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08080218 CITY OF CUPERTINO BUILDING DIVISION PERMIT CONTRACT(3R INFORMAT—ION ` BuarjlNG�y�q�eFsIA NDY PL ARMSTRONG INSTALLATION P�08080218 ER'S NAME: PERMrr LSUE DATE Ali VLNi) & NEELO AGARWAL 4575 SAN PABLO AVE 08/27/2008 PHONE: SANITARY NO, CONTROL NO. ARcxrrEcrfEl4cINEER: GPER INSTALL FOAM ROOFING OVER BLDO B ELECTPLUMB MECH set, LICENSED CONTRACTOR'S DECLARATION Job Description uC 1 hmcby affirm Nn 1 am liensed under provioimm of Chaprm 9(commune g P �W with Sectio 7")of DiOgon3of Business and Nofcssium Code.aMmy lice la in full forts aM _ license CI Lk.g ' mFp Dam Can DELL As 091 th CTS DECLAR ION �W V 1 uMemanJ my Pkm shall w used as,Public records g G� Licenced Professional 3 OWNER-BUILDER DECLARATION E I hereby.M.that 1 am mcmpt from the Convenor's License 6.far the 00 following rtasnn.(Section 7031.5,Business and Prolessiom Code:Any city or county z$Pi whkh its mu a Pmmit m i.s.tit alter.Improve,dem rnil O ar mpair ani ...' _i y Prior m its Tensed p rsu nt M the thovisio al O for such permr'S Lie film. Law(ummem mm< lost he monmenicemcd pursuant taw of Division of Nc Comrshmsand Prollsons Co tm9 Sq.Ft.Floor Area Valuation xF� (cid he in6..pt Section 7000)the basis for of NCallegedcuandor.Anynvi Code)of y Nat io u m1.5 b therefrom and de aper for the subjects um ezemptiou Any l Penson of Section]031.3 by any applicants(S permit abjmu Nc applicant m a civil Penalty of APN Number Occupancy Type rot mmn N.n B.,hundred amlars(sso9h P Y YP ❑Luownerofthepropety,maymoployces with wagesasdm'somecmpenadon, aid Pr fewmL and the he Como us's License iaoRertn fm oak(See.an.Bugnev and property obis Code:The wcsthe on,I.dwho Law does rot apply lf rt owner of Required Inspections propertywhe s,IIdsorimprow thereon,andwho doesouchwork himselfndthroughh. menwo,thm,proNdedlNwntort suchmmprovemods bisoldwidsm ne eartsfdaroBertdforaleH. Wilder N,building brImprovementkmlAwithinot yearofcompletion.theawm - wiMer wi0luve time burden of proving Nat he did not wild or impmse for purpose of ale.). ❑1.as matter of the property.w eulusirwly contracting with lkeru ed rnnvaemn to romtmct the project(Sec.7o44,Business and Prefessiam Code:)The Counsel U. cents Law does..,apply to an owner of property who Kilda or improves them. ,and. who cnttvacts for such projects with a contrmenta)licensed pursuant On Ne Consumes Lice.law. lamexemptundn See ,B&PCfmthismaan rcr Dam WORKERS COMPENSATION DECLARATION 1 hereby We.under penalty of'do,aro of the following declarations: ❑I M+eand will mafnuin•Cenifi®roof Confuse w xlf-insure far Worker's Compere action,as provided fee by Section 3700 of the Labor Code,for the perforne.of the work for which this permit is issued - ❑I have and will estimate Worker's Camp,.dO.I.,as required by Session 3700 of the lshor Code.for Ne prdmonamcof use work forwbich thi.pemd,is issued ' My Wollmh Compematlon nfccarter and Policy number arc: Carrier. f��/"/c..l's Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE This aection sed notbecanplemd if the permit dollar($100) or less) 1 certify Net in use performance of the work fer which this Permit is issued,I shall not employ any person in any...,an as m became subject to the Workers'Compmouniun Iowa of California.Dam Applicant NOTICE TO APPLICANT:IL after making this Certificate of Exemption,you shouid become subject m the Woake s Compcmation provisions of Ne Labs Cade,you mud .J Z forthwith comply with axh provisions m this permit shall he deemW rtmkW, ?O CONSTRUCTION LENDING AGENCY [-i= 1 heaehy affirm that there is.mourned.kmdimg.geacy for Ne performance.( CG thm wort for which this permit k issued(Sec.3(19'.Civ.C.) femmes Name 7 Z Lemmea Address U O 1 certify Nat 1 low muss Nis application aM sum that dm ahoy,infomn,han u Iy entrust I agree to comply with all city and county omimoces and sum laws relating On 6 Wilding construction,and hereby authorize repmututufm of this city an umr upon the ul above-mummor W pmKny for inspection Purymea F L5, (We)agree On aw,indemnify and keep harmless the City of Cupertino gai t CA lubilidmjudgmmo.costs and expenses which may in any ant"ccmeagaimt i ity UZ in cmuequence of the granting of this permit. "-' APPLICANT U STA S AND WILL COMPLY WITH ALL N -PO Issued by: Date �dlj SOURCE R TIO <kc-roofs Signuurt ApplicanHAZARDOUSMATERIALSDISCLOSU Dam Type of Roof Will the applicant or future wilding occupant same or handle hmaN.m material fined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety .Section zs532(.)T ❑Yu —4�No All roofs shall be inspected prior to any roofing material being installed. Will the, Ream or future wadi. Occupant use If a roof is installed without first obtainingan inspection,I agree to remove craft PP g e equipment Qu or dense which Pe Disrk��oua air crouminants at dcfimtl by the Bay Arta Air Quality Management all new materials for inspection. ❑Yca �pu I ham mal the haaadoussmmakeriakmquimmems under Chapteri,95afthe Crhfna- niaHculN&SafctyCade,Savom25505.25533a M534.luMenund uatirthe wilding does set curse hast• L that It k my neryontibility otify the oocup.n of rcqulrt w -h metprinamiuvancc n armee yEn u7re,ofApplicant Date owoer ,.Nanzedagent Dnm (j v0 All roof coverings to be Class'W'or better CITY OF CUPERTINO • p REROOF CUPERTINO PERMIT APPLICATION APN # A �� D5 Date: Building Address: \\A X bYI� PL Q� Owner's Name: ` Phone #: I � \ C90-4- Contractor: Phone #: 7 7 \C w�r'o �� *A\cti \� � Fax #: Cupertino Busi ess License #: Contractor icense #: Type of Roof Covering: I � Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles o Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) a Other (Specify) o v w Number of existing coverings 1-1 Provide I.C.B.O. Report # C Y—U 3D ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Descriptipp yu,�, ; d✓t'f P a.SS /o. 2 �c �U Residential Comm rcial 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: Gu � •I Have Read, Understand and Wil Compl with Cupertino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO REROOF aCUPEIZTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF IBSEISMICO Seismic Commercial B 1 2 1RER00FRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 • Community Development Department Building Division • City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408) 777-3333 Building Department REROOF TEAR OFF POLICY 1. You must schedule an inspection for the tear off the day before you wish the inspection to be made. The procedure is to call the Building Division (408) 777-3228 between the hours of 7:30 a.m. and 3:30 p.m. to request a next-day inspection. • 2. When the roof is torn off, the nails have been removed or driven in, and all of the dry-rotted wood has been replaced, you must call the City Building Division. An inspector will be there within one hour. There are special hours for this service: from 7:30 a.m. to 10:30 a.m. and 1:00p.m. to 3:30 p.m., Monday through Thursday and from 7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note: Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m. and will not be called during that time. City Hall is closed between 12:00 and 1:00 p.m. daily.) 3. If you call for a tear-off 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. / Greg Casteel Building Official Revised 8/13/04 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. 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 1/4 " 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: /, p> D/ Job Site Address: / .y Cl / G i G c le— Roofing Company Name: (�Yt �/� /CA- //, dh • Applicant's Signature: Date: O� Greg Casteel Building Official Revised 07/30/08 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project Plans See below, B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 tints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 __Lpoints D. Structural 3. Uses Wood (Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail 5-2 2 oints E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 2 points 4, B. Fiber Cement Siding, (Note/Spec. Al __122rnts F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal.Tank, (Note/Spec L-1 10 oints G. Electrical 4. E. Ceiling Fans, Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energ Star Refrigerator, (No te/S ec. A-3 1 oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points • Plan Review Process Work Book Page-12-Revised 3/2 .p., Community Development ` 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY Fax(408)777-3333 �U Building Department JOB ADDRESS: PERMIT# 0 �� / 'n,,/Al Il 2 OWNER'S NAME: PHONE # t GENERAL CONTRACTOR FAX # /o- d S / I am not using any subcontractors: ;4, Signature Date Please check applicable subcontractors and complete the followinginformation: 60 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: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35624005 . 00 DATE ISSUED. . . . . . . : 08/27/2008 RECEIPT # . . . . . . . . . : BS000005921 REFERENCE ID # . . . : 08080218 SITE ADDRESS . . . . . : 11487 LINDY PL SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ARVIND & NEELO AGARWAL ADDRESS . . . . . . . . . . : 11487 LINDY PL CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4814 RECEIVED FROM . . . . : ARMSTONG INSTALL. CONTRACTOR MITCH FINE LIC # 22581 COMPANY . . . . . . . . . . : ARMSTRONG INSTALLATION ADDRESS . . . . . . . . . . : 4575 SAN PABLO AVE • CITY/STATE/ZIP EMERYVILLE, CA 94608 TELEPHONE . (510) 777-1234 FEE ID UNIT . QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ----- -- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 12 , 000 . 00 1 .20 0 . 00 1 . 20 0 . 00 1REROOFRES SQ FEET 12 . 00 156 . 00 0 . 00 156 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 157 . 20 0 . 00 157 . 20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 157 . 20 1170 --------------- TOTAL RECEIPT 157 . 20 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- ----- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS - :..605 FINAL REROOF •