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10110026II CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10371 N PORTAL AVE CONTRACTOR: . PERMIT NO: 10110026 OWNER'S NAME: SANJAY RANJALAJAN BR'S PHONE: 4082608412 IK LICENSEED CONTRACTOR'S DECLARATION License Class 6 3'/ Lic. # 7 Z 3 0'7 7 Contractor -Ti2 /A-V✓ yV1 tZ Zr,Date 11 t 1 e, I hereby affirm that I am licensed under t a 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 which this permit is issued. 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 t 's permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the abov 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 upon the above mentioned property for inspection purposes. (We) agree to save 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 all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date T O CI O -BUIL ECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 Section 3700 of the Labor Code, for the performance of the work for which this 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 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 forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save tnify and keep harmless the City of Cupertino against liabilities, judgments, 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, Section 9.18. Signature Date t C G. rr, I DATE ISSUED: 11/04/2010 PHONE NO: BUILDING PERMIT INFO: BLDG F ELECT r PLUMB r MECH F RESIDENTIAL f— COMMERCIAL F JOB DESCRIPTION: RE -ROOF TEAR OFF EXISTING COMP NO RESHEET, INSTALL OWENS CORNING LIFETIME COMP CLASS A 22SQ Sq. Ft Floor Area: I Valuation: $12733 APN Number: 31631019.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued 1111K5 Date./ RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air 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 Health & Safety Code, Sections 25505, 25533, and 25534. Owne r authorized agent: �Q�NSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed 1011 ��Z� CITY OF CUPERTINO rm--7 FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 10371 n. portal ave. DATE: 11/04/2010 REVIEWED BY: P/orl C'lre<:k Fcc: APN: BP#: *VALUATION: 1$12,733 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE:>t1� 7,07,;1, �t�r<<�: PENTAMATION 1SFDWLR00F PERMIT TYPE: WORK Permit Fee: SCOPE s1 pp/. Illsp FCc FEE ID ROOF AREA s.f. 1REROOFFRES 2,200 NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addh7 info. FEE ITEMS (F(,,e Resolution 09-051 Eff T"I.,10) I'A",h_ P1,01 CTxtc QTY/FEE P/orl C'lre<:k Fcc: 4zr }III. PC FCC,' '1111'(h, 1"10, v Pltllnh.;'_11��� 11.iZ'(cc:1'1(xll C:'l;�cc NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addh7 info. FEE ITEMS (F(,,e Resolution 09-051 Eff T"I.,10) FEE QTY/FEE MISC ITEMS P/orl C'lre<:k Fcc: 4zr }III. PC FCC,' Pltllnh.;'_11��� 11.iZ'(cc:1'1(xll C:'l;�cc Permit Fee: $286.00 s1 pp/. Illsp FCc phillih.i 11 e h.: lsdet: I nir /'c e: /'(t�nth.;`1lcrc'1t.%Zlcc t'crrmit FCC. C;otzmwction 7'�L "h_'ouslicttllici'It'tt; Work Without Permit? 0 Yes 0 No $0.00 111atillin ,r FCCS, , 71 -ave/ 0o{'117i7t'iJfaiioll, Strong Motion Fee: 1BSEISM1CR $1.27 Select an Administrative Item B44 Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $288.27 $0.00 TOTAL FEE: $288.27 Revised: 10/17/2010 3 ITEMS OF 10 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31631019.00 DATE ISSUED.......: 11/04/2010 RECEIPT #.........: BS000011919 REFERENCE ID # ...: 10110026 SITE ADDRESS .....: 10371 N PORTAL AVE SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER SANJAY RANJALAJAN ADDRESS 10371 N PORTAL AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: JEFF RAINEY CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS .......... CITY/STATE/ZIP ...: , TELEPHONE ........ FEE ID UNIT ----------------------- QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BCBSC VALUATION ---------- 12,733.00 ---------- 1.00 ---------- 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 12,733.00 1.27 0.00 1.27 0.00 1REROOFRES SQ FEET 22.00 286.00 0.00 286.00 0.00 TOTAL PERMIT ---------- 288.27 ---------- 0.00 ---------- 288.27 ---------- 0.00 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 10 5'7 / /J A -L-4-7 PERMIT # IV 114�4 Z OWNER'S NAME: - R .J PHONE #U -q - 2-60 -9 i Z GENERAL CONTRACTOR:—I"jL/I,&jMcZ t�G BUSINESS LICENSE # ADDRESS: P© T>X 3 3 6 CITY/ZIPCODE: T A -'i j2-f=j"t.P c 4 *Our municipal code requires all businesses 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. It J 1 am not using any subcontractors: / / / U �g r Date Please check applicable subcontra and complete the following information: Contractor Signature L4 //& Date 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 Contractor Signature L4 //& Date 1. Use Low/No-VOC Paint 2. Use Low VOC, Water -Based Wood Finishes 3. Use Low/No VOC Adhesives 4. Use Salvaged Materials for Interior Finishes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6. Use Exterior Grade Plywood for Interior Uses 7. Seal all Exposed Particleboard or MDF 8. Use FSC Certified Materials for Interior Finish 9. Use Finger -Jointed or Recycled -Content Trim 10. Install Whole House Vacuum System N. Flooring 1. Select FSC Certified Wood Flooring 2. Use Rapidly Renewable Flooring Materials 3. Use Recycled Content Ceramic Tiles 4. Install Natural Linoleum in Place of Vinyl 5. Use Exposed Concrete as Finished Floor 6. Install Recycled Content Carpet with Low VOCs Total Points Available: Total Points Project Received: 1 IAQ/Health pts y=yes 21AQ/Health pts y=yes 31AQ/Health pts y=yes 3 Resource pts y=yes 61AQ/Health pts y=yes 1 IAQ/Health pts y=yes 41AQ/Health pts y=yes 4 Resource pts y=yes 1 Resource pts y=yes 3 IAQ/Health pts y=yes 8 Resource pts 4 Resource pts 4 Resource pts 5 IAQ/Health pts 4 Resource pts 4 Resource pts ft(4(/p 1401 130 57 01 01 0 G:data/progs/greenbuildingguidelineshemodelers/greenpointsfinal2.12.04protected xls CUPERTINO L�/(,p CITY OF CUPERTINO REROOF PERMIT APPLICATION �I old (C)1100zt APN # I Date: i ( q Iia Building Address: Owner's Name: _'�A-1J JA -( (ZA A)14 c, 4 � q /,) Phone #: HOA: Yes ❑ No © If yes, provide letter from HOA C24? �' 0�— Contractor: -Lon-. I,� (-)Phone #: �D ? - Fax #: 7C ? 726 Cupertino Business License #: Contractor License #: -7 � Z O'1 Type of Roof Covering: Existing: ❑ Built -Up Roof ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shingles p�, Other (Specify) Gy ✓✓1 Number of existing coverings TL j To be Removed Job Description: CMZ G L� i S r r1 Residential Proposed: ❑ Built -Up roof ❑ Asphalt Shingles ❑ Wood Shakes ❑ Wood Shingles >, Other (Specify) L i r� i i m E Cv ❑ Provide I.C.C.E.S. Report # ❑ Provide Mfgr. Installation Specs. C c--' M IP. Ai v 12_C_ ,�;�4cE 7 , 0v f . 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: 3 12- 7 3 3 i I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Si Revised 02/05/09 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7423 PROSPECT RD CONTRACTOR: SOLARCITY PERMIT NO: 10110086 OWNER'S NAME: DUTTA VIVEK B AND MANJARI 393 VINTAGE PARK DIR STE 140 DATE ISSUED: 11/19/2010 I OWNER'S PHONE: 4087619368 I FOSTER CITY, CA 94404 1 PHONE NO: (650) 638-1028 1 LICENSED CONTRACTOR'S DECLARATION License Class ' ' 6 lo -9 Lie. !I_ fy s i pti Contractor Date 11-1 4 ' - Zvi b I hereby a tr tha I am licensed under the provisions of Chapter 9 (commencing ' 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 which this permit is issued. 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 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 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, 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, Section 9.18. BUILDING PERMIT INFO: BLDG ELECT PLUMB MEM, r RESIDENTIAL rOMMVRCIAI. JOB DESCRIPTION: 1!NSTALL 2.94KW ROOF MOUNTED PHOTOVOLTAIC SYSTEM -14 PANELS/UNITS Sq. Ft Floor Area: I Valuation: $20000 APN Number: 36615045.0,0 1 Occupancy Type: PERMIT EXPRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Date /I- 1-) I Issued by: ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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. I certify that in the performance of the work for which this permit is issued, 1 shall 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, become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save 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 all non -point source regulations per the Cupertino Municipal Code. Section 9.18. Signature, Date Date: RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardousmaterials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupelrtino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25531(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined b� the Bay Area Air Quality Management District I will maintain compliance with',the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Own r a thorize agent: Date: �� _ i4-1 - Z c» c (— CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professiona