B-2017-2143 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-2143
20984 ALVES DR CUPERTINO,CA 95014-1826(326 31 023) ALL SEASONS
ROOFING&
WATERPROOFING INC
SAN JOSE,CA 95112
OWNER'S NAME: GAMPALA RAVIKUMAR S AND CHITTAJALLU SANTHA DATE ISSUED:12/13/2017
OWNER'S PHONE:408-480-0602 PHONE NO:(408)971-4455
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO•
License Class S Lic.#759091
Contractor ALL SEASONS ROOFING&WATERPROOFING INC Date 02/28/2019 X BLDG _ELECT _PLUMB
MECH X RESIDENTIAL COMMERCIAL
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. JOB DESCRIPTION
REROOF,TEAR OFF,COMP SHINGLES(8 SQ)
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
/i
n --7fean
ceoftheworkforwhichthispermitis issued.z: haand will maintain Worker's Compensation Insurance,as provided for by
VSeddon 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$0.00
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 APN Number Occupancy Type:
and state laws relating to building construction,and hereby authorize 326 31 023
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 PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulati. Wiper th- Cuperti,. Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signatur> /�/ � 'P- Date 12/13/2017 Issued by Abby Ayende
i/ Date: 12/13/2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing mate'al being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agre Jo remove all new materials for
compensation,will do the work,and the structure is not intended or offered for A0 .pectin
n.
sale(Sec.7044,Business&Professions Code) ----- ,ile ___, —
2. I,as owner of the property,am exclusively contracting with licensed ,Siai e of.Applieant:� / -
contractors to construct the project(Sec.7044,Business&Professions Code)2 Date:12/13/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERIN TO BE CLASS"A"OR BETTER
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. HAZARDOUS MATERIALS DISCLOSURE
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the materiaL Additionally,should I use equipment or devices which a+i't hazardous
air contaminants as defined by the Bay Area Air Quality Mana!:•went District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Mu. cipal Cod:,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety CocAlo tions 2 05,257 and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. "�" '■ .. -!---�/= ��
/Owner or authorize. l�//.�1r%l
APPLICANT CERTIFICATION (/ Date:12/13/2017
I certify that I have read this application and state that the above information is C It; • • 134,4
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction l ding agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
SiSignature Date 12/13/2017 Licensed
9 Professional
CONSTRUCTION PERMIT APPLICATION
\ 1 /
/ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
V10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 //
1.I9,
(408) 777-3228 • building@cupertino.org PEMIT#B- 10 - 2
43
CUPERTINO REV# DEF#
10 NEW CONSTRUCTION ❑ADDITION ❑ALTERATION 0 T.I. ❑MEP 1(Di, RE-ROOF ®SWIMMING POOL/SPA
PROJECT ADDRESS APN# ® �
20984 ALVES DRIVE
OWNER NAME PHONE E-MAIL
RAVIKUMAR GAMPALA 408-4820602 DR.GAMPALA@GMAIL.COM
STREET ADDRESS CITY,STATE,ZIP
20984 Alves Drive CUPERTINO,CA 95014
❑• CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE
KAREN SCHULTZ ALL SEASONS ROOFING 759091 C39 B
ISTREET ADDRESS CITY,STATE,ZIP
1720 SMITH AVENUE SAN JOSE,CA 95112
E-MAIL PHONE BUS.LIC#
K.SCHULTZ@ALLSEASONSROOF.COM 408-971-4455 759091
❑ARCHITECT 0 OWNER DOWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT
CONTACT NAME E-MAIL
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTON
Remove(e)tiles on sections for solar array location to roof deck,install composition shingle,then re-install-total 8 squares
❑x SINGLE-FANIILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL
EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES# TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($)
REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED
BATHROOM SF SF SF SF 0 DETACHED
HOSING ❑YES EICHLER 0 YES SECOND STORY ADDITION ❑YES
FIRE SPRINKLERS 0 NO 0 NO 0 NO
DWELLING SECOND DWELLING ❑YES 0 ATTACHED❑DETACHED OTHER
uNTTS# UNIT ADDITON: 0 NO S F
POOLS' 0 FIBERGLASS ❑VINYL-LINED 0 GUNITE ❑PREFABRICATED
POOL-SF _ SPA-SF SPA ATTACHED❑YES 0 NO I TOTAL-SF
REC �.^.' n T• L VALUATION:
Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval '1tV Lf�.�C.�- `.,Li NO
RE-ROOF'EXISTING ROOF TYPE: 0 BUILT-UP ROOF 0 ASPHALT SHINGLES 0WOOD SHAKES Q WOOD SHINGLIS g TILE OTHER(SPECIFY)
REMOVE/REPLACE❑NO 1 IF NO - PLYWOOD ❑le ❑3/8" PLYWOOD TYPE: PITCH: 9 ROOF CLASS
YES #OF LAYERS THICKNESS O 5/S" OTHER 0 OSB 0 CDX OTHER '12 A
IE
PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER
*Provide a signed copy of the Cupertino's Tear-Off Policy SF #of SQUARES
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;s correct. I have read the Description of Work and verify it is accurate. I agree
to comply with all applicable local ordinan -. and St.e law relating to building construction. I authorize representatives of Cupertino to
enter the above-identified property for in .ect on p 'poses acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent: 1 !..0 11 ® Date: -.
SUPPLEMENTAL INFORMATION R 0 IRED or or
*New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA-Provide a letter of approval from the Home Owner's Association
BldgApp_2017.doc revised 08/01/17
\ I REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR,P.E.,C.B.O.,BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq(c�cuoertino.orq
PROJECT ADDRESSo �7 -1 �i v „c9(I U Chi' APN�# ( '� 2'I
OWNER NAME& f kG n4 a( &-amp/l& PHo j ja/i Es v —O(p o2 E-MAIL MAIL
STREET DRESS CITY, STATE,ZIP �/ FAX
&/ G is Lou t o f f'val?i��ifs EI� T 311 LIC9/ LIC SE Tl'PE LIC 9
Co IE .9S--pjjj k : nllaaT ii>'"fi C4/ FAX
STREET ADDRESS CITY.STATE,ZIP ,
/ s�.D Serif /�'y°'`'0�. � /7re �4 97.4/r/, - ('4077
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2016 California Codes.
2. An inspection request can be scheduled up to one business clay before the requested inspection date.
To schedule inspections call (408) 777-3228 from 7:30-3:30pin(Mon-Thurs) or 7:30-2:30pin(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 out to the
job site 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 t= e: I am the property owner or authorized agent to act on the
property owner's behalf. I underst. .d and agree to co ply with the re-roof policy stated above. I also understand that
smoke detectors and carbon mo•• ie(let,/ tors are equired to be installed in accordance with Sections R314 and R315 of
the 2016 California �<;�:.�•__'- ____
Signature of Applicant/Agen J" Date:
�// Reroofl'olacy_2014.docrevised 06/01/7