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14040108 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19732 DRAKE CT CONTRACTOR:A-1 ROOF PERMIT NO: 14040108 MANAGEMENT AND OWNER'S NAME: SRINIVASA DHARMAJI 14100 DOOLITTLE DR DATE ISSUED:04/17/2014 OWNER'S PHONE: 5103772043 SAN LEANDRO,CA 94577 PHONE NO:(510)347-5400 10 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL TEAR OFF PORTION OF(E)METAL ROOF&INSTALL(N) License Class RC_3i,(-_ Lie.# 124 &Z� COMP SHINGLE(CLASS A)9.5 SQ'S Contractor�}'�- ��' " '^} Date 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 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. Sq.Ft Floor Area: Valuation:$5800 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 APN Number:31632017 00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DA AST CAL INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature f Date "If-7 (4 All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION ! Signature of Applicant: Date: C1 .7(2-61-f I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: permit is issued. 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address -- 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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 918. Signature Date `O REROOF PERMIT APPLICATION �D COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 _ \ CUPEltTltdt3 (408)777-3228•FAX(408)777-3333•building(cDcuaertino.oro PROJECT ADDRESS O� APN# ( / 6 ( 3 OWNER NAME ,. a � PHON ( (� E-MAIL v c' 1 �tN CN, + (5(o)3.1 - ?�ti STREET ADDRESS CITY, STATE,ZIP FAX F_+-A 0 Cit- CONTACT NAME j� � PHONE(;`0 E-MAIL 5 V 1 ��4.�1V1 STREET ADDRESS \ t v CITY,STATE,ZIP FAX I ❑OWNER ❑ OWNLR-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ` �'� LICENSE NUMBER I LICENSE TYPE BUS.LIC.i- k"0)-�v 9 # COMPANY NAME M`+ E-MAIL' FAX �� STREET ADDRESS I CITY,STATE,ZIP Ste, LeC,�)6M /� PHONLC0— 1) ���►/ly� ARCHITECTIENGINEER NAME V LICENSE NUMBER J vll BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF NJ'SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: STRUCTURE: ❑ Commercial EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES OTHER(SPECIFY)C7 (17VO ,` REMOVE/REPLACE )kYES IF NO, PLYWOOD ❑ w' 11 PLYWD OSB PITCH: 3 ROOF 11 NO #LAYERS: THICKNESS: ❑ 5/8' TYPE: El COX '12' CLASS: A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER [CC-FS REPORT# DESCRIPTION OF WORK: Cp aSt im vVSIM 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 buildi cons tion. I authorize r uresentatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: —1 -7 SUPPLEMENTAL INFORMATION REQUIRED " 'USE ONLY If building is associated with a Home Owner's Association,provide letter PLANCHICTYPE RovTING SLIP of approval from HOA. ©, OVZR7f�ECp7NTER [� BC71IbtNCPLANREVIEW Provide Planning approval to verify if there any restrictions. ]; xP 17 PL'ANNIN( PLAN REV 19, r Provide copy of Manufacturer's Installation Specifications. { sTAtnAa M Q FIRE DEPT _Provide signed copy of Cupertino's Tear-Off Policy. C1 oTkER ReroofApp_2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 19732 DRAKE CT DATE: 04/17/2014 REVIEWED BY: MELISSA APN: 316 32 017 BP#: VALUATION: 1$5,800 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF USE: P PERMIT TYPE: A WORK TEAR OFF PORTION OF E METAL ROOF & INSTALL N COMP SHINGLE CLASS A 9.5 SQ'S SCOPE FEE ID ROOF AREA s.E 1REROOFFRES 950 21 Phitnb.Pleat C'racclt 1 f>cit.l'c r ltait Fee: Phimh. Pe mit Feat: (°c ;Ifech, / spLi other PiumI7 Iris',? i�Iter 1 cmc.Inst. Li �L�zct. Irzs;�, t i er P unib. fnSp. Fce: �rec f zs �. PCC" NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn 7 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/1/13) FEE QTY/FEE MISC ITEMS Permit Fee: $160.00 7jlt7re f.i; 1i c 1}.;I lc c Permit Fee: F �T t}ciI.on Tax: rlrlminbaratiVe>I1'eC: Work Without Permit? ® Yes (j) No $0.00 /1(jV,/r;rcVi(Planning lf'e s: Travel 1)o{imicni aiion Fees: L A Strong Motion.Fee: IBSEISMICR $0.58 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 F $161.58 $0.00 TOTAL FEE: $161.58 Revised: 04/01/2014 REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL CUPERTINQ 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228-FAX(408)777-3333-buildina(dcupertino.org PROJECT ADDRESS -7 ZQ` C ova V Z APN# OWNER NAMES%y-\ ' 1 J 1(1 PHO 5I 0) 3-7.7-ZAP t 3 E-MAIL �J� STREET ADDRESS G �� L CITY{STATE,ZIP O Com- l FAX J CONTRACTOR NAMELICENSE NUMBER LICENSE TYPE BUS.LIC.# Pr f�ClR � m� ,.,�,.)- C,,, ,��; `�Z`l 3 .tj T3 C-31 c-33 COMPANY©re �os� M 4- �ar.5 7 T �F�w, EMAIL /P1@ wjS�vriaY� C1r�r. F S�1�) 31.7 IT STREET ADDRESS CITY,STATE,ZIP PHO 14014, ' a-0,: *- ,eL7r . sewl k-e~'J.r-o C_A- 1 S-2 d-) 314-7-no 0 I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request can be scheduled up to one business day before the requested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30- 2:30pm (Friday) to schedule inspection. For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday): Final Inspections will be given a two hour window. 3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either completely knocked-down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection 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. 6. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is completed. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of I/"per foot of slope and 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, vents painted, gutter/downspouts installed, debris removed. 7. 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. 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 understand and agree to comply with the re-roof policy stated above. I also understand that smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code. Signature of Applicant/Agent: / cl Date: 'If-7 ReroofPolicy_2014.doc revised 01/15/14