08040147 CITY O,F CUPERTINO �?Y��.+r�wy��a•��.i.r../x�:}�"M'��yx�"'� p�, p=°'
BUILDING DIVISION PERT v@®a-]rl,+i[til:�VA�'�I1fF0NY� V -
xy.T
BUILDING ADDRESS: PERMIT NO.
10565, E ESTATES DR BAKER ROOFING 08040147
OWNER'S NAME: PERMIT ISSUE DATE
EDWARD COLE 2067 LA CON CT 04/21/2008
NE: SANITARY NO. CONTROL NO.
(408) 559-5105
ARCHIEC IBNGINEER: BUILDING PERMIT INFO
BLDG EIECT PLUMB MECH
300 LICENSED CONTRACTOR'S DECLARATION I0b Description
rtl 1 Maty affirm that 1 w Ilxnsas under Provision of Chapter 9(com1mencing P
z1 with Section 7M)at Division of au Business and Professions Code.ua my[menu RE—RF T/O OSB 40YR ELK CLS A 26SQ
r In full(arca and effect.
�g? Licuw ClassKra 5 Lk I, X 20Ae*
S Date Contrumrad mr,
ty' RCHnELTS DECLAR
of I mMcraunJ my plans mall he used as public acorde
e
S ted LIcwed Professional
owNER.e exempt
from
DECLARATION
1 hereby a1Bm on 1 sire sump,from a r Contractors Lkenu law for my
i.
00 fallowing mu sawn.(Sulu 70713,".Won[and Pmfewiou Calc:Any city or county
9'A which requlrca a permit m conerun,alley.improve,demalwlt,or acpalr anY+tructuro
t�, pilau,its iuumce.auo requires we applicant for+nch Permit to rile a signed statement
� IhmM lslieensoww
l puranithe pmvisionsofaU..ccum tire.UaLaw(Chaplcr9 Sq.Ft.Floor Area Valuation
53 (commmmingwith Section 7100)of Division 3ofine Busineuand Professions Code)or $8800
that he w esempt a arefmm and au basis for the alleged consumption.Any violstwo of
Section 70713 by any applicant for a permit subject,the applicant in a civil Penalty of 3 6 9 2 5 013:��Number - Occupancy not mom than five hundred dolma M). P y TYPe
I,a awns of the Property,or or,moPloycn with wage u their mm comper adon.
will do the won.and the snsctme u an,intended or offered far wain(Sec.7044.Busircu
and Prof sac mu Cade:The Cuuamo's License law don til apply u an ower of Required Inspections
Property,who buua+oimprove+uvman.and who dw+uch work himwlforthrough his
own craps yeca,provided Nat anis improvements..at warred or oRered foram.If.
howuv,the Wilding or improvement wants within one year o(coroykaon.the ower.
Wildnc will more me mad.of proving that he did rot build or improve for purpose of
ale.).
❑1,a owner of the property am exclusively contracting wire licensed contractors in
conswct the Project(Sec.Had.Basin and Pmfte ave Coal)M Concurs U.
cera law dean not apply b an owns of property who arms or Improves thereon,and,
who conuacu for such projacu NN a camuactor(s)licensed pmwant to the Contractor's
Liaise Law.
0 lamnemprunderSe. ,Bl PCwrwds.
Owrur Dau
WORKER'S COMPENSATION DECLARATION
I hereby affew under peusa
lty of perjury e of the fallowing declarulans:
I Mveand will maintain•Camflare (Cortices,he self-mum for Workers Camper.
cation,a provided for by Section 3700 of the labor Cause,for we performance of an '
work fm which this permit is usual.
❑I have and will maintain Workers Compensation Insurance.as,acquired by Sedan
7700 of the labor Oman,far Ne performance of the work for which this penal,w lutea. '
My Warmers Compensation mamma carrier and Policy number art:
Carrier. � Ory§ EXEMPT1ON FROM
M W .2
COMPENSATION INSURANCE PiePly - '
(Drsnason=dretMcanpkudifthep=itwfwa hundreddeNa(SIOM
or less)
1 acidly that In the performance of me work for which this Permit is issued.I mall not
employ any person in any munerw an u become subject to the Worked Compensation ,
Laws of Califomi.Dam
Applicant
NOTICE TO APPLICANT`IL a0er making this CeNoca a of Esemption.you sWuld
Ncome subject m the Wormers Compcnsdu Provisions W the labor Cad.you mate
.J2 fonpwiN comply with and Provilmod Or this permit mall be domed meld.
zO CONSTRUCIONLENDINGAGENCY
[--t4 T hereby aRm that there u acoutmcann lending agaray for tau perfomuncc of
6i > the work for which Nan permit Is issued(Sca.309'1,Ci,C.)
6Wi Q imam's Name
z lender's Add.
U Q I cartHy that 1 have read this application and sun Nat the aMve Information is ,
Uy " connect.I agree a comply with ml city and county oMmnen and gone Ian missing to
.0 Wilding construction.and hereby wNonx apmenuuvw ofthis city to enter open we
W Ma ve-mandated property for Impaction purposes
(We)agree to ave,indemnify and lap hatmka the City of Cupertino against
.,w y Iiabilimm Pasgmanu.cau+andexpenas whichmayinanynyacenm Ksimisaid Cty
C)Z in consequence of the graeung of this eomit, L
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATI S. �D
Signuua OtA � • /Da� Re-roofs
iaAZAR ctor eau
HAZARDOUS /
HDOUS MATERIALS mscLosuaE 'IJ/pe Of Roof
WIII the applicantnofuture Municipal
orcopanteom or and the
hazardous material
u defiutl by the Cupertino Mutreipal Cade.Chapter 9.12 and Ne Health and Safely
case,Sedan 1553x(.)7 All roofs shall be inspected prior to any roofing material being installed.
OYa UNo
Will the applicant orfuture Wilding occupant um equlpmcol or hvias which If a roof is installed without first obtaining an inspection,I agree to remove
It
locations air rmwninsnu u defined by ate Bay Asa Air Quality Management all new materials for inspection.
District? s/
[3 Yen mNu
I have mad the hvard,mamssenawmqulremenu under Chap er6.95 of ma rAikr.
on Hada&& sfmy Codc.Scdou15M5,25573 and 15574.1 unticryu_d thelfuse Wihhng '
does ver currently haw•awe,out h w my respomibany to notify that occupant of the
requirements which mute Mm at prior m ismwmcofa Ceniftcam of Gccu ay. Signature of Applicant Date
� � � r�771 -ATI roof coverings to be Class' a'or better
Owner or wthorived agent Dam' g n
• CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36925013 .00
DATE ISSUED. . . . . . . : 04/21/2008
RECEIPT # . . . . . . . . . : BS000004537
REFERENCE ID # . . . : 08040147
SITE ADDRESS . . . . . : 10565 E ESTATES DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : EDWARD COLE
ADDRESS . . . . . . . . . . : 10565 E ESTATES DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : BAKER ROOFING
CONTRACTOR . . . . . . . : JAMES BAKER LIC # 25385
COMPANY BAKER ROOFING
ADDRESS 2067 LA CON CT
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 559-5105
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 8, 800. 00 0.90 0. 00 0 .90 0. 00
1REROOFRES SQ FEET 26 . 00 338 .00 0. 00 338.00 0 . 00
- ---------- ---------- ----------
TOTAL PERMIT 338.90 0 . 00 338 . 90 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CASH 338 .90
---------------
TOTAL RECEIPT 338 . 90
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF
•
c Community Development
10300 Torre Avenue
J / Cupertino CA 95014
G Telephone(408)777-3228
CITY OF Fax(408)777-3333
OCUPEkTINO
Building De artment
JOB ADDRESS:/ O S6S tea ms PERM
5kb k O( L� 7
OWNER'S NAME: ,� _ Te o PHONE # �*) SS' ! O
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: lit jcoL
Signature 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
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contractor Signature Date
V / 01,v7
C CITY OF CUPERTINO
REROOF
C TY OF
CUPERTINO PERMIT APPLICATION
APN # Date:
Building Address:
Owner's Name: Phone #:
Contractor: ,p Phone #:
Fax #:
Cupertino Business License #: 2 3 — Contractor License #: 3
2
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles X Asphalt Shingles
Wood Shakes ❑ 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:
C (WA,
Residential Commercial Lj
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: my "
• 1 Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
k_�, �j
Signature
CITY OF CUPERTINO
REROOF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
t; 1REROOFRES Re-roof Residential B 1SFDWLROOF
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
• 1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
•
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. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
N TOTAL POINTS1 40 points
/(2s /ai'
• APR 21 '1p88
�k
i
•
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 IAG/Heatth
to
F65%=
le Job Site Construction&Demolition Waste
point;75%= 2 points;80%=4 points up to 4 Resource pts 0
ge Reusable Building Mate ials J 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 Stormwater 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 Conteni 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-Sita Water Catchment/Retention 2 Resource pts Y=Yesi 0
1 1 1
B.Foundation
1.Incorporate Recycled Flyashin 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 Sewn 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 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 I 1 Resource pt y=yes 0
1 1 1
xter or n a
1.Use Sustainable Decking Materiels
a.Recycled content 3 Resource pts y=yes 0 •
b.FSC Certified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y--yes 0
3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt yryes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket 1 Energy pt Y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
3.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b,Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toiled with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAO/Health pt y=yas 0
6.Convert Gas to Tankless Water Heater 4 Energy pts Y--Yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAO/Health pis. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 0
P-.tiacmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs--3 points,12 bulbs=4 points) Up to 4 Energy pts. 0
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to •
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
Wnstall Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y--yes 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Wails 2 Energy pts Y_—Yes 0
b.Ceilings 2 Energy pts Y_—Yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y--yes 0
3,Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAO/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts y=yes 0
b.Ceilings 4 Resource pts y=yes 0 •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.Ueiiings 4 Resource pts y=yes 0
1 1 1
INPUT Resources Energy A011-lealth
n ows
1.Install Energy-Efficient Windows
a.DDuble-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 D
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
I1.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 IAO/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0
S.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
B.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 31AQ/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 SEERM 1 EER or higher AC with a TXV 3 Energy pis 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 stovestinserts 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 41AO/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 IAQ/Health pts y=yes 0
1 1 1
K.Renewable Energy and Rooting
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=1 B points) Up to 18 Energy pts 0
6.Select Safe and Durable Rooting Materials �� 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pis y=yes 0
1 1 1
L.Natural Heating and Cooling
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 0
1 1 1
•
INPUT Re50UICCS Energy AO/Hoeafill
. n oor r ue ity an n s es
1.Use Low/No-VOC Paint 1 IAO/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 •
'3.Use Low/No VOC Adhesives 3 IAO/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AO/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 41AO/Health pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAO/Health pts y=yes 0
1 t 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAO/Health pts y--yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
Total Points A 1 1401 1301 57
Total Points Project Received: 1 01 0 0 •
G:datWprogsrgmenbuildingguidelineslremodelers/greenpointsfinat2.12.04protected.zls
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: /fO ti 6. CTt �' l)C- O
Job Site Address:
Roofing Company Name: g"" ""c c2 s
Applicant's Signature: OltGci Date:
• Greg Casteel
Building Official
Revised 11/2/04