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10100117 CITY OF CUPERTINO LUILDING PERMIT BUILDING ADDRESS: 21840 TERRACE DR CONTRACTOR:PRINCIPLE ROOFING& PERMIT NO: 10100117 OWNER'S NAME: RAM KALVANASONDAKRAM 1010 STERN AVE DATE ISSUED: 10/15/2010 OWN 'S PHONE: 4084464282 CUI'ERTINO,CA 95014 PHONE NO:(408)898-7298 LICENSED CONTRACTOR'S DECLARATION JOU DESCRIPTION: RESIDENTIAL COMMERCIAL C Lic.# -12,16241r RI',-ROOF 25 SQUARES REMOVE EXISTING ROOF, License ClassINSTALL Contractor :Ia�` Date c- 40YR COMP CLASS A 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 Valuation:$9000 performance of the work for which this permit is issued. Sq.Ft Floor Area: 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:35625002.00 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 D S 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 DA OM L T CALLED INSPEC ION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, /d —� costs,and expenses which may accrue against said City in consequence of the Is:ued by Date: /� 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. RE-ROOFS: Signatures Date Ci « Al roofs shall be inspected prior to any roofing material being installed.If a roof is in:tailed without first obtaining an inspection,I agree to remove all new materials for in:pection. OWNER-BUILDER DECLARATIONDate: Si;nature of Applicant: 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) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). I lave read the hazardous materials requirements under Chapter 6.95 of the C alifornia 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(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's m aterial. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the a r contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. w ill maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by tl ie Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this C caner 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 v,ork's for which this permit is issued(Sec.3097,Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. bender's Name APPLICANT CERTIFICATION bender'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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, ts,and expenses which may accrue against said City in consequence of the 1 understand my plans shall be used as public records. .sting 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 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RTI N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 21 840 rpje� P4-Lr PERMIT# OWNER'S NAME: t2,A•0 Li/A-)L) h1 Dtf1, M PHONE# Cie/ 44(— -4 2-Z2— GENERAL ZLGENERAL CONTRACTOR: p e4-"1C;i BUSINESS LICENSE# ADDRESS: , 1 EC. Ste A✓9 CITY/ZIPCODE: 1�L1 *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. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete i he following information: 6/ 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 S7l�'G 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 35014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildi ia an-cugertino.orq PROJECT ADDRESS} iU APN# OWNER NAME �rr` „w / VA 4 `� PHON e,j t�414 14 E-MAIL STREET ADDRESS b i'-`-`•� - -d;.. 0 _ CITY, STATE,Z a ( FAX CONTRACTOR NAME t LICENSE NUMBE LICENSE TYPE BUS.LIC.F2 9A60 CA # COMPAN NAME E-MAIL FAX STREET Pi�ES� (.�-p„�� CITY,STATE,Z12� �.,- �/ PHONE ((// J V v�v I UNDERSTAND AND AGREIE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimuin of one day before the requested inspection date. Please schedule inspections online or call (408)777-:,228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call far tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available w thin one hour. There are special hours for this service: 7:30 — 10:30am and 1:00— 3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 250/, of the roofing material. 6. New roof coverings shall not be applied without firs obtaining all inspections and written approvals from the building inspector. Any roofing which is a iplied 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. 7. A final inspection and approval shall be obtained frc m the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of/4"per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all lire-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 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-ir spection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is tru,°: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to -omply with the re-roof policy stated above. Signature of Applicant/Agent: ��— - Date: (U (S-/0,0 ReroofPo1icy_2010.doc revised 05/17/10 CITY OF CU:?ERTINO 3 ITEMS OF 3 PERMIT R:?,CEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: -jot: APN 35625)02 . 00 DATE ISSUED. . . . . . . : 10/15/2010 RECEIPT # . . . . . . . . . BS000311752 REFERENCE ID # . . . : 10100117 SITE ADDRESS 21840 TERRACE DR SUBDIVISION CITY CUPERTINO IMPACT AREA . . . . . . OWNER RAM KALVANASONDAKRAM ADDRESS 21840 TERRACE DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM PRINCIPLE ROOFING CONTRACTOR DERECK LOI LIC # 27564 COMPANY PRINCIPLE ROOFING & ADDRESS . . . . . . . . . . : 1016C STERN AVE CITY/STATE/ZIP . . . : CUPEFTINO, CA 95014 TELEPHONE (408) 898-7298 FEE ID UNIT QUANTITY AMC,UNT 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 25 .00 325 . 00 0 . 00 325 . 00 0 . 00 ---- ------ ---------- ---------- ---------- TOTAL PERMIT 326 . 90 0 . 00 326 . 90 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - ------------------- CREDIT CARD 326 . 90 Srisa --------------- TOTAL RECEIPT 326 . 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 CITY OF CL PERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: I DATE: REVIEWED BY: APN: BP#: *VALUATION: $9,000 R�PERMITTYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY { _ _7PENTAMATION 1 SFDWLROOF USE: SFD or Duplex C� �, ;�_;_, . PERMIT TYPE: WORK SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 7_ 11",:r /',,I t t "m if l`<'<'- NOTE: These ees are based on the preliminary in ormation avail zble and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 09-05I Et'. 7./1.'10) FEE QTY/FEE MISC ITEMS 1'lu�z P/,111 Permit Fee: $325.00 `curl)[ hasp FCC, 1"nif C`rnts�r�nc'=«;t 1��F.t 1 � c'd.'ZtY(ft'Ctf �il(`t'it".1 d`c,". Work Without Permit? 0 Yes No $0.00 StronkT Motion Fee: IBSEISMICR $0.90 Select an Administrative Item Bldp-Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $326.901 $0.00 TOTAL FEE: $326.90 Revised: 9/29/2010 M.IndODr Air Quality and Flnishas 1.-Usa LowWvDC 1 IA Q/Health pts y--yes p 2.Use Low VOC,Water-Based Wood Finishes 2 Ip Q/Health pts y=yes 0 3'Lts ID%ft VOC Adho.0vss 3 IA Q/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 R:source pts y=yes p 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6 IA Q/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAD/Health pts y=yes p �2W 00 FX vs OF 41A�Mealth. pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 R i:source pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Ri:source pts y=yes p 10.Install Whole House Vacuum System 3 If Q/Health pts y=yes 0 N.Flooring 1.Select FSC Certified Wood Flooring B Re.c ource pts y=yes p Use HBO*flenewaWa frig MabdWs 4 Re,ource pts y=yes p 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl .5 IAC/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes p 6.Install Recycled Content Carpet with Low VOCs 4 Res:)urce pts y=yes p - 1 ! ! Total Points Avai401. 130 57 Total Points Project Received: 01 01 Q G:data/pr%Wgresnbuildin Iguiderines/remodelers/greenp6intsfinal212.04protected.xls CITY OF CITY OF CU:PERTINO REROOF CUPERTINO PERMIT APPLICATION APN# Date: j Building Address: T c-It Kitt, Owner's Name: VzA-M (e_p LVaQ1 -V1Aj r7A-W;v' Phone #: CA" HOA: Yes ❑ No [R"'If Yes, provide letter from HOA Contractor: Phone #: l Fax#: Cupertino Business License #: Contractor License #: ar 1 6319r Type of Roof Covering: Existing: P roposed: ❑ Built-Up Roof ❑ ilt-Up roof ❑ sphalt Shingles or Asphalt Shingles ce Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.C.E.S. Report# ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: A- 2 7 Residential - Commercial Green Building: Please complete relevant portion cf 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: C) I Have Read, Understand and Will Comply with Cupe-tino's Tear-Off Policy: Signature Revised 02/05/09 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1040 TUSCANY PL CONT 2ACTOR:ANTHONY HODDER PERMIT NO: 10100059 CONS-'RUCTION OWNER'S ONS" RUCTION OWNER'S NAME: APRIL SCOTT 7504 BOLLINGER RD DATE ISSUED: 10/06/2010 ER'S PHONE: 4082340780 CUPE 2TINO,CA 95014 PHONE NO:(408)257-4317 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r License Class 1 7 Lic•tl L(-`—(l —S —� MECH r RESIDENTIAL r COMMERCIAL F Contractor fi ate 10-(I 10 JOB I)ESCRIPTION: REMODEL KITCHEN(360SQFT).NO RE-ROOF&NO 1 hereby affirm that 1 art licensed under the provisions of Chapter 9 STRUCTURAL (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: 1 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 Sq,R Floor Area: -360 Valuation:$22000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN 4umber:35929040.00 Occupancy Type: APPLICANT CERTIFICATION 1 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 F ERMIT 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 expe s which may accrue against said City in consequence of the 80 DA S FROM CALLED-IN PECTION. granting of th p it. Additionally,the applicant nderstands and will comply with all non in source regulations per the C . ino Municipal Code,Section 9.18. Issur!d by: D e: Signator V OWNER-BUILDER DECLARATION RE-ROOFS: All n iofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that 1 am exempt from the Contractor's License Law for one of insta led without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Sign.tture of Applicant:_ Date: Business&Professions Code) — I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's 1 ha+e read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the Cali fornia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance,as provided for by AddSaft ty ,Code,Section I use equipment should 1 store ce handle hazardous material. Additionally,should 1 use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this coni aminants as defined by the Bay Area Air Quality Management District i will permit is issued. mai rta' mpliance 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 Heaafety Co ,Sections 2 50)1,25533,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 r or a th a t: 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I 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 for Nhich this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Ler der'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 Ler der's Address aemnify an harmless the City of Cupertino against liabilities,judgments, :,and a en which may accrue against said City in consequence of the ARCHITECT'S DECLARATION �._,rting o is rmit.Addit'onally,the ap licant understands and will comply with all n-po' source a ulations p t Cupert'no Municipal Code,Section I understand my plans shall be used as public records. 9.18. Date ( o-6-10 Licensed Professional_ Sign re