08100052 CITY OF CUPERTINO T�a,�Y s•t�^z�+ t '� �7�'g5'' "` `' ""��T` '�" -
BUILDINGMVISION- PERIVITT V'V3\`J; C�Qy4v IftFQ ��I�1\.
BUILDING ADDRESS: PERMIT NO.
10340 LEOLA CT CASTILLO' S ROOFING 08100052
OWNER'S NAME: PERMIT ISSUE DATE
SINGH AVTAR AND SUMEET ET AL 1703 CATHAY DR 10/09/2008
NE: SANITARY NO. CONTROL NO.
(408) 251-3565
ARCHTIECnFNGINEFA:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
ascan LICENSED CONTRACTOR'S DECLARATION ,lob Description
U 1 barely aTom that I am li¢nxed under Provia mal of Clupur 9(mmmmeinj escrp
wide Section 7")of Division 3 of de Bose-••rued ProteaaionsCode,and any licmise is RE—RF T/O OLDRF INSTL 7/16 OSB INSTL 30LB FLT GAF
infall lance and`nettLicomm /. 5 UCa �jL,30 yS(o CMPSHNGLS 24SQ CLS A
Uste—Class L o x
ek,0 Dam Con DSCLeA/
��wwwy A s small use DEPublic IFONm
< 1 uduvand my plaits>nall he used u Public records '
P In Licensed Professional
n I OWNER-BUILDER DECLARATION
nyyI hereby M.that 1 am means,frothe Conmactors License Law for the
`a O fallowing reason.(Sauon 7031.5.Boaineas and Pm&suons Cade:Any city or aunty
m which requires a Permit m t moome alcor.improve.deamim,or mpob any..I..
_Z< prior to its isauana,also requires the applicant for such permit to rile a signed nutemem
Z Man he is Sq.Ft.Floor Area Valuation
stH (eammenemgwim Scti=7000)o(Divuion3mthe BuainerandP r=iona Co, 10000
y sett he u exempt therefrom and the basis for the alleged eumption.Any violation of
Section 7051.5 by cry applicant fora Permit subjecu de applicant to a civil penalty of yLp�}�t�jj Number - Occupancy Type
mat mart man five hundred dollars(S500). 3 7 5 0 4 0 2 6 !V'U,
I,sm owner of the property,or my employees with wages as theiranl:compensation,
will do thework,and the SWcture Is notimended or offered hostile(Sec.70".Business
and Proreaslom Code The Chromosome,License Law,does mat apply m an owner of Required Inspections
property who builds or improves thereon,and who docs suc h work himulf or through his
owncmployees,prordded that such Impmwments art not intended mattered fmsde If.
however.me building or hnprow nam is told within am year,of ampleuar,me owner-
builder will law the harden of proving mat he did an,Wild or improve for purpose of
ram.).
1,as owner of the property.am eaelusivcly..matting with liamed ca=a.to
construct me project(Sec.70aa.Basimas ad Nofestlons Cade:)The Contncroe.U.
came law does not apply W an owner of propeny who Mass or improves merean.and,
who contracts for such projects with a eontracmr(s)licensed pmomm,in the Cmnuactofs
Lica me Law.
❑lam exempt anda See .B&PCfarthisre n
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affum under penalty of perjury oro of me following deshommur
1 hire and will maintain a Cestificam of Coment to self-under`for Wohch's Casper-
'an,an provided far by Section 5700 of me,Labor Cade,fm me Performance of do
work for which this permit is armed.
❑I law acid will maintain Wartme.@mpensdan I...u equimd by section
3700 ofthe labor Code.for the Pdormana arms:work for which this permit u'e•uA -
My Worker's Compensation Wurves r stand policy number are;
Carrier. � �/u+U24 Policy No.:,93z'92fgE7
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(ITusocron ted r eabecampleed U the permit is faronc hundred doRan(5100)
n Ina)
I ani(y met in me Performance of ton,worst for which this permit u assumed,1 alWl rest
employ any person in any manner an r m became subject tome WarlearY Compewuan
Laws of California.Dam
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Eaemp amt,you mould
h some anbJecl W the Wmrlaus Campewtion provuionr of m:Later Calc,you deur
.J z foMwim comply with such Provisioner or this pconit shall he decmd revoked.
'Z7) CONSTRUCTION LENDING AGENCY
(-+ I hereby a num that menu a conitrucunn lending agency far me do..of
!Yime work for which this Permit is issued(Sec.5097,Civ.C.)
Wlandau Name
M Q
.7 z Lenders Address
V Q 1 certify that 1 haw red this application and sum that the Show information is
I,H COMM I Sj.m comply with all city and county andinances and sum laws mlning in ,
0 V Wilding consmuction,and hereby aurhoum representatives ofthis city in enter upon the
6Wi above-mentioned property for impaction purposes
(We)agme to save,indemnify and keep harmless the City of Cupertino against
sFi h
liabilities.Judgments.costs and expense which may In any way acne against said City
U z in come9vena of me swung of this permit.
r-. APPLICANT UNDERSTANDS AND WILL COMPLY WI711 ALL NON-POINT Issued by: Date
so ULA s,
O/'1/0 SO Re-roofs
Sig n sof AWlicanUConuaaor Dam
HAZARDOUSMATERIALSDISCLOSURE Type of Roof
Will the applicant or future Wilding Occupant M.or handle baralloos mammal
r defined by de Cupertino Mmod Code.Chapmr 9.17.and date Healthand Safety -
Code.Sedon15533U)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yes No
Wail the applicant or future Wilding aecaWOL ase equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
t haraNnos air conuminsnu as ned by Ne Bay Arta Air Qality Management all new materials for inspection.
ttT
C]Y. Nes
I haw mad the hv�mwa mamriala requiremcnu unrkrCluPmrG95oftheGli(ar-
niaHnlN&SafmyCde Sccrloosr5505,25533an M53:.l urmdrrsund mu Uma building - ( (/Q
does set cmmnulow me
y • an 'u t mer it my responsibm ro
responsibility ufy moccupant aide occupaof de
r�ogah —`dIs rbcanafa Carr.u,
i'` � lor 70's, SignatureofAppllcan[ Dale
wnesT rOr aamnoritsd agent Data All roof coverings to be Class'%W'or better
'
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37504026 . 00
DATE ISSUED. . . . . . . : 10/09/2008
RECEIPT # . . . . . . . . . : BS000006313
REFERENCE ID # . . . : 08100052
SITE ADDRESS . . . 10340 LEOLA CT
SUBDIVISION . . . . . . . -
CITY . : . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER SINGH AVTAR AND SUMEET ET AL
ADDRESS . . . . . . . . . . .
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014
RECEIVED FROM . . . . : CASTILLO' S ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTILLO' S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 251-3565
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 0 .00 0 . 50 0 . 00 0 . 50 0 . 00
1REROOFRES SQ FEET 24 . 00 312 . 00 0 . 00 312 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 312 . 50 0 . 00 312 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ----------
CHECK 312 . 50 #15402
---------------
TOTAL RECEIPT 312 . 50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---- -------- ---- ------------ -------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
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.
Mar
�
Homeowner's Name: 2' 11 S 1
job Site Address: I D' ,dO L 6 I G C-4 `-
Roofing Company Name: S
Applicant's Signatur Date:
• Greg Casteel
Building Official
Revised 07/30/08
CITY OF CUPERTINO a 0 0 v s�
REROOF
CITY OF
�CUPERTINO PERMIT APPLICATION
APN # Date: 'O o U
Building Address: J o
10 5L40 leo I Cf .
Owner's Name: Phone #:
IKBE
Contractor: P Phone #:
eAYT C L-LC)S Fax #:
Cupertino Business License #: Contractor License�:� ^
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof a wilt-Up roof
❑ Asphalt Shingles ❑✓Asphalt Shingles
�P< Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Npmber of existing coverings ❑ Provide I.C.B.O. Report#
m7 Tobe Removed ❑ Provide Mfgr. Installation Specs.
Job Description: -cp r'o C) CL P-Ua 1(p 0,S?>, -Tns-fw
-301 b Ple-A k GAPs-1�- cc) fv\- s � ;
Residential LZ Commercial ❑
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:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Si ' ture
Revised 6/16/08
�� CITY OF CUPERTINO .
REROOF
CI O
CUPEkTINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type .
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08