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11070194
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRF,SS: 11522 SEVEN SPRINGS LN CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11070194 OWNER'S NAME: MANOJ GUPTA 1703 CATHAY DR DATE ISSUED:07/26/2011 OWNER'S PHONE: 4089960483 SAN JOSE,CA 95122 PHONE NO:(408)251-3565 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL, ❑ z � ,� 2� RE-ROOF 17 SQUARES-TEAR OFF EXISTING SHAKE, 30 �W �J INSTALL#30LB FELT,GAF GRAND CANYON COMP, License Class LIC.# EXISTING SOLID SHEETING TO REMAIN CLASS A Contracto Date 71-26 I hereby affirm lat I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: Sq.Ft Floor Area: Valuation:$9000 i. 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. APN Number:36652009.00 Occupancy Type: 2. 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION - I certify that I have read this application and state that the above information is WITHIN 180 DAYS OF PERMIT, ISSUANCE OR correct.1 agree to comply with all city and county ordinances and state laws relating 180 DAYS F OM LAST CALLED INSPECTION. 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, Issued by: Date: costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Sottion 9.18. RE-ROOFS: Sign re ate All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ��}} ❑ OWNER-BUILDER DECLARATION Signature of Appscan. Date: I by affirm that I am exempt from the Contractor's License Law for one of t.. .,flowing two reasons: ALL ROOF OVERINGS TO BE CLASS"A"OR BETTER 1 1,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 HAZARDOUS MATERIALS DISCLOSURE sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project(Sec.7044,Business&Professions Code). California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I hereby affirm under penalty of perjury one of the following three declarations: Safety Code,Section 25532(a)should I store or handle hazardous material. 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Additionally,should I use equipment or devices which emit hazardous air Compensation,as provided for by Section 3700 of the Labor Code,for the contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the performance of the work for which this permit is issued. Health&Safety Code,Sections 25505,25533,and 25534. 2 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Owne o t rZed agent: < // permit is issued. / /� s Date: 3. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued(Sec.3097,Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct.I agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records. to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Licensed Professional indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply with i-point source regulations per the Cupertino Municipal Code,Section 9.18. Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN 36652009 . 00 DATE ISSUED. . . . . . . : 07/26/2011 RECEIPT #. . . . . . . . . : BS000014195 REFERENCE ID # . . . : 11070194 SITE ADDRESS . . . . . : 11522 SEVEN SPRINGS LN SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER MANOJ GUPTA ADDRESS 11522 SEVEN SPRINGS LN 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 ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 9, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 9, 000 . 00 0 . 90 0 . 00 0 . 90 0 . 00 1REROOFRES SQ FEET 17 . 00 238 . 00 0 . 00 238 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 239 . 90 0 . 00 239 . 90 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 239 . 90 17224 --------------- TOTAL RECEIPT 239 . 90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST If JOB ADDRESS: 522 ;� j PERMIT# I Ip `7 OWNER'S NAME: PHONE # LIDS_ S*Lczr GENERAL CONTRACTOR: A Si I LLb syQ4C BUSINESS LICENSE# ADDRESS: J—)0 CITY/ZIPCODE: 152 J'r d *Our municipal code requires all bu finesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: — , 1-2& Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature 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 CUPERTINO (408)777-3228 - FAX(408)777-3333- buildingCcDcupertino.org PROJECT ADDRESS ' ` Ve i _ rt 7 APN# 5 Z 06 q.o OWNER NAME . C/ PHONE r, E-MAIL STREET ADDRESSCITY, w f STA ZIPS �y`^ FAX CONTRACTOR NAME l �t /��✓1 / LICENSE NUMBER LICENSE TYPE(I { BUS.LIC.# COMPANY NAME �^�� E-MAIL FAX STREET ADDRESS �� 9.T r qITY,STA IP171 PH NE 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 shall be scheduled 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. On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off Inspection or Nailing Inspection if you call again on that day between the hours specified. 3. The following inspections are required: a. 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. b. If plywood is installed, a plywood Nailing Inspection is required. c. Progress Inspection is required when approximately 50% of roof covering is installed. 4. New roof coverings shall not be applied without first obtaining all 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. 5. 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 I/4"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. 6. 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,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 R314 and R315 of the 2010 California Residential Code. Signature of Applicant/Agent: Date: I-la/0-/// ReroofPoZicy_ 011.doc revised 02/16/11 REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95614-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• bui►ding( cupertino.org -I-- C) IR PROJECT ADDRESS - Sc vee n { �. APN# CP 52 00q•M OWNERNAME • jj�ONF_ n/)(o M CSO E-MAIL STREET ADDRESS �� I CITY, S TE ZIP CA 5D FAX r APPLICANT NAME �5h �a c ` PHONE - E-MAIL STREET ADDRESS I ''7©3 ^J CITY,STATE,ZIP n TC� CAI FAX ❑OWNER 13OWNER-BUILDER1:1OWNER AGENT Vf i CONTRACTOR ElCONTRACTOR AGENT W IJ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME . O S � ,`� LICENSE NUMBER LICENSE TYPt. BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS © y7 CITY,STATE,ZIIS�, /�� ,(�5 PHONFZ ARCHITECT/ENGINEER NAME f� LICENSE NUMBER ` _r BUS.LIC. COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial 1 '7 SQ ©w EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE BYES IF NO, PLYWOOD ❑ W, ❑ PLYWD ❑ OSB PITCH: ROOF ❑ NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX 12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT# DESCRIPTION OF WORK: .77 Z AWL -f I Y/ %�e A �� t r , dk By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I 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 ilding construction. I authorize representatives of Cupertino to enter the above-id ntified property for inspection purposes. Signature o Date: —7 2 / SUPPLEMENT INFORMATION REQUIRED ' ' tr cl s t?I Ii , — _If building is associated with a Home Owner's Association,provide letter Pi rrrt c>�Cx xE �� RGurllvc sLtP ` ' of approval from HOA. Q pVEx7�rcQIINTER q Bu1zDINGPLAIMEVIEW` —Provide Planning approval to verify if there any restrictions. CI EXP- ss ❑ PLANNING PL REVIEW: —Provide copy of Manufacturer's Installation Specifications. CD STANDARD FIREDE�T Provide signed copy of Cupertino's Tear-Off Policy. V. ReroofApp_201 1.doc revised 03/02/11