10090264 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10445 BYRNE AVE CONTRACTOR:A L PERMIT NO: 10090264
RESIDENTIAL/COMMERCIAL
'WNER'S NAME: PRASHANTH TELANG 14893 E HILLS DR DATE ISSUED:09/29/2010
OWNER'S PHONE: 4089967456 SAN JOSE,CA 95127 PHONE NO:(408)729-6100
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL
License Class Lic.# � y RE-ROOF 5/12 COMP OVER WOOD SHINGLE INSTALL
OSB
Contractor Date (� OVER EXPOSED SHEATING 30YR OC 30#FELT CLASS A
I hereby affirm that I a 41 06w,ed under the provisions of Chapter 9
(commencing with Secti 000)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. Sq.Ft Floor Area: Valuation:$5700
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the perfornance of the work for which this
,, APN Number:35712036.00 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 relati Ig 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 DAYS FROM LAST 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 this permit. Additionally,the applicant understands and will comply Issued by: Date: �'�Z Gb
with all non-points ice regulations p r the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
'ignature Date J/v All roofs shall be inspected prior to any roofing material being installed.If a roof is
_ installed without first obtaining an inspe ion,I agree to remove all new materials for
inspection.
❑
OWNER-BUILDWR 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 WCLASS"A"OR BETTER
1,as owner of the property,or my employees with wages as their sole compensati<n,
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 k 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(a)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 I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sect' ns 25505 55 ,and 25534.
nt:
Section 3700 of the Labor Code,for the performance of the work for which this r�
Owner or authorized ageDate
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 CONSTRUCTION LE I G AGENCY
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 relatii ig
to building construction,and hereby authorize representatives of this city to enter
pon 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,
costs,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 OI' CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: BJk: Lot:
APN . . . . . . . . : 3E.712036 . 00
DATE ISSUED. . . . . . . : 05,/29/2010
RECEIPT #. . . . . . . . . : BS000011588
REFERENCE ID # . . . : 10090264
SITE ADDRESS . . . . . : 10445 BYRNE AVE
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : PIASHANTH TELANG
ADDRESS . . . . . . . . . . : 10445 BYRNE AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : ALEX LOPEZ
CONTRACTOR . . . . . . . : ALEX A LOPEZ LIC # 23030
COMPANY . . . . . . . . . . : A L RESIDENTIAL/COMMERCIAL
ADDRESS . . . . . . . . . . : 1,e:893 E HILLS DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95127
TELEPHONE . . . . . . . . : (z:08) 729-6100
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- - --------- ---------- ---------- ----------
1BCBSC VALUATION 5, 700 . 00 1. 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 5, 700 . 00 0 . 60 0 . 00 0 . 60 0. 00
1BUSLIC FLAT RATE 1 .00 114 . 00 0 . 00 114 . 00 0. 00
1REROOFRES SQ FEET 16 .00 208 . 00 0 .00 208 . 00 0. 00
- --------- ---------- ---------- ----------
TOTAL PERMIT 323 .60 0 .00 323 .60 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 323 . 60 1502
---------------
TOTAL RECEIPT 323 . 60
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- --------------------------- - -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR-- BUILDING DIVISION
ADDRESS: DATE: REVIEWED BY:
APN: BP#: *VALUATION: 1$5,700
*PERMIT TYPE: Minor Building Permit PL/,N CHECK TYPE: Re-roof
PRIMARY SFD or Du lex r PENTAMATION 1 SFDWLROOF
USE: p �-�c,fit ,'_ "� PERMIT TYPE:
WORK
SCOPE
FEE ID ROOD AREA
;.f.
1REROOFFRES 1,600
7_1
<I 10ifF-71 L
NOTE. Thesefees are based on the preliminary information zvailahle and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS ('Fee Resolution 09-051 Eff 71,11;10) FEE QTY/FEE MISC ITEMS
ship/. ter F ec
P11iIn11` ,11ec h,'' Flcc I'loo t`hcck.
Permit Fee: $203.00
F'It�rjrh.i. lc clt..-�i:lcc° f'c� �r?t 1-'c
°c;
rjcall(S1Yt't*,' ti['t'tt 1.:t`f't;
Work Without Permit? 0 Yes E) No $0.00
71-ovc! F"c"
Strong Motion Fee: IBSEISMICR $).57 Select an Administrative Item
1344 Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $20157 $0.00 TOTAL FEE: $209.57
Revised: 9/22/2010
INPUT Rr-,Sourres Energy iA07Health
M.Indoor Air Quality and Finishes
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes 0
0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
7.Seal all dosed Partiolelioard or MDF 4 IAQ/Health. pts y=yes 0
B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
N.Flooring
1.Select FSC Certified Wood Flooring a Resource pts y=yes 0
2 Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1' 1 1 1
Total Points Available: 1 1401 1301 57
Total Points Project Received: 51 o-----0l
G:data/progs/grmk1cing delin ra a reenpointsfinalk1 proteaxls
REROOF TEAR-OFF PC LICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O.,BLILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
(408)777-3228- FAX(408)777-3333- building(dkupertino.org
PROJECT ADDRESS D / / APN#
y
OWNER NAMECr�L,A7_] {` ` PH(N],� /�/�Uc-� E-MAIL
STREET ADDRESS C CITY, S ATE,ZIP �o �i✓t�j� //� FAX
ej
CO TR CTO1�AM�E� ./ LICEN NUWF LICENSE TYPE I BUS.LIC#
�. i. fit .. G G'3
COMP NY NAME /- �- E-MA FA�
41
STREET ADDRESS CITY,Sl ATE,J��
PHO
I UNDERSTAND AND .GREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicz ble provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a minimum of one day before the requested inspection date.
Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri).
3. Tear-off roof inspection is required. Please call for 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 within 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 inspE!ction 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 25% of the roofing material.
6. New roof coverings shall not be applied without first obtaining all inspections 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 dove n to the sheathing so a proper inspection can be
performed.
7. A final inspection and approval shall be obtaine i from 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 1/4"per bot of slope and must 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.
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 •e-inspection fee shall be paid before another
inspection can be scheduled.
By my signing below, I certify each of the followin i;;true: I am the property owner or authorized agent to act
on the property owner's behalf. underst a a reF to comply with the re-roof policy staattred boy
Signature of Applicant/Agent: / Date: t (t/
ReroofPolicy_2010.doc revised 05/17/10
CITY OF
CITY OF CUPERTINO
REROOF
CUPERTINO PERMIT APPLICATION
APN# 2�� , 03((7 ,00 Ze2 5p,
Dater L�
Building Address:
Owner's Name: ra s A e`q�-�1 (c Phone #:
HOA: Yes ❑ No �Z If yes, provide leiter from HOA
Contractor: Phone #: '
A .j �' Fax#: V0 9 _7
upertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
* Built-Up Roof p<, Built-Up roof
--qC Asphalt Shingles c;(' Asphalt Shingles 12-0
❑ 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: 7-we-) tnc>orL c„n,-e fs `'s// ��
� t l,� '
yez
Residential - Commercial
Green Building: Please complete relevant portion of the Confirmed.mCith_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 Read, Underst d and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09