revised 11/2/04