08050075BUILDING DIVISION - PERMIT
I- 10447 ANSON AVE I SHADOWFAX ROOFING 108050075
OWNER'S NAME: PERMIT LSSUE DAZE
r` MICHAEL CHU 1366 SANTA FE DR 05/07/2008
that 1 m licensed under Provision of
in full forte and ef(ap.�,
License CCI a �- Lic. • O L sr/X
Droo p' G _. Cmtraemf
Licensed Pmfcaummol
OWNER -BUILDER DECLARATION
I homey alarm Nat 1 am ucmPt from the Conumtoes L3cxn a Law for tic
fallowing mason. (nation 70313, Business it Profestiom Code: Any city or..my
which requires a pemft m Cmswc6 alter, improv, dermlims or repair any structure
prior m its issuance, also mimes Ne applicant for such permit to file a signed statement
ihat he is licensed pursuant to the provisions of dm Conroe Wt's Llexmue, law (Chapter 9
(commencing with Section 7") of Division 3 of the Best. and Pmfetsiona Codc) nr
Nat he is exempt IWmfmen and Ne baso for the allcgcd exemption. Any violaum of
Section 7031.3 by arty applicant fora permit subjects the applicant to a civil penalty of
out mom Nan fin hundred douses (SSW).
I, u owner of IM property. m mY wplaym with wagn m timer mk eampewtim,
and Pi Newark, ander sesameunor'WVmded Lawddfreak(Sec.]045,pmer of
and Rafosdom Code: The CmtrcWrs Licence Law drma set apply m m owmr of
builder will lure the burden of proving Nat he did set WW or improve for purpose of
oak.).
] 1, a owner of the property. am exclusively consuming with licensed mnuatlom W
come= the project (Sec. 7014, Business and Profeaiom Code:) The Conuaemri Li-
cense law does not apply W an owner of Property who bolds or improves demon. and
who contracts for mch projects with a contracter(s) licensed pursuant in the Contractor's
License Law.
] IametereptunMSec .B&PCfor Nismamn
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby alrum under Mostly of perjury one of dm following dalantion
..... and will maintain a Certiffeam of Consent to self insure for Workeh Compen-
alim, a provided for by Section 3700 of tiro labor Code, for due pertnmanm of the
] I haw and will mainum Workers Compensation Imuran¢, as mquimd by Sccdm
37110 of the labor Cade, far use performmee of IW work for which this permit is issued,
My Workers Compensation Issanna onion and Policy number am: -
COMPENSATION INSURANCE
aenim need notbecampleted if the permit is forom hundred dollen (Sim)
I certify Not in the Performance of On work for which thin permit is iremed. I shall not
employ any person in any manner an as in bmomc subject to the Workorr Compensation
Ian of Celifomia. Dam
NUI ILL IV ArruewN C R, after making then CoMFICam of Eaemption. you Amid
baome subjem to the Workers Compernmon prorisiom of the labor Codc, you most
.J 0 faMwim comply with such Provisions m Nu Permit shall W domed mroked.
zy CONSrRUCDON LENDING AGENCY
[—m 1 Wmhy affirm thW Nem 4 construction knding agency for the, perfanname of
LLv � Nc worts for which Nu Permit u WeCd (Sm. 3097, Civ. C.)
W� i7 Lender's Name
r7 z Lenders Addmm
U
Q 1 eemify that 1 have mad Nis application and atm Wt the show, infomado. is
COnecL 1 agree to Comply with 111 city and county ordinances and atam laws Rlating in
building com action, and hereby mlsonx mpmsenuuws of this city in enter upon Ne
show -mentioned property for inspection purposes.
F gym (We) ague m an. indemnify and kap harmless the City of Cupertino against
h liabilities, judgments. cru uq expenses which may in my way acme against said City
V z in cansequerce of the granting of this permit
APPIAANT UNDMS I)bS AND WILL COMPLY WITH ALL NQN-PAINT
Will the applicant or future building mmupantsmm or luodle healdans material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
Cade, Section 25532(a)?
(] Ym XNo
Will Nccep O., or future Wilding oavparn . rquipmmt or tion. which
hcrardnm all emtamim us as defined by Ne, Bay Area Air Quality Mamgement
a en /a
❑Ys
ardoosmam' sroquimrncnts under Chapter 6.93 of Na Califm-
3cctiom25 5 333and23334.ImdcrsundthatifNc Wading
mnanL V. y %sporeibibly m notify dm occupant of the
ncni:nsne:ng
(408)265-2490
Job Description
RMV EXSTNG SHKRF& RPLC W/50YR COMP CLS A 31SQ
Sq.
32641113:
Issued by:
Re -roofs
Type of Roof
$10800
Required Inspections
Date J ^ -;2 ECz�
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signature of Applicant Date
All roof coverings to be Class -A!' or better
2 ITEMS OF 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 32641113.00
DATE ISSUED.......: 05/07/2008
RECEIPT #.........: BS000004695
REFERENCE ID # ...: 08050075
SITE ADDRESS .....: 10447 ANSON AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............: MICHAEL CHU
ADDRESS ..........: 10447 ANSON AVE
CITY/STATE/ZIP ...: CUPERTINO CA, 95014-1346
RECEIVED FROM ....: JERRY L SHAFFER
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
-----------------------------------------------------------------
1BSEISMICR VALUATION 10,800.00 1.10 0.00 1.10 0.00
1REROOFRES SQ FEET 31.00 403.00 0.00 403.00 0.00
TOTAL PERMIT : 404.10 0.00 404.10 0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
404.10
---------------
404.10
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
•
REFERENCE NUMBER
--------------------
MC
VOICE ID DESCRIPTION
--------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
CITY OF
�UPERTINO
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
o 7s'
APN #_5)' & —1 I / I , 6 j
Date: �— 7
Building Address:
le
ON
Owner's Name:
Phone #:
e.,64e_
Contractor:
Phone
� I�OGc� d
z#:
' " X
.y /�
Fax #:
Cupertino Business License #:
Contractor License #:
3
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
;4, Asphalt Shingles
rW, Wood Shakes
o 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:
.c0���
C'_icsJ A• /
Residential
Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach
it to the there are any restrictions: ❑
application or if applicable, include in plan
set & the sheet index.
Valuation:
• I Have
/ Read, Understa and Will Comply with Cupertino's Tear -Off Policy:
y .
CITY OF
•CUPERTINO
J
C
CITY OF CUPERTINO
REROOF
FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
IBSEISMICO
Seismic Commercial
B
1REROOFRES
Re -roof Residential
B
1SFDWLR00F
p
1BSEISMICRE
Seismic Residential
B
IREROOFMRES
Re-roofMulti-FamilyB
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
IBUSLIC
Business License
B
•
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
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:
Job Site Address:
66AI
Roofing Company Name:
Applicant's Signature: Date: 7 O
• Greg Casteel
Building Official
Revised 11/2/04
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:
Job Site Address:
66AI
Roofing Company Name:
Applicant's Signature: Date: 7 O
• Greg Casteel
Building Official
Revised 11/2/04
to 1417 AM -14-C,
• r'l,r-,/, eb
Plan Review Process Work Book Page -12-Revised 3/25/08
BpOl
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
11
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 oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS
40 points
to 1417 AM -14-C,
• r'l,r-,/, eb
Plan Review Process Work Book Page -12-Revised 3/25/08
BpOl
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.
FIR��clakb Site Construction & Demolitionwaste
=1 point; 75%= 2 points; 80%=4 points
_vage Reusable Building Materials
3. Remodel for Mixed Use, Adaptive Reuse, and J
Historic Preservation
4. Protect Native Soil
5. Minimize Disruption of Existing Plants & Trees
6. Implement Construction Site Stormwater Practices
7. Protect Water Quality with Landscape Design
F8 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
52. Use 05B
a. Subfloors 1 Resource pt y=yes
b. Sheathing
1 Resource pt y=yes
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 y=yes
2 Resource pts y=yes
2 Resource ots v=ves
up to 5 Resource
2 Resource pts y-
3 Energy pts y_
3 Resource pts y=ye.
up to 10 Resource pts
2 Resource pts
y=ya!
2 Resource pts
y --ye!
2 Energy pts
y=ye!
2 Resource pts
y=ye:
2 Resource pts
y=yeE
2 Resource pts
y=ye:
3 Energy pts
y=yes
3 Energy pts
y=ye=.
3 Energy pts
y=ye=.
4 Resource pts
Y --yes
3 Resource pts
y=yes
r
0
r
r
r
r
r
r
0
0
r
r
r
-01
M
_-
1. Use Sustainable backing Materials
a. Recycled content
b. FSC Certified Wood
2. Use Treated Wood That Does Not Contain Chromium/Arsenic
3. Install House Wrap under Siding
4. Use Fiber -Cement Siding Materials
E. Plumbing
1. Install Water Heater Jacket
2. Insulate Hot and Cold Water Pipes
[4.
all Faucets and ShowerhQs with Row Reduceisa. Faucets (1 point each, up to 2 points)
b. Sace To eads (1 point each, up to 2 points) Replace Toilest with Ultra -Low Flush Toilets
point each, up to 3 points)
5. Install Ghlonne Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
8. Install On -Demand Hot Water Circulation Pump
r•. eiec ncar
1. Install Compact Fluorescent Light Bulbs (CFLs)
(6 bulbs=2 points, 10 bulbs 4 points, l2 bulbs = 4 points)
2. Install Td—KT—Race—ss—ed—Fix—tures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per Bxture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
t. Install Energy Star Dishwasher^—
2. Install Washing Machine with Water and Energy
Conservation Features
3.Install Energy Star Refrigerator
4. Install Built -In Recycling Center
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space
3. Install Recyclk kContent, Fit e'rglasslnsulation with
No Added Formaldehyde i
4. Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a. Walls
b. Ceilings
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
D. Geinngs
3 Resource pts
3 Resource pts
1 IAQ/Health pt
1 IAQ/Health pt
1 Resource of
,1 Energy pt y --yes
2 Energy pts y=yes
Up to 2 Resource pts.
Up to 2 Resource pts.
Up to 3 Resource pts.
1 IAQ/Health pt y --yes
4 Energy pts y=yes
Up to 4 IAQ/Health pts.
4 Resource pts y=yes
Up to 4 Energy pts.
Up to 5 Energy pts.
Up to 4 Energy pts.
Up to 4 Energy pts,
1 Energy pt y=yes
1 Energy pt
U
U
U
3 Resource pts
y=yes
1 Energy pt
y=yes
1 Energy pt
y=yes
3 Resource pts
y=yes
2 Energy pts
2 Energy pis
4 Energy pts
3IAQ/Health pts
2 Energy pts
4 Resource pts y=yes
4 Resource pts y=yes
4 Resource pts
4 Resource pts
•
•
•
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
2.1 Low Heai Transmission Glazing 1 Energy pt
J. Heating Ventilation and Air Conditioning
r. Use Duct Mastic on All Duct Joints V
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
8. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
3 IAQ/Health pts
b. Water Heaters
3 IAQ/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 Refriaerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
4 Energy pts
y=ye=-
• a. Install EPA certified 'wood stovesrnseds
1 IAQ/Health pt
y=yes
b. Instali/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 pis
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
v=vas
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 18 Energy pts
6. Select Safe and ble buraRoofing Mate als_ __ ___ J
1 Resource pt
y=yes
_
7. install Radiant Barer -
3 Energy pts
y=yas
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
L�
!1. Use LowN&-VOC Paint 1 IAO/Health pts y=yes
2. Use Low VOC, Water -Based Wood Finishes 2 IAO/Health pts y=yes
i3: Use LDw%NO VOC Adhesives_ - 3 IA(UHealth pts y --yes
4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde 61A0/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes
7. Seal all Exp setl Pa ticleboard or MDF 4 IAO/Health. pts y=yes
B. Use FSC Certified Materials for Interior Finish 4 Resource pts y --yes
9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes
10. Install Whole House Vacuum System 31AOMealth pts y=yes
8 Resource pts
2 Use Rapidly Renewable F o i ng Materials
it
4 Resource is
P
3. e Recycled Content Ceramic Tiles----
Us —
•
4. Install Natural Linoleum in Place of Vinyl
0
D
0
5. Use Exposed Concrete as Finished Floor
0
0
0
0
D
D
6. Install Recycled Content Carpet with Low VOCs
4 Resource ots
I0
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
2 Use Rapidly Renewable F o i ng Materials
it
4 Resource is
P
3. e Recycled Content Ceramic Tiles----
Us —
– –
4 Resource pts
4. Install Natural Linoleum in Place of Vinyl
5 IAO/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpet with Low VOCs
4 Resource ots
Total Points 1 1401 1301 57
Total Points Project Received: 01 0 •
G:daialprogsrgreenbuildmoguidellnesha odelerslgreenpoinisfnal2.l2.04prMeetedxls
0
au
CITY F
#UPEkTINO
E
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS: /�
loaf So 1/�
PERMIT # _ _
0S05 C�C�75
OWNER'S NAME:
PHONE # - S --5S-S-3
GENERAL CONTRACTOR:w�q
FAX # qfs- lbs 1 75
I am not using any subcontractors:
Signature 40ae
Please check applicable subcontractors and complete the following information:
YI�►_..�Lf/ .ilf/,�/rte
-6�v 1101t
6&(e
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
YI�►_..�Lf/ .ilf/,�/rte
-6�v 1101t
6&(e