BLD-2021-2078BUILDING PERMIT
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 7489 RAINBOW DR Cupertino APN: 362 30 012 PERMIT NO: BLD-2021-2078
OWNER'S NAME: OWNER'S PHONE: Not Provided
CONTRACTOR: JIREH INC DBA LOS GATOS ROOFING, 888 FAULSTICH CT SAN JOSE CONTRACTOR PHONE:
DATE ISSUED 10/20/2021 10:50:39 AM ISSUED BY:VALUATION: $13921
JOB DESCRIPTION
Re Roof - tear off two layers of shake and install on layer of OSB and one layer of composition 24 squares
LICENSED CONTRACTOR INFORMATION
CONTRACTOR: JIREH INC DBA LOS GATOS ROOFING
LICENSED CLASS: C39 ROOFING, B GENERAL BUILDING, C43 SHEET METAL
LICENSED NO: 800707
EXP DATE: 10/31/2023
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 penatly 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.
3 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, l must forthwith
comply with such provisions or this permit shall be deemed revoked.
I understand and agree that I am electronically signing and filing this application and that checking the box below has the same legal effect as manual signature. I also
understand that I have the option of filing a paper copy of this application with a manual signature but have chosen instead to file this application electronically.
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • permitcenter@cupertino.org PERMIT aB
CUPERTINO I REV# OFF#
❑ NEW CONSTRUCTION ❑ ADDIHON ❑ ALTERATION ❑ T.I. ❑ MEP n RE -ROOF ❑ SWIMMING POOL/SPA
PROJECT ADDRESS
APN#
7489 Rainbow Dr
362-30-012
OwNERNAME
PHONE
E-MAIL
Chandan Sharma 4087998404
STREET ADDRESS
CITY, STATE, ZIP
7489 Rainbow Dr
Cupertino CA 95014
I] CONTRACTOR NAME []OWNER -BUILDER
COMPANYNAME
LICENSENUMBER LICENSE
TYPE
Los Gatos Roofing
800707 C-39
STREETADDRESS
CITY, STATE, ZIP
888 Faulstich Ct
San Jose CA 95112
E-MAIL
PHONE
BUS. LIC #
lisa@losgatosroofing.com
4082989399
400318
❑ ARCHITECf ❑ OWNER ❑ OWNERAGENT [] CONTRACTOR AGENTI] ENGWEER ❑ DEVELOPER [ TENANT
CONTACT NAME
E-MAIL
Lisa Destefano
Lisa@losgatosroofing.com
STREET ADDRESS
CITY, STATE, ZIP PHONE
888 Faulstich Ct
San Jose CA 95112 4082989399
DESCRIT TON
Re Roof - tear off two lavers of shake and install osb and one layer of composition 24 sauares
TOTALVALUATION:
13921
lfflSINGLE-FAMILYIDUPLEX ❑MULTI -FAMILY []INDUSTRIAL [:]COMMERCIAL
USE
TYPE
OCC
SQ.FT.
VALUATION($)
EXISTING USE
EXISTING SP
NEW FLOOR SF
FORM
SF I DECK SF
I DEMO
SF STORIES#
TOTAL NET SF
REMODEL
REMODEL KITCHEN
REMODEL OTHR
GARAGE LJ ATTACHED
BATHROOM SF
SF
SF
SF DETACHED
EMSING ❑ YES
FIRE SPRINKLERS NO
EICHLER I] YES
❑ NO
SECOND STORY ADDrnoN EI VE's
[]NO
DWELLING
SECOND DWELLING AYES []ATTACHED❑DETACHED OTHER
UNITS#
UNIT ADDTLON: ONO 5F
POOLS
❑ FIBERGLASS 0 VINYL-IANED ❑ GUNITE i] PREFABRICATED
POOL -SF SPA -SF I SPAATTACHED I]YES ❑ NO TOTAL -SF
RECEIVED BY -
Co, ... serd.1 o, &E,16-F.,,sh, Rsildiso with Public Swimnina Pools r,,iresDeuerdrrrw,taf&,iro...ental Henth.py.1
RE -ROOF
EXISTING ROOF TYPE: OBUR:T-UPROOF ❑ ASPHALT SHINGLES% WOOD SHAKES WOOD SHINGLES ❑TILE OTHER(SPECIFY)
REMOVE /REPLACE❑NO
EYES
I IF NO
# OF LAYERS 2
PLYWOOD ❑C" 0X 3/8" PLYWOOD
THICKNESS ❑ 5/8" OTHER
TYPE;
R OSB ❑ COX OTHER
PITCH:
4 :12
ROOF CLASS
A
PROPOSED ROOF TYPE: t]BUILT-UP ROOF DASTUALT SHINGLES 11 WOOD SHAKES DWOOD SHINGLES ]]OTHER
*Provide a signed copy of the Cupertino's Tear -Off Policy sF 2400 #or squAREs 24
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 have read the Description of Work and verify it is accurate. I agree
to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to
enter the above -identified property for inspeqion purposes. I acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent: Date: 10/20/21
SUPPLEMENTAL INFORMATION REQUI
*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
B1dgApp_2017.doe revised 01101121