09100074CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10750 N WOLFE RD BLDG 6 CONTRACTOR: MIKE ROVNER PERMIT NO: 09100074
CONSTRUCTION INC
OWNER'S NAME: THE IRVINE COMPANY 1916 DUNCAN ST DATE ISSUED: 10/12/2009
OWN
,AR'S PHONE: 9497205514 SIMI VALLEY, CA 93065 PHONE NO: (408) 453-6070
N21 LICENSED CONTRACTOR'S DECLARATION
License Class_ Lic. # % / S / 79
Contractor Date /0 Z
1 hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
1 have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date Z 0/
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r—
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTIOMTEMP PERMIT, ORIG#09090162,PRIVATE DECKS
WALKWAYS; PERMIT GOOD THRU 11/12/09
Sq. Ft Floor Area: Valuation: $150000
APN Number: 31606037.BLD6 I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued _ ,
Date: /G-�P'2_ -6
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(x) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Own authogp agW.
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
1 understand my plans shall be used as public records.
Licensed Professional
arYF
CUPEkTINO
CITY OF CUPERTINO
TEMPORARY PERMIT
PERMIT APPLICATION FORM
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AP NL # 31 �� (p b 37. L b(,,,
Date:
Fee Description
101121 d
Original Permit #
1 TEMPPMT
Temporary Permit Good
Building Address:
1TEMPPMT
10 7SO N. wa 4 F
(Flat Fee)
Owner's Name:
Phone #:
—
1
only.
Contractor:
Phone #:
Al 1 C Ro�NCK ColvyT l C110d
Fax#:
Contact:
Phone #:
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Contractor License #: -7p s 7 2 �}
Commission Fee
Cupertino Business License #:
TYPES
Job Description: 13� D G 6
i v II) P E be S I. -ALK S
Valuation (cost of project)-
Type of Construction:
So coo
Project Size: Over the Counter
Quantity
Fee ID
Fee Description
Fee Group
Permit Type
1 TEMPPMT
Temporary Permit Good
B
1TEMPPMT
(Flat Fee)
for 30 days —Commercial
—
1
only.
1BCBSC
Cal Bldg Standards
B
ALL PERMIT
Commission Fee
TYPES
01/07/09
City of Cupertino — Building Department October 6, 2009
10300 Torre Rd.
Attn: Greg Casteel
Re: 10750 N. Wolfe Rd. 2nd & 3rd Floor Private Decks & Walkways Repair
Dear Mr. Casteel,
This letter is to address the resident's safety & egress for buildings 1,2,3,5,6,7,8 & 9.
Our scope of work is to remove and replace the concrete topping slabs on the second and
third floor walkways and private decks. Remove and replace the plywood sheeting and
waterproofing and repair all dry rot we find on 8 separate buildings. We have proposed to the
complex owners that we will only work on 1 half of each build at a time. We will make sure the
tenants have access to and from their units at all time with interrupted access from 8:30 AM
to5:00 PM Monday through Friday. We have foremen with radios on each floor during the
construction day to clear a safe path for tenants. We will maintain at least 2 paths of travel at all
time with a fire watch if needed if one of these exits are compromised.
We understand that if the Master bedroom exits out onto the decks we will need to
maintain an emergence exit at the end of each day. If the living room exits out onto the deck and
we have another exit, we will place a temporary piece of plywood over the door to discourage
the tenants from using these decks.
At the stair locations where we need to repair water damage, we will direct the tenants to
use an alternate route during the work day. At the end of the day we will make sure the tenants
have two paths of travel and two exits. If for any reason two exits are an issue we will provide a
temporary set of stairs. Along with the temp stair we will notify the city & fire dept., post signs,
exit maps and notify all of the affected tenants with a letter. MRC will use this case as a last
resort and will do everything we canto avoid this situation.
The safety of these tenants is our most important issue and would like to work with you
to come up with the best options for this project since we will be on site for the next year.
Please feel free to call me with any questions or concerns you or your department might
have.
Thank you,
��.
Erik Amos
Operations / Sr. Project Manager
Mike Rovner Construction, Inc.
Cell 408-318-8521
Cc Dirk Matter: Fire Department Santa Clara Deputy Chief
"?"rant a tAe, Carrency o oar Basecess"
SOUTHERN CALIFORNIA: 1916 Duncan Street, Simi Valley, California 93065 • Office 805.584.1213 Fax 805.584.5961
NORTHERN CALIFORNIA: 1758 Junction Avenue, Suite A, San Jose, California 95112 • Office 408.453.6070 Fax 408.453.6077
www.rovnerconstruction.com • License #795729