Loading...
B-2017-1335CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1335 18896 LOREE AVE CUPERTINO, CA 95014-3635 (375 15 014) 1 COSMOS ROOFING OWNER'S NAME: ARORA SANJEET AND BULANI APARNA OWNER'S PHONE: 213-447-9569 LICENSED ONT TOR' DECLARATION License Class C39 Lic. #785441 Contractor COSMOS ROOFING INC Date 04/30/2019 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: 1. 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. z 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. APPLICANT CERTIFICATION I certify �tat I have read this application and state that the above information is correct. I agree to comply with all city and countyordinances 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. Date 08/11/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 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. 2. 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, I 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 08/11/2017 INC MOUNTAIN VIEW, CA 94043 DATE ISSUED' 08/11/2017 PHONE NO: (650) 969-7663 BUILDING PERMIT INFO• X BLDG —ELECT —PLUMB _ MECH Y RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION RE -ROOF, TEAR -OFF, INSTALL TAR & GRAVEL (19 SQ) Sq. Ft Floor Area: I Valuation: $9760.00 APN Number- Occupancy Type: 375 15 014 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Kim Dunbar Date: 08/11/2017 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 agree to remove all new materials for inspection. _ Signature of Applicant: Date: 08/11/2017 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(a) 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. Owner or authorized agent: Date: 08/11/2017 ONSL G ENCY I hereby affirm tha eta conspe ion lendin ncy for the performance of work's for whidhis permit ' sued (Sec. Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 - building(&cupertino.org PROJECT ADDRESSJ 14vG APN # ®- "� s� 7 9 OWNER NAME 5 A)j PHNE I ` q4? ° l 5V 1 E-MAIL STREET ADDRESSCITY, 6 f -e -e /j6 STATE ZIP P z-7(jO C- 50( y FAX CONTACT NAME ALEJANDRO OCEGUERA PHONE 650-969-7663 E-MAIi. STREETADDRESS 1901 Old Middlefield Rd CITY, STATE, ZIP Mountain View, CA 94043 FAX 650-584-3078 ❑ OWNER ❑ OWNER -BUILDER ®, OWNERAGENT KI CONTRACTOR oCONTRACTORAGENT ❑ ARCBITECT 0. ENGINEER ❑ DEVELOPER 0 TENANT CONTRACTOR NAME ALEJANDRO OCEGUERA LICENSE NUMBER 785441 LICENSE TYPE C39 US. LIC. nu' -"' 403370 COMPANYNAME COSMOS ROOFING EMAIL FAX 650-485-2314 STREETADDRESS 1901 Old Middlefield Rd CITY,sTATE°'P Mountain View, CA 94043 PHONE 650-969-7663 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC: # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE S USE OFFD Or Duplex' 0 Multi -Family Omercial STRUCTURE: ,-m ROOF AREA: I C VALUATION: QJ �-07cro / / / 6 EXISTING ROOF TYPE: P„BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECIFY) REMOVE/REPLACE 06S ❑ NO IF NO, I # LAYERS: PLYWOOD ❑ %, ❑ AkA THICKNESS: ❑ 518" PLY" 1:1 OSB TYPE- ❑ CDX PITCH: 4 Z :12 ROOF CLASS: A PROPOSED ROOF TYPE: I(BUILT-UP ROOF ❑ ASPHALT SHINGLES 0 WOOD SHARES ❑ WOOD SHINGLES ❑ OTHER ICC -ES REPORT #. DESCRIPTION OF WORK: I By my signature below, I certify to each of the following: 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 provided is correct. I e e nptlon of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building con on. I authorize re " sentatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant(Agent: Date: / t 11_I SUPP'LLM&TAL INFORMATION if building is associated with a, Home Ie ' ssociation, provide letter of approval from HOA. Provide Planning approval to verify if there any restrictions. Provide copy of Manufacturer's Installation Specifications. Provide signed copy of Cupertino's Tear -Off Policy. oCIR Est ONLY PLAN cffECIKTYPK ROUTING stn* 0 ovER-TM-COUNTM 0 EXPPEss F1 SEA"ARD . ❑ -RUUM NGPLAN REVIEW El RYA NCP RFV=W CI FME DEPT OTIMR ReroofApp 2011.doc revised 03116111 YiYYL =L+� F .17 SMOKE / CARBON-MONOXIDE ALARMS ,1619 krfl- OWNER CERTIFICATE OF COMPLIANCE E 4.rg COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION GUPETINQ 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinc cupertino.orq PERMIO F.INALED UNIX THIS COMM-ala SON C©NPLE tD,SIGNET AND LETIIRNTED TO D EQ BUILDING DIVISION PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 $1000 00, CRC Section R314 and CBC Sections 907.2.11.5 and 420 6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations. AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of X X the bedroom(s) On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420 6 and shall be approved by the Office of the State Fire Marshal. Power Supply.In dwelling units with no commercial power supply, alarm(s)may be solely battery-operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.114 and 420 6.2.An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes.The alarms specified below have been tested and are operational, as of the date signed below ( Q • lo Address. 1 Vt s L.Q USI `/ cuttmo Permit No. --doi 2-/335- 4Tot4 Specify Number of Alarms. tj #Smoke Alarms: 14 ! #Carbon Monoxide Detectors. at I I have read and agree to comply with the term, and con.itions of this statement O er(or Owner Agent's)Name: Date: Q$' r1�2Y_!rt Signature . �..p� ontractor Name: Signature Lic.# Date: Smoke and CO fornzdoc revised 12/15/16