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08060253 CITY OF CUPFjLT NO7�7/77--7-777,7777-771,7,,�77�,7,,77777 7777771" BUILDING DIVISION— PERMIT BUT?16�A �CRESS; PERMIT NO. DEPALMA LN WESTERN ROOFING SYSTEMS 08060253 OWNER'S NAME: PERMIT ISSUE DATE RASSIEUR 1328 WHITE OAKS RD 06/30/2008 WONE: SANITARY NO. CONTROL NO. ARCHITECTMNGINEER: BUILDING PFRMITINFO TEAR OFF WOOD SHAKE- FILL BLOC ELECT PLUMB MECH zMae SjjEE1j3jjjG AS �4EEjqE qR 1=3 go, LICENSED CONTRACTORS DECLARATION mC I home, from that I"aIkanaed mode" 'ar"W".of Chapter 9(commMing _:iobDescription inea and mylleenx is in full fame and CIF135 .. Lk.x (A? 5 Li Data -ea W * ACTS D R Z eye I tervicamand my plans All[he used park eco" :t-U Z�,, Licensed Pramilmn mal 0 OWNER-BUILDER DECLARATION i<m I wrathy air,.that I am exempt from the Contractor, am. or OO Following motion.(Section 7M 1.5.Business and Imilwummas Code:0 ft leen. Or County K which requires.Permit to coonamel,altar,rationt dcamich,or repair any structure prior.in issuance,also acquires the applicant for such permit an rile a signed statement that he is licensed ...at 1.die,luavisans of th,C.,torassem's U.C.Law(Chap.9 Sq.Ft. Floor Area Valuation H (Co.. ...Code)o 5 Art mes exempt then from and ma basis for the alleged excuration.Any violation.r Section 7031.5 by a"applicant for a permit subjects the wipficant to a Civil penalty of APN Number Occupancy Type .1...than five hundred dollar. 1,o,ownerof Ne property, will do,Newark,and da,matcluto is not intended or offered for age(Sec.�.guidance and professions Code:The Coe License Law does net apply he an camer of Required Inspections porrienny who Witelsorimpnewit themor,malwho doissruchworrichimselforthrough his orm.employ.,provided that inch imp ad ve an Cut is ares intended or riereci Far We If, however.me Wilding or improverventi is mid within one year of mm fiction.the owner. builder will lum As burden of proving quit lec did Air Wild or improve for purpose of sale.). 0 1,as minor of As property,am exclusively contracting with licensed contractors he Construct the project(Sec.71)4,1.Business and Professions Code:)Tha Consciences U. cense Law does not apply to in motor of property who Wilds or improved themon,and. who contracts for such project,MA a contaresur(s)licensed purnmant at As Contractors License Law. ❑I me exempt under Sm. P C for Jois ressom Date WORKER'S COMPENSATION DECLARATION I hereby affires under facility of Injury Can of the following declarations: r-1 I him and will maintain a Ccarificam of Content to relf-insure for Worker's Comper. remi.m.as provided for by Section 3700 of the labor Code.far As pecrumname,of An weak for which this permit is Wood 0 1 have and will mention Workers Comp eerr eathar I.,az mcmind by Section 37M offt Labor Code,for ft performance of the work far which this permit is issued. My Worloar's Compensation insurance carrier and Policy number are: Policy Nn: CERTIFICATE OF E)CEMPTIONFROMURK R COMPENSATION INSURANCE (nd,occliam need not W completed if the permit is Wow hundred dollars($100) or I..) I manly lam in Na performance of the work for which this Permit is issued.I shall not employ any person in any mantisrso w;to become subject to the WorkeraCornewmation Laws of California.Data Applicant NOTICE TO APPLICANT If.after Making ads Certificate of Eaccoption,you should become subject to the Workers Compareandon previsions or me Latina,cod,you mail z fmAwiA comply with such renovations or this portrait Ail]W deemed revoked. Z C CONSTRUCTION LENDING AGENCY I hereby affirm met them is a Construction lending agency for dim performance of aid Ne work for which this permit is Wood(Sol.309].Car C.) Leader's Name 0, z Lenders Address D U 0 1 mardly,that I have mast dos applimaimi and sum A.0e move information.is tom e,I agree an comply with all city and county ordinances and sum hire relating in building construction.and hereby auttrodre representatives of this city to enter upon As, above-menfinned property for inspection purimus. (We)agree to save.indemnify and keep harmless the City of Culausho against Imbilides.jectimarts.cost;and Cap..which may in any waymcnee.gament said City U Z in consequence of the gaining or this permit. VPLICANT NDERSTAND WILL COMPLY WITH ALL NON-POINT Issued by: Date ,80URC S. �n /I Re-roofs i sin PlAppli kd. Data H=D" ALS Type of Roof 71]a PIC.morf rubuildin C.Inatelarembusullohmseddiareacrial az defined by 7CUPemno ode,Chapter 9.12,and the Health aid Safety Code,Secure 25532(.)? 0y. Na All roofs shall be inspected prior to any roofing material being installed. Will me applicant or fulum Wilding occupant use equipment or Ckvicas which If a roof is installed without first obtaining an inspection,I agree to remove Call hazardous air Containments ast derined by the Bay Area Air Quality Management all new materials for inspection. Disare,7 Dy. erlw� I have reral me lemenhans awflerfi,la requirements made,Chapter 6.95.1'the Califin. ma hical"Safety Code,Secticas Z%5.25533 and 25534.1 understand A=A=ir dr,building Jaen ran wrandy have,terwo.But it is my Feasibility W..at,me occoper,of the iss crafil Occup $1 azure VKApplicVV:�- �i Date Owner ratithorm do moa g a a L nt arm'" net / ma Dow ll cov rings to be Class or better S0- CITY OF CUPERTINO e2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36932056 . 00 DATE ISSUED. . . . . . . : 06/30/2008 RECEIPT # . . . . . . . . . : BS000005303 REFERENCE ID # . . . : 08060253 SITE ADDRESS . . . . . : 20045 DEPALMA LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BILL RASSIEUR ADDRESS . . . . . . . . . . : 20045 DE PALMA LN CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : MICHAEL LUNNEBORE CONTRACTOR . . . . . . . : MICHAEL LUNNEBORG LIC # 25896 COMPANY . . . . . . . . . . : WESTERN ROOFING SYSTEMS ADDRESS . . . . . . . . . . : 1328 WHITE OAKS RD CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE (831) 278-1837 • FEE ID UNIT QUANTITY , AMOUNT. PD-TO-DT THIS REC NEW BAL ---------- ------------- --------=- ------ ------ ---------- ---------- 1BSEISMICR VALUATION 19, 500 . 00 '2 . 00 0 . 00 2 . 00 0. 00 1REROOFRES SQ FEET 35 . 00 455 . 00 0 . 00 455 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 457 . 00 0 . 00 457 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 457 . 00 VISA --------------- TOTAL RECEIPT 457 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO ' REROOF OCUPERTINO PERMIT APPLICATION OM (P 025 APN # Date: X09 405-LP (-3j-oy Building Address: 6,e Pial~ t Owner's Name: Phone #: g>Ak �RsSie�r <!t�& 4 9(0 �fb �i6 Contractor: Phone #: 3 Gct I, -jL) W ea�a ��a S Sy sus Fax #: 5- It43 � Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) Other (Specify) ,/,CIa( t.�e Number of existing coverings /❑ Provide LC.B.O. Report# �TaZt ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: T,ekr of{ - ao.s A I ('f/ %rlg4A(t r,e-tw• -4..1.E per Z'GSc� S&Zu (�S A— ResidentialCommercial Green Buil/ding: 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: iq •I Have Read, Understand and Will Comply"with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO (CAto� REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group. 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO' ' Seismic Commercial B 3S 1RER00FRES Re-roof Residential B 1SFDWLR00F / 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B L " - - . . _ Revised 6/16/08 . i • 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. I understand and will comply with the abovestatedpolicy on re-roofing. Q Homeowner's Name: ?,.\k J �.,p ��f i et,f Job Site Address: Z '�b e n�p�n.p L,,) Roofing Company Name: S' -40-/ Applicant's Signature: Date: Uf 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 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. A3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 40 points • • Plan Review Process Work Book Page A2-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. A.Site INPUT Resources Enerpy IA0111eafth r, 1.( =cycle Job Site Construction&Demolition Waste 65% 1 point;75% 2 points;80%=4 points up to 4 Resource pts 0 2.Salvage Reusable Building Materials 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 Stormwaler Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0 8.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0 9.Reuse Matedals/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 D 1 MEMO B.Foundation 1.Incorporate Recycled Flyash in Concrete • 25%Recycled Flyash=2 points;Add 1 point for every 10% increase of fiyash,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 0 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 pis 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 D 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 12.Use OSB a.Subtloors 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes 0 INPUT Resources Energy IAQ1Hea .Wmdows • 1.Install Energy-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 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 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 2 IAQ/Health pts y=yes 0 Install Solar Attic Fan 2 Energy pts y=yes 0 6. stall 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 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--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 stovesfnsens 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 41A0/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 31A0/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 ___4L,2,kw=6 points,2.4 kw=12 points,3.6 kw=18 points) Up to 18 Energy pts 0 led Safe and Durable Roofing Materials 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes0 L.Natural Heating and Cooling 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 • 1 1 1 Q �, . , Community Development Its 10300 Torre Avenue ti -W�' Cupertino CA 95014 Telephone(408)777-3228 SCCITY OF Fax(408) 777-3333 UPEkTINO Building Department JOB ADDRESS: PERMIT # n p O 1 ZOO S— PWIKn, L,) () lP Q �- OWNER'S NAME: qA ,-t%r PHONE # 3(r ci( 7V— GENERAL CONTRACTOR:(„ c,a S FAX # I am not using any subcontractors: Signa a Date Please check applicable subcontractors and com let g 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 Owner/Contractor Signature Date