08080012 CITY OF CUPERTINO
Bu1LnINc olvlstGry PERMIT 'RC01tTRACTORINFORMATION
POWNER'S
NQ nDDRE55: PERMIT N0.
633 ASTER LN BECKS ROOFING 08080012
NAME: PERMIT ISSUE DATE
OM T H AND ROSE TRUSTEE 6191 OCHO RIOS DR 08/04/2008
NE: (408) 365-8979 SANITARY NO. CONTROL NO.
ARCHITEC IENGINEEB: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
00 LICENSED CONTRACTOR'S DECLARATION IOU Description
C 1 hereby affirm that I am limmand under provisions of Chapter (commencing p
I.I .bbScetmn7(X)y.fDiviAwon aft urine Nofessinmc[ ,ammyliccnmu RE—RF T/0 OSB SHETHNG 30LB FLT 27SQ CLS A 50YR
lull toren erccaC'1
_ Ucen m Lic.N CMP
Date CoiivacrI
ARCHITECT'S DECLARATION
< 1 undersunJ my Plana still be uud As Public record
a
e o Licensed Pmfessionel
5 OWNER-BUILDER DECLARATION
I hereby affim that l 1. exempt from the Contractor's o Any c Law for the
p O following meson.(Section]W 1.5,Business and professions Code:Any city or county
m�+ which require a permit in construct,x1mr,improve,demollsh,ar mpair any stru me
prior m its issuance,also requires the applicant for such Permit o file a signed statement
R< tlam he is licensed pmsuanlm the previsions of the COntmchari license Law(Chapter 9 Sq.Ft.Floor Area Valuation
o (emnmancing widaScemen]IXlo)of Division J of the Realness and Professions Code)or $12000
Nat M is exempt dominantand the basis for Ne alleged exemption.Any violation of
section 7031,by arty,applicant for a Permit vbjeeta the applicant to a civil Penalty of �gy,7�p Number Occupancy
not mote dam five hundred dollars 450)), 36624015 .`l7'V' Pane Y Type
1.u owns of tie pmpvty,a my.mPloyaa with wages v their sok ermpenssmOn,
and dr he Profession
aro the he,Core is oar's Licenser Law
dos e t Apply.in owner
of Required Inspections
and Re.1a,W code The nen rears,License law does not apply m an owner is q p
properlywhobuilds i improves Memoryandwho are souchwork hivuelfedthough his
Ownchmwa�ar,m Wiprovidedmutmeth improved wiems thin
not mrolanandand oro0ered forsaonecvmu. -
Wilder ,Ne amidine Or an of movnt ing sold within one yw rf improeuf r the mom of
Wilder will have the bruaen of gvHne dol h aid Col Wim ar improve far purpox of
ule.l.
❑1,as oars of the Property.Am exclusively contracting with licensed cenuxemrs to
construct tie Mica(Sea]ON.Business And Proresdo.Code:)The Crnvacmrs Li.
cove Law dors not apply m An Owner of property who builds or improm hereon,and
who contracts for such pmjeets wide•coutraeror(s)licensed pursuant m the Contractors
License Law.
❑I Am exempt under Set ,B&P C far this reason
Owner Dam
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaruiov:
I have and will maintain a Certificate of Comm.,mself-insure far Warmer,Compere
satirn.an Provided for by Section 3100 of dee Labor Code.for the perfonnanca of the
wart(or which this permit is issued.
1 have and will maintain Warmers Compensation insurance,As inquired by scenic.
3700 of Jar Labar Code.for he performance Of the work far which his Permit is issued.
My Wartd ompavadon numn ca cad Policy numb
CArrim - Policy No.:
C Ft ATEOF EXEMPTION FROM RKERS
COMPENSATION INSURANCE
muss cuan need an,becOmplcwd iliac permit is finance th ndteddoBus($100)
or leu)
I certify deet in the performance of he wosm for which his permit u issued.1 shall A.
employ any person in any manner so as to become subject cede Wrrmms'Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:Ir,after making this CcniRcate of Exemption,you should
became$object be the WOrkeri Compensation provisions of the Labor Coda you a m
Z farmwith Comply with such Provisions Os Our Permit shall be Manna meted.
z O CONSTRUCTION LENDING AGENCY
1 hereb affirm door there is a cunstru.ion leading a
f•" Y e gcnrylos des perfunna.e of
Uthe work for which hu pemtil is named(Sec.3097,Civ.CJ
ILJQ Landers Name
a z lendeh m..
Add
U O 1 cattily that I have reaA this application W sum that tie above infomeadme is
ler Hcornet.l Agree m comply with JI city and county a.inanns and state laws totaling to
.p U building construction,and hereby authorize mpveaim of this city to enter upon the
[57 Above-mmaimsed property lar inspection Puryvea
�' py (%)agree to...indemnify and mcep harmless he City Of Cupertino against
h
liabilities judgments.evta and vpownes which may in any my Accrue jairs,said City
U z in conscquena of he gman-9 O(dols Permit.
'--' APPLICANT UNDERSTyJDS AND W COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE RECfW'f
U0Qi§! �s
( Re-roofs
sign.ure Of ApplicaHAZARDO Dam
HAZARDOUS MATERIAL.DISCLOSURE Type of Roof
Will tie a penl or(Muni building Occupant am.9.1 or handle Heartlry mAmriai
v defined by the 32(.)Cupertino MuniriWl Code.Chapter 9.13.W the Hath and Wety
orae.section sss32(.)]
cYv ❑No All roofs shall be inspected prior to any roofing material being installed.
Will doe applicant or future building Occupant tic equipment or devi=which If a roof is installed without first obtaining an inspection,I agree to remove
it havardnv air conumian;As defined by the Bay Area Air Quality Management all new materials for inspection.
tsier ❑Yes No
ries]
/f
Ihave mad the materials requiremmismaer Chapter 6.95 of Caiifer- / 1 ,/O
nia Health&Safety Code,Sudden 255(I5,2553]arW 25534.1 undcmund hu if he building
dors WE currently have a mason,dist its my mspevibiliry m notify the Occupant of doe
requinmcnu whkhyy�m tpiarmi erxced0eam fir Ocevpvay. Signature of Applicant Date
/i " - All roof coverings to be Class'%T'or better
Owner Onuthrmnd agent- Dan- g
0�o oold-,
CITY OF CUPERTINO
a REROOF
*CUPERTINO PERMIT APPLICATION
APN # 2 (oa ��/ V� Date: ^O
Building Add /T A S�
Owner's Name: Phone #:
64O71Z oTo9
Contractor: Phone #: ,,,g 56S829 7'j
Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles i Asphalt Shingles
Wood Shakes ❑ Wood Shakes
Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
Al
02.-7 Q (6. 3-r A- D �1_ Coves
Residential 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: 2
I Have Read, Understand and W 1 Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
d REROOF
CUPEkTiNO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
�l 1REROOFRES Re-roof Residential B 1SFDWLROOF
CIJ 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 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 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 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.
e
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: -7-017-\,
Job Site Address: '/ 6�� A-5J e
QC_
Roofing Company Name: /�i� f 6�—s 4—
t()�
Applicant's Signature: ( Y/ Date:=�_O K
• Greg Casteel
Building Official
Revised 11/2/04
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 oints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec.) A-4 2 oints
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 oints
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 pint
P. Other 1. List Green Features on Plans A-1 _ 1 point
TOTAL POINTS1 40 points
•
Plan Review Process Work Book Page-I2-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 Resources Energy 1ADIHeafth
A.Site
1.Recycle Job Site Construction&Demolition Waste
165%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2,Salvage Reusable Building Materials J 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 D
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0
B.Design Resource-Efficient Landscapes and Gardens __ , 4 Resource pts y=yes D
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y-y es 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=yesl 10
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 pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes p
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber _ 3 Resource pts 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 Heals 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 Interior 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
a.Subfloors 1 Resource pt y=yes 0
• b.Sheathing _ _ 1 1 Resource of y=yes D
1 1
INPUT ReSDUrCeS Energy JADII-leafth"
D, xterior Finish '
.1.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts y=yes 0 .
b.FSC Certified Wood 3 Resource pts y--yes 0
'2.Use Treated Wood That Does Not Contain Chromium/Arsenic - 1 IAQ/Health pt y=yes D
13.Install House Wrap under Siding 1 IAQIHealth pt y=yes 0
14.Use Fiber-Cement Siding Materials 1 Resource pt Y--yes 0
1 f 1
E.Plumbing
1.Install Water Heater Jacket
-` - - _- � 1 Energy Pt y--yes D
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
3.Ratrofil all Faucets and Showerheads with Flow Reducers
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
4.Replace Toilest with Ultra-Low Flush Toilets �
(1 point each,up to 3 points) Up to 3 Resource pts.0 0
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y--yes 0
5.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
3.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 I {
r.trecmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
6 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— u each,up to
5 points) Up to 5 Energy pts. D
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. 0
1 i 1
G.Appliances
1.Install Energy Star Dishwasher I 1 Energy of y=yes 0
2.Install Washing Machine with Water and Energy +
Conservation Features i 1 Energy pt y=yes D
3.Install Energy Star Refrigerator i 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes D
- -- - - -- -- - -- — 1 1 1
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-Racycled-Content;Fiberglass Insulation with
[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 C •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y--yes - 0
I).t;emngs 4 Resource pts y=yes 0
1 1
INPUT Resources Energy IAQIHEalth
111I -do-w-s
i7.Install Energy-Effcienl Windows
• a.Double-Paned 1 Ener t es 0
9Y P Y=y
b.Low-Emissivity(Low-E) 2 Energy pts yryes 0
C.Low.Conductivity Frames _ 2 Energy pts yryes 0
�2.Install Low Heat TTransmission Glazing J 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
i f,0se Duct Mastic on All duct Joints a J 2 Energy pts Y--yes D
Z.Install Ductwork within Conditioned Space 3 Energy pts yryes D
3.Vent Range Hood to the Outside 1 IAQ/Health pt y--yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/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
B.Install Sealed Combustion Units -
a.Furnaces 3 IAQ/Health pts yryes 0
b.Water Heaters 3 IAQ/Health pts y--yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yas 0
10.Install 13 SEERM 1 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 stovesf nserts 1 IAQ/Health of y=yes 0
J. 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) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0
1
K.Renewable Energy and Roofing 1 1
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
16.Select Safe and Durable Roo—ting Materials - - _ 1 Resource pt y=yes p
7.Install Radiant Benier - J 3 Energy pts y=yes p
1
L.Natural Heating and Cooling 1 1
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts , y=yes p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y-_--yes 0
•
INPUT Resources Energy [ADIHmith'
.Indoor Air Ouality and Finishes '
it.Use LowNO-VOC Paint1 IAO/Health pts y--yes 0
2.Use Low VOC,Water-Based Wood F—inishes 2 IAQ/Health pts y=yes 0 •
3.Use LowMo VOC Adhesives 3 IAOMealth pis 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 6IAQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Intedor Uses 1 IAQ/Health pts y--yes 0
7.Seal all Exposed Particleboard or MDF 41AQ/Health pts y=yes 0
6.Use FSC Certlfled Materials for Inferior Finish 4 Resource pts y=yes D
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes 0
10.Install Whole House Vacuum System 31AQ/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 Flooring Materials 4 Resource pts y--yes 0
a Use Recycled Content Ceramic Tiles y 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 D
1 1
Total Points Available: 1 1401 130 57
Total Points Project Received: �� 1 0 0 0 •
G:datarpmgs�green6uildnaguidelineyrznodelers�greeopointsfinal212.04prmeMed.xls
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
•CUPEI�TINO
Building De artmen
JOB ADDRESS: ` ^ PERMIT #
O (� O Fl
OWNER'S NAME: I Offt „3
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
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
D
Owner/Contractor Signature Date