12080158 CITN' OF CUPERTIN'O BUILDING 131, 10,11T
BO IIMENG A DIM FSS: 21074 RED FIR CT COS I(AnOR: POUR SEASONS I-noirrso: 12030153
ROOFING
DIWAKAR KADAVAKOLANU PO 13OX 1663 DATE ISSUFo:03/20/2012
OWNEli's PnoNF: 4032529077 SAN JOSE, CA 95109 PHONE SO:(,108)278-0330
LICENSED COSTRACI'OR's DECLARATION I'
Itr r 1.1; r
C BUILDINGBUILDING1':aJII'1'1..'1'0: IfLO(: ELECT 1' ,1,1
License Class C-95 ul:.k 72(00p, IF r r
Q dIF.CII RECIDPWI IAI. COMMERCIAL
Contractor 1+¢"i I�r— • Dale Q'y0'I�
.1013 DE:SCRI I'I'10N: TEAR OFFI:XIS'I'ING WOOD SHAKE ROOF.INSTALL 13
I lu•rebrallinn Ilial 1:un license(] under the prvwisinn.of Chapter 9 SQRS
(cumnr•ncine o hit Section 7000)of Dkimmi,3 of the Business& I'ntessioos In"CDX I'L1'\\'OOD'I'I IIiN 30U Igil:f UNUIiRL\\'\11 \'I'.
Code:rad Ilial my liecn>r i,in full force:rad rl'I'ec1. INSfALLCHR'I'AIN'I'ITI)PRESID.N'I'IAL COMPOSITION
I herehraflirm under penally o1perjury one otlhv following Iwo dccluraiiuns:
I hate laid will maintain:a Ctlniftite of consCln to sell-insure liar Worker's
Compensation.as provided fur be section 3700 of the Labor Code,for the
perfonnaiac of the%cork fin which this permit is issued. Sq,Ft Flour Arca: \'allialion:S4500
I have and will maintain Worker's Compensation Insurance.Is provided for by
Section 3700 of the Lon Code, r the perfm
ornnce of the work for o'hich this
\I'\\'umber:35905057.00 (Irrupnilry''I)'pe:
permit is 1issucd.
FICATIOX
I certify Ilan l have read this application laid slant that the above inl'nnnatiun is PER.-MIT EXPI RES IF WORK IS NOT STARTED
correct. l agree In comply withall cilyand county ordinances and slate laws relating �Y I'I-I'lIN 180 DAPS OF I'IiRD'111- ISSUANCE' Olt
to buildin_construction,and hcrchy authorize represenatites of this city to enlcr
upon the ahnte nhentiohed property fir inspection purposes. (\\'c)agrecrosme ISI) DAY' ' 2OM LAST CALLED 1\SP1: TION.
indnnnify and keep harmless the City of Copcnino against liabilities,judmicros.
costs,and e\penses%chich may accrue against said City in consequence 01 Lite /2
graining of this permit. Additionally,
the applicant understands-.aid will comply Issued bv:
with all non-point source regulations per the Cupertino P1unicipal Code.Section
9.13.
Rh:ROOFS:
Signmuri_ All roofs shall be inspected prior m tory roofing nwacri:d being installed, If a roof'is
installed without first obtaining an inspection.I agree it,renmte all nor materials fill
inspection.
Sign:nure ol'Applic:mL'� tc:
I hrrrbp'nllirm thnl I :un eu•nyn fnnn the Cunt'actor's Lice use I:nv lin'our of
the following Iwo pawns: 1%1.1.It(IOI COtlI';Ill\'(;� (1141?CL,\SS",\"()[I Ill:I-1'Iilt
L as owner ol'the property,ur nhy cmplovecs with wages as their sole compensation,
%till do the%cork,and Elie stntcarc isnot intended or of fered f'or sale(Sec.7044,
Business:C Professions Code)
L as owner of the property,ani exclusively contracting with licensed contractors to I L\%A It DOUS\LYITRIA LS DISCLOSURE:
eonstructdlhe project(Sec.7Dhl,Business R Professions Code). I here read the haturduns materials requirement.under Chapter 6.95 W lite
California I Ieallh\S:dew C(.rie.Sections 255(15,35533,and 25534. 1 will
I herchr affirm under penallyof perjury one of nae following threv mnintain Compliance..'ith the Cuperlito)Manicipaf Code.Cha liter 9.12 and Ibr
declaralion.: Ilcalllt\S:det•Code.Section 255321al should I more or hundle hazardous
I have and will maintain a Ceni I!cute of Consent to set f-insure for Worker's material. Addilionally..hold I use equipmrnl or device.which emit hwarduu>
Compensation,as provided for b'Section 3700 of the Labor Code.liar the air cmoanainants as defined by the Bav Area Air Qualily.\ 31ol2vnaent Distrirl I
pertirinaiuce of the work Ibr which this pcnnit is issued will maintain Compliance%,ilh IIIc Cuperlinu UuniCipal Code.Chapter 9.12 and
I lone and will maintain Worker's Conghensutimn Insurance its pr(olded for by lite Warr&Safely(:ode.Section.25505.25533.and 25534.
Section 3700 of the I tabor Code,fir rite performance of the%cork lin%vhich this / Q—zar
pcnnit is issued. Ua'ncrr
o :nrthorized a gent: G✓�' )art
I certify that in the perlornmrae oflhc%cork for%chich this permit is issued.I shall
not employ any person in any moan so:a to become subject m Lite Worker's
Compensation laws of California. Il.alio making this certificate of'excnuption,l CONS'1'It0C1'ION .r I)IXC AGEN'Cl'
become subject to Lite Worker's Compensation provisions of the Labor Code.I nuts) I hcrchy adlinn that there is a construction lending ugcncy for the perinrmance of
forthwith'comply with such provisions air this permit shall be deemed revoked. work's lir which this pcnnit is issued(Sec.3097.Cir C.)
Lendvr's same
APPLICANT CER I'114CA'I'ION Lender's Address
I certify that 1 have read this application and state that the shove information is
correct.I agrce to comply%lith all city•mid county ordinances and state laws relating
to building construction•and hcrchy authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(\\'c)agree to save ,\ItClll'I'FC'I"S DECLARATION
indenhnify and keep harmless lite City of Cupertinn:aainst liabilities,judgments.
costs•and expenses which nay accrue against said City in consequence of the I undersand my phot shall be used as public records.
granting ofthis permit,Additionally..the applicant undersnuuls and will comply
%ciih all non-point source regulations per the Cupertino,Municipal Code.Section Licclsed Professional
9.13.
Signanri Date
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
CUIPERTINO
(408)777-3228• FAX(408)777-3333•building ancupertino.org
PROIECt ADDRESS /O� Y / C APN
OWNERNAM tC! PHONE EMAIL
Diw--ka YLA ova o a - ra- 1A7
STREETADDRESS CITY. STATE ZIP FAX
CONTRACfORNAME LICENSE NUMBER LICENSE TYPE BHS.LIC.a
1 o C-3
COMPANY NAME E-MAIL FAX
O SCQJOA N
STREET ADDRESS CITY.STATE ZIP PHONE
2 S To tG CA 7,112 -63
I 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$126.00. The re-inspection fee shall be paid before another inspection
can be scheduled.
By my signing below, 1 cenify each of the following is true: 1 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 R314 and R315 of
the 2010 California Residential Code.
Sig nature of Applicant/Agent: Date: T('/7-/2
ReraoJPolicv_201Lrloe revised 02716/ll
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 21074 Red Fir Ct DATE: 08/1512012 REVIEWED BY: Sean
:121 APN: BP#: ;2060/-.5-T 'VALUATION: 1$4,500
*PERI\IIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2R0OF
USE: >3 Stories O Yes (F) No PER,MITTYPE:
WORK Tear off existing wood shake roof. Install 1/2" CDX plywood then 30#felt underla ment. Install
SCOPE Certainteed Presidential composition shingles. Color: Country Gray
FEE ID ROOFAREA
(S.f.)
1REROOFMRES 1,300
illech.Plan Check' Plumb.Plan Check Elea Plan Clerk
Aleck Permit Fee: Phtmb. Permit Fen: Elea Pemth Fee:
Other alech.Imp. 0her Phrmh hasp. Other Eke.lrsp.
Alcch. lasp. Fye: Phnnb.losp.Fee: Elea.Insp. Feer
NOTE: This estimate does not include fees due to other Departments(i.e. Planning. Public Works. Fire,Sanitary Sewer District,School
District.etc.). Thesefees are based on the prelitninarly information available and are onhy an estimate. Contact the De t(or addn 7 info.
FEE rrENIS /Fee Resolution 11-053 Bfl 71111 U FEE QTY/FEE MISC ITEMS
Plat Check Fee:
Suppl. PCFee
Plumh..Afech..Tlec
Pennit Fee: $195.00
SuppL 1tt817 Fre
Plumh..Heeh.:Flee
Phnnb.%Alech.;Clec Peantil Fee:
Construction Tux:
:I nlministrative Fee:
Work Without Pennit? O Yes Q No $0.00
.dclvancecl Plunnhtg Fees:
Travel Documentation Fees:
Strong Motion Fee: IBSEISAIICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $196.50 $0.00 TOTAL FEE: $196.50
Revised: 07/01/2012