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14080202CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8069 HYANNISPORT DR CONTRACTOR: T D ROOFING PERMIT NO: 14080202 OWNER'S NAME: KOLLA BHASKAR AND SRIDEVI 675 TULLY RD DATE ISSUED: 08/19/2014 OWNER'S PHONE: 4083293229 SAN JOSE, CA 95111 PHONE NO: (408)892 -8872 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ K LICENSED CONTRACTOR'S DECLARATION RE -ROOF 25SQ- REMOVE SHAKES; CLASS A 30 #FELT / �^ SAS 1 License Class Lic Contractor Date I hereby affirm that I am, u r the In rovisions of Ch pter 9 (commencing with Secti 7000) of Div i n 3 of the Business & Professions Code and that my license is in full fore nd 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: $15000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 35611009 00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 18AYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS F Ol� LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, City in of the •( !�% O��I costs, and expenses which may accrue against said consequence Issued by: Date: granting of this pe it. A d onafly, the applicant understands and will comply with all non -point urce a dations p he Cupertino Municipal ode, Section 9 18. g GJ RE- ROOFS: If is Signature Date / All roofs shall be inspeMprior oofing material being instal led. a roof installed without first oction, I agree to remove all new materials for inspection. ❑ OWNER - BUILDER D ARATION 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 TO E 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 (See.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 a Area Air Quality Management Dist act I performance of the work for which this permit is issued. will maintain compliance with a ertino Municipal Code, Chapter 9.1 and the Health &Safety Code, Sec i 505 25533, and 25534. 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 Owner or authorized agent Date: 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 C NSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that the i 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 it 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 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 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 OOF PERMIT APPLICATION U� _ RER COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO CA 95014 -3255 ,(408) 777 -3228 • FAX (408) 777 -3333 • building acupertino.org CU010tT1140 I PROJECT ADDRESS 9 0 p n Vl ' S :),o tr APN # / / n OWNER N I _ _ © 1(,.. , r PHONE J STREET ADDRESS ©�'^ I J ` V TTY. J t FAX CONTACT NAME PHONE E MAII STREET ADDRESS . CITY, STATE, ZIP FAX ❑ OWNER' ❑, OWNER-BUILDER ❑ 1OWNER///A111GENT NTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrMCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME \ LICENSE NUMBER I / I 'T LICENSE BUS. LIC. COMPANY NAM& _ E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME LICENSENUMBER BUS. LIC. # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF or Duplex ❑ Multi - Family STRUCTURE: ❑ Commercial ROOF AREA.. VALUATION: EXISTING ROOFTYPE: , ❑ BUILT -UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE /REPLACE ❑ NO IF NO, # LAYERS: PLYWOOD ❑ 'h" ❑ THICKNESS: ❑ 5/8" PT SB TYPE: El CDX PITCH: I Z ROOF CLASS: A PROPOSED ROOF TYPE: 13 BUII.T -UP ROOF 11 ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER - ICC �S P�iM �J b DESCRIPTION OF WORK / (� y)1 O J 2 S I L S' 7� �1 D Lcv c,k ► l.� �V� L f By my signature below, I certify to each of fol .g; I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have rov ed ect. I read the Description of Workand verify it is accurate. agree to co ly with all applicable local ordinances and state laws relating to: buil au orize representatives of Cupertino to enter the above id n e40 for i pection purposes. Siature of ADolicant/Agent: ' _ Date: C la ReroofApp_2011.doc revised 03116111 CITY OF CUPERTINO awm UUU Vc9rT1v4 A9Tni2 _RTTTT,ilTNf DIVISION FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 Tw-s 1•L' ••L 1:JN 1iLiLliv — -- New/(?_ Plata Chc.,c), (ec. A80 69 hyannisport DATE: 08/1912014 REVIEWED BY: Mendez 17 �'� �?t1i' fYt:S�`i. Q(Fl2Y .i(Tk�,7YLSf.I_ E3_L_ BP #: *VALUATION: $15,000 11"w "IL hZsp. bet' Permit Fee: $425.00 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F PERMIT TYPE: USE: %7f:�'. i�ri�f`i'('II.; {•` (; G.' 1''E'1 "t?771 Pce: WORK re -roof 25s q- remove shakes; class a 30#felt /{'lF! p' SCOPE FEE ID ROOF AREA s.f. 1REROOFFRES 2,500 Tw-s in urrrruoevrs u­.r..,.,..... FEE Ch ,'k New/(?_ Plata Chc.,c), (ec. F-ee: F'ta;rnP;. Pcrnrtf7�w: xz� n 17 �'� �?t1i' fYt:S�`i. Q(Fl2Y .i(Tk�,7YLSf.I_ E3_L_ lnso, Li ii)/� 11"w "IL hZsp. bet' 1 :ie"'. b7Sf. _.,. Permit Fee: $425.00 k—u Wetriet_ SAnnl NOTE: This estimate does not include fees due to other Departments (i.e. rtummrig, I UVHC rr yr na, _ •• , ..... �. y �• — __, _ __ _ —_ Cnntart the Dept for addn'l info. District, etc.. these fees are Dasea on me reumtnur FEE ITEMS (Fee Resolution 11 -053 Ejf. 7,%1/13) in urrrruoevrs u­.r..,.,..... FEE �• -- QTY /FEE .-• -° -- -_ MISC ITEMS P C ' T�' C Permit Fee: $425.00 Sl(7)P lJ I:fc> "> _7717- %7f:�'. i�ri�f`i'('II.; {•` (; G.' 1''E'1 "t?771 Pce: /{'lF! p' Work Without Permit? ® Yes (F) No $0.00 A l r. Or -w hl, 1(,ai n /' B.S: Strom Motion Fee: IBSEISMICR $1.95 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 gi " aB1 OTAL -S $427.95 $ 0.00 TOTAL FEE:"' 7$427.95 Revised: 07iiui2u i4 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 - building[@cupertino.org PROJECT ADDRESS C q L&u //� r ^ `? ! APN # OWNERN - w) W`-'V l l PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTRA E !� sh 1 V LICENSE NU1,2T � LICENSE T� BUS. LIC. # COMPANY NAME E -MAU- FAX STREET ADDtff �� CITY, ST�Z / PHONE O I 4ERSTAND 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 a 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 either 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 a e t mply with the re -roof policy stated above. I also unde stand that smoke detectors and carbon monoxide detec rs requ' to be installed in accordance with Sections R3 4 and R 15 of the 2013 California Residential Code. Sii nature of Apphcant/Apent: Date: ReroofPolicy_2014.doc revised 01 115114 0 CUPERTINO Address 9110 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(a)cupertino.org F1 7 Permit No. 1 y O C% 0.2-C �-- S # of Alarms Smoke: Carbon Monoxide: PURPOSE 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. f have read and naree to comoly with the terms and conditions of this statement Owner (or OwnerrAgennt's) Name: 8,14 Si nature...........`t . - ......................... ............................... Date: .....�. Contractor Name: Signature.................................... ............................... Lic.# ....... ............................... Date: ................... Smoke and CO form.doc revised 03118114