12060063 CITY OF CUPERTINO BUILDING PERMIT
BIIILDING ADDRESS: 1580 ASTl-R LN CONTRACTOR:NEIGHBORS ROOFING PERMIT NO: 12060063
AND GU"rTFERS
OWNER'S NAME.: PRADEEP IYER 6251 RADIANT DR DATE ISSUED:06/12/2012
OWNER'S PIIONF,: 4086566222 SAN JOSE,CA 95123 PIIONE NO:(408)412-3969
❑
LICENSED CON'TRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
L
q
License Class �- 3 ! Lic.b Sf'o 6 s r r r
MECH RESIDENTIAL COMMERCIAL
Cuntraclory5 yehatC�n�Dalc6 jb—�Z
hereby affirm that 1 am licensed under the provisions of Chapter!) JOB DESCRIPTION: RE ROOF REMOVIi CISMN'OOD ROOFING INSTALL I/2"
(commencing with Section 7000)of Division 3 of the Business&Professions OSB
Code and that my license is in full force and effect. AND INSTALL LANDMARK CERTAINTEED PRESIDENTIAL COMP
SHINGLES CLASS A 29 SQ
1 hereby affirm under penally of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
peri mtancc ollhe work for which this permit is issued.
I have and will maintain Workers Compensation Insurance.as provided for by
Section 3700 of the labor Code-for the performance of the work for which this
permit is issued Sq.Ft Floor Area: Valuation:$12985
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:36616039.00 Occupanev Type:
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code.Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature /LPJ � G'� Date Issued by: ��/91� /�-TG Dale: •/,;z
❑
OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of RF,-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roaring material bene installed.Ira roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without fust obtaining an inspection,I agree to remove all new materials for
will do the work-and the structure is not intended or offered for sale(See 7044, inspection.
Business&Professions Cade)
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Appliaml: Date:
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE:CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's IIA7,ARDOUS MATERIALS DISCLOSURE;
Compensation,as provided for by Section 3700 of Labor Code,for the
performance of the work for which this permit is issued I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the health&
Safely Code.Section 25532(a)should I store or handle hazardous material.
pemnil is issued Additionally,should 1 use equipment or devices which emit hazardous air
I certify that in the performance al'dte work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District l will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino.%lunicipal Code,Chapter 9.12 and the
Compensation laws or California. If,after making this certificate of exemption,I health&Safely Code,Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
forthwith compl)'with such provisions or this permit shall be deemed revoked. Otypc$or,authn�izeJ,pgent: —2 _
�lb�-Wla—e/�r7/�-lv��—D•aly:
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and slate laws relating I hereby alfimt that there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnity and keep hamtless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all nun-point source regulations per the Cupertino Municipal Code,Section ARCIIITECT'S DECLARATION
9.18.
1 understand my plans shall be used as public records.
Signature Dale
Licensed Professional
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE •CUPERTINO. CA 95014-3255
CUPERTINO
(408)777-3228•FAX(408)777-3333•buildingCa)cuoertino.org
PROJECT ADDRESS gSDI� APNn
Ok'NER\'AME PHONE F-MAIL
v
STREET ADDRESS CITY. STATE,ZIP L O t FAX
Pe,' �I t1� c� 4 J
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC w
COMPANY NAME E-MAIL FAX
/VE1 oCS Yo ern p � 2-
STREET
STREET ADDRESS // c� 0 1 CITY.STATE,ZIP PHONE _
ZOG b CD d— So,v�� CCn`[Sl J , O _l �L�l
1 UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection.
For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that
phase of the work is completed. The building inspector will be available within one hour. Progress
and Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied without first obtaining an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be performed.
6. Progress Inspection is required when approximately 50% of roof covering is installed.
7. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
8. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be
charged a re-inspection fee of 5126.00. There-inspection fee shall be paid before another inspection
can be scheduled.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and R315 of
the 2010 California Residential C de.
Signature of Applicant/Agent: Date: —/2--
Rrruu/Yolier �lI/Ldue rrricrd U]/lA/l]
CITY OF CUPERTINO
3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
' Sec: Twp: Rng; Sub': Blk: Lot:
APN . . . . . . . . : 36616039. 00
DATE ISSUED. . . . . : . : 06/12/2012
•RECEIPT #... . . . . . . . : BS000017046
,REFERENCE .ID. # . . . : 12060063
SITE ADDRESS . . . . 1580 ASTER LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . .
OWNER'. . . . :. . . . . . . . PRADEEP IYER
ADDRESS 1580 ASTER LN
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5207
RECEIVED..FROM . . : NEIGHBORS ROOFING
CONTRACTOR . . . . . . . : ROBERTO LOPEZ LIC # 27063
COMPANY NEIGHBORS ROOFING AND GUTTERS
ADDRESS. . . . . . . .. . . : 6251 RADIANT DR
CITY/STATE/ZIP SAN JOSE, CA 95123
TELEPHONE"; . . . . ... . . : (408) 472-3869
FEE ID UNIT . QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- - ------- ---------- ----------
1BCBSC VALUATION 12., 985.00 1. 00 0. 00 '1 .00 0. 00
1BSEISMICR VALUATION 12, 985. 00 1. 30 0. 00 1..30 0.00
1REROOFRES SQ FEET : - 29. 00 406. 00 0.00 406 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 408.30 0.00 408 .30 0 .00
METHOD OF PAYMENTAMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 527.30 #2589
---------------
TOTAL RECEIPT 527.30
VOICE ID 'DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
309 EXTERIOR- LATH* " 311 SCRATCH COAT
601 ROOF TEAROFF _ 602 ROOF PLYWOOD NAIL
,
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 1580 Aster Ln DATE: 06/12/2012 7REVIEWED BY: Sean
APN: 366-16-039 BP#: VALUATION: $12,985
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF
USE: PERMIT TYPE:
WORK Remove Cemwood roofing and install 1/2" OSB and install Landmark Certainteed Presidential
SCOPE composition shingles.
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,900
,i lrclr_ 1'lon C'h,rk I'hm,h. I'lrm CAcrF Flr'. 1'hu�t h,,k
Ll.v:h. l'.•,'ruil Iiv: /'lamb. /'cnnil P;vr lila'. /'e,rnir Ft;:
Ud,or lir,$. bv�p. 01/w, Phm,h/'IV,. Olber lilt,, lmis Ej
Phanb. ba.p. Frtlilrc In,,p. Pie,.
NOTE: This estimate does not includejees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc. . These fees are based on the prelimina information available and are only an estimate. Contact the De 1 or aridn7 info.
FEE ITEMS (Fro Resolution /1-053 EFh 7/l/1/) FEE QTY/FEE MISC ITEMS
Pltw ( hrc k Frr:
Supp/. l'C I
l'hnnh. :ble,.h:'l:Ire
Permit Fee: $406.00
1/1'p Iter.
Aunt,./1-1r,it hlec
I'll l n l h./:1/ r/1.;7i/i'r Pcrn til !t•e:
(_,�ilso lrlion 7"1.\"
A,Im i,li.'ll ni rt• I ,,,,
Work Without Permit? Yes E) No $0.00
,LAunrrd P1,u111mg l'ec.e:
7)(11 Unclon,nmlinn Firer-
Su'on ,Motion I cc: IBSEISMICR $1.30 Select an Administrative Item
131de Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $408.30 $0.00 TOTAL FEE: $408.30
Revised: 06/05/2012
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
MY of Fax(408)777-3333
CUPEkTINO
Building Department
JOB ADDRESS: PERMIT#
�C5 0-5, 1a�,r
OWNER'S NAME: PHONE # Qo�- Y A2- 3 k�
GENERAL CONTRACTOR` FAX # o Z
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information
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
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CU PERTI N O (408)777-3228• FAX(408)777-3333•buildina(dcuoertino.ong
PROJECT ADDRESSa o
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S J� O`5I� c�'�9•r t;, APN a
OWNER NAMEPHONE !S`! Z� Z E-MAIL
r e (�
STREET.ADDRESS CITY, STATE,ZIP FAX
c� L 95
CONTACT NAME HONE E.SL4IL
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1_0
STREET ADDRESS
CRY.STATE, 21P FA%
zo d + L 6 sC'S ose;C� 4�t35- 6z �
❑ OWNER ❑ OWNER-GUILDER ❑ OWNERAGENT 5kCONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENUNEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSENUPIBER LICENSE TYPE BUS.LIC.4
oF.
COMPANYZIE n�-Z E-SIAB. FAX
ti I F Berta J
STREET ADDRESS CITY,STATE,ZIP PHONE
?o l--or rd 51,4A —13Y
ARCHITECTJENGINEERNAME LICENSErI fflm BUS.LIC.a
D L SO
COMP%NA(E Y O U�I E-MAIL FA� 7`
STREET ADDRESS CITY,STATE,ZIP PHONE X `�
USE OF ®.SFD or Duplex ❑ Multi-Fandy. ROOFAREAcc]� V.aLU'ATRIIjON.
STRUCTURE. ❑ Commercial
EXISTINGROOFTYPE: ❑BUILT-UPROOF 11 ASPHALT SHINGLES 11 WOOD SHAKES ❑WOOD SHING LES 14 OTHER rSPECIFI7,�,M.ccx:z
RENI0%E(REPLACE ®YES IF NU. PLYWOODM' W w' ❑ PLYWD5 10 OSO PITCH. `y� ROOF
❑ NO MLAYER THICKNESS- ❑ </%" TYPE' ❑ Cox y'12 LASS- 'a
PROPOSED ROOF TYPE ❑BUILT,UP ROOF 0-1SPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT Y
DESCRIPTION OF WORK: / _
t-uu O I /Z / YEC s' 6 / Y -
1 ?Lcj( 1 41 ed 2,0Z
c
By my signature below,1 certify to each of the following- 1 am the property owner or authorized agent to act on Elle property owner's behalf 1 have read this
application and the information 1 have provided is correct. 1 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to b in g conslrucYion I au orize�es'entatives of Cupertino to enter the above-identified propery,for inspection purpustz.
Signature of Applicam/Agent: O�el/9rl-� Date-
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
_ If building is associated with a Home Owners Association,provide letter .,,(� PI-ANCHECXTYPE ROUTING SLIP
of approval from HOA, IC�OVER-THE-COUNTER ❑ BUILnING PLAN REVIEW
Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNINGPLAN REVIEW
Provide copy of Ma ufaeturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT
Provide signed copy of Cupertino's Tear-OJT Policy. ❑ OTHER:
Reroofdpp_2011.doc revised 03/16/11