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08080068 (2) CITY OF CUPERTINO BUILDING,DIVISION. PERMIT r CONTRACT0RINPORMATIpNi BUILDING ADDRESS PERMrr NO. iiO3 DE FOE DR SHADOWFAX ROOFING 08080068 OWNER'S NAME: PER.Wr ISSUE DATE SANDRA BERNDT 1366 SANTA FE DR 08/11/2008 E: SANITARY N0. CONTROL NO. ARCHITECr/ENGINEER: BUILDING PERMIT INFO REMOVE EXISTING 2 LAYER — 'BLDG ELECT PLUMB MECH O O O O fop LICENSED CONTRACTOR'S DECLARATION Ob CSCrl tion p 1 hereby affirm Nn 1 am licensed under provisions of Chapter 9(commencing ^^ P _mGy with in full force Scotiand ce jjCfDivisiOnJOf NC Budneas otl Prafcuwm Code,end mylieemc is e L G Lkesue C Og nI-� Dale sere omrxsor eQQ ARCHI'TECT'S DECLARATION e W U 1 undersand my plans shall he used aspr0k.cords WC. Licensed Pmfemonal OWNER-BUILDER DECLARATION .��Z i herehy a?rm that 1 am exempt from the Con.&$Licence Law for the ❑O following reason.(Section LD L5,Business and Profoadoms Cade:Any city or County $V which mquirev a Permit W cmupucl,alar.improve,demolim,or mpair any muctem iOt prior b its issuance.Am nopuihus the applicant for such permit W Ale a signed statement < thashaislicensed paasatedto rProvisions ofthe camracWrauec�Law(Chap.r9 Sq.Ft,Floor Area Valuation x�3 (commencing with Section 70M)of Division J of the Business and Ptefetiom Cade). than M Is exempt nw^tram and the basis fm the alleged exemption Any violation of Section 7031.5 by guy applicant for a Permit Wbjecu the applicant o a civil penalty of APN Number Occupancy Type not mom dun fin hundred dollars(5500). Pane Y YP D 1.as mwnm of the property,or my employes with wages a their ole Compensation, adfeims� � pfe Profession c�T vmeL La Out apppiy eamm Required Inspections property who buildsorimprom theeon.and whodaem such worthimselfor Wough his own employers,provided that such improvements tie not intended.alfered form le.If. however,the building ar Improvement is old within one year of Completion.the owner Wilder will harm the burden of proving Cha,he did Out build m improve foe purpose of sale.). D 1,as Owner of rhe property am exclusively contracting with licensed convamors W Construct the pojem(See.7044,Business and Professions Code:)The ConuaeWr's Li• ceee law does not apply W an Owner of property who Wilda or improm Nemun,and, who mnmaeu for surd pojeea with a comrsmor(s)licensed pusuunt.the COn.e. License law. D 1 am exempt under See. .B&P C for this won Owner Data WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury nne of On following declanuiome its.and will maintain a Cenifica.of Convent to self-lame for Wenner Compcn- sedan,as provided for by Section 3700 of de Labor Code.fm the performance of On wart for which Nis permit is issued. D 1 Nn and will maintain Worker COmpesuallon Insurance,as requied by Sued. 3700 of the labor Cade,for Ne performance of the work fW which Nu Permit is issued. ' My Workce amounts.... nicrand Polic runOoram: Carrier. / m /'>rww+/ Policy No.:AO Xca0002,�0 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not he cmnplcOd If On Permit it Loran hundred dollar(5100) or lou) 1 oerdh Out in the perfmmenee Of Ibe.,it for which this permit u issued,l shall oar employ any Person in any manner.as W bxamesubjsc,to On Warton'Comperwtion Laws of California.Due Applicant NOTICE TO APPLICANT:If.after making this Certificate of Exemption.you should become subject W Ne Worker COmpcex tuhm provisions of the Laboe Code.you mount z forthwith comply with such prvol or this perm,shall W nonmed.velem. ZO CONSTRUCTION LENDING AGENCY P: Thereby affirm Na,them is a consuuminn lending aprvy for On perfurn ec of ai the work for which this Permit it Wood(Sec 3097,Civ.C.) W undoes Name a az Lenders Add= . V Q I certify Out I have and this application and mina WI the sWrm information to D. coon I agree W comply wird all City and county nu iomWer and sac laws ro elating to building nd onecdan,and hereby oetion P rpo esenatim of Nu city W tour upon the W shove-menudgm property for expect es Purposes. fY (We)as=W save,indemnify and labor harmless the City of Cupertino agafast y incomevsancc ena,Coaaand expemnwhich Cory in anY nyamue sgilel.uitl Cry („)z APPLI qucnee of DERST N Nis permit ► APPLICA ULATION AN ND WILL COMPLY WITH ALL ON POINT Issued by:S Date SOUR GULATIONS. Y Re-roofs Signsairc ofA HAZARD S MATERIALS DISCLOSUR Due Type of Roof Will the applicant or fuer Wilding accuPOOLIM..,handle harandous.aerial as defincd by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safety Conn.s«tianumx,n ❑ ,a All roofs shall be inspected prior to any roofing material being installed. Will be applicant or future Wilding Occupant use equipment or novices which If a roof is installed without first obtaining an inspection,I agree to remove Fl h.xmdnma air lxmhur manta u non mond by Ne Bay Arta Air Quality Manegemcm all new materials for inspection. Juno u mrdthehasardtmamneriaLsrcquimmcnuumler Chp=6.95ofN Califm- dtyCade.S. .nM5,25533rd25534.1undorsand Nuifthe building dyhaveahich m "r W Campeau,of a Certificate of Occupamy. Signature of Applicant Date . mage Dam All roof coverings to be Class'W'Or better CITY OF CUPERTINO . 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35924019.. 00 DATE ISSUED. . . . . . . : 08/11/2008 RECEIPT # . . . . . . . . . : BS000005735 REFERENCE ID # . . . : 08080068 SITE ADDRESS . . . . . : 7503 DE FOE DR SUBDIVISION . . . . . . , CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SANDRA BERNDT ADDRESS . . . . . . . . . . : 7503 DE FOE DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95Q14-4306 RECEIVED FROM . . . . : SHADOWFAX ROOFING CONTRACTOR . . . . . . . : JERRY SHAFFER LIC # 27342 COMPANY . . . . . . . . . . : SHADOWFAX ROOFING ADDRESS . . . . . . . . . . : 1366 SANTA FE DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95118 TELEPHONE . . . . . . . . : (408) 265-2490 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---- - --- ---------- - ---------- - --- ---------- ].F3SEISMICR VALUATION 17 , 900 . 00 1 . 80 0 . 00 1 . 80 0 . 00 IREROOFRES SQ FEET 33 . 00 429 . 00 0 . 00 429 . 00 0 . 00 TOTAL PERMIT 430 . 80 0 . 00 430 . 80 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 430-. 80 6929 --------------- TOTAL RECEIPT 430. 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---- ------------------ -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • m CITY OF CUPERTINO REROOF OF •CUPERTINO PERMIT APPLICATION MUM' APN # C �l Date: Building Address: _ �O Q Owner's Name: Phone #: 8c,Pa/zrr (af- -25Z Contractor: Phone Fax 7S- , Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles A Asphalt Shingles A Wood Shakes ❑ Wood Shakes ,et_Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings Z. ❑ Provide I.C.B.O. Report # P;�To be Removed ❑ Provide Mfgr. Installation Specs. Job Description:/ p / ' , � Residential C/ Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: 4 7 l! D I Have Read, Understan and Will Comply with Cupertino's Tear-Off Policy: • t ature Revised 6/16M CITY OF CUPERTINO d REROOF CUPERTINO FEE SCHEDULE • Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B IREROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 • Community Development Department Building Division City of Cupertino • 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards and manufacturers specifications on re-roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 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 approval. 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 first 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 of$176.18. The re-inspection fee must be Raid before another insRection can be scheduled IMPORTANT: 1. Flat roofs must have a minimum of 1/ "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: �J A Job Site Address: Roofing Company Name: Applicant's Signature-. Date' L/ Q • Greg Casteel Building Official Revised 07/30/08 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project Plans See below B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 points E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points 4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal.Tank, (Note/Spec L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points • • Plan Review Process Work Book Page-12-Revised 3/25/08 .` Green Points Rating System for Remodeling Projects • Due to the diversity of remodeling project types,assigning a"total points'value to a project to be considered environmentally friendly is not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with ease of implementation and relative low cost. These measures can be used as a starting point for"greening'your project. INPUT Resoutces Energy IAO/Healih A.Site 11, Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;80%=4 points - f up to 4 Resource pts 0 12,Salvage Reusable Building Matenals i 4 Resource pts y=yes 0 3.Remodel for Mixed Use,Adaptive Reuse,and Historic Preservation 4 Resource pts y=yes 0 4.Protect Native Soil 2 Resource pts y=yes 0 5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0 6,Implement Construction Site Slormwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0 r Design Resource-Efficient Landscapes and Gardens- _ 4 Resource pts y=yes 0 9.Reuse Materials/Use Recycled Content Materials for Landscape Areas 2 Resource pts y=yes 0 10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes 0 11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0 1 1 1 B.Foundation 1,Incorporate Recycled Flyash in Concrete • 25%Recycled Flyash=2 points;Add 1 point for every 10% increase of flyash,up to 5 points up to 5 Resource pts0 2.Use Recycled Content Aggregate - 2 Resource pts y=yes 0 3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0 1 1 1 C.Structural Frame 1.Substitute Solid Sawn Lumber with Engineered Lumber — -' _J3 Resource pis Y=yes 0 2.Use FSC Certified Wood for framing (For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0 3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes 0 4.Use Web Floor Trusses 2 Resource pts y=yes 0 5.Design Energy Heels on Trusses 6"or more 2 Energy pts y=yes 0 6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0 8.Use Recycled Content Steel Studs for Intedor Framing 2 Resource pts y=yes 0 9.Use Structural Insulated Panels(SIPs) . a.Floors 3 Energy pts y=yes 0 b.Wall 3 Energy pts y=yes 0 c.Roof 3 Energy pts y=yes 0 10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0 11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0 1Z-0 s-e0SB — — — —-- ---- a.Subfloors 1 Resource pt y=yes 0 • b.Sheathing _ _ _ _ 1 Resource pt y=yes 0 1 1 1 INPUT Resources Energy IAQIHealt� .Exterior rms it.Use Sustainable becking Materials a.Recycled content 3 Resource pts y=yes 0 1 b.FSC Certified Wood 3 Resource pts y=yes 0 12.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health of y=yes 0 3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 E.Plumbing 1.Install Water Heater Jacket J 1 Energy pt y=yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0 1-3.Retrofit all Faucets and Showerheads with Flow Reducers I a.Faucets(1 point each,up to 2 points) ( Up to 2 Resource pts. 0 b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0 14.Replace Toilest with Ultra-Low Flush Toiiets (1 point each,up to 3 points) I Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0 6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0 8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 1 1 1 r.r:recmcai :1.Install Compact Fluorescent Light Bulbs(CFLs) L6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0 2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to • 5 points) Up to 5 Energy pts. 0 3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0 4.Install High Efficiency Ceiling Fans with CFLs (1 point each,up to 4 points) Up to 4 Energy pts.1 0 I 1 1 G.Appliances I1.Install Energy Star Dishwasher 1 Energy pt y=yes 0 2.Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y=yes 0 13.Install Energy Star Refrigerator 1 Energy of y=yes 0 14.Install Built-In Recycling Center 3 Resource pts y=yes 0 H.Insulation 1.Upgrade Insulation to Exceed Title 24 Requirements a.Walls 2 Energy pts y=yes 0 b.Ceilings 2 Energy pts y=yes 0 2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0 T3.Install Recycled-Content,Fiberglass Insulation with —1 No Added Formaldehyde 3 IAQ/Health pts y=yes 0 4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0 5.Use Cellulose Insulation a.Walls 4 Resource pts y=yes 0 b.Ceilings 4 Resource pts y=yes 0 • 6.Alternative Insulation Products(Cotton,spray-foam) a.Walls 4 Resource pts y=yes 0 D.lettings 4 Resource pts y=yes 0 INPUT Resources Energy IAQIHealth I.Win ows If.InstallEnergy-Efficient Windows • a.Double-Paned 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames i 1 2 Energy pts Y--yes 0 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Duct Mastic on All Duct Joints __ 1 2 Energy pts y=yes 0 2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0 3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 21A0/Health pts y=yes 0 5.Install Solar Attic Fan 2 Energy pts Y--yes 0 6.Install Attic Ventilation Systems 1 Energy pt y=yes 0 7.Install Whole House Fan 4 Energy pts y=yes 0 8.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 31AQ/Health pts y=yes 0 9,Replace Wall-Mounted Electric and Gas Heaters with Through-the-Wall Heat Pumps 3 Energy pts y=yes 0 10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 0 11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes 0 12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes 0 13.Retrofit Wood Burning Fireplaces • a.Install EPA certified wood stovesAnserts 1 IAQ/Health pt y=yes 0 b. Install/Replace Dampers 1 Energy pt y=yes 0 c.Install Airtight Doors 1 Energy pt y=yes 0 14,Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0 15.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 51AQ/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0 2.Install Solar Water Heating System 10 Energy pts y=yes 0 3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0 4.Install Photovoltaic(PV)System (1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) Up to 18 Energy pts 0 Is Select Safe and Durable Roofing Materials __ ___, 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes I i 1 0 1 I 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 0 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 1 1 1 • INPUT ResDurces Energy IAO/Healtlh .Indoor Air Quality and Finishes Use LowMwVOC Paint _ 1 IAQ/Health pts y=yes 0 2,Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 LUse Lo—w-/—No VOC Adhesives _ 31AQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0 7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 2.Use Rapidly Renewable Floor ng Materials _ 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6,Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 1 1 Total Points A 1 1401 1301 57 Total Points Project Received: 1 01 01 0 G:daWprogsrgreenbuildngguidelineslremodelers/greenpdntsfnal2.12.0aprolecied.xlss • Community Development Et Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 41FUPEI�TINO Building De artment JOB ADDRESS: PERMIT # 705 AE OWNER'S NAME: PHONE # o&--Psp - 9/yA GENERAL CONTRACTOR: FAX # I am not using any subcontractors: ignature Date Please check applicable subcontractors and complete the following ' ormation: 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 17 Roofing Septic Tank Sheet Metal Sheet Rock Tile • / eY If er/ ntractor Signature ate