The URL can be used to link to this page

11050291 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7681 RAINBOW DR CONTRACTOR:WOODS ROOFING PERMIT NO: 11050291 OWNER'S NAME: BHOLE SUDHIR H AND VRINDA 17700 SERENE DR DATE ISSUED:05/31/2011 OWNER'S PHONE: 4088631254 MORGAN HILL,CA 95037 PHONE NO:(831)637-5576 L LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class �"3 Lic.# 3 2- 5 1 3 1 MECH RESIDENTIAL COMMERCIAL Contractor Date i I hereby aftir I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROO TEAR OFF WOOD SHAKE NO RESHEET&INSTAL (commencing with Section 7000)of Division 3 of the Business&Professions GERARD LIGHWEIGHT STEEL TILE 1.4PSF-CLASS A 24SQFT Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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. I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$18990 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36224012.00 Occupancy Type: 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 and state laws relating to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Issued by:r /�/ Date:J7_ Signature Date �l ) OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I ..reby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Signature of Applicant: Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air pen-nit is issued. contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or authorized agent: become subject to the Worker's Compensation provisions of the Labor Code,I must e: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION ing of this permit.Additionally,the applicant understands and will comply all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36224012 . 00 DATE ISSUED. . . . . . . : 05/31/2011 RECEIPT #. . . . . . . . . : BS000013605 REFERENCE ID # . . . : 11050291 SITE ADDRESS . . . . . : 7681 RAINBOW DR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : BHOLE SUDHIR H AND VRINDA ADDRESS . . . . . . . . . . : 7681 RAINBOW DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PERMIT SERVICES INC CONTRACTOR . . . . . . . : WOOD, LAWRENCE E LIC # 20810 COMPANY . . . . . . . . . . : WOODS ROOFING ADDRESS . . . . . . . . . . : 17700 SERENE DR CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (831) 637-5576 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 18, 990 .00 1. 00 0 . 00 1.00 0. 00 1BSEISMICR VALUATION 18, 990 .00 1. 90 0. 00 1.90 0. 00 1REROOFRES SQ FEET 24 .00 312 . 00 0 . 00 312 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 314 . 90 0 . 00 314 . 90 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 314 . 90 #2424 --------------- TOTAL RECEIPT 314 . 90 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 309 EXTERIOR LATH 311 SCRATCH COAT 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF i 1 -�,S o REROOF PERMIT APPLICATION 11-21 COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228-FAX(408)777-3333-buildingna.cupertino.org PROJECT ADDRESS i // L J I ��1 �e, t j D ;� APN# _9 C) ( / OWNER NAME ( (� a \ ,` PHONE E-MAIL L' v� c t, L_ /2-s` STREET ADDRESS '7691 �,4 Iti 3i n-j �T( PTIA�416� CA /1 A - c75�/ -G` FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT XCONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME L[ N`E N MBERt-51 T ICENS T PF� BUS.LIC.# COMPANY NAME e I�S� � E-MAIL FAX STREET ADDRESSw CITY,STATE,ZIP PHONE Lb MOO 0R-E jk D;Z mox6 ,-j �i� cA 5077 �c;� 6n5 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial f� /,q / v EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) REMOVE/REPLACE (YES IF NO, PLYWOOD ❑ h" ❑ PLYWD 11 OSB PITCH: ROOF ❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX '12 CLASS: `� PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES 11 WOOD SHAKES 11 WOOD SHINGLES OTHER IC t ES R�pORT# DESC TION OF WORK: 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. 1 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 construc' I authorize representatives of Cupeitino to enter the above-identified property for inspection purposes. Signature of Applicant>Agent Date: S 3 �/ SUPPLEMENTAL INFO ON REQUIRED OFFICE)USE ONLY _If building is associated with a Home Owner's Association,provide letter PLAN CHECK TYPE ROUTING SLIP of approval from HOA. VER-THE-COUNTER ❑ BUILDING PLAN REVIEW _Provide Planning approval to Verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Provide copy of Manufacturer's Installation Specifications. ❑ STANDARD ❑ FIRE DEPT _Provide signed copy of Cupertino's Tear-Off Policy. D OTHER: ReroofApp_2011.docrevised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 7681 rainbow dr DATE: 05/31/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$18,990 'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F USE: PERMIT TYPE: WORK tear off wood shake install lightweight tile. SCOPE FEE ID ROOF AREA s.f. 1 REROOFFRES 2,400 17 . 7 77 Li NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 09-051 1. .. ''L-"I0) FEE QTY/FEE MISC ITEMS Permit Fee: $312.00 Work Without Permit? 0 Yes 0 No $0.00 Strong Motion Fee: IBSEISMICR $1.90 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $314.90 $0.00 TOTAL FEE: $314.90 Revised: 04/29/2011 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-building@cuoertino.org PROJECT ADDRESS -74, ,q I e�A(A)3 I Ctj APN# OWNER NAME qPNE E-MAIL Oc,C. �HQ STREET ADDRESS j� CITY, STATE,ZIP FAX 7� AJO C A .c1 Sr/LI CONTRACTOR NAME / L CERN-S NUMBER LICENSE TYPE BUS LIC.# COMPANY NAME ��! l�( EMAIL FAX i , �7 9_7 STREET ADDRESS 17 7 t-�� CITY,USTATE,4Z� '�' C w �. c;.17 q ,�e 5. SI S 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). 3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all the nails/fasteners have 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 verify building 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 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. 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 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. 8. 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 of$126.00. The re-inspection fee shall be paid before 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 unde agree to co the re-roof policy stated above. Signature of Applicant/Agent: Date: s / ReroofPo1icy_2010.doc revised 05117110