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08100108 CITY OF CUPERTINO �:* a+gµ^ f �' BUILDING DIVISION PEPAUT ECONTRe1 CTOR INFQRiVIATION - BUI 1 :5 DORESS: PERMIT NO. M� CALVERT DR CALIFORNIA ROOF MANAGEMENT 08100108 NER'S NAME: PERMIT L95UE DATE SEQUOIA EQUITY 5115 E 8TH ST 10/17/2008 PHONE: SANITARY NO. CONTROL NO. (510) 261-4620 ARCHITECTWINGINEER: BUILDING PERMIT INTO BLDG ELECT PLUMB MECH Q Q Q 0 upij LICENSED CONDUCTOR'S DECLARATION Job Description I herby"mtool I am licensed under Provisions;of Chapter 9(commencing wit Sonecti7ggl)ur0idnon3.f tie Buainesr and Proam[ode.ane my Gccnsc 1. (UNIT 142) REPAIR STAIRS STRINGERS, WALK WAY O ren in"' forte and ettcct. ? Nv aJ! jMM Lmenreclue U Lk.a O fD PLYWOOD SHEETING LIKE FOR LIKE ppp Date '�—Canuacter ARCHITECTS DECLARATION I undcrsund my plans shall ho umd as public reeoNs y p�^ Licensed Professional 01 OWDECLARATION homby affirm Nu I am exempt from toContractor's License Law for the 00 following resume.(Section 10313,Business and Professions Code:Any city or county which requires a permit m comtsca alter,improve,demd'nab,or.,at,any swcture L Mor us its Nuance,JSU requires the applicant for such permit us file a signed summer, E?G IhatW is licensed pomenuo the,provisions of the Contractor's Limns Law(Chapter 9 Sq.Ft.Floor Area Valuation e� (commencing wit Section 7000)of Division 3 M the Business and promotions Code)or $12585 e w$§ that W is eampt thcrefc m and the buns for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects to applkanuo acivil penalty.( Number Occupancy Type nor come dent five hundred dollar,(SM 35719027 - ❑I.as owner of the property.or my employces with wages u their mk compensation, will do to work.and to structure is Mt intended moffesed for ak(See.7044.Business and Pmfcasmos code The convenors Watsse Law doer not apply no an owner of Required Inspections property whoWilds orimprows screen,and whodoesauen wmkhimselfmtmughhis _ awn cmploym,provided dui such improvements meet intended ur.Rered for sale If. however.she building or improvement 4 cold whin one year of compkuon.due mwner- buildcr will have to burden of proving that W did rot Wild or improve for purpose of sale.). - - ❑L as owner of to property.am exclusively contracting with licensed contractors to common the project(Sec.7014.Business and Professions Cade:)The Convector's Li- ccna law does not apply be an owner of property who Wilds or impmm Lemon.and, who contracts for such projects wit a eonuumr(s)licensed pursuam ue to Centimeter's License Law. ❑Iameaemptunder See .B&PCftedu3mamn 40 env ATDate WORKERS COMPENSION DECI.tRATION I bemby affirm under penalty of perjury me of tW following deelandov: 1 haveand will for Wmter's compere a0on,as provided fm by Secdon 31110 of then labor Code.for don performance of the work for which this permit is issued. nave and will mainWn Workers Compensation Insurance,u required by Section 3700 of me La W,Cade,for the performmca of to work for which ti,permit is issued. My Workers Compensation Insurance carrier and Policy number me: cmnc'..S-4'Ih7C FJ)W p PolicyNo.:044/ 1 D0'2�,97 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE mussa9m need nut W emnpleted time permit is forone huntW down(51007 or less) I anify dust in the performance of the work for which this permit is issued.I shall net employ any person in any manner an as t become subjal m to Wo loos Compensation Laws of California.Date ApplkaL NOTICE TO APPLICANT:IL after making this CcNfncm:of Emotion.you should become subject W the Workers Compensation previsions or to Labor CWc.you most O O fo twit comply wit such Provisions or to permit shall W deemed revoked. zN CONSTRUCTION LENDING AGENCY [-. 1 Wreby a1Dm that due.tea como ccM lending agency for de perfo eemex of CL dte work for which this permit is hound(Ser.3197,Ci,Q II] 0 Landers Name z lendeh Addma U O 1 certify tat I haw mad this application ane state dap tW show information is Ll,P cornett 1 agrte w comply with JI city and county ordinances and sum laws misting to OU building convection,and hereby authosiw representatives of this city to enter upon to rwaMve-menum¢d property for inspection purposes. y (We)all.to save,indemnify and keep harmless dm City of Cupertino against t y Iiabilidca,judgmMls.costs and expenses which may in any way&amen sgJutaid City U z in cmtscquence of the gcanting of this permit. / ^ APP NT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SO REGULA i1NS. 071" O/Yam Re-roofs siguture orAppficanUCoHA21R OOuS��dd D OSIIRE Date Type of Roof Will du applicant or fulurgbviltl us mom rehandle haallons material defined by the Cupertino Municipal Cod,Chapter 1,11,and the Heals and Safety :k.Seed..15532(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑res O Will tc applicant br future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit h>aNnus Jrcmuminants u defined by tW Bay Ana Air Quality Management all new materials for inspection. District? �y oyca �NC I have mad to huvdous materials requiremems under Chopmr 05 of due Califor. nu HesW&Safety Cade.Sections 25505.25533 and 25534.I muncrsund Jus ifthe Wilding does Oy haw.enaL Wt It u my reaponsibility w mUfy duh ms:upat.f dm9L (/ d� coq Ism mus mel° miawa�a of cenifcam of0scwmmi. Signature of Applicant Dale w `^ -17� All roof coverings to be Class'%Q"or better Owner or mtmired agent Dam y.UZ'•C r f � '�a.• �°'Y Irv' �- � .f,n."1+'� � � �`��� tgn � •'S'��m s �'J"m r. - � . �-� a ^�°+.tri c„"e� '�'-��r 5 .':•< '��'��+' ?c i r .. 'x1�hgi A �.=w.1.. �5� Y �a�,'* �.�.•�.M`a`� Ga ,i �� �' , : RES'IDENT7I�f �PR03 � �C�T COv=ER�S'IIEE�T - f, ��__., Assessor's Parcel Number: Name of owner. cJ�9 iJB�s .c—S ✓ ��� zs Project address. 2c�fz (� (✓2r' �• /�!Y �Q^d`s Contact person. /is�ec�4 Phone. Fax. , -o 595x3 9609 Net square footage of lot. Existiniz Proposed Square footage: First floor: Second floor: Garage: TOTAL: ' We thereat least two 10 foot by 20 foot clear spaces inside the garage? _)L�: < N Is privacy protection planting required for the project? 7f�<x- On what floor(s) is work being done? Brief description of work. eya ()-(..J.. /9. sYs- �] Code editions: 2008 CBC N)2008 CFC - 2008 CMC (Y-N) D 2008 CPC Y -I�VDN%V G;D)gp�(cY , N O C00-1,W Effective 1/1/08 Cal (6—/ )PjE' ecttcabons S un O "�set 0 Pne .,Jb ai a nope CID 2 oantat eltefton 00 �u� make`ni.`i`, pe�no• 1B s6�e With � �:, � �sPecttic9tt°a� the butldtn8 g of ihs P a in t of to be • �ptttPj be he,d t� P anY Ptov OCT 1 3N�'N pt Lhe Vio\atto or�retp taW a Otdtnat`ce Plan Review Process Work Book Page-B-Revised 1/1/08 CITY OF CUPERTINO 2 ITEMS OF 5 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35719027 . 00 DATE ISSUED. . . . . . . : 10/17/2008 RECEIPT # . . . . . . . . . : BS000006385 REFERENCE ID # . . . : 08100108 SITE ADDRESS . . . . . : 202 CALVERT DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SEQUOIA EQUITY ADDRESS . . . . . . . . . . : 202 CALVERT DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : EDWARD GREGORY CONTRACTOR . . . . . . . : JEFFERY FOREMAN - PRESIDENT LIC # 30164 COMPANY . . . . . . . . . . : CALIFORNIA ROOF MANAGEMENT & ADDRESS . . . . . . . . . . : 5.115 E 8TH ST CITY/STATE/ZIP OAKLAND, CA 94601 TELEPHONE . . . . . . . . : (510) 261-4620 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - ------------ ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 12, 585 . 00 1 .30 0 . 00 1 . 30 0 . 00 1STAIRS FLIGHTS 1 . 00 306 . 00 0 . 00 306 . 00 0 . 00 -- ---------- ---------- ---------- TOTAL PERMIT 307 . 30 0 . 00 307 .30 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER --------- -------------------- CREDIT CARD 1, 102 . 80 visa --------------- TOTAL RECEIPT 1, 102 . 80 r, 4 � CITY OF CUPERTINO a cuOF PERTwO GENERAL BUILDING PERMIT APPLICATION FORM APN # I Q 6 . d /lJ Date: Building Address: //I V '7Z�Z (?S 0, U.A- Mailing Address (if different from building address): Owner's Name: / Phone#: 2 v l v c J +1,14)Contractor: Phone: w_ 06 e_ fib z 6 l A i"t / od Fax: T--o tel" `2G Y'L Contractor License #: Cupertino Business License #: 36 1 W0 41 Contact '�! Phone: Z6 Fax: Residential Commercial Job Description: �e,P 9, r s�F,� s�� <� w Well w�� Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT, V-B ,©-- — 3 Valuation: _ Square Footage: 5 Project Size: Express [3--Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it . • to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.buildit2reen.org — Revised 7/01/08 CITY OF CUPERTINO CUPEkTiNO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 BBOILERI For the installation or relocation of ea M boilei/compressor to& including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h (29.3kw 1 BBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to &incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1 BBOILER3 Installation/relocation of ea I M boiler/compressor over 15 horsepower to & incl 30 horsepower; or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h • 1 BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1•,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1 PLMBINSP Other Plumbing & Gas Inspections P (per hour • 1MEETINGIHR Application Meeting B