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14060125CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7540 HEATHERWOOD DR I CONTRACTOR:- D I PERMIT NO: 14060125 OWNER'S NAME: SAMMANNA SATISH AND SHREE BHARGI -IAVI U(( �^ I�S�QIK ��esGt -zoo i- O&-F--- I DATE ISSUED: 06/18/2014 I I OWNER'S PHONE: 4088355690 1. I PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION License Class f fu 3 q Licc. # 7jV9 % Contractor ii5e ei,, cti', Date & 8 ZQ/ 1 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— BUILDING PERMIT INFO- BLDG ELECT' PLUMB MECH F RESIDENTIAL F COMMERCIAL F JOB DESCRIPTION TEAR OFF WOOD SHAKES INSTALL 7/16 OSB W /FOIL BACK, 30 LB FELT, 30 YEAR LAMINATE 1 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: permit is issued. APPLICANT CERTIFICATION 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 indemnity 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9 18 Signature Date � �%% ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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. 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 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, l 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. APPLICANT CERTIFICATION 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Signature Date APN Number: 35928044 00 Valuation: $18187 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DA17S FROM LAF-f CALLEp INSPECTION. Issued by: Date: RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agpi to remove all new materials for inspection. Signature of Applic Dat ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Date: l�la�y CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional ReroofApp_2011.doc revised 03116111 CITY OF CUPERTINO FORM FFF ESTIMATOR — BUILDING DIVISION FEE ID ROOF AREA s.f. 1REROOFFRES 3,600 MOWN k �t _ clr. f crnrt Fee: Phamh. f'c 'may fi;lr� t 1de:c °h. Inv, odeer f'la rnls Insp. E)tGe�' 1r-;e:c'. l SP, 1,¢sp. 111uilb, hasp. Fee: Lle:c. If sp, NOTE: This estimate does not include fees due to other Departments ('tie. Planning, Public Works, Fire, Sanitary Sewer District, School nktrirt otr) Thom fooc aro hand an tho nroliminary information availahle and are only an estimate. Contact the Dent for addn'l info. FEE IpTEMtS (Fee Resolution 11 -053 Eff.' 711113) 7540 Heatherwood Dr DATE: 06/18/2014 REVIEWED BY: larrys PA,ADDRESS: APN: BP #: 'VALUATION: 1$18,187 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY USE: SFD or Duplex PENTAMATION PERMIT TYPE: 1 SFDWLROO WORK tear off wood shakes install 7/16 osb w /foil back 30 lb felt 30 year laminate SCOPE yy htsp F'CC FEE ID ROOF AREA s.f. 1REROOFFRES 3,600 MOWN k �t _ clr. f crnrt Fee: Phamh. f'c 'may fi;lr� t 1de:c °h. Inv, odeer f'la rnls Insp. E)tGe�' 1r-;e:c'. l SP, 1,¢sp. 111uilb, hasp. Fee: Lle:c. If sp, NOTE: This estimate does not include fees due to other Departments ('tie. Planning, Public Works, Fire, Sanitary Sewer District, School nktrirt otr) Thom fooc aro hand an tho nroliminary information availahle and are only an estimate. Contact the Dent for addn'l info. FEE IpTEMtS (Fee Resolution 11 -053 Eff.' 711113) FEE QTY /FEE MISC ITEMS z L Permit Fee: $576.00 yy htsp F'CC jai, Permil Fee: CCinsn'tiL'lion ltlx: c�.�1YlL;1t.4Li "L7 %tYc 1°'t?c: Work Without Permit? ® Yes (F) No $0.00 ,I<;r' zdrlt'ecl l'Icinning Fees: / 7'Flt'el /)t>t'it71Ze'721CSZ7(1Y1 Fees: Strong Motion Fee: IBSEISMICR $1.82 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 °� $578.82 $0.00 = TO AL FEE: . $578.82 Revised: 04/01/2014 CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 - buildinp(a-cupertino.orQ PROJECT ADDRESS Lj / APN # OWNER NAME I � PHONE / E -MAIL STREET ADDRESS /� CITY, TATE, ZIP FAX �CZ.J7`l a --uond / i'n p CO CTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC. # 0 0 v L' COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE N4 ` n5- , 2') / I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. Please schedule inspections online or call (408) 777 -3228 from 7:30- 3:30pm (Mon - Thurs) or 7:30 - 2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. The hours for this service are: 7:30- 10:30am and 12:30 -3:30 (Mon - Thurs) and 7:30- 10:30am and 12:30 -2:30 (Friday). Final Inspections will be given d two hour window. 3. Tear -Off Inspection is required. Any and all dry- rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails /fasteners shall be eifher completely knocked -down or removed-prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection 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 down to the sheathing so a proper inspection can be performed. 6. A Final Inspection and approval shall be obtained from the building inspector when the re- roofing is completed. To receive a final sign -off, the following items will be verified: a. Flat roofs shall have a minimum of I/" per foot of slope and 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, vents painted, gutter /downspouts installed, debris removed. 7. 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. The re- inspection 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 understand and agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential e. Signature ofApplicant/Age Date: (Olt lop, Z111, ReroofPolicy_2014.doc revised 01115114 CUPERTINO Address 76-q V PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION FILE 10300 TORRE AVENUE • CUPERTINO, CA 95014 - 3255 (408) 777 -3228 • FAX (408) 777 -3333 • building0cupertino.ora ( _f Permit No. l t'(© coo i�S a t' � k4.Y 6ZG of - # of Alarms Smoke: � Carbon Monoxide: NNOT E FINALED'AND COMPLETED UNTIL THIS CERTIFICATE a[ : 'RFTITIRN T �TTIE BUILDING DIVISION „ This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single - family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall`.be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: i k 5avYh1'6L&I o` Dr'f'lSh.......5 �M�. ;. I........ ............. Si nature ... ............ ... ... Date:l... I I Contractor Name: 1 Lli Si nature ..................... ............ ............................... 'c:# ..... .]i'.5_ .� .......... Date: Lam: Smoke and CO form.doc revised 03118114