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10020026 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20116 LAS ONDAS CT CONTRACTOR:CONRAD ROOFING PERMIT NO: 10020026 S:RVICE OWNER'S NAME: MANISH PATEL 332 PHELAN AVE DATE ISSUED:02/03/2010 (i r R'S PHONE: 4082538777 S ILN JOSE,CA 95112 PHONE NO:(408)294-7615 [y LICENSED CONTRACTOR'S DECLARATION E UILDING PERMIT INFO: BLDG r ELECT F_ PLUMB r License Class Li,.# 7-11�57 MECH f— RESIDENTIAL r— COMMERCIAL Contractor /`—'�✓ — Date Z 3 JOB DESCRIPTION:RE-ROOF TEAR-OFF SHAKES,INSTALL 7/16"OSB TECH I hereby affirm that I am licensed under the provisions of Chapter 9 SHIELD,30LB FELT&CERTAINTEED LANDMARK TL (commencing with Section 7000)of Division 3 of the Business&Professions S HINGLES CLASS A 23 SQ 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 Sq.Ft Floor Area: Valuation:$10870 permit is issued. APPLICANT CERTIFICATION APN Number:36930038.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 2_3_ � � Issued by: �J�_ Date: Signature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Date: 2-- 3 r Business&Professions Code) Signature of Applicant: I,as owner of the property,am exclusively contracting with licensed contractors to 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: HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for 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 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,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain 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 Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I Owner or m iz I gent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 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 correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name up—the above mentioned property for inspection purposes.(We)agree to save it ify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address C6 and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. �/� � I understand my plans shall be used as public records. Signature / — �' Date — Licensed Professional CITY OF CUPERTINO PERMIT RECEIPT OPERATOR: patg 3 ITEMS OF 3 COPY # : 1 Sec: Twp: Rng: Sub: Blk Lot: APN 369:0038 . 00 DATE ISSUED. . . . . . . : 02/03/2010 RECEIPT # . . . . . . . . . BSO,)0009685 REFERENCE ID # 10020026 SITE ADDRESS 20116 LAS ONDAS CT SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER MANISH PATEL ADDRESS 20116 LAS ONDAS CT CITY/STATE/ZIP CUPERTINO CA, CA 95014-3106 RECEIVED FROM KE]THDCROOFINGARNAHAN SVC LIC # 22297 CONTRACTOR . . . . . . COMPANY . . . . . . . . . . : CONRAD ROOFING SERVICE ADDRESS 33:: PHELAN AVE CITY/STATE/ZIP S4TgOS4, 76A5 95112 TELEPHONE FEE ID UNIT QUANTITY kMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- -------- 1. 00------------- 1 . 00 0 . 0 0 .00 1BCBSC VALUATION 10, 870 .00 1.10 0 . 00 1.10 0. 00 1BSEISMICR VALUATION 10, 870 .00 23 . 00 299 . 00 ---- ------ 299 . 00 0_00 1REROOFRES SQ FEET ------ TOTAL PERMIT 301.10 0 .00 301.10 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER __ --------------- CHECK 301 .10 #12882 --------------- TOTAL RECEIPT 301 .10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -- -------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO av, RE]ZOOF CUPEkT1NO PERMIT APPLICATION APN # h ,., � Date: , Building Address: G'� 201\L Lq Dv,_4a s Owner's Name: rietn�� ate-1 Phone #: 2�3 - 7 HOA: Yes ❑ No If yes, provide letter from HOA �o�ta Contractor: Ph `��'` one#: Fax #: Cupertino Business-License #: C Contractor License #: 2( 1 LS Z Type of f:oof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles &_ Asphalt Shingles V 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� :- a f F 5 I.,.l�S , ��^ t t.11 04 6 t��'t .rr�► �,c�C-rd.M't-c.�-1 �4,.��wa ?L Si." LI L Residential 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 in dex. Valuation: n 104 Q -_7 D 3 J I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: 411X Signature Revised 02/05/09 IQ CITY OF CXPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof—commercial B 1COMMLROOF 1BCBSC Ca1'Bldg ,qtandards B ALL PERMIT TYPES Commission Fee 1BSEISMICO Seismic Commercial B 2- 3 1RER00FRES Re-roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards B ALL PERMIT TYPES Commission Fee J 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BCBSC Cal Bldg S-undards B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residential B 1BUSLIC Business License 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 a€,ree to comply with 2007 IBC Standards and manufacturers specifications on -e-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. 4. To receive a final sign off from the City,the following steps are required: 1) Pre-inspection and/or tear off approval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed,a plywood nJ1 inspection is required. 6. Any roofing which is applied withot t 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 fire of$176.18. The re-inspection fee must be Raid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of lei "per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O.report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: m 4n S L Job Site Address: Roofing Company Name: v` ��'' � 3 41 C.0%.- '-T-n t, Applicant's Signature: Date: Greg Casteel Building Official Revised 07/30/08 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 J PE�TINO B1,1ildin De artment JOB ADDRESS: ZO 11( L�S Ov�a S �,�-, PERMIT # 002�a26 OWNER'S NAME: wry:s l.. q-t{1 PHO # 2;3 GENERAL CONTRACTOR: C,h,ca a FAX # ZE5 — � 1-y - FAX am not using any subcontractors: 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tiled�' / lv�,- _ Z-3- Owner/Contractor Signature Date