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08070084 (2) CITY OF CUPERTINO , .,. - BUILDING DIVISION PERMIT $CONTRACTORI,,,NURMt�. BUILDI.TGADI�FESS.ANTA TERESA DR FFF ROOFING SPECIALIST 08PER070084 OWNELR'SlN(A'ME: J PERMIT LSUE DATE KININ CHANG 451 STROUD PL 07/14/2008 NE (408) 365-0553 SANTFARY NO. CONTROL NO. ARCHDECI'fENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description w 1 hereby ahem Nal 1 m fueled under pmvitlons of Chapter 9(ca..ing _U withSusan]IXMI)"rDiviilon3oftheBusinessamPmfcssimatCade,andmylicenseis RE—RF T/0 EXTNG WDSHK RF INSTL 1/20SB PLYWD;REPLC oro fur°°Came°"°` gs©6 7� 3 EXT GUTRS& APPLY 1 LYR30LB FLT& 50YR PRES CLS A j P tn Lueom Clue Lm.a r De¢ Contractor—r-7- or�._C.._. Q W ARCHITECT'S DECLATA OT _N� 31 SQ 7 1 uMersand my plans me be oval as;public reconts a.aw Licensed Pmfcssional Sp OWNER-BUILDER m me CanuION vE c E I germy (Su that 1 1. uemp,from d r Caniod;Co License Law o foe the p O following wan,Permit t 7 nstarm Business and Rofvsdov Code:My city m county $� wnvN requires a permit to conswcn,aitu.imPraw,dcmal W,an repilr any srunum .2i prior to as issuance.aim mquims de applicam for such permit to file a signed sWemem ££ C that he is licensed pursuant to the provisions of the Contractors License,Law(Chapmr9 Sq.FI. Floor Area Valuation Y� (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $14680 y Nat he is exempt therefrom and the buss for the alleged assumption.My violation of Sudan um7a�tby any vehundrtau�l�( itmbKBNeapplicant maavnpen.Byn 35616008 .A81rNumbernod Occupancy Type ❑Lotownerof die popaty,demy employees winwageuen(Sec.c .Business will da the work mtl Neshuctum u notNandctl roRerd lrsele(Sec.7W.Badness and Property w ora code:The Comaaors Llama Law cons ant appy 0 a"owner err Required Inspections property rho builds or imposes N¢con.and who doessuch wank hiwelror through his owns emptayeea.provided Nat such impawmats art not inmtdetl maRrd(orale If. however.Ne building orimpowma,iamld within arc year of mmpktion.the owner, Wilde' MB base the burden of proving that Ire did not Wild or improve for purpose of al.j. ❑1,u ewer of the popcn,ora aamsively counted,with Banned mnarnars as conshuct the polett(Sec.7(344.Businca add Professions Cade:)rte Cmmium.Ii- «nse Law does not apply as an owner of property who Wit or improves dream,and, who connects For such pmjcm with a mntcatser(s)licensed pursuant to the Cornerstones License Law. ❑I oro exempt under Ser ,B&PC fm Nis mama Owns Data WORKERS COMPENSATIONDMC RATION 1 hereby affirm uMer petWy,of perjury am of dm following dedursomns: 1 ban and will maintain•Certificate oconsent to self-made for Workers Crnpm atim,a Provided foe by Sudan 37M of the labor Code,for Ne performance of the wort for which this Amit is added. 1 have and will maintain Wmrt .Compensation Imurutce,me re imam by Sctim 370(1 of Ne labor Code,for the performance of the work for which this Permit is bound. My Worke�r+s. ompa1.dan In(astca\arrier and Policy number am: Carrie. L Fi/C�A Policy No.: CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE (Thu seulm need not ha completed time Permit is(orate hundred dollar($100) or leu) 1 cuify then in the put ormam.of the.,it far which this Amit is issued,1 shill not _ employ anypran in any onmterm as se baerm subject to the Workus'Catnpnsatm . Ixws of Ceirmah,Date Applicant NOTICE TO APPUCANT.IL alter making this Certificate of Exemption,you should become subject to the Wmrltcrs Compensation provisions of the Lahr Cod",you muss .,zfoMwtth comply with such provism ru r Nu Amit shill x demand m milked. z"" CONSTRUCT10N LENDING AGENCY .�.,F' I hereby afOm that dem is a construction lending agency the Perfomanw of ILI> the wart fur which this Amit u added(See.309/,cid.C.) GE Lenders Name .:. z Landers Address U O I certify that I have rod this appliadm and sate this the above infamous.is LLQ correL 1 agree w empty with all city ad county maimmus and sate lewd relating m .O�V^ Wilding construction,and hereby authadrz mpcaenmiw.s of this city to enter upon Nc 417 above-mentioned property far impaction purposes. (We)agree to saw,indemnify and keep humkm the City of Cupertino against liabilities,judgmma.cats and caperues which may in wry way amue aided,aid City V z too of th,granting err this permit. /eye ^ APP UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date / /L SOUNS. Re-roofs / Signa,um of Applian✓Conuactor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIII Nes,Cupertino r(Muni Wilding eeeupat same,orhandle haadousd Seriai m nn.dallned io the 32(a)? o Municipal Code,Chapter 9.13,mtl the HUIN mJ Safety cam,sayer zss3z(a)? ❑Yes FfNa All roofs shall be inspected prior to any roofing material being installed. Will me app0cen or future homing occupant me composed or dctlas which If a roof is installed without first obtaining an inspection,I agree to remove i,hundams sir conaminmu m defined by de Bay Ara Air Quality Management all new materials for inspection. District? Oyer 1 haw roan the haeardass materials requirements under Chapter 6.95 ofde Califon nu Health&SdayCode,Sections 35505.25533 mut 25534.1 deduced!thBJ the holding data rpt cumnty haw•tenant Thu n u my ndbilitY to mdfy the occupant of de requi u hich moa h met pilo arc of a C to of Occupancy. .. 2 C) Signature of Applicant Date All roof coverings to be Class'n"or better Owner a amharvcd agent Data' g r'S' CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35616008 . 00 DATE ISSUED. . . . . . . : 07/14/2008 RECEIPT # . . . . . . . . . : BS000005454 REFERENCE ID # . . . : 08070084 SITE ADDRESS . . . . . : 11141 SANTA TERESA DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : KEVIN CHANG ADDRESS . . . . . . . . . . : 11141 SANTA TERESA DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4728 RECEIVED FROM . . . . : FFF ROOFING SPECIAL CONTRACTOR . . . . . . . : FRANK M CAMOLONGA LIC # 28519 COMPANY . . . . . . . . . . : FFF ROOFING SPECIALIST ADDRESS . . . . . . . . . . : 451 STROUD PL CITY/STATE/ZIP . . . : SAN JOSE, CA 95116 TELEPHONE . . . . . . . . : (408) 365-0553 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --------- -------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 14, 680 . 00 1 . 50 0 . 00 1 . 50 0 . 00 1REROOFRES SQ FEET 31 . 00 403 . 00 0 . 00 403 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 404 . 50 0 . 00 404 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 404 . 50 VISA --------------- TOTAL RECEIPT 404 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ----- ----------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • 0?07 dv6'-y t, CITY OF CUPERTINO REROOF C TY OF •CUPERTINO PERMIT APPLICATION APN # � (P / (O C)v (1 Date: U -7 l Fs' Building Address- , I I 'I ddress•III `I I S qe r Cu Owner's Name: Phone #: Contractor: Phone #: Llo96 3Z6 55 0 c\ R©a F YI e Ct a La S Fax #: 1-ic--6- 36$ 075 5- Cupertino Cupertino Business License #: p� / Contractor License #: 4 Type of Roof Covering: Existing: Proposed: ❑ Built-Up RoofIt-Up roof o, ❑Asphalt Shingles Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles o Wood Shingles o Other (Specify) ❑ Other (Specify) Number of existing coverings �.Ju ! ( o Provide I.C.B.O. Report# o To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: —Teo, 1 n5 (b w0e��, deg\c�ce L=�c�S� �s aclw-crS ApplJ AJCLz/;N,jzV 3o j- C, (-P-t � —r v \ cv. 1u�(v v 5 �e S C (crf Residential Commercial Lj 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: l� 6�0, I Ha:7, Understand and Will Comply with Cupertino's Tear-Off Policy: • Sigrffiture SNAP, CITY OF CUPERTINO REROOF CITYCUPEI�TINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF IBSEISMICO Seismic Commercial B IREROOFRES Re-roof Residential B ISFDWLROOF 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. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: 12C L i m C h q rl-y Job Site Address: I I I 2--1 t C Roofing Company Name: C? Qp Apphcant's Signature. C' Date:�Z 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 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 1oint 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 Resources Energy IAQIHeafth A.Srte 1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;60%0=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 Stonnwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0 6.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 0 1 ono 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 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 1-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 6.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.Subfloors 1 Resource pt y=yes 0 b.Sheathing 1 Resource pt y=yes 0 • iNPUT Resources Energy IAQ/Heafth .Windows 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 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 3IAQ/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 stovesrinseds 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/Heallh 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 p 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 6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes0 7.Install Radiant Barrier 3 Energy pts y--yes p 1 I 1 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 p 1 1 1 • Sul Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 gFUPE�TINO Building Department JOB ADDRESS: PERMIT # 114Vr Of()7c�oP t` OWNER'S NAME: 2evMovt PHONE #",�o F- 7 O GENERAL CONTRACTOR: �� , llr, FAX # I am not using any subcontractor, ` 2 — a Signature Date Please check applicable subcontractors and complete the following information: 60 1 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