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08060152 CITY OF CUPERTINO BUILDING DIVISION PERMIT 4CONTRACTOR4INFURMAION PERMIT NO. BUILMNO E`CF ARTA BLANCA ST DIAZ ROOFING 08060152 OWNER'S NAME: PERMIT ISSUE DATE ALBERT SEDIGLYDOUR 4652 SHETLAND WAY 06/23/2008 IF NE: (925) 565-0960 SANITARY NO. CONTROL NO. ARCH=C`ftENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMO MECH LICENSED CONTRACTOR'S DECLARATION - Job D0sCI1 Ilan 1 hereby affirm Nat 1 am licensed ueder povuions of Chapter 9(commencing P w+desection]Oro)nroiriamn3orueBwinu.andnurexdnmenm.wmyBmnxu RE—RF T/0 EXSTNG RF& INSTL PRPR SHEATNG W/MTL CLS tgZn,a m in full forte and enrxt n C-0 License Clay Lk.g 1 A 40SQ nt;,p Da¢_y^ Conuecmr qq'J' ARCHnECTS DECLARA ION a< 1 vedarmnd my Plaos shall h used a public records D.0 g t; Licensed Professional 5 OWNER-BUILDER DECLARATION 31 1 hereby affirm Not I am exempt from the Contractors License Law for the O o following won.(Section](131.5,Business and Pof.ssians Code:Any city ser rnunty Sm which requirn a permit to construct.alles.improve,demMW,m repair any swctum Z< He,in its issuance,also rehires 0eapplitent foach permit in file a signed sulereent �D that he is licensed pursuant o the previsions of the Connector's Uccme Law(Chapter9 Sq.Ft.Floor Area Valuation (commencing with Section]000)of Division 3 of be Business and Professions Cade)m $26000 e0 Nat he is camp,them.and the heti for Ih alleged esemptinn.Any violation of Section 7031.5 by any appik am for a Permit subjects dee applicant no a civil penalty of Number Occupancy Type not more Nan five hundred dollars(5500). 3 2 613 0 4 5 5A P Y YP I,ss ower of Ih prpprsty,ser mY avPloyecs with wgns ss Ih'vaOle compensation. ' will do the work.and the saucture u not intended proffered forsake(Sec.7064,Bete. and Professions Code:Th Conmctm's License law don apo apply d in owner of Required Inspections P. who builds or improves thereon.and who does suN work himself or though his own employers.provided that such improvements art no,intended opffensi for sale.U. however,the building or impmremnt+a sold within one year of completion.the owner, builder will have the buNen of poring that M did net build or improve for purpose of sale.). 0 1,a Owner of the property,am exclusively contracting with licensed computations m construct the project(Sec.7044.Business and Professions Cdde:)The Contractor's U- cede law does am apply man owner Of property who bunds or improves thereon,and. who contracts for such projects wide a commaucot(s)licensed pursuant he the Comsanors License Law. 0 l von rxrmptundm See .B B PC for Nu won Owner Dale WORKER'S COMPENSATION DECLARATION 40 I hereby affirm order pmulty of perjury arc of the Minoring declarations 1 him and will maintain a Cuenu lfOf Consent to self-imam for WorkersCompen- alfi n,as provided for by Seetion 3700 of the Labor Code.for thr Performance of the work for which this Permit is Issued. 0 1 have and will maintain Workers Compensation Insurance,w oquired by Section 37(I0 of the labor Code,for Ne performance tithe work for which Nu permit is issued. My worsels C penaation rao�noriOr soul Policy number art: - Cart+en J� =� Policy No.: 62 5d_�i CERTIFICATE OF EXEMMON FROM WORKERS' COMPENSATION NSURANCE (Thu section need not h completed if the Permit is finenc hundred dollars($100) or less) I cenlfY Nat in the Performarme Of f wade for which this Permit is issued.I shall not employ any person in any manner so as to become subject o the Work.n''Compensation Laws of Califomia.Dam Applicant NOTICE TO APPLICANT:If.after making Nu Certificate of Exemption,you ghoul become subject in the Works'!Compcwtion provisions of the Labor Cade,you mute .JO forthwith camplY with such proviel or NU Permit shall h dcemcd resoled. 'Z^,'" CONSIRUCf10N LENDING AGENCY .N. Ihmh affirm that ft. toroth..lending a F Y g g.my for ho perfunnanax at !Yi the wars for which Otis permit is lewd(Sec.3097,Civ.C.) zLenders Nam. �z l.endeh Add. U C) 1 certify that 1 have read this applicadm and state that dm above irdom.don at V.Fcorrat 1 agrec d comply wit all city and county ordl.apt state law relating m DU building concoction.and hereby authorise mpmsenutives of this city to enter upon the W above-mentioned property for inspection purposes (We)agree to ave.indemnify and kecp harmless the City of Cupcnde against h liabilities,judgments,cpm and expense which may in rue,soy aecce agaib,ou'Cop U Z in consequence of the grating Of this Pe,mlL '-" APPLICANT UNDER STA DS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 6_ 2 -3,,&, SOURC&REG LATON 0� Stgn rtof pplann on Or ¢I Dau Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will dm applicant or future Wilding occupant stmt or handle ha umenus material as deMcd by f Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Cake,Section25532(a)7 0y. �O All roofs shall be inspected prior to any roofing material being installed. YG Will the applicat ser future building oeupmt use,equipment or devims which If a roof is installed without first obtaining an inspection,I agree to remove mit luvamnns air comamimnu u defpad by the Bay Arta Air Quality Managemem all new materials for inspection. Dismct9 P DYn �N. 1 have read the haard.materials rtquircmcm underChapte,b.95 of th Cxlifes- nia Health h SatmyCeek,Sections25533 and 25534.1 undcnund thmif the building don net curt.mly ham a man. t is my maponaibility m sooty the aecupant Of the rtquirtme'W which mot ta rate arvx of a Catif"ic of Otte l/-L a9 Signature of Applicant Date owne, n.dagem Date All roof coverings to be Class'%q"or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 32613045 . 00 DATE ISSUED. . . . . . . : 06/23/2008 RECEIPT # . . . . . . . . . : BS000005185 REFERENCE ID # . . . : 08060152 SITE ADDRESS . . . . . : 22294 CARTA BLANCA ST SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER ALBERT SEDIGLYDOUR ADDRESS 22294 CARTA BLANCA ST CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1009 RECEIVED FROM . . . . : RODOLFO N DIAZ CONTRACTOR RODOLFO DIAZ LIC # 26457 COMPANY DIAZ ROOFING ADDRESS 4652 SHETLAND WAY CITY/STATE/ZIP . . . : ANTIOCH, CA 94531 TELEPHONE (925) 565-0960 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------ --------- ---------- ---------- ---------- 1BSEISMICR VALUATION 26, 000 . 00 2'. 60 0 . 00 2 . 60 0 . 00 1REROOFRES SQ FEET 40 . 00 520 . 00 0 . 00 520 . 00 0 . 00 ------- ------- ---------- ---------- TOTAL PERMIT 522 . 60 0 . 00 522 . 60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 522 . 60 #5054 --------------- TOTAL RECEIPT :. 522 . 60 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --- ---------------------------- -- --- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO Cay` REROOF .CUPERTINO PERMIT APPLICATION APN # 202 3 c) 1/-5_, 60 Date: F- Building Address: r2,_4 aqv CaaTp, gi p�NcA 5t. Owner's Name: Phone #: A1EeaT 4�_M,9\ydcxxr yCQ� --Jq("-9%V0 Contractor: 1)1R2. RaO�AtJCI Phone #: (9�� =,<d5-Cq(n0 Fax #: Cupertino Business License #: Contractor License #: $I lel Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles )�r Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) >97 Other (Specify) E( , F k k(\e.- Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: -�ecxr 4 fq ex l*nq mc)� O.(\6 w��'n cc•�,tv.� ���eCo�.o��. '� C-( c1r A _ yo S'�f 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: 0 r ©Oo I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: SigJ re apla- CITY OF CUPERTINO REROOF CITY OF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group IREROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B �O IREROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 I 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 above stated policy on re-roofing. Homeowner's Name: A(�IZTi� CjCy.AP Job Site Address: '222q4 CAP-TA &ANUI% q} Roofing Company Name: TbfR2 Applicant's Signature: !__ 58U(, 'Z>N2 Date:lbzlCf� • 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/S ec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point I 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. A.Srte INPUT Resources Energy IA011reatth 1.Recycle Job Site Construction&Demolition Wsste, 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 Materials/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 1 0 1 1 1 B.Foundation 1.Incorporate Recycled Flyash in Concrete 25%Recycled Flyash=2 points;Add 1 point for every 10% • increase bf 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=yesF 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,loists 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 B.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 • 1 1 INPUT Resources Energy IA TIH,,M 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 6.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 3 IAO/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 stoves/inserts 1 IAO/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 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 l pts y=yes 0 1 1 K.Renewable Energy and Roofing 6m 1 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0 2.Install Solar Water Heating System 10 Energy pis 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=16 points) Up to 16 Energy pts 0 6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes 0 1 L.Natural Heating and Cooling 1 1 1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes 0 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p 1 1 1 • Community Development Department Building Division City of Cupertino ' 10300 Torre Avenue • Telephone: (408)777-3228 Fax: (408)777-3333 Building Department REROOF TEAR OFF POLICY 1. You must schedule an inspection for the tear off the day before you wish the inspection to be made. The procedure is to call the Building Division (408) 777-3228 between the hours of 7:30 a.m. and 3:30 p.m. to request a next-day inspection. • 2. When the roof is torn off, the nails have been removed or driven in, and all of the dry-rotted wood has been replaced, you must call the City Building Division. An inspector will be there within one hour. There are special hours for this service: from 7:30 a.m. to 10:30 a.m. and 1:00p.m. to 3:30 p.m., Monday through Thursday and from 7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note: Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m. and will not be called during that time. City Hall is closed between 12:00 and 1:00 p.m. daily.) 3. If you call for a tear-off 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 • Greg Casteel Building Official Revised 8/13/04 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 *CUPEkTINO Building De artment JOB ADDRESS: PERMIT # 29y CA97k g1ANCla OWNER'S NAME: Alter-k Avg 11g1 cbur PHONE # ycs;8 (-5-1 L}�V - qq(0o GENERAL CONTRACTOR: FAX # I am not using any subcontractors: (p/2a 1OC� Signa 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 lPZ I Septic Tank Sheet Metal Sheet Rock Tile • 6C1�'� 6,/Z.?,ke Owner/Contrr Signature Date