02010045 (2) OF
C9 BUIL NG DI' VC,ISIONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
OWNER'S NAME: APPLICATION SUB DATE
,MkGEISHREE BALLA 42035 OSGOOD DR 01/11/2002
Ar HONE& SANITARY NO, CONI ROI,NO.
(510) 438-9077
GOO ARCHITECE'ENGINEBR: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
O I'i
t�a
ZSNZ LICENSED that Ia ficerndNI under
DEionsof VIONChart lob Description
o z-o I hereby affirm mm 1 am h«nxd oder praadonx or Chapter 9(commencing
with section 7000)of UNWou dor the Farmer%and rmscxxinns Cram,and my license TEAR-OFF INSTAL SHETHING.
aa is in run Force and ef&e� Lis,0
5e u Lic<nu Cl. v "SS 1Y �k LE®
0 LL y Dare Contractor tl`NI(•Ll,
ARCIII'I'HCf'S IaHC1,N1 TION
t O 1 undcrmnnd my plans shall M used as public reenrdx
}�
a o licensed rromxxional SEP 0 3 2002
as,Eek OWNER-BUILDER an the DECLARATION
1 hereby olFnn that I am exmnpt from the Comracmr'x Liccnxe law for the
following rexmn.section 7031.5.Business and Profcatinos Cote:Any city or oounty
o which ori ire%a pconad m con tract.alter,improve,demon.eh,or repair any structureBUILDI S 7 9 0 0
3m prior to its issuance.also requires the applicant For.such permit n Clea signed statement
thmhgix Lcrnscd faoanl tornip!wsinnx onnc Catharines License Lm,(Clamcr9 S -Ft. Floor Area. ti Valuation
Icommcnecnf with Section74 of Div into 3 of Bunnexp apd Prol o%sions code) :,:i3f`i�1�1 qq It! /?�I°Wi:�.'Y'1
of tom be ix exempt thdcfroto alul Ihe hams for the alleged efcopnon.Any violation 3 6 6X17 0 2 9 . 0 0
o'Section 7031.5 by any applicant fora permit subjects the uppliconi to it civil penalty
,ofmnan—door avclmndmddollars(5500). APN Number - - ! Occupancy Type
01,as owncroftbe property.or my clnploycex with wascxa%their sale cnmrontation, 305 - FRAME
will do the work;and the snucmre is out intended or offered for .In(Sce.701 - ' '
'Business mal polar.xionx Calc:The Cnotmctor'x Liccnxe Law does not apply m an Inspections"• •, c,..
r of progeny Who halms or improves theme.and who does such work himself 601 - ROOF TE
or
net
his own einployces.provided that such nnprovements are not intended or 602 - ROOF -PLYWOOD NAIL
-'offered for sale.IE however,the building or in,provm,unt ix sold within one year of , .
iompletion,measurer-nuJderwill have the mndenofproving fialhedid not build of 603 - ROOF BATTENS
mpro,emrpurpnxenfxale.). 604 - . ROOF-IN-PROGRESS .
❑I,as owner of the property.am exclusively contracting with bcerved!conimemrs to .. •t.
onxtruet the project(Sec.7044,Business and Professions Cole:)The Contractor
License law does an apply to an owner of property who builds at horrorcs thereon,
i such projecd_whh a contractor(%)licensed pursmmt to the
and who cammns for .. .. .._
01.,aanh License Law.
- Ol son cxenp\unJcr Sol'. ,f3'k'PCfur Ibis rectson • ' "" '
_ Own 'r u.Dun r. .•„ . .
WORKER'S COMPENSATION DECLARATION
I hereby afro,undef poetry of penury on6 of the fullowing decLmtions:
(
Of hnve'nnd will'mainNina Cenifcaic of Consent in xelbinscre for worker's
.� Compensation, as provided For by Section 37W of the Labor Code, lin the
performinee of the work,for which this•permit is issued.
O I h and II phi t Worker's Con pc or l'Insimmuc,as earlier!by Sonnet
3 the Labor CW f the perforr a of thework( h to pen' is
itxapt MyW k C pc f I�n[ey'r ec ot,,I. lryy fordler
am
-}.�''�.� .- •,- _ _ _. _ - -
.. Ch d S p C�7. ii'L, jsd cY Nn.
sCI ;, ,ICnIIt�N OF'CXEMIT10N FltVM,WORKLRl. Lt: tl
s �a.y 9`r.)ad it ,per t'-" fI•j It � .
COMPS SKGON INSURANCE: nk i I t
I" t rrI.".) nn'nenlnm he coapletcl ifthe pent is forotichundired dollars
rirytl t ndii:reacIrtimuct,ofthe' kfr whichtit. 'iraid, . I...aCI '- -
ihh11 not a udoy any person_in any almosttm as to become bje I to the Wmkers i
Co.pcnxmicant iion Lawx of Cnhfomm:Dari
117 -
NOTICETOAPPLICAN'r:'IL ofte(maling tots Certificate of Ex coulann,�you,snould , r
botanic subject In tilethe 1.ntbr code ou must
C) Q forthwith comply with inch provisions or this permit shall he deemed mvuked,
^" % On at t t .CONSTRUCf10N LENDING AGENCY
Fr - h shy w n th t tl micl m d'tg ng cy f the perfi,iii'vnee 1 „ t ., .
a's
of work which this pe h'x amJ(Sc e t119T Civ.
Q C)
Lr 1
Lr: Q d Name .. -
p" z. Lee Address r r
D 1 en fy tl tlh l.1 ppb t doer th M tins rmatnn s
corn t 1 g t ply wall II sty and countyordinances' d state
f, is bu lJ g o,an ctk hereby r scout vex arthis ety reenter upon
the abo e n c s cJ pcny for inspection o p D
rrEi Pis- (W)ag save, I ntlyanilk ihamayi a City acre tgaiml rid
Vj liar r e judgments. t J lord which may any y aceta against said I z
C.) cry ,City t c cn pfd g fog fth pc t fs ` (�
ICAN INDERSI DSANDIVI 1 COMILY\5'IhIAE hfW Iro!NT Issued b I Date
IRC s ULA'1l t is Yes y
Sign n dU `ur •, //-.-In ate L. Re-roofs
IfA9ARDOUl MATERIAL 5 DISCLOSURE
at r sun tri' ppI t r t bum g n n al I' - ,aternl _ Type of Roof-
in,
_ _.. ..
df Eby the Cret M ' p1 Code pt 912.
Cth II 1!haiW Safety
c6de Seca 25532(7 tt' 3 I ! y 4^ is '.r',ri` I',Y'i', t •„1 4
roofs shall be inspected prior to any rooting material being installed.
w'Ild pp
t r t n IF e 1 tuwaq r ! 1 iaxwn�cn If a roof is iristalled'•wilhout first obtaining an inspection, 1 agree to'rcnwve
emtha andt inun.h Jcfn dnyd Bay AIca itQoddity Mvnngentn
District?. _ all new materials for inspection. Applicant understands and will comply with
oY b� all non-point source regulations.
l h J the”h lit J its. l k q _t. rid rI p
Ct fi 9.5 f Ihe
cefiftinifin Health&Safety Carle.Sc&ion,25505 25533 and 25534 I mulco,ound that
lathe M1utld gd m Oyha core thatfi yresponsibilityi notify the
nc pdt ft r psi Ix Ych 'Lour pror I.inualocc.f.Ccnflod of
Signator p phClint Date
�whe /--TtJaG 6 7�t' _ Date, All roof coverings to be Class "6"or reuse
tl
OFFICE , . .
an
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEI�TINO
Building Department
Subject: Reroofing policy for the City of Cupertino.
1. Prior to permit issuance, you must agree to comply with 1997 UBC Standards
and manufactures specifications on reroofing.
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 reroofing 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) Preinspection 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 that the
proper City inspection can be performed.
IMPORTANT:
1. Flat roofs must have a minimum of 1/"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 of inspection.
We understand the above policy IIon reroofing and will comply with this policy.
Homeowners Name: C�(� I S k e e -gG I1'�'
Address: -7S--7 -S Ld Dr•
Reroofing Company Name: K✓ '1� leo a C" ,
Applicants Signature: Date: ri Z
Joe Antonucci
(Chief Building Official)
6/25/01
Untitled
•
To
The Administrative Clerk ,
Building division � I�lo��
City of Cupertino .
From
Adoor Balasubramanian,
7573 waterford dr
Cupertino,CA - 95014 .
08/26/2002 n C
Respected Sir/Madam,
The permi (02010045�or our new roof hasn' t been completed
as the sky
�ght doesnt meet the standard. As the skylight was
not installed ythe contractor who had done the new roof ,
they had problems fixing that. We are negotiating with them
• to fix that and get it permitted.
As this will take some time, we request you to extend the
application for permit for another 6 months .
Thanking you,
Regards,
/
/ I • V ,
9J�
(Adoor V Balasubramanian)
� 0 -? - 366 - � y g
(.,aj� `1`N5�- oA ujwu on a�31o2 IDU SQ.
;5 `,�n� ►neec�e�. gIZ4IO2J
Page 1
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IavaU,IORC/t4Cllt0.' .i
[RYOF cu>,rniaai;n � ul4
CUPS. O.N.O R°Ii °4°141=°^
403)'177-1313(tax). :.
Julv.9.200
lionico�{ilei
?573 WaterfordDiicc
copertioo CA 95014
SUFI IIiC71: Permit✓♦.070l0045nernof lkm»(n&ds linul
DeurIlmneoWfi .
:Our jiterdda indicatc,thul Ahe ahnie hstcd permtt is about m expire-.thein has not km tin
inspection called within au ni n[hs f 180 days) and we show your pcnnu as ojxnl io
. . ....
..:: -.
our records. :. .
I:alai:ro ci rcuntsttvia.•s beyonA ylwr control,yvu-hay�.been unahle 2o'schcdul..:ao�
insj,ection yon may submit a letter to the City.ul C upeniiio Nwkling.Official nelucsnnp,u
. . ..visite-time six-maoilrexreiision.Plt tsc swc in.the letter.the rcasonl0l'or your regrKu
11 your n-cords shuw shat Iha pen it card itis signed ruid:releascd by nn inspcclor as being.
complete and linul,pleas notify.this olliuc in ytsur earliest convenicncr. We will ululate
• nw'.comptder fily and close th is lx.nntt and tie apologim for any inconvenlence_this
'we:ask dint ytni-give this iioiific5lroii yoiiT inuttedlnte attcnuon If w e da no(heilr firom
: you by Septcmbcc,2 2002,we%ill void ncc.puna[and disww of the pernat
.. applikwion .. .. .. _.
'fhnnkvoafor your assistancc.
CTFY Of( l PLRTINO. . :
Chtisn Akntifi,Adrimil�trat.%cClctk
•