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08100117 CITY OF-CUPERTINO r_ BUILUPIG DIVISION PERMIT i�CMONTRACTURINFORMA ,ION a k MIT NO. BGILpfVr'CREEKLINE DR LOS GATOS ROOFING PER 08100117 OW KWSS NAME: PERMIT ISSUE DATE CHANDAVARKAR DINESH D AND CHAN P 0 BOX 1726 10/20/2008 NE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: - BUILDING PERMIT INFO RE—RF RMV EXT SHK RF &INSTL BLDO ELECT O PLO O 3o LICENSED CONTRACTOR'S DECLARATION .....,IDb.BeS6H On mG .... ......... .. �.. ........... psi U 1 sem 7 )of Nei 1 am of ft Bu under And Pnel ns of Chapel 9(mmmercing I V m� with Sution]Og1)ol Diviaionlaf die Business and Pm(ctiou Code,+M mylhensu < in full force and cif t Q 'f 7 U..Clm x=39 L'c.t a y;q Dame Con DEC 7W 'd —Rs mall be used as public rsorda GIn Lkmssd professional 3 OWNER-BUILDER DECLARATION I I hmehy+ITirm Set 1 em exempt from Je Canuamors lions Isw for the 00 following mason.(Section 7101.5.Business and Pmfessiom Cork:Any city or county Sg� which requires A permit m cannrteL aluo,improv,demolish,or repair any auuctum i oa prior As as issuance,also requires the applicant for.ch Permit to Ilk aligned auement < dwneislicensed purman,Lothe pmvisionsoftheComrsmr',Ucamse Law(Ch.Mcr9 Sq.Ft. Floor Area Valuation �3 (commencing with Section 7000)aDivision l orthe Business And Profusions Code)or that he to ex mpt themrmm and the huffs for the Alleged exemption.Any violation or Selden 7031!by ury apPlkant for.permit subjects,the.ppllunt m+mil pawty or APN Number Occupancy Type nm more son Bw hundred dollars(S50a. P Y YP ❑1,u owe of glia pmperty.w my wplgm with wgu u theb sok=penudon, and dathewmlt Code- The CumenmsLicensorawcass forsak(Sec.]0., wmaaa and Pro who1x Cage:7ha centrecmn.License law de ret apply lf rt owrhi of _ Required Inspections eashOun whoe.pro 1improseschicon,andsono dosssuch work oruelred through nk awemplaym,grog ori this such imPmsemeaU tie not intended oraRemed for we If. ' however.the haw three a impmvemant I.said within nye year of compkcf r the owm- zale.L will love the WNrm of pmvint that he did ret build a impmw for purpose of .k.L ❑1,as owe of the property,Am ucluiwlY contracting with licensed camacmm to construct tk project(Sec.7W.Bwnus and Prafcai ms Cade:)The Contracmrs U. sue taw de nmI Apply man owner of pmoputy who builds or impmwa thereon,and wMconuacla for such Projects with A conuamor(s)licensed permanent to the Comaemra Lions taw. ❑Iamescanpam aSee ,BdPCfathiareason Gannet, Data WORKERS COMPENSATION DECLARATION ` 1 hereby Affirm under penalty of perjury am of the following declarations 1 haw"will maintain a CeAhom ofcmvmn to sIf-insure forworkers Compeo- .don,as provided for by Section 3700 of the labor Code.for Ne pada..of the wort for which this permit is WOOL. Ig 1 have and will maintain WaAmrs Compensation Imuran¢,u acquired by Section ]700 of the labor Coca.for the purarmana of the work fa which this permit u Issued. MGnW�aWirs Com ett.ti'Ns.lta ani Policy Na:number are: CERTIFIFI`CATEf_OFF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Inds action need our be completed if the permit is farorm hundred dollars($I00) or las) 1 unify thus In the pof.mAnee of the,work for which this Permit is issued,l shall am employ anypmsn in any mamersor As An berme subject to the Worker'Compea.tim law of Califomia Data Appllom NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should dsome subject m the Warkds Compensation previsions of the labor Cade,you run .,O foMwith comply with such provisions or this permit snail be decreed remked. z'7 CONSTRUCTION LENDING AGENCY [--t I hanclay whilnm din thea is A construction lending Agenry for the performuux of eL > de wart lar which dtu permit u barred(Sce.3(19'f,Cir.C.) Lal 0 lancers AName dds �z lenders Addnss ' U 0 1 certify that I hue mad this Application and sum this the Abow information is IL^ comma lath"m comply with all dry and county adinermxsandastale law relating m 0 S`'J building construction."kneby+umerix represenutim ofthis city to cater upon the C11 Ahove-mentioned property for WaMetian purposes gy (We)Agra m ase.indemnify and trcp hamless the City of Cupertino against to liabilidu,judgments,tolls and expenses which may in Any soy acme Against said City V Z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date SOURCE REGULATIONS. Re-roofs signamm of Appliancmr Date HAZA HAZARDOUSMATERIAIS DISCLOSURE Type of Roof Will the applicant or Imus boccupant rose orhandle hautdaasmaterial As deed the Catamaran Municipal Code.Chapter 9.13.and the Hu1N and Safety emlc.Section 2sslz(e)7 ❑Yns 0 N All roofs shall be inspected prior to any roofing material being installed. ItWill the applicant or rumor banding Occupant ux cquipmem or devices which If a roof is installed without first obtaining an inspection,I agree to remove haallou air contaminanu a defined by the Bay AMA Air Quality Management all new materials for inspection. D'suktl QYu 0 N 1 haw mal the hasucl.mneAab requimmwnu under Chapter 6.95afthe califa- nk Hcalthk SafnyCade,Sectie 25505.25533 mod 25514.1 undvsund the irtlm building dm an,currently hew A tenant that it u my responsibility m May the occupant of the mquimmentawthx1ia tbemetpdOrmiauanceofaCerdreaeofacupany. Signature of Applicant Date Owner or autharirzd spot Damg aAll roof coverings to be Class's 'or better ' CITY OF CUPERTINO • 2 ITEMS OF 10 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36217029 . 00 DATE ISSUED. . . . . . . : 10/20/2008 RECEIPT # . . . . . . . . . : BS000006404 REFERENCE ID # . . . : 08100117 SITE ADDRESS . . . . . : 7864 CREEKLINE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHANDAVARKAR DINESH D AND CHAN ADDRESS . . . . . . . . . . : 7864 CREEKLINE DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4156 RECEIVED FROM . . . . : LOS GATOS ROOFING CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481 COMPANY LOS GATOS ROOFING ADDRESS . . . . . . . . . . : P 0 BOX 1726 CITY/STATE/ZIP . . . : LOS GATOS, CA 95031 TELEPHONE . . . . . . . . : (408) 298-9399 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---- ---------- ---------- ---- ---------- ---------- 1BSEISMICR VALUATION 7, 006 . 00 0 . 80 0 . 00 0 . 80 0 . 00 1REROOFRES SQ FEET 29 . 00 377 . 00 0 . 00 377 . 00 0 . 00 ---------- --- ---------- ---------- TOTAL PERMIT 377 . 80 0 . 00 377 . 80 0 . 00 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 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 LC.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: /6 /nos Al /) �lj a/ Job Site Address: Roofing Company Name: L U S Applicant's Signature: �7//) � 'yy� J Date: ZS/�� • Greg Casteel Building Official Revised 11/2/04 00/ 17 Ina CITY OF CUPERTINO REROOF • CUPEkTINO PERMIT APPLICATION APN# 362, - 19-02-01 . 00 Date: 912,5 e ,?' Building Address: h�/ , / j (o'y 4r Owner's Name: Phone #: b)1915A Contractor: ©S Crc�7 v S rC 0 c� I✓} GI Phone #: yp 8 -2 r) & _ c),3 e)7 `J Fax #: yo - JET -71 Cupertino Business License #: , / Contractor License#: T3 o 70 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles >( Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) X_ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # To be Removed ` Provide Mfgr. Installation Specs. 00 Job Description: �Qi�vy y�P �i�rjyt— f�itQr 451 Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: -)oo ' I Have Read, Understand and.Will Comply with Cupertino's Tear-Off Policy: Sign