The URL can be used to link to this page

11100109 (2) CITY OF CUPEk INO'BUILDING PERMIT BUILDING ADDRESS: 7902 FESTIVAL CT CONTRACTOR:LOS GATOS OLD TOWN PERMIT NO: 11100109 ROOFING OWNER'S NAME: KALLURI ESWAR 371 MCGLINCY LN#C DATE ISSUED: 10/17/2011 .'NER'S PHONE: 4082038213 CAMPBELL,CA 95008 PHONE NO:(408)356-3338 CK LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL 11 License Class G' Lic.# _7W 0 RE-ROOF 30 SQ-REMOVE SHAKE,INSTAL OSB CLASS A / *SEE NOTES* Contractor/,w n07&W ate /7 I hereby affirm that 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. I 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 whichthis permit is issued. Sq.Ft Floor Area: Valuation:$9000 I 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 APN Number:36213018.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 AYS FRO ST CALLED INSPECTION. 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 thi ermit. Additionally,the applicant understands and will comply Issued b Date: • with all non-p i t source regulations per the Cupertino Municipal Code,Section 9.18. RE ROOFS: Signature Date /7 1 All roofs shall be inspected r to any roofing material being installed.If a roof is installed without first obtain n an inspection,I agree to remove all new materials for inspection. u . OWNER-BUILDER DECLARATION / Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of the work for whichthis permit is issued. will maintain compliance with he Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sec'ions 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this - o Owner or authorized agent- Date: permit is issued. 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 must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 anon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION mnify and keep harmless the City of Cupertino against liabilities,judgments, .,s,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36213018 . 00 DATE ISSUED. . . . . . . : 10/17/2011 RECEIPT #. . . . . . . . . : BS000015061 REFERENCE ID # . . . : 11100109 SITE ADDRESS . . . . . : 7902 FESTIVAL CT SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KALLURI ESWAR ADDRESS . . . . . . . . . . : 7902 FESTIVAL CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4115 RECEIVED FROM . . . . : LOS GATOS CONTRACTOR . . . . . . . : A. SCOTT RADONICH LIC # 28797 COMPANY . . . . . . . . . . : LOS GATOS OLD TOWN ROOFING ADDRESS . . . . . . . . . . : 371 MCGLINCY LN #C CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (408) 356-3338 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 1BUSLIC FLAT RATE 1 . 00 115. 00 0. 00 115 . 00 0 . 00 1REROOFRES SQ FEET 30 .00 420. 00 0. 00 420 .00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 536 . 90 0. 00 536 . 90 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 536 . 90 10954 --------------- TOTAL RECEIPT 536 . 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 La 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: W02- T/ ✓4-- GT• PERMIT# 00 OWNER'S NAME: PHONE# 3D " Zi GENERAL CONTRACTOR:Z-a&1-05 d43-[ .jv BUSINESS LICENSE# ADDRESS: isW� .AAC,' OW eSLC,. ITY/ZIPCODE: � *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCJJPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL S BCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. ) I am not using any subcontractors: 7/ 1 1 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 Painting /Wallpaper Paving Plastering Plumbing Roofing Zv� 6'i-MS AX9.6AO& Septic Tank Sheet Metal Sheet Rock T' Owner/Contractor Signature Date REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTtNQ (408)777-3228• FAX(408)777-3333 • building a(�oupertino.orm co PROTECT ADDRESS '�q N_ AFN# 2__ 1-3 0 C /z OWNER NAME j _ r/1/7 PHONE TJX:3._ j E-MAIL STREET ADDRESS �� tN CITY, STATE,ZIP FAX APPLICANT NAME PHONE E-MAII STREET ADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME L LICENSE Nit/ BUS.LIC.#/` COMPANY NAME `.�p / /�j /� C �l N[A1L FAX 7T�W�f �� a- T✓ /Lr Y�i 3-�� STREET ADDRESS / CITY.STA �/J PHONEr ARCHrrECT/ENGINEER M NAE LICENSE NUMBER BUS.LI-3C.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE of 'FD or Duplex ❑ Multi-Family ROOF AREA; � VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES XWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE IF NO, PLYWOOD h" ❑ _ PLYWD SB PITCH ROOF ❑ NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX :12 CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES Cl OTHER ICC-ES REPORT# DESCRIPTION OF WORK /V>'� By my signature below,I certify to each otled e 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 pr 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 buil nconstruction. I authorize representatives of Cuperu;.o center he abovJe-�idle 'fied p pert;For inspection purposes. Signature of Applicant/Agent Date: /o , ��1� SUPPLEMENTAL INFORMATION REQUIRED �"' ��:��' � _�'-` If building is associated with a Home Owner's Association,provide letterRE H of approval from HOA. Bib79�PREEw —Provide Planning approval to verify if there any restrictions. _Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear-Off Policy. ReroofApp_2011.doc revised 03/02111