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08010064CITY OF CUPERTINO �ar BUILDING DIVISION' PERMIT�A'k':'J.A\.F�r�`�. k BUIL1 DRES TI PMTPPY PERMIT NO. WAY C & C ROOFING 08010064 , OWNER'S NAME: - PERMIT ISSUE DATE NILAJAN CHATIERJU 89 S 21 ST 01/11/2008 ONE: SANITARY NO. CONTROL NO. (408)298-1868 ARCHI ECUENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRAC'TOR'S DECLARATION I hereby lob Description affirm Wt 1 am licensed under provision. of Chapter 9 (commencing with Section70di of Division 3 ofdw Business and professions Code, and my licenee is REMOVE EXISTING SHAKES ADD 1/2 CDX, REROOF WITH in full remand efface /J� �y .� License Claw Lm. N - 'll 3 - 40 Dam —1. — RCHI7ELTSDECLaRATIONL Zea YEAR COMP CLASS 28 SQ FT 1 understand my plana shall he used As public records Licensed Professional OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the ConuamoYs License Law for the .. following mean.. (Seed. 7081.5, Business and Peon ..mns Coda: Any city m county which requires a permit An convect, alms. improve, demolish, of repair my structure prior in Its Issuance, also mquifeV the applicant for such permit to file a signed statement that he I. licensed to the of the Conlracuer. Lfronsc Law 9 Sq. Ft. Floor Area Valuation pursuant provisions (Chapter (commencing with Section 700(fof Division 3 of the Business and Professions Co$10300de) or that he is exempt therefrom and the basis fm the alleged esemptfon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant in a civil penalty of Number Occupancy e P YTYP eat mom than five hundred dollars (M). 36615029, ❑ 1, as awcer orthe properly, m my employees with wage u theirsole compensation, willda the work, and duawetum u nolinundrA oroQared forsele (See. 7044, Business Required Inspections and Profwions Cade: The Conuacurs's License Law dean ant apply m an owner of property who buildsorimproses Iheroon,and whodessuch workhiroself or through his own employee, provided that such improvements am not Intended moaered fmeab. If, however, the building or improvement Ismid within ane year of completion. the owner. builder will have the burden of proving that Im did not Wild ar improve for purpose of sale.). ❑ 1, A. owner of the property, am exclusively consuming with licensed enntrwrms In convect the project (Sec. 7044, Business and Professions Code:) The Conuumr's U. _ nm law does not pply ro an owner of property who Wilds or improve demon, and who contracts for such pmjecu with a con sno(s) Rensed pursuant An the Conmetnes License law. ❑ I ore exempt under See ,B At PC for this mown Owner Data WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury am of the fallowing del.ndoes: I ham and will mainufn a Certifrem of Consent to self-Wum for WorkcYsCompen- m, As provided for by Section 3700 of the Labor Cade, for du Performance of the rk for which this permit is issued. 1 have and will andmam Worm's Compensation Insurance, as required by Section 3700 ofthe saber Code, forthe Performance of the work for which this permit Is laced ' My Worked Compensation Insurance carrier and Polity number are: Cartier.i7 rets N 1) Polity No.: CERTIFICATE OF MEMP 70N FROM WORKERS' COMPENSATION INSURANCE This seOmn need matin: completed if the permit Is foronehumbed doll= ($100) ' or Ica.) . I certify that in the pwlmm met of Ne work for which this permit is Wood, I shall me employ any person in my mannerm an An become subject to the Workers' CompensWon Laws of California. Dam Applicant N010CE TO APPLICANT. If. After making this Cenifica c of Exemption, you should become subject An the Worker's Compensktion provisions of me labor, Coda, you moat forthwith comply with such provisions or Nis permit shall be deemed mveked. CONSTRUCTION LENDING AGENCY 1 hereby alarm that dem is a convection lending Agenry, for the performance of the work for which this Permit b issued (Sec. 3097, Or. C.) Lender's Name Landers Address 1 certify that 1 hve red this application and stsm that the AWve in[ omadue is cosecs I agme be comply with all city and county ordinance and a= lane mlating in building coasuvetion, and hereby Authorize nepr eamuuve of this city to enter upon the above-mcmtiowd property for inspection purpose. (Ws,) agree to save, indemnify and keep humins, the City of Cupertino against liabilities, Judgments, coats and expense. which may in my way accuse against mid City in consequence or the granting of this permle APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date / SO REGULATIONS. Re-roofs Type of Roof / airrp/G t��.�_ pec 1-11-oz Signature of AppliwData HAZARDOUS HAZARDOUOU S MATERIALS DISCLOSURE Will the applicant or forum building or handle hmardous material e, As tlefned alCChaptaum the CupeNno Municipal Code. Chapter 9.11. and the Health and Safety . Code, Section 255314)? ❑v, ,oxo All roofs shall be inspected nor to an roofs material bei. installed. P P� Y g 8 If a roof is installed without first obtaining an inspection, I agree to remove Will the applitmt or future Wildingoccupant use equipment m device which compartments h... Mo. air conuents ea defacer by the Bay Area All Quality Management all new materials for inspection. ISVICI? ❑Yes 8d'r Ihavemad NehmaMuus materials not3md2553n.IChap Calfor- mayCela. ling �v., nb HealNave Sarins 2550als adants 4. I understand lhnifthe building G ( ^ (t —O� �,(LJf does not cw rcrdy have a IenmL that h b my mapmatudity m nodfy the occupant of the mquimmcny hush mustbemet prior to muawc oft Ccmrmale of Clocupmry. Signature of Applicant Date L/G c% u.., cam, /-/I- O F All roof coverings to be Class "B" or better ' Owner or authorized agars Dau 0 2 ITEMS OF 2 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36615029.00 DATE ISSUED.......: 01/11/2008 RECEIPT #.........: BS000003667 REFERENCE ID # ...: 06010064 SITE ADDRESS .....: 1527 POPPY WAY SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 OWNER ............: NILAJAN CHATIERJU ADDRESS ..........: 1527 POPPY WAY CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5306 RECEIVED FROM ....: OSVALDO CAMARA CONTRACTOR .......: OSVALDO CAMARA LIC # 22982 COMPANY ..........: C & C ROOFING ADDRESS ..........: 89 S 21 ST CITY/STATE/ZIP ...: SAN JOSE, CA 95116 TELEPHONE ........: (408)298-1868 •FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ----- ----- -------- ----- ---------- 1BSEISMICR VALUATION 10,300.00 ---------- ---------- 1.10 0.00 ---------- 1.10 ---------- 0.00 1REROOFRES SQ FEET 28.00 364.00 0.00 364.00 0.00 TOTAL PERMIT ---------- ---------- 365.10 0.00 ---------- 365.10 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 365.10 --------------- 365.10 VOICE ID DESCRIPTION -------- ---------------------------- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF • REFERENCE NUMBER -------------------- MASTER CARD VOICE ID DESCRIPTION -------- --------------- -- 602 ROOF PLYWOOD NAIL 6.04ROOF IN -PROGRESS Iry o CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION APN # �Lo 15 0M. �. DU Date: -� Building Address: / f Z 7 PQ toPV CA- 4 , Owner's Name: Phone #: �/ok- ?2 S— it, .v'c�, eh Awa Contractor: Phone #: zi08 - Z %Q- / f o`S7 Gf e R O O� ,�nJ G Fax #: - X 3 6 0 Cupertino Business License #: Contractor License #: ft Z zZ Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof ❑ Asphalt Shingles 2( Asphalt Shingles X Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: (76-,"0 &x(s77NC SA#4 LFs /4DD % CDS' rzE2v0,= 1,�rr4 1/0 yC'Arr (ze) QLO5'5 t4 Residential Commercial Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are an restrictions: ❑ Valuation: 3o a I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: N CITY OF ®CUPERTINO CITY OF CUPERTINO REROOF FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1RER00FCOM Re -roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 1REROOFRES Re -roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roofMulti-FamilyB 1MFDWLRO0F 1BSEISMICRE Seismic Residential B 1BUSLIC . Business License B 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 1997 UBC Standards and manufacturers specifications on re -roofing. 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: I k! N �r� ,v e h A 7T c R1 U Job Site Address: 41F Z 7 eQ k,, -i4 Roofing Company Name://�%10 0 ! l� r/' Applicant's Signature: (1.ri � ..62e&d« w Date: Greg Casteel Building Official Revised 11/2/04 0. • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 Fax (408) 777-3333 Building De artment JOB ADDRESS: PERMIT # /rr 0Pry 4 006k OWNER'S NAME: PHONE # GENERAL CONTRACTOR FAX # I am not using any subcontractors:P1�v�� /� P^ l - (� - U 8' Signature Date Pln.m rhnrlr nnnlirahla ciihrnnhrnrtnm nna rmmnlei-P the following information: Owner/ Contractor Signature Date 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