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07050051 777777777777777 CITY OF CUPERTINO BUILDING DIVISION PERMIT1 )EtCT BUITgjTrj 44DRESS: PERMIT NO. b4�4 MYRTLEWOOD DR KNIGHT ROOFING SERVICES 07050051 PERMIT ISSUE DATE OWNER'S NAME: VENKAT KATTARAM 42035 OSGOOD RD. 05/08/2007 JNE: SANITARY NO. CONTROL NO. (510) 43£3-9077 BUILDING PERMIT INFO ARCHITECf/ENGiNEER: BLDG ELECT PLUMB MECH i p C LICENSED CONTRACTOR'S DECLARATION Job Description m)= I hereby affirm that I am licensed under provisions of Chapter 9(commencing ?zw withSection7000)ofDivision3oftheBusinessandProfessions_Code.andmylicenseis RER00F-r1/0 COMP INSTALL CLASS A COMP SHINGLE 25 I'm in full force and cffec z License �' Lk• SQUARES F-p Dam Contractor ARCHITECTS DECLARATION j a I understand my plans shall be used as public records >yV n.F Licensed Professional y OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the C p C following reason.(Section 7031.5,Business and Professions Code:Any city or county u m Pi which requires a permit to construct,alter,improve,demolish,or repair any structure prior to its issuance,also requires the applicant for such permit to file a signed statementValuation that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Ft.Floor Area $6480 rF (commencing with Section 7000)of Division 3 of the Business and Professions Code)or i that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of Q� Number Occupancy Type not more than five hundred dollars($500). 36920024 `°E ( ❑1,as owner of the property,or my employees with wages as their sale compensation, will do the work.and the structure is not intended or offered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of q p property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for We.if, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and. who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a Certificate of Consent to self-insure for Workers Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑I have and will maintain Workefs Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Workees Compensation insurance carrier and Policy num Gate✓00 1 Cartier.�f'�� Policy No.:� `' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (this section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must Oforthwith comply with such provisions or this permit shall be deemed revoked. Z "" CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of - > the work for which this permit is issued(See.3097,Civ.C.) aQ Lender's Name r7 z Lender's Address U 0 I certify that I have read this application and state that the above information is V.►" correct.I agree to comply with all city and county ordinances and state laws relating to O U building construction,and hereby authorize representatives of this city to enter upon the Uabove-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against to liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. e Lca APPLICALqT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE GUL T9f�� I N S_ Re-roofs Signature o licam oniractor I f Dale Type of Roof HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety code,Section 25532(a)? All roofs:;hall be inspected prior to any roofing material being installed. [3 Yes INo"j If a roof i:;installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which MR hazardous air contaminants as defined by the Bay Area Air Quality Management all new m iterials for inspection. District? ❑Yes J j No 1 have read the hazardous`materials requirements under Chapter 6.95 of the Califor- niaHealth&Safety Code,Sections 25505,25533 and 25534.1 understand that if the building J g does not curre ly have a tenant,that it ism rcsponsibtlity to notify the occupant of the requirements ich mu et 'or uance of a Certificate of Oc pan . Signature o plieant Date All roof coverings to be Class"B"or better Owner or author; agent Dae CITY OF --UPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 36920024 . 00 DATE ISSUED. . . . . . . : 05/08/2007 RECEIPT #. . . . . . . . . BS000001233 REFERENCE ID # 07050051 SITE ADDRESS . . . . . : 6424 MYRTLEWOOD DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . • OWNER . . . . . . . . . . . . : VENKAT KATTARAM ADDRESS . . . . . . . . . . . CITY/STATE/ZIP . . . : SANTA CLARA CA, 95050 RECEIVED FROM . . . . : RECEIPT INTERFACE CONTRACTOR . . . . . . . : DAVID RICE LIC # 27646 COMPANY . . . . . . . . . . : KNI3HT ROOFING SERVICES ADDRESS . . . . . . . . . . : 42035 OSGOOD RD. CITY/STATE/ZIP . . . : FREMONT, CA 94539 TELEPHONE . . . . . . . . : (510) 438-9077 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 6,480 .00 137.16 0 .00 137 .16 0 .00 BSEISMICRE VALUATION 6,480.00 0.70 0 . 00 0 .70 0 .00 ---------- ---------- ---------- ---------- TOTAL PERMIT 137 . 86 0 .00 137. 86 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 137. 86 10434 KNIGHT ROOFING --------------- TOTAL RECEIPT 137. 86 CITY OF C'UPERTINO R.EROOF CUPEkTINO PERMIT APPLICATION FORM Date: PPN# c;;20 5-7-07 uilding Address: 6424 Myrtlewood Dr . Phone#: 408 242 5740 Owner's Name: Venkat Kattaram Phone#: License#: Contractor: 844108 Phonnee#: p Knight Roofing Services 510 `- 077 Cupertino Business License#: Contact: # 27646 Greg Knight 510 438 x077 Type of R sof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof Xf Asphalt Shingles Id Asphalt Shingles ❑ Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) ❑ Provide I.C.B.O.Report#E3Number of existing coverings Removed Provide Mfgr.Installation Specs. C3 Te o I Have Read,Understand and Will Comply With Cupertino's Tear Off Policy: ❑ Job Description: Tear off composition roofing. Install Class ti Composition shingle. 25 Sq. Residential ® Commercial ❑ Fire Zone: Yes El No Rt' Confirmed with Planning Dt. if there are any restrictions. yp Cost of Project: T e of Construction: Occupancy groin $6, 480 Re roof '�'N Qty. if Fee Group A lica le Fee ID Fee Description BPERMFEE Bldg Permit Fees BUILDING BUILDING BENERGY Ener BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING PLANCHK Plan Check Fee BUILDING USLICB BPLAN Business License BUILDING Community Development Department Building Division City of Cupertino 10300 Torre Avenue CITY OF Telephone: (408)777-3228 C�� O Fax: (408)777-3333 Building Department Subject: Re-roofing policy f or the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building 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 Inspection is required. 6. Any roofing which is applied without f xst obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection 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 minimum 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 the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: Venkat Batta ram Job Site Address: 6424 Myrt lewc,od Ct . Dr. Roofing Company Name: Knight Roc&�g Services Applicant's Signature: Date: S �7 Greg Casteel Building Official Revises 11/2/04 Drinfn.J nn Dan.inlarJ Donor Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 IPEI�TINO _ Building Department JOB ADDRESS: PERMIT# 6424 Myrtlewood Dr . OWNER'S NAME: venkat Battaram PHONE# 510 438 9077 GENERAL CONTRACTOR K n i ht R o f i nc S e r v i c FAX# 510 438 9077 I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 21 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile C` vC' Owner/ tractor Signature ate