Loading...
09070158 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10415 IMPERIAL AVE CONTRACTOR:COSMOS ROOFING PERMIT NO:09070158 OW'NER'S NAME: PATEL SAMPADA 1901 OLD MIDDLEFIELD WAY STE 22 DATE ISSUED:07/22/2009 ER'S PHONE: 4089967130 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)969-7663 ❑ LICENSED CONTRACTOR'S DECLAR/ATION BUILDING PERMIT INFO: BLDG f— ELECT F PLUMB I— License Cl as %3 Lic.# / 0 -�`ti! / Contracto Date MECH r RESIDENTIAL r COMMERCIAL r- 1 hereby affirm that I am licensed u er the provisions of Chapter 9 ci JOB DESCRIPTION:RE-RF T/O EXISTING I LAYER WD SHAKE (commencing with Section 7000)of Division 3 of the Business&Professions tESHEET OSB, Code and that my license is in full force and effect. ;0L13 FELT,40YR COMP CLS A 33SQ hereby affirm under penalty 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by ;q,Ft Floor Area: Valuation:$15500 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. CPN Number:35719100.00 Occupancy Type: APPLICANT CERTIFICATION 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 state laws relating to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non- int source regulations per the Cupertino Municipal Code,Section 9.18• ssued by: i �`--� "�—Date: Signature Date G OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1 hereby affirm that I am exempt from the Contractor's License Law for one of nstalled without first obtaining an inspection,I agree to remove all new materials for the following two reasons: nspection. I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, ;signature of Applicant: Date: Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. -•ompliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by :;afety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. !naintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Iealth&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I or aut riz ent: 'y become subject to the Worker's Compensation provisions of the Labor Code,1 must Date: /_Z �n forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION hereby affirm that there is a construction lending agency for the performance of work's 1 certify that 1 have read this application and state that the above information is br which this permit is issued(Sec.3097,Civ C.) correct. I agree to comply with all city and county ordinances and state laws relating ender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save .ender's Address in,' ify and keep harmless the City of Cupertino against liabilities,judgments, cc I ad expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section understand my plans shall be used as public records. 9.18. Acensed Professional Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: B1}:. Lot : APN . . . . . . . . : 35"19100 . 00 DATE ISSUED. . . . . . . : 07/22/2009 RECEIPT #. . . . . . . . . BS000008245 REFERENCE ID # . . . : 09070158 SITE ADDRESS . . . . . : 104:15 IMPERIAL AVE SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER PA"EL SAMPADA ADDRESS . . . . . . . . . . : 104:15 IMPERIAL AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5931 RECEIVED FROM . . . . : EDWARD A GREGORY CONTRACTOR . . . . . . . : COSMOS, RICHARD LIC # 18844 COMPANY COSMOS ROOFING ADDRESS 1901 OLD MIDDLEFIELD WAY STE 2 CITY/STATE/ZIP . . . : MOUNTAIN VIEW, CA 94043 TELEPHONE . . . . . . . . : (650) 969-7663 FEE ID UNIT QUANTITY INOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----------- ---------- ---------- ---------- 1BCBSC VALUATION 15, 500 .00 1 . 00 0 .00 1 . 00 0 . 00 1BSEISMICR VALUATION 15, 500 .00 1 .60 0 .00 1 . 60 0 . 00 1REROOFRES SQ FEET 33 . 00 429 . 00 0 . 00 429 . 00 0 .00 ----------- ---------- ---------- ---------- TOTAL PERMIT 431 . 60 0 . 00 431 . 60 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 431 . 60 MC --------------- TOTAL RECEIPT 431 . 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF ,� 0�e-- o �g CITY OF C.UPERTINO RE-GOOF CUPEkTINO PERMIT APPLICATION APN# _ Date: 7� Zz- z��S Building Address: _tel or,( 2_.r Owner's Name: Phone #: Contractor: O S vS � -�i Phone I 74 6 3 Fax#: Cupertino Business License #: / g y Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles �Asphalt Shingles 1�/D Y Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O. Report# To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: / d 1`.s-� �s L ,_ W d ��� Residential 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 , Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF C'UPERTINO REROOF CUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 3� 1 REROOFRES Re-roof Residential B 1 SFDWLROOF 1BSEISMICRE Seismic Re:;idential B / C 13X C_ 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE : Seismic Re:;idential B I BUSLIC Business License B Revised 6/16/08 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 arty 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 miiterial 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 fe e 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 or.the job site at the time on inspection. I understand and will comply with the abov a stated policy on re-roofing. Homeowner's Name: `S/9 MD ��= Job Site Address: J `( 7- Roofing Company Name: Applicant's Signature: Date: 7 2 2- Zvi S Greg Casteel Building Official Revis ad 07/30/08 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of C;reen Plan Sheet or Page Points Building Points Categories that mist be shown and referenced on the Project Plans See below MOM B. Site 9. Install H.E. Irrigation, (details/spec)" L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation 1. Use 15 % Flyash Concrete, (nose) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 points E. Ext. Finish 1. Composite Decking, (Note/Spec,.) A-3 2 points 4. B. Fiber Cement Siding, Note/c, ec. A-4 2 points F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal.Tank, (Note/Spec L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, (Note lSpec.) A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points L) Plan Review Process Work Book Page-12-Revised 3/25/08 Jul 2.1 09 02: 19p Cosmos Roofing (650)969-9905 p.4 C 103W TDM dcmw ipo�c C*wdwCA M14 Te q&m(400)777-ins CUPE�,fIVO - - - Fu(4M 7".3333 t BuilcIftz De artment oJB,aqlKESS.,_,_ ctic.. �-� OWNER'S NAME 5Arv,,PfV.DAf 16-rn4—, PHOM# 6 GENERAL gQk C F-- FAX* I 1 Z am nat using any Date Man-dtieck a Usablesubs com J ebe the ' ittforauttont: SUBCOMMACMR BUSINESS NAM BUSINESS LICENSE� Cabio"&UMwoth Cement F ' IIe�I Exmvadian Fencin )B UMe m/Wood CSS/ B Haft (an"i"on 14%:MS Onwn3e W Sheet Metal Pffing Tanis ea Slaat Metal ShEet Ruck T ontracW Sim[ Date r'