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07100096 .CITY OF CUPERTINO � ' ` 7�,� BUILDING DIVISIOiV PERMIT V��i�� Y'��% ' ,. ;- .,:.. ,.: ::.:.. ,: , ;.> . BUILD D RESS: PERMIT tYO. '/�� STANFORD PL R E ROOFING & CONSTRUCTION 07100096 . 0 W NER'S NAME: PERMTT LSSUE DATE SAIKAT SAHA 15230 CLYDELLE AVE 10 12 2007 )NE: SANITARY NO. CON'fROL NO. (408)626-9320 ARCH]TECT/ENGINEER: BUILDING PERMiT INFO BLDG ELECT PLUMB MECH � � � 0 i o p LICENSED CON'I'RACTOR'S DECLARAT[ON IOb DeSCi1pt10D � v� I hcroyy �cm that I am licensed undcr provisions of Chaptcr 9(commencing :z� withSccdon700U)ofDi on3oflheBusincss dpra� u�sC�ic amys��u REROOF—REMOVE (E) LAYER OF COMP. INSTALL NEW 3O# �< a in full force and effec� �' �� ;�? �;«�ci �� .# � FELT/CLASS A-22 SQUARES . + y � Dam � Con , r � ARCHITECTS ECLAR � 7� a 1 undcrstand m plans shall be uscd as ic recor )aU ' u. y Liccnud Profcssional � y � OW NER-BUILDER DECLARATION 1 hcrcby alTirm Uiat 1 am cxcmp� Crum ihc Contraaor's Liccnsc Law far thc � o O following rcason. (SccGon 7031.5, Busincss and Profcssians Calc: Any city ar rnun�y `e m� Which cequires a pertnit ro conswcG altcr, improvc, dcmolish, or rep�ir any awamc '? Z y prior u� i�s issuancc, alsu mquires thc applicant for such pertni� to filc a signcd statcmcn� - a that hc is liccnxd pursuanl to lhc provisions o[ �hc ConuacWr's Liccnsc Law (CAap�cr 9 iq. Ft. Floor Area Valuation r F� (commcncing with Scctian 7000) of Division 3 of thc Busincss and Profcssions Cadc) or $ 7 2 � � y�� that he is exempt Ne�efrom md We basis [or �Ae alleged ezempdon. Any vioWion ot Section 703 i.5 by arry applicant for a pertnit subjects ihe applicant to a civil pena►ty of Number Oceupaney Type not mare than �vc hun d r e d da l lars ( 5 5 0 0). 3' r J 9 3 2 � 4 6�� ❑ I, at owncr of tl�e property, or my employca wi[h wagu as the'v solc compensation, wi:l do ihc work, and �he stnxmre is not intendcd or ofteced for sa� (Sec. 7044. Busiixss Re uired Ins eCt101]S and Professians Code: The Conuxtor's License Law does not apply a an owner of 9 P propeny who 6uilds a improves thercon, and wha daes such work himxlCor thcough his own employces, provided that such improvemenLS are not intended or o[fered for sale. IC, howevec, �he building or improvement is sotd within one year of compleuon, ihe owner- builder will have �lu burden of proving idat hc did wt build or improvc far purpose af ' sa1cJ. ❑ I, as owner of ihe property, am uclusivtly convacting wi�h licensed rnnuxtnrs W construct ehe projea (Sec. 7044. Business and Pro[essions Code:) The Conuacwr's Li- cense [aw dacs not apply to an owncr of propeny who builds ar improves �de�eon, and , who conuacts Cor sucA projects with a conuactor(s) licensed pursuant w the Convacwrs ' License Law. ❑ 1 am ezempt undu Sec. , B& P C for ihis resson Owner Date _... _. WORKER'S COMPENSAT[ON DECLARATION I hercby aCfirm under penalty of perjury onc o( the foliowing declarations: �] I have and will mainwin a CertiGcate of Consent to sclf-insurc for Workefs Compen- sation, as providcd for by Sectian 3700 of the Labor Code, for the performancc o[ the work for which Wis permit is issued. I havc and wiil maintain Workcr's Compensation Insurance, u rtx�uired by Scction J oC We Labor Code, Cor the pedormance of �he work for which this peimit is issued. My Worker's Compenutio In carrier and Policy number are: � Cartier. ' Y� Policy No.: �i'1 I-1 l�b CERTiFICATE OF CEMPI'[ON FROM WORKERS' COMP SATION INSURANCE (This section necd not 6e completed if the pertnit is for ane hundrcd dolius (5100) nr Icss.) ' I cenify thcs in the performance of thc work (ar which ihis pertnit is issucd. t s6ai1 not employ any person in any manncr so az W bccomc subject ta ihe Workers' Compensation L,aws of Califomia. Datc Applicant NOTICE TO APPLICANT: If, alYcr making �his CcrtiGcau of EzcmpGon, you should bccome subjcct to thc Worker's Campensation provisions of thc Labor Codc, you must � O foMwiih comply with such provisions or this pccmit shail bc dcemcd awakcd. Z '"" CONSfRUCT10N LENDWG AGENCY E+►�.+ 1 hcrcby a[Lrm that thcre is a construction Icnding agency Cor thc perCarmancc of . �., .� thc work fur which ihis permi� is issucd (Scc. 3097, Civ. CJ a Q L.endcr's Namc ' a z L.cnder's Address (� � [ certi[y that I havc rcad ihis application and stalc that Ihc abovc infom�auun is �� cortcct. t agrce to comply with all city and county orJinanccs and state laws relating �o � U building conswction, and hcreby authori�e reprcscntativcs of ihis city to cntcr u�n thc � W abovc-mcmioncd properry for inspcction puriwses. � (Wc) agree to save, indcmnify and kecp harmless ihe City of Cupcnino against H � liabilities, judgmenLS, cos4s and expenus which may in any way accnu against said City U ' ncc oC the granting of this permit. D3LE /`�� v> APPLICA NDERST S AND WILL COMPLY WITH ALL NO -PQINT Issued by: SOURC R '" f �� ( Z � Re-roofs ignatureo[ UConuactor " �� Type of Roof H US MATERIALS DISCLOSURE Wi11 thc applicant or futurc building occupant store w handlc ha•rardous mucrial u dcftned by the Cupertino Mun'�cipal Codc. Chap�cr 9.12, and [he Health and Sa[ety co� Section 25532(a)? All roofs �hall be inspected prior to any roofing material being installed. � y� �No , �ll thc applicant or Cuturc building accupant use eyuipmcnt or dcviccs which If a roof i:> installed without first obtaining an inspeetion, I agree to remove cmii hazardous air contaminan�s as ncd by thc Bay Area Air Quality Managcmcni all new m aterials for inspecrion. ��su�c�? ❑ Ycs ❑ No I havc rcad the ha�ardrn�s matcrials ccquircmcn�s undcr Chapicr 6.95 af Ihc Califor nia Hcalih & Safcty Codc. Secuons 25505, 2,�3_and 25534. t undcrs�and ihat if ihc building d �-rfot c �ly havf,a- Ih � u�is my res �h�h y io noufy thc occ i f �hc yuiremcn�s tcy usibcme toibwan oc fica�co(occu Signature ofApplicant Date �� 1 � All roaf coverings to be Class "B" or better O�t�er�xaukhari`i.c �gcnt D�� — CITY OF CUPERTINO 2 ITEMS OF 2 PERMI7' RECEIPT OPERATOR: suew COPY # : 1 Sec: Twp: Rng: Sub: Blk:: Lot: APN ........: 35�32046.00 DATE ISSUED.......: 10/12/2007 RECEIPT #....-.--.: BSC00002981 REFERENCE ID # ...: 07�00096 SITE ADDRESS .....: 74�5 STANFORD PL SUBDIVISION ....... CITY .............: CUF�ERTINO IMPACT AREA ......: OWNER ............: SAIKAT SAHA ADDRESS ..........: 74�5 STANFORD PL CITY/STATE/ZIP ...: CUF'ERTINO CA, CA 95014-3912 RECEIVED FROM ....: RE ROOFING CONTRACTOR .......: PRC�CTOR, PAUL LIC # 20615 COMPANY ..........: R EI ROOFING & CONSTRUCTION INC ADDRESS ..........: 15�30 CLYDELLE AVE CITY/STATE/ZIP ...: SA1�� JOSE, CA 95032 TELEPHONE ........: (4C8)626-9320 f FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 7,200.00 147.96 0.00 147.96 0.00 BSEISMICRE VALUATION 7,200.00 0.80 0.00 0.80 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 148.76 0.00 148.76 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 148.76 11430 --------------- TOTAL RECEIPT : 148.76 ( � �,-., . . I I I ,� �. CITY OF I�UPERTINO : :��' RE:EZOOF �� rt , CuP��T1�o PERMIT APPI,ICATION FORM �� f' � APN # , � � � � Date: � � , �- U Building Address: +� �� U ,� > � � Owner's Name: � � ` 1` ! � � �� ,� Phone #: �� if\ Contractor• \ � , ; , , \ � ` � J c � License #:.� �� c� �, Li �G��`�(� )N � �.0 `�l1Zt�LC.� C., , Contact: /��,,�'� i � � 7� � � � Cupertino� License #: , Type of P.00f Covering: Eausting: Proposed: ❑ Built-17p Roof ❑ Built-Up roof � Asphalt Shingies � Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes O Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Nuinber of existing coverings _�_ ❑ Provide I.C.B.O. Report # �To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Com ly With Cupertino's Tear Off Policy: Job Description: ''�;,,1 JV�, �� .� ��" �►� t� � L,�` �,�'L- �``� t Jl�'1P I�`� �'� L j�t,�► �{ � �� ^ �� •� 1,,� 'Z.2 Residential Commercial ❑ � Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: LJ Cost of Proje �� U � ��; Type of Constr�� on: � Occupancy group: � — l,� , j� Qry. if Applicable Fee ID Fee Description Fee Group ' BPERMFEE Bldg Permit Fees BLTILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BLTILDING . Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building l�epartment Subject: Re-roofing policy for the (�ity of Cupertino 1. Prior to permit issuance, you must agrE e to comply with 1997 UBC Standards and manufacturers specifications on re- roofing. 2. New roof coverings shall not be applieci without first obtaining all inspection and written approval from the buildin€; inspector. A final inspection and approval shall be obtained from the bu:lding inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City . the following steps are required: 1) Pre-inspection and/or tear off apprcval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. __ _. _ _ 5. If plywood is installed, a plywood nail :nspection is required. j 6. Any roofing which is applied without f:rst obtaining an inspection, �I ro�� will require the removal of all new mat��rial down to the sheathing, so a proper City inspection can be perfc�rmed. 7. NOTE: If you call for a plywood nail ir�pection and the job is not ready, you will be charged a re-inspection fee ��f $176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT 1. Flat roofs must have a m;nimum of 1 /4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on t1e job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: c�� `f� �� Job Site Address: { � 1 � � � � � �L R � ��, , � Roofing Comp e: �\ �. ��' � N :� (�, b� �`C R��1 u'�-� ti i�� l, � �. g _� , l l ' Applicant's Si tu�� ' � � �- Date: �, � � _.. ; . ..,\�_ _ I AP Greg Casteel � Building Official Revisec 11/2/04 anovc-mcnuonca properry �or mspccuon purpoxs. �. LLl .... . . . .. . . . . ... ... . � � � 1 / % /� .�