08070071CITY OF CUPERTINO
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CONTTtAC�TOItINFURMr�.TION -•-
BUILDING DIVISION PERMIT
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BUILtiIrbG�.p�I�IE9AARIA ROSA WAY
WESTSHORE ROOFING CO
PERMIr NO.
08070071
OWNER'S NAME:
PERMIT LOVE DATE
MAH ROBERT WAND LANI C
102 OLD ORCHARD DRIVE
07/11/2008
NE:
SANITARY NO. CONTROL NO. ,
ARCHITEC (ENGINEER:
BUMMING PERMIT INFO
RE—MOVE EXISTING ROOF, BLDG EIEC( PLUMB MECH
0 0 0 0
LICENSED CON R'S DECLARATION
-. _ _'
and and
Wrter a1Bm this I and lkcnssd under provisions of Chapter 9 aemmenekg
I a
- _ _ _
Mi Smuon7M)ofDivWon3ofthe Businmmd Pmfessim%Code.vomylkenw Is
n m— 34 87 2
nice m
azide Lk..
Dam cutumon
ARCHITECTS DECLARATION _
1 uMcrsunJ ruse Puna shml W cash u public rtcnrdo
Licensed Pmfeuional
ION
OWNEnd
emoAER m the C.m
1 Wmby .(Beer Nal 1 acmpt from Ipr GIsco (or de
1. Co e: Any c
fallowing cuuon. (Section 7U31.5, B. man. and professor.&..i Code: Any city m county
which rescuesalter, W prow, de ri repair ruse
a permit re cores
tatemum
ft permit t
mathewis puetanl to the de cnnurcmrani¢meLawmmo C
mat heor Inissuance.ensedtlw reto the ftapplicant for inch mdurecmitmfileasipw(Chip.m
Sq. Ft. Floor Area
Valuation
of Drvionsnr
f Nl Business and Professions Code) or
Ing wit Section r odc)or
(cat
s and t the
that he u cumpl aa.,.from and Use bus for de ellegcd eamptim Any vklaum of
he la basis f
APN Number
Occu ane T e
P y yp
Section 7031.3 by any applicant ran a Permit mbjccu the applicant m a civil penalty of
rut mere than fico hundred dallan ($SOBA
❑ I.uawms of the propeaty.mmy wPlayea with mgnsu Ne'v sok eampenuuon,
Required Inspections
anal hothewart, and o Bulinus
an
c The Contractor'sI.d Isco dere me apply m rt canner rd
Code: The Ce Law dos net apply
and fl,wh.
bar therm . who dcenamhwmk himulforthrough his
enywho Wildam(mpmwsch
impr,andwW
man employees. Nal such impmsemuu au not intended moRmeG Ire same,man U.
lam year ofcompletion,theowner-
however, Ne Mmd o, orimprowmetuhathwithin
the holding
1
builder hall haw Ne burden of proving that k did rut Wim m impmw Ian puryott or
ick.).
❑ 1. u owner of the property. w aeludWy contracting with l^"a-u communis b
construct Ne Project (Sec TON. Bualous am Proreaions Code:) The Conuatofs U.
cense Law does ml apply to an owner of property who Wilda or impmm thertme. and
who emaaC4 for a1K11 projects with a emaamor(s) licensed parraaanl m the Cormaemes
.
License Law.
❑ Iamaemptummo See ,Bl PCfcr Msrenoo
Owner Dao
WORKERS COMPENSATION DECLARATION
1 hereby .1 nm under penalty of perjury one Of the following declarations:
Of
haw and will maintain a CeniOeate of Covent m ttlf-Insum for Worker'sCompcn-
smion. a provided ran by Section 3700 of the Ishar Code. for de Performanxm of the
work for which this permit u issued.
❑ 1 him ab will maintain Worcce. CompmuNm Insurance, u equnW by Serum
-
37110 of she labor Code, for the performance of Ne work for which Nu Permit u issne6
My Wort s Compensation Imandsvoce carrier and Policy number are: e
Cartier. Sfzk 1 LLYViT Policy No.: -2008
CERIIFlCATEO�P ION FR WORKERS
COMPENSATION INSURANCE
(Thu section lied not becompleted done permit ufaone hundred dollars (3100)
or less)
I certify out k the perfemnance of Ne work for which this permit u issued. I shall not
employ any period in any counter in u m Wcome subject m the Worker' Confirmation
Iswa of CaliforNa Due
Applicant
NOTICE TO APPLICANT: If, after making Nu Corollate of Fsenpuon. you sbs uw
became subjcRl in the Woraces CompenVdon provisions Of NC IJWr, Code, you mom
comply with such pfnuuans or Nu permit shall W deemed umlmd.
CONMUCT10N LENDING AGENCY
1 Imeby alarm dw Vert u a construction, lending agency fm the do.. of
Ne works far which does permit U lamed (Sm. 3097, Civ. C.)
,
Lendeta Name
lender's Address
1 certify Nal 1 haw read thu a"licuim aM sus tha the more, kformatim u
comm 1 agate b comply with all city and county ordinances and sum lam reining m
Wilding construction. araC hereby mahmord mprehamaivu of Nu city meter upon tie
property (an inspection puryattc
(We) agree m aha, Indemnify and lamp harchum the City of Cmpertlm against
in consequenceof uecoosand upon... which may in my my ansae agaiulacid Cily
of Ne of this
.
granting permit.
A APPLICANT
APPUCANr UNDERSTAND ViD WILL COMPLY WITH AL0
L NON- INT
SOURCE REGULATIONS.
^ ��
Issued by: Date
/\ L/ ct �
Re -roofs
t/,
Signature of ApplicenUCanacmur Da
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or future Wilding occupant store orhandle haardou mannui
u denned by Use Cupertino Municipal Code. Chapter 9.12, and Its, Health and Safety
Code. Section 15532(a)T
❑Yon ON.
All roofs shall be inspected prior to any roofing material being installed.
kWill the applicant or future building occupant use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
t hasrdnns air cdntamim nts u dcrided by the Bay Arta Air Quality Managnnem
all new materials for inspection.
istriaT
❑Yca 0 N
Ibe. mad on, haardmsmaedaum33and Ss .IrCreaddi.9nafthe Wilding
Wiring
Sectionssutit 2myresponsibility
does noN&Sntly hi .is
Jan not currently Mw a umml Nal it esd23S34.1 to roar me ecup
to notify Ne occupant of Je
my rtapof.
mgmWmcm wh m Wmel puarbusuuec ter, eaurmate ter b
i ccoo
Signature of Applicant Date
7 V
All roof coverings to be Class'%" or better
g
Owner m amha ed agent Dain
• 3 ITEMS OF 3
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35619043.00
DATE ISSUED.......: 07/11/200.8
RECEIPT #.........: BS000005404
REFERENCE ID # ...: 08070071
SITE ADDRESS .....: 10959 MARIA ROSA WAY
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: SylviaM
COPY # : 1
METHOD OF PAYMENT
-------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
619.30
---------------
619.30
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
5011
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
OWNER .............:
MAH ROBERT W AND LANI C
ADDRESS ..........:
10959 MARIA ROSA WAY
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014-4719
RECEIVED FROM ....:
WESTSHORE ROOFING
CONTRACTOR .......:
PAUL FOWLER LIC # 21357
COMPANY ..........
WESTSHORE ROOFING CO
ADDRESS ..........:
102 OLD ORCHARD DRIVE
CITY/STATE/ZIP ...:
LOS GATOS, CA 95032
TELEPHONE ........:
(408)213-3750
•
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT PD -TO -DT THIS
REC
NEW BAL
1BSEISMICR
VALUATION 23,000.00
------------------------------
2.30 0.00
2.30
----------
0.00
IBUSLIC
FLAT RATE 1.00
110'.00 0.00
110.00
0.00
1REROOFRES
SQ FEET 39.00
507.00 0.00
507.00
0.00
TOTAL PERMIT
---------- ---------- ----------
619.30 0.00
----------
619.30
0.00
METHOD OF PAYMENT
-------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
619.30
---------------
619.30
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
5011
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
CITY OF CUPERTINO
TIVREROOF
CUPTINO PERMIT APPLICATION
D S-0700�i
APN #3 57P I Gl 0'/3 •00
Date: 711d08.
Building Address: !o qs 9 Mcvla pasq
Wad
Owner's Name:
I�bevr blah.
Phone #k:
-Z9
5 -5`f-75.
Contractor:
h12S15tia�C �2oo�'I�� �Kc
Phone #: j0Z 4S b-02,2-0
+!k— 0Z-3 Zj
Cupertino Business License #:
Contractor License #: %8 2_?
Type of Roof
Covering:
Existing: Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
❑ Asphalt Shingles
/11 Wood Shakes
❑ Wood Shingles
❑ Wood Shakes
❑ Wood Shingles G>°
❑ Other (Specify)
/ Other (Specify) M>°W-Cc�K4or1skc
Number of existing coverings / •
❑ Provide I.C.B.O. Report #
yif To be Removed
❑ Provide Mfgr. Installation Specs.
Job Description: ewVe eW h) (00f ,
1k fte i Fc(teX uoAo av9vj (t_
145Wt Lx f fi Lx L l ff , jp-a Gf
lke%( T % cl�Ss
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: El
applicable, include in plan set & the sheet index.
Valuation: &,;/ 000 ,
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
• SII
Signature
CSM--
CITY OF
CUPEkTINO
CITY OF CUPERTINO
REROOF
FEE SCHEDULE •
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1RER00FC0M
Re -roof Commercial
B
ICOMMLROOF
1BSEISMIC0
Seismic Commercial
B
3Q e
1REROOFRES
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismic Residential
B
1RER00FMRES
Re -roof Multi -Family
B
1MFDWLROOF
113SEISMICRE
Seismic Residential
B
'
1BUSLIC
Business License
B
Revised 6/16/08
10
is
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) h1 -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/a " 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.
Rt7K/Homeowner's Name: 1` & W ✓ l
Job Site Address: 1015q
Roofing Company Name:9kyn Smote ��/'Ll(-C Ifii- /
Applicant's Signature: _ Date: % G/ a (0 g
• Greg Casteel
Building Official
Revised 11/2/04
n
a
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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
f
a
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
11. Permeable Paving,Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
72points
D.
Structural
3.
Uses Wood I -Joist, (See Spec.)
S-2
5.
Use Truss with heels, (detail)
S-2
6.
B. OSB Sheathin detail
S-2
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 POINTS1
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.
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points
2. Salvage Reusable Building Materials
3. Remodel for Mixed Use, Adaptive Reuse, and
Historic Preservation
4. Protect Native Soil
5. Minimize Disruption of Existing Plants & Trees
6. Implement Construction Site Stonnwater Practices
7. Protect Water Quality with Landscape Design
8. Design Resource -Efficient Landscapes and Gardens
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
10. Install High -Efficiency Irrigation Systems
11. Provide for On -Site Water Catchment / Retention
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
2. Use Recycled Content Aggregate
3. Insulate Foundation/Slab before backfill
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
3. Use Wood I -Joists for Floors and Ceilings
4. Use Web Floor Trusses
5. Design Energy Heels on Trusses 6' or more
6. Use Finger -Jointed Studs for Vertical Applications
7. Use Engineered Studs for Vertical Applications
B. Use Recycled Content Steel Studs for Interior Framing
9. Use Structural Insulated Panels (SIPS)
a. Floors
b. Wall
c. Roof
10. Apply Advanced Framing Techniques
11. Use Reclaimed Lumber for Non Structural Applications
12. Use OSB
a. Subfloors
b. Sheathing
up to 4 Resource
4 Resource pts y
4 Resource pts
2 Resource pts
1 Resource pt
2 Resource pts
2 Resource pts
4 Resource pts
2 Resource pts
2 Resource pts
2 Resource pts
up to 5 Resource
2 Resource pts y=
3 Enerov ots v=
3 Resource pts
up to 10 Res
2 Resource pts
2 Resource pts
2 Energy pts y=yes
2 Resource pts y=yes
2 Resource pts y=yes
2 Resource pts y=yes
3 Energy pts
3 Energy pts
3 Energy pts
4 Resource pts
3 Resource pts
1 Resource pt
1 Resource of
•
•
1. Install Energy -Efficient Windows
• a. Double -Paned 1 Energy pt
b. Low -Emissivity (Low -E) 2 Energy pts
c. Low. Conductivity Frames 2 Energy pts
2. Install Low Heat Transmission Glazing 1 Enerav of
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
B. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
3 IAQ/Health pts
b. Water Heaters
31AQ/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
16. Install Heat Recovery Ventilation Unit (HRV)
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y --yes
13. Retrofit Wood Burning Fireplaces
10 Energy pts
Y --yes
• a. Install EPA certified wood stovesrnserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
Y --yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
31AQ/Health pts
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=ye<-
2. Install Solar Water Heating System
10 Energy pts
Y --yes
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=yes
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw = 12 points, 3.6 kw =16 points)
Up to 16 Energy pts
6. Select Safe and Durable Roofing Materials
1 Resource pt
y --yes
7. Install Radiant Barrier
3 Energy pts
y=yes
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
0
L
0
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
10
Building Department
JOB ADDRESS: /0957 Mo Yl�t �Sa /�Y
VV
PERMIT #
2io ? 60�7/
OWNER'S NAME: p v -b
PHONE # 8 f--,6—oZop
GENERAL CONTRACTOR:WjoIto/P KC
FAX # - oz3
I am not using any subcontractors: _ I <( U
Signature Date
Please check applicable subcontractors and complete the followine information:
Owner/ Contractor Signature
71(r(o-
Date
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
Owner/ Contractor Signature
71(r(o-
Date