06030172 CITY OF CUPERTINO 0 , "tri T—
BUILDING DIVISION PERMIT �GON iRAOTOR INFORMATION
BUILDING ADDRESS: 0.
BUBB RD
OWNER'S NAME: PERMrr ISSUE DATE
('ALIFURNIA STATE OF 229 S RAILROAD AVE 03/30/2006
WIF (650) 342-3200 SANITARY N0, CONTROL NO.
ARCHITEMENCINEER: BUILDING PERMIT INFO
BLDG ELFLT PLUMB MECH
x � 0 0
fop LICENSED CONTRACTOR'S DECLARATION Job Description
1Mrtb W)c( i Luo Irr B under provisions of Chapter9(mykrn ,, P NALE®
U with Scdoobyi ffifn Nnon3af NCBvdrcu sadvisions of Cade..dmylicwcH
mBfora.ndely REPLACE EXISTING OFFICE ROOFS
piikmrac cl1aass Lki 2XZMi.2� .
Dec 'S)�Contr.cWr �ilnia:a..Rafr""i.y A11D �}iyft.
t- 'f—ACTS DECLARATION - ^~`n w.! 2006
4 W V 1 uradravaaM mY plw.hil he toed u Puhh tared.
Co.
tt t; Uvxucd Pmf=c na]
O.11 annBUIIDEI DECLARATION ���
C S I ono .(Bron Nu 1.m exempts the Cmtrslorn IJcmm Law far tM
00 fallnwlnt muat(Sadm 10]IS,BhWrca.ad Pmfatiaa Cock:Myc'vyntcowuy
$ which roqulti.laumit to ctuutrvct..1ur,inpo c.epmalah,a mpalr any uraaI..
zi priab iu aaana..fna mquircs ft.ppliant fa.ucb .it to fk..Icocd mtemmt
< thuhcaliaond Pomuntto the lmviJauMthe Canvsha'n Limas law(tT.ptcr9 Sq.Ft.Floor Area Valuation
F=tO$ inat ho ordnt ,I oCt larll tic havisfr of the Bud a u.rtl Pmfaimu Cam)a -
3_ Nat be u eaemPt tltctefrom and��•)•for the iktd eaahploa Any Halation of
Sadon 70313 by ury applicant fm permlt mthy u the appliont W a clWl pwLLyof Number Occupancy Type
tont marc Wo Brc hvdmd colon(5500). .
❑1.u swat of the pmputy,a my aopkoyla w W watu u tleL mk ampeuulm,
w0l m the wart ad hi atncItm armtiCvatled moQemd faaaak(Sys.TWa.Boom.
w Pracauom Cade:The CcrInn ra Li¢+oe Law doe oat.poy W an awoer or Required Inspections
ptWcnywho WO aIml. �..ndwhodou.udtwickbim fartNwthhu
own employes,pr Wd Wt aoch Improwmvhu.m ton iokrtled aaBwd fa sat If,
bowcwa,Ne badlc[iot or Improwmraa is Cold withlsh aro yes of co rpinlon.me oLtcr-
bullda wW but tho hoodoo a for n,aaa be did not bdkl or Import for",i as or -
salt.).
❑1,a owrca of the property,un eacheiwly ca.araling with 0 contnctan to r
m rruct the project(Soo 7044,Buaioa ad Pafeafmu Cem:)The Canuaoar3 U.
<we Law dos not apply W w.of pmpeny wfio milds a Ithiii thereon,ar
Lica CMI%Y fa faCd pajC1 wW.LGIIVCIa(1)ICNRd pYM1WnI b IIIC('llnlfClOh
L os W.
❑lam aemp undo Sec. ,B•PCfm this rcuan
Owner Due
WORKMS COMPENSATION DECLARATION
I hercby dnm order pemlty ar pcjary ac of the following
1 haw ad will maintain a CWZCoC of Consu W slf-Wont for Wakcra Carni
sauna,n provided for by Sestina 3700 of the Labor Code,for tic perf..of ec
wort for which Nin permit is aimed.
I lout and will maintain Wicker.Canpuuuion Inwsarcc,u mquhd by Section
37W aft Code.fa the Ni-formuce athe wort for wbid tM.pmmlt I,Isaucd
My Worka's��Cmnperu.Ran Inomrtsc curia and Policy number sae:
CC
Cartic. ,✓f.4C F: v Ck Pa-y N..:Lb0S(3t I -
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
mvIt section oed not he caopktd II We Permit a Intone bmgrd calm(SIM)
or ku.)
I anify that In the Icrftmo..,..of tbo wart ra which W s paWlt a iu d.I.IW I na
employ any Permit In any ta.ear m as k becarx sub CCI W tic WartaCatopctmdan
law of California.Dac
Applicant
NOTICE TO APPlCANT:If,aflor mating this Ccnificetc or&croptim,you Jtuuld
eccome wbjm W the Worker'.Compensation ptoHJou of tic Lata Cocic,you Co.
.J 0 raubwith cornply with such Pmvi.iotu a tha Permit Wall he damd otvo d
z" CONSTILICfION LENDING AGENCY
E
ereby I balarmu ccs 4.a.....koolinlitlrc Par the lerform 4
> the work for which tat permR a iniad(Sec 3097.Civ.c.) .
CV Q iM^/.Nua
= z laodera Addra.
U O 1 certify that I haw rW this applicuian.d uetc holt the above Iofam.tion a
fy�
COMM I.gree W canply Mth.11 eity.nd county adirwnnand slue law.reluint to
(] WLdint coruuixcm,and hereby wthorim rcprnenratiwa of Na city to oma upon be
m
above- ctuiarcd pmperty,for imPcctim h
Fort
W (Wa)arra W saw,iMcmni fy and kap harmleu the City of Cupcnim A&W
to Iiabilitia.jdgmenu..loot C-Peoaa which Cray In any way acaue gi4u said City .
U z in emsegmttce of ec traotint of this permit
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 6i Date
SOURCE
30 of Re-roofs
PP HAZARDOUS MATERIALS DISCLOSURE Duc Type of Roof
tYll hoc appUwhta Lubec boldin OLTVp.nluaca hadkhavuew.vuneral
u defined by�CtPWI.Manias ode,maphv 9.12,ad We Halth and Saf oy
Codc.Satin 05531(4)? All roofs shall be inspected prior to any roofing material being installed.
C]Y. Na
Will the applicant or fmtuc building Occup of um equipment or mviou which If a roof is installed without first obtaining an inspection,I agree to remove
li h.vumu air cmumiwhuu by NC Bay Ana Air Qualhy Managcmcm all new materials for inspection.
Daukn
Ilk,
❑Ya C/&55n�
1 hart mad the Irani rCcNhcntcnstnl CCaPae495 of htr Califon
jnI.Ila W k Safmy Cao,Sal533 arta 25534.1 andcnuod hatirtl,Wilton .
mea oat cumedY Nw•uvy reapnttJNlity n mdfy the acupant of do
tequi innuancod.CrruriamofoaeipaWy. Signature of Applicant Date
5 0 oG All roof coverings to be Class "B"or better
Owaraw a cot Date
CITY OF CUPERTINO
1 of 2 PERMIT RECEIPT OPERATOR: conniew
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35720023 . 00
DATE ISSUED. . . . . . . : 03/30/2006
RECEIPT # . . . . . . . . . : 33789
REFERENCE ID # . . . : 06030172
SITE ADDRESS . . . . . : BUBB RD
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : CALIFORNIA STATE OF
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014
RECEIVED FROM . . . . : IZMIRIAN ROOFING
CONTRACTOR . . . . . . . : LUTHER IZMIRIAN LIC # 27747
COMPANY . . . . . . . . . . : IZMIRIAN ROOFING & SHEET METAL
ADDRESS . . . . . . . . . . : 229 S RAILROAD AVE
CITY/STATE/ZIP . . . E SAN MATED, CA 94401
TELEPHONE . . . . . . . . : (650) 342-3200
IRE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- ------------- -- -- ------ ---------- ---------- ---------- ----------
BPERMFEE VALUATION 23 , 000 . 00 309 . 96 0 . 00 309 . 96 0 . 00
BSEISMICOM VALUATION 23 , 000 . 00 4 . 83 0 . 00 4 . 83 0 . 00
TOTAL PERMIT 314 . 79 0 . 00 314 . 79 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
-------- ---------------------------- -------- ----------------------------
305 FRAME 307 INSULATION
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
•
Community Development
� e
10300 Tone Avenue
Cupertino CA 95014
CITY OF Telephone(408) 777-3228
Fax(408) 777-3333
W P E RT I N O
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
environmental quality and public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollution control laws are key parts
of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for.the
local water supply. Common sources of stormwater pollution include:
• Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• Construction debris, including dirt, concrete and paint;
• Landscaping runoff containing pesticides or weed killers; and
• Any material dumped or spilled into streets or storm drains
The property owner and the contractor share ultimate responsibility for activities
occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees. .
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site,_at:
htti)://www.cul)ertino.org/city government/departments anc dfifices/
environmental services
MAR � 9 2006
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
• Typical construction work hours are:
- Weekdays - 7 a.m. to 8 p.m.
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street construction is prohibited on holidays.
• Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www.amlegal.com/cupertino ca/
• Greg Casteel OHM COPY
Building Official
�d
CITY OF CUPERTINO
REROOF
ar
CUPEP\TINO PERMIT APPLICATION FORM
APN # 3�— Date: nn
Building Address: I(�U5O LAk Q GL
Owner's Name: I C PhoneC�al A0 kerynan 4:z168 -q52- 71#2
://6o _ „52_ 7/#2
Contractor: IZ-Mi(ian
License #.2776241
Contact: Cupertino Business License #:
V1 6
Type of Roof Covering:
Exist g: Proposed:
713uilt-UpRoof Built-Uproof ccxle,> A�
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ WoodShnkes ❑ WoodShnkes
❑ Wood Shingles ❑ Wood Shingles
Cl Otlicr(Specify) ❑ Other(Specify)
Number of csisting coverings ❑ Provide I.C.B.O. Report N
❑ To be Removed ❑ Provide Mfgr, Installation Specs.
I Have Read, Understand and Will Comply With Cu ertino's Tear OffPolicy:
Job Description: Cuw c a
Residential ❑ Commercial
Fire Zone: Yes ❑ No B Confirmed With Planning Dept. if
there are any restrictions: lJ
Cost of Project: Type of Construction: Occupancy group:
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Cnergy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING