08100044 CITY OF CUPERTINO ^-+'cgs« -
BUILDINGDIVIPAON PERMIT �eC RACTQRINF,QRMATIIQN
Bu1L4Oic,aagO�(PsSPERMITNO.
STERLING BLVD FALCON ROOFING 08100044
OWNER'S NAME: PERMIT ISSUE DATE
11, MIGUEL REYES 13088 POTTS DR 10/08/2008
49PNE: (408) 225-1705 SANTfARY NO. CONTROL NO.
ARCHITECl/ENGINEER: BUILDING PERMTf INFO
BLDGELECT PLUMB MECH
t t� 0
u o o LICENSED CONTRACTOR'S DECLARATION Ib DOSCiUOn
4mC 1 hereby affirm Net 1 an featured under provisions of Chagos 9(commencing IOp
U" MNSee4on7")ofDlvision3ofthe Business adProrcctinn,Code.andmyHeenmis RE—RF T/O EXT RF TR&GRVL(1LYR) 16SQ CLSA BLD—UP
in full forte and L —t63a�e�
Date.-Class Lle.g HOTMOP W/ENERGY GURD
L'
Datc.- clumcmr cors
en g�Q ARCHI EM DECLARATION
v 2 I undermtnd my plans shall Ise used u public meards
E
JW
a o Licensed Professional
5 OWNER BUILDER m Ce Cone ON
F I hereby mTum that 1 1. tic . from the Go.mmlC License Law for the
0 o tattooing reason.(Sccuon'lR11.3,Business ad Profession Cade:Any city or county
e S f which ne,oises a permit to common,that.improve.dcmolhh.Or ocia,any .to.
pritto usssmme...respiaa the spplimnt for such permitm Rk asignN sWemcnt
ESC Natk h licensed panu,nl m the pmvidons of the canuantors Licence Law(chapter
Sq.Ft. Floor Area Valuation
>;t•s
Q e3 (comm $6400
Nu
uasempt dunkfmm and cite basis for the alleged aempdom Any violation of
Section 7ZI.5 by any aMlic n,for a permit subjects the applicant to a civil penalty ofNumber Occupancy Type
nes mem than r.kmdad dollars(5500). 37524013 .'Y2'
I,uowrcr of dui popuay,wmy wployer with aagesssdwL mkmnpenation.
will do the work and da suucrua u not intended ora@ad for sale(Bee.7DN,Busmass
aced Pro(COW,code:The,Canmcars License Law does cot appy m a cams of Required Inspections
properly who buildsorimproves thereat,and who doeswchwarthimrJfar through his
own employer,pmMded Nal such imProvemau are cot inmndnd woRcrM(male If.
Wilder.da building,Improvemat h cold within ora yeas of improve
for Ne awrcr-
me.).r Wn have the burden of proving that K cid rot bold,improve for puryax of
sale.).
❑1,u owner of the property,am exclusively contracting with liarued conuactms m
construct the project(Sec.7054,Business and Professions Code:)ilw COMMOCcra Li.
came Taw does not apply an an own,of property who builds or improves thereon.and.
who comuacts for such projects with aconuacmr(s)licensed pursuant In the Contractor's
Lie,.Law.
O l ver exempt under See ,B&In C for this resmn
Owner Dam
WORKERS COMPENSATION DECLARATION
WI1 hereby aflism under penalty or perjury oro.(cies falkwinL declaruiam:
haveandwillmsinuinaCe rImmnf Consent Mself-insurefar Wand sCompa,
ation,a provided for by Section 37W of the labor Code,for the performance,of ds
work for which this permit is bated.
❑1 have and will maintain Worker,Compcnation I...as rmNircd by Section
3700.1'the labor Code,(,the performanceof Ute were,for which this permit is load. '
My Workmer,
CCompenation Insummct,carrier and Policy number are�1 ��A(�
Carrier.Jk/�TE' »,gL Policy No.:a)I O L3�
CEITfIFlG OPEXEMPTION FROM WORKERS
COMPENSATION INSURANCE
mus action read not hecompleal lithe permit is fe one handed dollars(SIOD)
or less)
I amity that iv the performena of da work ft which this permit Is issued.l shall am
employ any person In my matter a as to become subject to the Workers'Compermth n
Taws of California,Date
Applicat
NOTICE TO APPLICANT:1,eMr making this CeniRmm of Exemption,you MOM
become subject to the Worker's Compensation provisions of the tabor Code,you most
.J O forthwith comply with such provisions or this permsh
it all be d,mravelled.edravelled.
o-! CONSTRUCTION LENDING AGENCY
[••i Ihemby.M.this Ncrt is a,.madam lendingagency for thep,forme.of
a> Ne work for which this permit is issued(sec.3097.Civ.C.)
A Landers Name
gL
.7 z Lender.Adder..
r.)0 1 anify that 1 have read this application and sum that Ne above inkarrauon i,
I&Fcolsec,l avice to comply with all city and county oNinuam and sum laws missing m
Wilding construction,ad hereby authorize representatives of Nu the city to enter upon
r 4 construction,atam-mentioned property for inspection purpns:s
(We)a,.to ave.indemnify ad kap harmless the City or Cupertino agues
F'h
C) r liabilides.judgmenu.cmua . a n
dexpe•.- which mayin yway..sjaimtssid City
APPLICANT ance of line grand,a1'NT UNDERSfAN ANthis permit.
s0 EGUTIONS. ILL COMPLY WITH ALL NON-POINT Issued by: Date
-10 Re-roofs
sigttuum of Appli,HAZA DO Dao
HAZARDOUS lot=
MATERIALSDISCLOSURE
or LIRE Type of Roof
WIII cite a Cupertino
no Imus bpal ingCo a.Chat r 9. m haNc haarth ad
as deRond io the Cupertino Municipal Code.Chapter 9.1L and the Herald ad Safety
cad,Section 255324)7
❑Yon No
All roofs shall be inspected prior to any roofing material being installed.
K
Will the applicant of rutin holding occupant um equipment w devices which If a roof is installed without firs[obtaining an inspection,I agree to remove
it le aAnns air contaminants a defined by the Bay Arca Air Quality Memagement all new materials for inspection.
District?
0 Yea 18NO
1 have seal the blood.materialsaquimmcou,under Chapter 6.95 of the Califor. -
niaHealth&Safety Cantle,accdam 25505,25533 ad 25534.1 undemad thea if Ne Wilding
dM,Out nwrand,Im,m a anal.Nal it is my Rivas hilt,b nodry use, up.,of 0.
mgmam whknm be metpri.r r.eeltinmaararopanry. Signature of Applicant Date
DaaAll roof coverings to be Class'%q"or better
Owner or mthadzctl agent �' '
Community Development
10300 Torre Avenue
Cupertino CA 95014
"F Telephone(408)777-3228
CITY OF Fax(408)777-3333
SPUPERTINO
Building Department
JOB ADDRESS: PERMIT #
10 c-{O -6 . R5o l 0 HOOoe-(°1
OWNER'S NAME: PHONE # .2D S-- 0
GENERAL CONTRA OR: a a FAX # 4 - Lit6,11
/
I am not using ano , _y subcontractors: /D" e"Dc�
Signature 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
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # ' 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37524013 . 01
DATE ISSUED. . . . . . . : 10/08/2008
RECEIPT # . . . . . . . . . : BS000006303
REFERENCE ID # . . . : 08100044
SITE ADDRESS . . . . . : 10340 STERLING BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MIGUEL REYES
ADDRESS . . . . . . . . . . : 10340 STERLING BLVD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : BEATRICE RENTERIA
CONTRACTOR . . . . . . . : MARIO RENTERIA LIC # 22569
COMPANY . . . . . . . . . . : FALCON ROOFING
ADDRESS . . . . . . . . . . : 13088 POTTS DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95111
TELEPHONE . . . . . . . . : (408) 225-1705
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- --
1BSEISMICR VALUATION 6, 400 . 00 0 .70 0 . 00 0 . 70 0 . 00
1REROOFRES SQ FEET 16 . 00 208 . 00 0 . 00 208 . 00 0 . 00
------- - ---------- --
TOTAL PERMIT 208 . 70 0 . 00 208.70 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 208 . 70 VISA
---------------
TOTAL RECEIPT 208 . 70
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ------ -- -------------- --
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
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 2007 IBC Standards
and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino
municipal code 16.04.080.
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.
O 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/ "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: t Gu.eI J„e,V eS p
job Site Address: 10390 cSftd t' 4 '9Iycl. •te r 1A.
Roofing Company Name:^ �o64,rA
• Applicant's Signature: Date:
Greg Casteel
Building Official
Revised 07/30/08
0OULN
CITY OF CUPERTINO
REROOF
C1 OF
•CUPEkTINO PERMIT APPLICATION
APN # Date:
J7� e2 . O / 10 - 1�s- og
Building Address: p /]
o3J� cJ181�� Ivry. r V,4 CCS S o
Owner's Name: Phone #:
Contractor: Phone #:
VC46 Fax#:
Cupertino Business License #: Contractor License #:
a.as -10-3 ass co
Type of Roof Covering:
Existing: Proposed:
% Built-Up Roof pt Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
40 ❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description--R�Ar p". of as4-" roof— Tr"r E Ite St
Re-roo-� W-44i bw0cl-Kp 144- mop wi- k RYWIlrbb 5WW'ek Ca-ir
Residential Commercial ❑
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation: (Q,(10�.
I Have d, Understa nd Wil] Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
I�' REROOF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
IREROOFCOM Re-roof Commercial B 1COMMLROOF
IBSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B IMFDWLROOF
1BSEISMICRE Seismic Residential B
IBUSLIC Business License B
Revised 6/16/08