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B-2017-2089
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-2089 19916 BEEKMAN PL CUPERTINO,CA 95014-2453(316 30 118) MEIER AND SONS ' ROOFING CONCORD,CA 94520 OWNER'S NAME: YADAV BHARATH AND KASITYAP SUPREETHA DATE ISSUED: 12/06/2017 OWNER'S PHONE:408-594-9730 PHONE NO:(925)577-3527 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic.#724093 Contractor MEIER AND SONS ROOFING Date 06/30/2018 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: RE-ROOF;INSTALL POLYURETHANE FOAM OVER EXISTING I hereby affirm under penalty of perjury one of the following two declarations: ASPHALT SHINGLES-(22 SQ) i. 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 Sq.Ft Floor Area: Valuation:$10000.00 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 316 30 118 representatives of this city to entef upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilitiesjudgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue agaihst 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 regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature _ Date 12-06-2017 Issued by:Kim Dunbar 11011111111111111111..— Date: 12/06/2017 I hereby;aftirm tha, .n'0 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 material 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 agree to remove all new materials for ' compensation,will do the work,and the structure is not intended or offered for inspection. ' sale(Sec.7044,Business&Professions Code) 2. ' I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: '-,; contractors to construct the project(Sec.7044,Business&Professions Code). Date:12-06-201 I hereby affirm under penalty'of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A”OR BETTER 1, I have and will maintain 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 2. 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 1 store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California..If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: __— APPLICANT CERTIFICATION Date: 12-06-2017 I certify that I have read this application and state that the above information is •►-TR T Sit ►ri1La1`i�c i _► Y correct.I agree to comply with,a Il'city and county ordinances and state laws I hereby affirm that there is a ci - .n lending 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-pointsource regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Signature Date 12-06-2017 Licensed Professional VB CONSTRUCTION PERMIT APPLICATION 1.6 /' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ,,V . 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • building@cupertino.orf; PEMIT#B-X 1 1 JO /) CUPERTINO ❑ NEW CONSTRUCTION ['ADDITION ❑ALTERATION ❑T.I. ❑MEP 'RE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS APN 8 11°I I(o 1c=cKw�A-A P1 c31 ca - 3lo - I ! d OWNER NAME n,2 A r,Jc A d PHONE - 5 14 . 7"O E-MAIL STRUM ADDRESS �l 7 CITY, STATE,ZIP 19 9 1 to b Cir K wto�.J -- C L IPo2--1(,J O 1 G/+ 9 So /`j CONTRACTOR NAME D.OWNER-BUILDER`COMPANY NAME LICENSE NUMBER LICENSE TYPE 576-t)L jA46-Ig--K 04 a-1 z- y_ 6o,3 5 7Z '-( o 13 G3 7 STREET ADDRESS CITY,STATE,ZIP Zoe I 61(= g izo,-a IC .---r_ .J �-,4 9,Soi y E-MAIL PHONE I BUS.LIC F 4725- 577- 35 2-7 ❑ARCHITECT 0 OWNER ❑OWNER AGENT ❑CONTRACTOR AGENT ENGINEER 0 DEVELOPER❑TENANT CONTACT NAME A E-MAIL lj 161JL yo L'I L 1776 Ji.-6 AI 5 IZ GSC-f/J G • AJ lcl" STREET ADDRESS CITY STATE,ZIP PHONE - 7-(7('( G IcA)E c_ - „J© r�I2-jI CA 9'15 2-0 Q5.77,3 527 DECRIPTON j I(--CS 19r-AJ A- I is " (A) 5 I I [?O I y U gir 74 A-n11= rc All i--(45-CTC-1A / 7n4 CJeZ CR(5�(W S/J f- Iet c-2 .kLt*('Ts . l I - U ) ;2-c - . z� 7 v ?- G-&.- [TINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES p TOTAL NET SF USE TYPE OCCSQ.FT. VALUATION($) REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE o ATTACHED BATHROOM SF SF SF SF ❑DETACHED EXISING 0 YES FICHLER 0 YES ! SECOND STORY ADDITION 0 YES FIRE SPRINKLERS 0 NO 0 NO 0 NO DWELLING SECOND DWELLING ❑YES ❑ATTACHED❑DETACHED OTHER UNTIE p UNIT ADDITON: 0 NO S F POOLS' 0 FIBERGLASS;❑VINYL-LINED 0 GUNITE ❑PREFABRICATED POOL-SF SPA-SF SPA ATTACHED❑YES 0 NO TOTAL-SF' REC \1//' TOTAL VALUATION: Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval (. p01 CVO — I I C/V RE-ROOFI EXISTING ROOF TYPE: 117,1 BUILT-UP,ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) REMOVE/REPLACE'NO IF NO i PLYWOOD ❑1/2" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS ❑YES F OF LAYERS OIJE THICKNESS�5/8" OTHER )SB IIICDX OTHER 1 Z :12 A PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES OWOOD SHINGLES BOTHER O l A N''l *Provide a signed copy of the Cupertino's Tear-Off Policy SF 2-ZCE) tiof SQUARES '2-2— By 2By my signature below II 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 infoniation I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable loeal ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. I acknowled•e and authorize all in e•••-:•• •.tained on this application form to be made available for public record. Signature of Applicant/Agent: . . Date: I / I SUPPLEMENTAL INFO r:, 'TIO. s UIRED *New SFD/Second Dwe a i-g nits/M;ultifamily Dwelling:.A De.•- ' on permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazard t. f aterials 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 `' / REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E,, C.B.0., BUILDING OFFICIAL k CUPfRTNCV 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408) 777-3228• FAX(408)777-3333•buildinq(7a cuuertino.orq P2 8'9 PROJECT ADDRESS y // La3 - ^ �i C� AP" 3 r - (30 - I L q• OWNER NAME E-MAIL ierTH $V, • STREET ADDRESS 0) /t, 3CC)I1A- rj CITY, STJATOtZ1127 ,io 9 S®� 4 FAX CONTRACTOR NAME G J0�ILrn1`- LICENSE NUMBER )Z" 3 LICENSE TYPE/3 j BUS.LIC.# COMPANY NAME Y/ E-MAIL ( "� CJ e-= ) CP- J— ,•d 5 5��L)c&r S iA) A))67 z5'•459 .9/7 S STREET Gt.t n)YaceD Com. cri,oz,Er.). � A 9 ]5 PHONE 77,-3527 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. - 2. You:must schedule all needed inspections a minimum of one day before the requested inspection'date. Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri).1, 1 � 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners ha'e been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. ,A building inspector will be available within one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10:30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to'yerifybuilding is weather tight after installation of approximately 25% of the roofing material. 6. New roof coverings shall not be applied without first obtaining all inspections and written approvals fronithe 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. 7. A final inspection and approval shall be obtained from the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of I/4"per foot of slope and must demonstrate there is no ponding. b. Listings froth 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. 8. NOTE: If you call fora tear-off or plywood nailing inspection and the work isnot complete, you will be charged a re-inspection fee of$126.00. The re-inspection fee shall be paidbefore 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 agree to com.1 - - :: .4 cy.'stated above. r Signature of Applicant/Agent: Date:,< ✓'2- (it '7 i ReioofPol cy1_2010:doerevised 05/17/10 ij � ; 1 �I SMOKE / CARBON MONOXIDE ALARMSL.0 OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ,40 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 Z. N. E CUPERTINO (408)777-3228•FAX(408)777-3333•building a(�cupertino.ora 2 PERMIT CANNOT-BE.EINALED,UNTIL THIS CERTIFICATE..HAS BEEN COMPLETED SIGNED:AND RETURNED TO THE 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,R315,2016 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,R315, 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 X X bedroom(s)—(Smoke alarms shall not be located within 3 feet of bathroom door) On every level of a dwelling unit including basements and habitable attics 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 / Address: /l � rs C.��'i t/ k lW Pia , Permit No. Specify Number of Alarms #Smoke Alarms I .. ! #Carbon Monoxide Detectors. I I have read and agree to comply with the to s and conditions of this statement Owner(or Owner Agents))Name:" t G G Signature .... 1 ...Date: ... ... Contractor Name: Cni7V So ,s e..'. (/� ,s t Vuei Signature .... Lic.# J� 0 .3 Date:t :��-./f9 JSmoke and COform.doc revised 01/10/2017