06080078 (2) CITY OF CUPERTINO q a^- r >
'dDILDI
NO DIVISION PERMIT CONTRAC'"TOR�INFORMATION
RF
BUILDING ADDRESS: s MANADA ROOFING INC PERMIT No. 06080078
8051 PRESIDIO DR
OWNER'S NAME: PERMIT LSSUEDATE
Ak BILL MCMILLAN 1593 INDUSTRIAL PKWY W. if! 08 /11 /2006
NE:
SANTIARY NO. CONTROL NO.
(510)780-9517
ARCHITECrrENG1NEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
Op LICENSED CONTRACTORS DECLARATION
V C 1 hereby arfirm dist 1 am liaised under previsions of Clulsxr 9(commencing Job Description
tJ wiNSeedon7IX )of Diviaon]afdm BuSnc wdProfeuiuru Code,aMmylianxu
' F in fall fomeandcffca 4) REMOVE EXISTING ROOF INSTALL 1/2" PLYWOOD WITH
u�? Lice nx Clazs Lic.onu a I r /
•Fo Dax waL contruaor NEW COMPOSITION ROOF. CLASS A
',-{' ARCHDECTS DECLARATION
1 undcrsund my plans shall he used as,public records
InU —
m0 t; Licensed Profetianal -
OWNER-BUILDER DECLARATION
y 1 hereby an.mat I am ucmpn fire Onside ConCmustrxmYs License Law for the
:O O following muon.(Section 7031.5,Business and Frofessiou Code:Any city or county
S_ff which.,I.a Permit se cnvwct alder,improv.demur'm.or repdr any.urumme
prior la ill tbememm.also rellunnut On,applicant(of such permit ve file a Signed men, a., 6 9 8
is< (has he u licensed pursuant m dm provisions of she ConameturS Liccnx Law(Got a., Sq.Sq.Ft.Floor Area Valuati¢f8
(commencing with Section 70M)of Division Sof the Business and Prefect Code)Or
.- that he u attempt therefrom and the buts for she alleged esemption Any violation of
Section 70313 by any applicant for a permit subjects the applicant to a civil Penalty of Ap Number - Occupancy Type
not
mom man fico hundred canon(5500). 3 5 611072 . 00
❑1,at owner of do,property,or my employees wish wages az their win compensation,
ein the due work.and the svumure is not intended or offered for sale(Sec.70th,Business
nd Professions Cade:The Convector's License Law docs not apply m an ewncr or Required Inspections
.a who provided raves sheoon,andwho.dolihwmk himxlfor trough his 4
however.Use Wilding
Improvement
m rsucent is id nts whOmcnotinteMW mo@fed for soler-
builder ill buil ding orimprowmvnuhat didmmYear or mprove forme owner-
builder
builder will have the burden of pressing that he did nct build m improve for purpose of
0 1.
1.u ower or One Sec.7 ,.B exclusively contracting with eThe,licensed mnvumn i- O
constructLcite es not (Sec.a an Business and Pmfesoau Cade:)The Ccovacmn.Li- J
cense taw dao not apply ja an owner of property who builds or improves merman,and
who conics for such projects with a canvxrogs)liaised pursuant In,the Convmmh
Liccnx law.
❑lam elempm under See .B6.PC for mu muon
Owner Date
WORKERS COMPENSATION DECLARATION
1 Safety anions under pevelry of perjury rn of the following deelss umme
have and will maintain a CertiOmm of Camentto self-iuum for Worker'sCompen-
radon.az provided for by Seetion 3700 of six labor Code.for the Performance of she
work for which refs permit is issued.
e9 have and will maintain Worker's Compensation Insurance,az required by Section
3700 of me labor Cade,for the purformmm of the wart for which this Permit is issued
My Warker's Compoesmon Guarana trier and Policy number Lie:
Grier. rj Tag K A,^ Polley No.:0t5 ny'L 1.9- t2a0S
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu xenon need not he completed if the permit is fnrone hundmd dollars(SIM)
or Icss.)
I certify ON in the performance of On work for which this Permit is issued.1 shall not _
employ any panto in any manner,x u ut become subject to the Workers Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:Ir,after making not Certificate of Exemption,you should
become Subject to the Worker's Compensation provisions of the Labor Code,you most
.J z forthwith comply with such previsions or this Permit shall be darned raveled.
Z O CONSTRUCTION LENDING AGENCY
(-+... 1 booby affirm that mere is a construction lending agency for one,Performance of
ai ti the work for which this permit 4lsucd(Sec.3097,Civ,C.)
GLender's Name
z Lenders Address
U Q 1 cudfy mat 1 hats read this application and State man the above infarmatiun is
correct.l agree to comply with all city and county ordinances and state laws relming to
CU building construction.and hereby authodve mpmsenunives of this city to enter upon the [ �/t (/� //�///�/7
r rA alwvcmcnudgmenropc costs
rand expenses
purposes. /
Fg5. (We)agree to save,indemnify and keep harmless the City of Cupertino against
'N in
jtoftheeosuand expenxsmit. may in any my amount against aid City
V z in eansegmanee of the granting of this permit. / n
^ APPLICANT UNDERSTAN AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE gE[%t1l.AT10NS
�(� ell/16(wn Re-roofs
SignatureafApplimnUCommctar Date C7
IIAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will then,Cupertino
or(Muni Building c.Chantsmo or handle hanNousdarmsestafl
Wily
az denrmd by the Cupertino Municipal Code.Chapter 9.12,and On Halm and Safety
Cade,section 25532(a)? All roofs shall be inspected nor to an roofing material beim
40 ❑Yes gF� P P Y g g installed.
Will she applicant or rump buildingmcupant use equipment ordcviccs which If a roof is installed without first obtaining an inspection,I agree to remove
emil h,xaMnus air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes .1jiNu
I haus mal On haaardms ounclulsrequiom Lies under Ch,hS6.95 of LW Califon /
nice Health k SafmyCodc.Savau 25505.25533 and!25534.1undcrsuM muirRe Building i' O /�
dors not currently haw a n:nanc mat it b my fesparihilty to notify the oecupant of me VJ
myuircmcnts hmusltseorb,issuance Ora Ccrtifoaa ef0ccupancy.
h /ll 106. Si atureofApplicant Date
Owner mamhedsdagm, D,te All roof coverings to be Class "B"or better
Community Development
0 Torre Avenue
Cupertino CA 9 014
Telephone(408)777-3228
IA Z-41
CITY OF Fax(408)777-3333
16UPERTINO ,
Building Department
JOB ADDRESS: PERMIT #
I i0D' O(o0 OG-79
OWNER'S NAME: MC-tvjkjjQn PHONE #
GENERAL CONTRACTOR FAX #
I am not using any subcontractor
Si ature Date
Please check applicable subcontractors and 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
om 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35611072 . 00
DATE ISSUED. . . . . . . : 08/11/2006
RECEIPT # . . . . . . . . . : 35595
REFERENCE ID # . . . : 06080078
SITE ADDRESS . . . . . : 8051 PRESIDIO DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BILL MCMILLAN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : JESUS PEREZ
CONTRACTOR . . . . . . . : RICARDO PERES LIC # 24826
COMPANY . . . . . . . . . . : MANADA ROOFING INC
ADDRESS . . . . . . . . . : 1593 INDUSTRIAL PKWY W, #5
CITY/STATE/ZIP . . . : HAYWARD, CA 94544
TELEPHONE . . . . . . . . : (510) 780-9517
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- -- - - - - ---------- ------ - --- -------- -- ---------- ------- - -- ------ ----
BPERMFEE VALUATION 9, 000 . 00 158 . 76 0 . 00 158 . 76 0 . 00
BSEISMICRE VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
---------- ---------- - --------- --- -------
TOTAL PERMIT 159 . 66 0 . 00 159 . 66 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
-------------- --- ------------ ---- --------------
OTHER 159 . 66 VISA
TOTAL RECEIPT 159 . 66
•
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 1.997 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: T3\\\ M( IV,\\ar
job Site Address: ad SI Vr4z)4 L0 3R:Q�
Roofing Company Name: MQ V,.0.da 19-0g41K `/c
Applicant's Signature: Date: $/// O 6 .
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
Sum REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# / 4 Date: �I I DLP
Building Address:
OS/ re_a1S 12T .
Owner's Name: Phone#:
Q5'I4) 760651
Contractor: License#:
MO i vFOO-7-7 1
Contact: Cupertino Business License #:
c1 Gsys
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles AF Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings 1 ❑ 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: b ° Q tyty eo el , #Jt�./ Co r Qef,> ►+
hwv c E 5 F^ F t wsi,ll t '
Residential Commercial ❑
C1As,S A .
Fire Zone: Yes ❑ No Confirmed with Planning Deft. if
there are any restrictions: LJ
}Cost of Project: Type of Construction: Occupancy group:
Qty. if
A plicable 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
•