Loading...
10040039CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7567 RAINBOW DR CONTRACTOR: M C ROOFING PERMIT NO: 10040039 OWNER'S NAME: RAMASWAMY SUBRAMANI 14800 MCVAY AVE DATE ISSUED: 04/06/2010 SAN JOSE, CA 95127 PHONE NO: (408)729-3436 dER'S PHONE: 4082533143 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r- ELECT r— PLUMB License Class L- 2? C7 Lic. # MECH RESIDENTIAL COMMERCIAL Contractor ate �' JOB DESCRIPTION: RE -ROOF TEAR OFF SHAKES OVER WOOD SHINGLES I hereby affirm th am licensed under the provisions of Chapter 9 INSTALL (commencing with Section 7000) of Division 3 of the Business & Professions 7/10 TECH SHIELD 30LB FELT PAPER WITH 40 YEAR Code and that my license is in full force and effect. CERTAINTEED LANDMARK PLUS CLASS A 24SQ 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 Sq. Ft Floor Area: Valuation: $10400 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is anc Occu Type: APN Number: 36224001.00 Occupancy 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the WITHIN 0 DAYS OF PERMIT ISSUANCE O granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cu rtino Municipal Code, Section 180 DA ROM LAST CALLED INSPECTION. 9.18. — Date: Issued by: Signature Date /� L OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: I, owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I� to remove all new materials or as will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. p /lam Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applican Date: /1 construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain I have and will maintain Worker's Compensation Insurance, as provided for by for the of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Section 3700 of the Labor Code, performance Additionally, should I use equipment or devices which emit hazardous air permit is issued. I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will compliance with the Cupertino Municipal Code, Chapter 9.12 and the 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 maintain Health & Safety Code, Sections 25505, 25533, and 25534. become subject to the Worker's Compensation provisions of the Labor Code, I must Owne a orized be deemed revoked. Date: X forthwith comply with such provisions or this permit shall APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's ordinances and state laws relating C.) correct. I agree to comply with all city and county building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ Name to upon the above mentioned property for inspection purposes. (We) agree to save Lender's ' -nnify and keep harmless the City of Cupertino against liabilities, judgments, may accrue against said City in consequence of the Lender's Address and expenses which gi dnting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per a Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. � l d I understand my plans shall be used as public records. Si Date g nature Licensed Professional 0 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36224001.00 DATE ISSUED.......: 04/06/2010 RECEIPT #......... BS000010112 REFERENCE ID # 10040039 SITE ADDRESS .....: 7567 RAINBOW DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: RAMASWAMY SUBRAMANI ADDRESS 7567 RAINBOW DR CITY/STATE/ZIP CUPERTINO CA, CA 95014-5235 RECEIVED FROM .... CONTRACTOR ....... : MIGUEL CASTILLO LIC # 24741 COMPANY M C ROOFING ADDRESS 14800 MCVAY AVE CITY/STATE/ZIP SAN JOSE, CA 95127 TELEPHONE (408)729-3436 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT ---------- THIS REC- ------ --NEW-BAL ----------------------- 1BCBSC VALUATION VALUATION 1REROOFRES SQ FEET ---------- 10,400.00 10,400.00 24.00 ------ ---- 1.00 1.10 312.00 0.00 0.00 0.00 1.10 1BSEISMICR 312.00 0.00 0.00 --- --0_00 TOTAL PERMIT 314.10 0.00 314.10 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 314.10 --------------- 314.10 VOICE ID DESCRIPTION -------- --------------------- 601 ROOF TEAR OFF 604 ROOF IN -PROGRESS REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------- 602 ROOF PLYWOOD NAIL 605 FINAL REROOF APN # . Building Address: CITY OF CUPERTINO REROOF PERMIT APPLICATION !tDate:0 � I . _�> (,--:> __7 :1 Owner's Name: V_^M RsVJAFAY 5u �0`A n```'om" HOA: Yes ❑ No ❑ If es, rovide letter from HOA Contractor: Cupertino Business License #: .7 V- i Type of Roof Covering: Existing: ❑ Built -Up Roof ❑ Asphalt Shingles Wood Shakes ❑ Wood Shingles ❑ Other (Specify) Number of existing coverings .,-'To be Removed Phone #: Phone #: XIVS- 6 Fax #• /2c/ - Contractor License #: �--,2369"E--a- Proposed: E- 3 Proposed: ❑ guilt -Up roof ®/Asphalt Shingles ❑ Wood Shakes ❑ Wood Shingles ❑ Other (Specify) ❑ Provide I.C.C.E.S. Report # ❑ Provide Mfgr. Installation Specs. Job Description: --r t.,Ay © S �Ft Kt { d v C �D o c �,,ti�� CIS SAS► l ��C 6 7 ccJ-� Sh� 'lc� Residential [� Commercial Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable include in lan set & the sheet Valuation: A 00 Confirmed with Planning Dept. if there are any restrictions: ❑ I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy: Si Revised 02/05/09 CITY OF CUPERTINO [a REROOF CUPERTINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF l 1BCBSC Ca1'Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO 1RER00FRES Seismic Commercial B Re -roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential 1RER00FMRES Re -roof Multi -Family 1BCBSC Cal Bldg Standards Commission Fee 1BSEISMICRE Seismic Residential 1BUSLIC Business License B B 1MFDWLROOF B ALL PERMIT TYPES B B Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building Department Subject: Re -roofing policy for the City of Cupertino 1. Prior to permit issuance, you must agree to comply with 2007 CBC Standards and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re -roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. off from the City, the following steps are required: 4. To receive a final sign o Pre-inspection and/or tear off approval. a) AT TEAR OFF PULL OUT ALL ROOF FASTENERS. 2) In -progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed, a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re -inspection fee of $126.00. The re -inspection fee must be aid before another insvection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 "per foot slope and demonstrate that there is no ponding. be on the job site at the time on inspection. 2. An I.C.B.O. report is required to I understand and will comply with the above stated policy on re -roofing. Homeowner's Name: Job Site Address: 7S p` 1 Y Roofing Company Name: 'Signature:f' Date: U Applicant s Albert Salvador Building Official Revised 3/09/10 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: �} uJ �(` PERMIT # LUUZU -) S PHONE # — 3 OWNER'S NAME: 0,-t �S BUSINESS LICENSE # GENERAL CONTRACTOR: CITY/ZIPCODE: v ADDRESS: *Our municipal code requires all businesses working in the city to have a City of BE eSCHEDULEDhUNTIL THE NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL GENERAL CONTRACTOR AND ALL SUBCONTRACTORS H VE OBTAINED A CITY OF G PERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: _ ry" 7 i,r lr 'v ++ Date r / Contractor Signature