The URL can be used to link to this page

11110135CITY OF CUPERTINQiBUILDING PERMIT BUILDING ADDRESS: 10426 ANSON AVE CONTRACTOR: BAY 101 ROOFING PERMIT NO: 11110135 OWNER'S NAME: SAMIR LAIN PO BOX 925 DATE ISSUED: 11/23/2011 NER'S PHONE: 4088590941 ALVISO, CA 95002 PHONE NO: (408) 957-0531 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIALO OMMERCIAL 11 License Class C— 3 % Lic. # C/' D �% RE -ROOF 29 SQ- TEAR OFF WOODSHAKES, INSTALL OSB Contractor x y/ /D / %1p0 1-14y e, Date / �^ �3' 7/16' 30 PD FELT 50YR COMP CLASS A 1 hereby affirm that 1 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 Sq. Ft Floor Area: Valuation: $10000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, m provided for by Section 3700 of the Labor Code, for die performance of the work for which this APN Number: 32641057.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F#OM LAST CALLED INSPECTIO indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Y Z G granting of this permit. Additionally, the grplicant understands and will comply Issued by: _ Date: with all non-poiWsourre:dla4tiwcr the Cupertino Municipal Code, Section 9.18. Signature Date RE -ROOFS: All roofs shell be inspected prior to any roofing material berg installed. If a roof is installed without first obtainingins coon ee to remove all new materials for inspection. O NER-Bl11LDER DECLARATION _ - / /-J 3 Signathre ofApplicanh Date: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of � _ the following two reasons: ALL ROOF COV NGS TO BE CLASS "A" OR BETTER RI I, as owner of the property, or my employees with wages as their sole comirnsation, 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 exclusvely contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should 1 store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work for which this permit is issued, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Section 0 5 , and 25534. Section 3700 of the Labor Code, for the performance of the work for which this — — -- —/ `or ) -23- permit is issued. Ownera authorized agent: C Date:// p >__-- --- --- — I certify that in the performance of the work for which this permit is issued, I shall not employ any person in my manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRU TION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, 1 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 1 certify that 1 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 emnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION s, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. sting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date 11 CUPERTINO - li- REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildinaCa)cupertino.ora PROJECT ADDRESS D / /i,5 OA) n11411,C5APN /'' # I OWNER NAME S A AX% / � / IIA / /ov PHO�'F,� ^ M 47 V EMAIL STREET ADDRESS �� / CITY, STATE, ZIP rI ' O/ FAX CONTRACTOR NAME 1•��_ J.ICENSENUMBER O L- LICENSE �E 3 BUS. LIC.# COMPANY NAME EMAIL FAX STREET ADDRESS nv 9,� S CITY.STATE. ZIP�i5 Q Q S�� PNONE O,)_ 9 `-�aSl I UNDERSTAND AND AGREE TO THE FOLLOWING: The re -roof project shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection. For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. Progress and Final Inspections will be given a two hour window. • 3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. Progress Inspection is required when approximately 50% of roof covering is installed. 7. A Final Inspection and approval shall be obtained from the building inspector when the re -roofing is completed. To receive a final sign -off, the following items will be verified: a. Flat roofs shall have a minimum of/4" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre -manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 8. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you will be charged a re -inspection fee of $126.00. The re -inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: 1 am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re -roof policy stated above. 1 also understand that smoke detectors and carbon monoxtd det ctor r required to be installed in accordance with Sections R314 and 8315 of the 2010 California Residential Code Signature of AnDlicant/AeenC ilti7 RerooJPo1icv_201 Ldoc revised 02/16/11 h • CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32641057.00 DATE ISSUED.......: 11/23/2011 RECEIPT #.........: BS000015394 REFERENCE ID # ...: 11110135 Ll • SITE ADDRESS .....: 10426 ANSON AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: SAMIR JAIN ADDRESS ..........: 10426 ANSON AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 408.00 --------------- 408.00 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 • FINAL REROOF RECEIVED FROM ....: BAY 101 ROOFING CONTRACTOR .......: JOSE RAMIREZ LIC # 30420 COMPANY ..........: BAY 101 ROOFING ADDRESS ..........: PO BOX 925 CITY/STATE/ZIP ...: ALVISO, CA 95002 TELEPHONE ........: (408) 957-0531 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BCBSC ----------------------- VALUATION 10,000.00 ---------- ---------- 1.00 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 10,000.00 1.00 0.00 1.00 0.00 1REROOFRES SQ FEET 29.00 406.00 0.00 406.00 0.00 TOTAL PERMIT ---------- ---------- 408.00 0.00 ---------- 408.00 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 408.00 --------------- 408.00 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 605 • FINAL REROOF k REROOF PERMIT APPLICATION - COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinGna cupertino.orG 10 Iill61,�5-� P=CT ADDRESS 01712 AIJSOIJ 4116 AYN" OWNEINAME " SAAB/'2 Ay�tl p 9//i P11ONEL �(O 7 EMAII STREET ADDRESS �6 so CrrY, STATE, �2r�,da k 35o/ FAX APPLICANTNAME . L 9MiR6L PHONE E-MAE. o8 9s -? 6531 STREET ADDRESS / n 5 %/2 7—D�,•STATE, ZIPt/;0 (J/ S00.2 PAR ❑ OWNER 0OWNER-auILDE0. ❑ OWNERAGENr 4 CONiRAC OR ❑ COMrRACfOR AGENT ❑ ARCF[rn T ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 1 CLICENSE ER LICENSE TYPE _ Rus. UC a COMPANY NAME E-MAE PAX STREET ADDRESSO cm, STATE, Z>P / S U ('A �-r0C7 nZ - S 3 a s 3 ARCHRECT/ENOAEER NAME LICENSE NUMBER aus. LIC" COMPANYNAME E-MAE FAX SIREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or Duplex ❑ Multi -Family SIRUCIURE: ❑ Commercial ROOF AREA: VALUATION: EXISTING ROOF TYPE: ❑ EUE.T-UP ROOF ❑ ASPHALT SFUNGLES ❑ WOOD SHAXFS CWOODSHNq= ❑ OTHER (SPECS -Y) REMOVE/AEPLACE YES :3 No EFNO. NL PLYWOOD ❑ N" ❑ 01/8" PLYWD 1OS3 ❑ PrrCKROOF :)2 A PROPOSED ROOF TYPE: ❑ BUII.T-UP ROOF blASPHALT SH NGIBS ❑ WOOD SHAKES ❑ WOOD sm:Not 9 ❑ OTHER ICC -ES REPORT" DESCRIPTION OF WORK: _A2 D FIC t066I s 1141eEs r/ a S Q A012 - it r 5) So Pod,J _Y&7 .a.d r 5-6 S By my signature below, I certify to each of the following: I am the property owner or authorized agent to act an the property owners behalf. I have read this application and the information I have provided is ca have d the Description of Wark and verify it is accurate. I agree m comply with all applicable local ordinances and state laws rotating to building cons u o ' representatives of Cupertino .c enter the above4d ntfied pmpertr for inspection purposes. Signature ofApplicantlAgent Dau: — '— SUPPLEMENTAL INFORMA-II?bN REQUIRED _ If building is associated with a Home Owner's Association, provide letter of approval from HOA. Provide Planning approval to verify if there any restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear -Off Policy. ReroefApp_201 Ldoc revised 03/07111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10466 ANSON AVE I CONTRACTOR: PETERSEN-DEAN INC I PERMIT NO: I 1100162 NAIVE: CHAUDHURI SAMIT AND MOUSUMI DAS TRU PHONE: 4087052075 License Class rq (0 Lie. N g D 6 I l f Contractorp�T_ikgr1 D Arl Dale I 111/ hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 oft he Dwitness & Professions Code and that my license is in full force and effect. hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to sell -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 mrd 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 grinning 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 V-741 in OWNER -BUILDER DECLARATION I hereby affirm that i am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages a5 their sole compensation, will do the work, and die structure is not intended or offered for sale (Sce.7044, Business & Professions Code) I, as owner of Ilse properly, am exclusively contracting with licensed contractors to construct die project (Sce.7044, Business & Professions Cade). 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 he deemed revoked. APPLICANT CERTIFICA'T'ION I certify that 1 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, c ts, and expenses which may accrue against said City in consequence of flic lig of this Permit. Additionally, the applicant understands and will comply .II non-poim source regulations per the Cupertino Mon wipal Code, Section 7980 ENTERPRISE DR DATE ISSUED: 11/02/2011 NEWARK, CA 94560 I PRONE NO: (510)494-9982 BUILDING PERMIT INFO: BLDG r— ELECT r PLUMB (— MECH r— RESIDENTIAL r COMMERCIAL JOB DESCRIPTION: INSTALL SOLAR PANEL(9) AT EXISTING SI'DWL ROOI'T'OP MOUNT'; 4.14KW Sq. Ft Floor Area: I Valuation: $20000 APN Number: 32641059.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by.''-;2Date// Z —(� RE -ROOFS: All roofs shall be inspected prior to any roofing material behl; installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of ApplicmC_ Date: ALL ROOF COVERINGS TO BE CLASS "A" OR RFITER HAZARDOUS MATERIALS IIISCLOSURh: have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Ray Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Ow er or or etr' 1 Date: I CONSTRUCTION LENDING AGENCY I hereby affirm that there is it construction lending agency lot the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall he used as public records. Signature Date I Licensed