10060096 CITI OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11553 COUNTRY SPRING CT CCNTRACTOR:CASTILLO'S ROOFING PERMIT NO: 10060096
OWNER'S NAME: SANJIV TANEJAN 17(3 CATHAY DR DATE ISSUED:06/16/2010
'NER'S PHONE: 4089730525 SAV JOSE,CA 95122 PHONE NO:(408)251-3565
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL
License CDate Lic.# ` .3C� 7 JR E-ROOF TEAR OFF WOOD SHAKE,INSTALL 30ILB FELT
��� L�—_ r
G� AuD INSTALL GAF GRAND CANYON COMP 17 SQUARES
Contrac
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 which this permit is issued. Sq. Ft Floor Area: Valuation:$7900
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 APN Number:36651049.00 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 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 ar
granting of this permit. Additionally,the applicant understands and will comply Issued Date:
with all non-point source regulations per the Cupertino Municipal Code,Section _
9.18.
RE-ROOFS:
— -0 Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
ins.alled without first obtaining an inspection,I agree to remove all new materials for
ins)ection.
LJ OWNER-BUILDER DECLARATION
Sig nature of Applicant Date: (.l
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF C ERINGS 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(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,Sections 255 5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this `—
permit is issued.
Owner or authorized agent: Date:A /!� /
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 LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I h,;reby 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.)
Le ider's Name
APPLICANT CERTIFICATION Le ider'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
.mnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
.s,and expenses which may accrue against said City in consequence of the I u iderstand 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.
G . 0
Signature Date
,� .,
CITY OF CUEERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36651C49. 00
DATE ISSUED. . . . . . . : 06/16/2010
RECEIPT # . . . . . . . . . BSOOOC10642
REFERENCE ID # 10060C96
SITE ADDRESS . . . . . : 11553 COUNTRY SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . . CUPER'IINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : SANJI-lv TANEJAN
ADDRESS . . . . . . . . . . : 11553 COUNTRY SPRING CT
CITY/STATE/ZIP . . . : CUPERZINO, CA 95014
RECEIVED FROM . . . . : CASTIILO ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTIILO' S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JCSE, CA 95122
TELEPHONE . . . . . . . . : (408) 251-3565
FEE ID UNIT QUANTITY AMOtNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ----- ----- ---------- ---------- ----------
1BCBSC VALUATION 7, 900 . 00 1. 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 7, 900 . 00 0 . 80 0 . 00 0 . 80 0 . 00
1REROOFRES SQ FEET 17 . 00 221 . 00 0 . 00 221 . 00 0 . 00
----- ----- ---------- ---------- ----------
TOTAL PERMIT 222 . 80 0 . 00 222 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- -- ------------------
CHECK 222 . 80 1E425
---------------
TOTAL RECEIPT 222 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF
CITY OF CUPERTINO
REROOF
CUPERTINO PERMIT APPLICATION
APN# �� � �� � Date:
Building Address:
Owner's Name: ���' •` hone #:
HOA: Yes ❑ No If yes, provide letter from HOA
Contractor: Phone #: s,
C EA l' ISS '�2�`v i�� Fax#:
Cupertino Business License #: Contractor License #:
4304S��D
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles a/Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S. Report #
uro"To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: ^Teow- o f •'
� �1_.►�c�`�1A r � f 3� ( � • e (,+ a r1
I rl S 1 61 A -F 6 ro Y? C e,n 6n C CTV
Residential Z - 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:
400 '0()
I Have Read, Understand and Will Comply with Cup-.rtino's Tear-Off Policy:
S gn re
Revised 02/05/09
CITY Of
CITY OF CUPERTINO
RERC►OF
CUPERTI O FEE SCHEDULE
Number of Fee ID Fee Descripl ion Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICO Seismic Commercial B
/ 1RER00FRES Re-roof Residential B 1SFDWLR00F
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Resk.ential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISNUCRE Seismic Resk.ential B
1BUSLIC Business License B
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
JOB ADDRESS: C-10 _ r ;! PERMIT#
OWNER'S NAME: �' —14,104- PHONE # �%'� 2 `,a i • j G�
GENERAL CONTRACTOR: i A -• ' is ' ' p:]( BUSINESS LICENSE#
ADDRESS: .s.+kCITY/ZIPCODE: se-' f^�
*Our municipal code requires all businesses 6rking in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INS PECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRAC'ORS HAVE OBTAINED A CITY OF CUP(ER,TINO
BUSINESS LICENSE.
I am not using any subcontractors:
--ce
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
Septic Tank
Sheet Metal
Sheet Rock
Tile
o -
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 65014-3255
CUPERTINO
(408)777-3228• FAX(408)777-3333•buildir qQcupertino.org
PROJECT ADDRESS4
!1 J ('1
OWNER NAME PHONE E-MAIL
-Cs 2-�t ADDRESS I STAT ZI]' ((/� FAX
CONTRACTOR NAME ' LI SE NUM ER LICENSE TYPE BUS.LIC.#
AS 111 oc C- 3fl
COMPANY NAME C f� 1 1^, Q N, E-MAIL �A ., \. J� Y 1 .A/I FAX
STREET ADDRESS CITY,,TATE,ZIF PHONE
I UNDERSTAND AND AGREE 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 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 wi-:hin 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 ail 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 al plied without first obtaining an approved inspection
will require the removal of all new material down to :he sheathing so a proper inspection can be
performed.
7. A final inspection and approval shall be obtained 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 I/4" per foot 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 re-in::pection 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 u tand and agree to comply with the re-roof policy stated above.
61- &
.
Signature of App1icai1VA& - Date:
- �C
ReroofPolicy_2010.doc revised 05/17/10
Green Building Plan Check
Index of Green Building Points/Categories
A. Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
?:rir� .. . ,. „..;nom._rya_,:,. r4..sr _ ,•s'3F� _.A�2.r. ]. y�
B. Site 9. Install H.E. Irrigation, (details/spec)" L-1 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 points
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points
F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points
5. Tankless W.H., (Note/Spec.) A-2 2 points
11. A 2500 Gal. Tank, (Note/Spec L-1 10 points
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points
H. Appliances 1. Energy Star Dishwasher, (Note/Spec ) A-3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
` TOTAL POIN-rS 40 points
Plan Review Process Work Book Page A2-Revised 3/25/08