08060141 CITY OF CUPERTINO ��s,� i*'tr .�-�♦ 'r --gym.}�' t "' ` x "'
BUILDING RIV1SION PERMIT ( CONTRACTOR TNF'URMATION
PERMIT N0.
Bml.�Ir�c�TNT BAKER DR C & C ROOFING 08060141
OWNER'S NAME: PERMIT ISSUE DATE
BOMMAKANTI VENKAJESHWAR 89 S 21 ST 06/20/2008
NE:
SANITARY NO. CONTROL NO.
' (408) 298-1868
BUILDING PERMIT INFO
ARCHITECT/ENGINEER: r BLDG ELECT PLUMB MECH
0 0 0 0
X00 LICENSED CONTRACTOR'S DECLARATION Job Description
n
mC I hemby a?uthat at 1 am licensempE%SCIIPd under provisions of Chapter 9(com
encing
;ZW vine Section?000)ofDivision3oflkBadnessandPmfissimsCode,uWmydcertmis RE-RF RMV SHKS & 1/2 CDX PLYWD 40YR COMP 24SQ
O H in full(nine and effect Z
j'Q? License lase ` IJe.N
k,q
Data — — Conlnnor
e 7W ARCHITECTSDECLARA ION
e W U I understand my plans shall W used u public occurs,
g Licensed PmfossionJ
3 OWNER-BUILDER DECLARATION
E I berchy affirm Nat m I aMo mpt from dm acmrLa
Conus License w for the
p O following Mason.(Section 103 Ls,Business and Professions Code:Any city or county
e m M which rcquim,a Permit to cmuuuet.alar.arm.,m.,demolish,or rtpair any come e
u=< prior m its issuance,Alan requires lW supplicant(orsuch Permit to file a signed summmt
E FO Nat W is licensed pio u do to Om provisions of nee Comacurs Lme.law(CluPur 9 Sq.F[. Floor Area Valuation
$ (come,emting with Section 7000)a Division 3 of NC Business and Profeuioru Cade)or $9950
— dict he Is muni therefore,and dm bub for the alleged aemption.My violadon of
Schon 7031.5 by arty applicant for a permit subjecu tic applicant ro a civil Penalty ofNumber Occupancy
trot mom Nan five hundred dollars(OW). 2 5 6110 2 5 Pane Y Type
❑I.uawper of Ne prope,ry,mmy mploycos with waguu Ne'vanle comperuadon,
will do Newark.and she structure b wtinuMW moRered hostile(See.1(lut,,Business
and Professions Cade:The,Conuxmrs U.a law dans rot apply m,n ower of Required Inspections
property who builds m improves Neuron,and who does such work Mmself dr through his
own cmployw.provided that such improvements tie not intended brOdsrtd for asic If.
however,Ne building or impmw r ent i,sold within am year of completion,the owner.
Wilder win haw the burden of pmving Nal W did rot build os improve for purpose of
salt.).
❑1.As owmr of de property,am cammi ively mnoatting with licensed mntrutan u
construct the project(Sec.]Das,Business and Professions Code:)The Cmuaemrs Li- _
cense law does Out apply in an owner of progeny who builds or improves Neuron,rod.
who contracts for such projects wine a conaactor(s)licensed pursuant in the Contractors "
L'ics.Law.
❑lameaempturser See. ,B$PCfm Niereuun
0. Dau
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oro of the fallowing declarations:
i have and will maintain a CcNDum of Consent to self-inauin fan Workers Carried- -
sadon,as provided fm by Section 3700 of the Labor Code,for Ne performance of the
work for which this Permit is Issued.
❑1 have and will maintain Workers Campemution I...As inquired by Section
3M of Ne labor Cone,fan Ne performanm of the work far which this permit is dome.
My Workers Compensation-hodon.carder and Polity number :
Cartier. S 7.?-( L/IV Oolicy No,: dI 7=Z C
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(n]tbsectim need Out becamplemd ittW permit is from hundred dollmDIOD)
or less.)
1 ccn fy that in the pvforman¢of the work for which this Permit is issued,I shall not
employ any .on in any mapperan As to boeome mbject ro the Workers'Coe,pensatian
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:If,after making this Cenifmcau of Exemption,you should
become subject On Ne Workers ComPcosktian provisions of the Labor Code,you mind
.J O forthwith comply with such provisions m this permit shall W accred ocmroked.
'Z "" CONSTRUCrnON LENDING AGENCY
(—� Thereby affirm shad them isacmmrue.3M.heading agency for NC performance of
!Ys'.moi the work ear which hl, rmit peis fume(Sm.3041,cin.C.)
W Landers Num
�
z Lenders Address
U Q 1 anify that I haw road this application and sum that Ne above informa dun b
IL F cornu nag.in comply withal city And county ordmancu and sum bans relating to
.0 U building convection.and hereby authonne rtPresenutiws of Nis city to tour upon the
G21 above-mentioned property for inspection purposes
F W (We)agree to save,indemnify and keep hWMkss do City of Cupertino against
ren
liabilities.judgments,casts and expenses which may in any way accrue agMML said City
U z in consequeme of the granting of this permit.
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR(�E�ULADONS.
(�j� Re-roofs 2_
Sugnuurt of Applicart/Comirsemor Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the Applicant or future Wlidirg accuPant gore ahaMlc hauAous mamrial
As deMcd by the Cupertino Municipal Code,Chapter 9.13,and the Health and Safety
Code.SAetio.235324)T
❑Y-Yes Na All roofs shall be inspected prior to any roofing material being installed.
Will
Ne.ppneantsur future Wneing Occupant nae equipment m.i«,wren If a roof is installed without first obtaining an inspection,I agree to remove
it haraseons air contaminants As defined by Ne Bay Arta Air Quality Management all new materials for inspection.
Yu
I have road the huaWma material,ocquimmcma under CIAMMQ95ofthe Califor-
anHe.]"Safety Com.Sen.255115.25533 ar 25534.I urWcnunE thuif Nee Wilding
does nm currently have a mnana Nat it is my mapunsibility u notify use occupant of the
mquime,e mh mud W met pdarm issuance of a Ce,tiDu a of Oxupanry.
Signature of Applicant Date
Owner or anthomed,gcm Dam" All roof coverings to be Class'Raa or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 25611025 . 00
DATE ISSUED. . . . . . . : 06/20/2008
RECEIPT # . . . . . . . . . : BS000005172
REFERENCE ID # . . . : 08060141
SITE ADDRESS . . . . . : 948 FORT BAKER DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BOMMAKANTI VENKAJESHWAR
ADDRESS . . . . . . . . . . : 948 FORT BAKER DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : C AND C ROOFING
CONTRACTOR . . . . . . . : OSVALDO CAMARA LIC # 22982
COMPANY . . . . . . . . . . : C & •C ROOFING
ADDRESS . . . . . . . . . . : 89 S' 21 ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95116
TELEPHONE . . . . . . . . : (408) 298-1868
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 950 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1REROOFRES SQ FEET 24 . 00 312 . 00 0 . 00 312 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 313 . 00 0 . 00 313 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 313 . 00 VISA
---------------
TOTAL RECEIPT 313 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
o� 0('0
CITY OF CUPERTINO
�(Q REROOF
CITY OF
• CUPERTINO PERMIT APPLICATION.
APN # i / O a I c) Date:
Building Address:
r-01-Z7
Owner's Name: Phone #:
Contractor: Phone #:
G
/Zoo rc-/
Fax #: Z `/� - �� 6 G
Cupertino Business License #: a Q n Contractor License #:
!d �IQZ'q Z
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Li Asphalt Shingles K 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:
/Z , ✓e S' Gi d l<c S s'( O U) /� 2 D �C P L%
Z/0 a (2 G w, 'r 3 0 �rz
Residential V1 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:
�i9�v• o-v
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
/2,,6/a
Signature
CITY OF CUPERTINO
REROOF
CITY OF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
2 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
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:
Job Site Address:
Roofing Company Name: GO pCi�K/ a.
Applicant's Signature: Date:� -OF
• 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. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
( 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.
INPUT Resources Energy AO/Heahiii
.Srte
1.Recycle 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 Slonnwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
B.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 1 1
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=yesF:::: 0
1 1 1
C.Structural Frame
1:Substitute Solid Sawn tumber'with Engineered Lu'mbe'r 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 pis y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
B.Use Recycled Content Steel Studs for Intedor 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 A011-feal
in uws
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 p
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 IAQMealth 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
B.Install Sealed Combustion Units
a.Furnaces 31AO/Health pts y=yes 0
b.Water Heaters 3IA0/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 IAQ/Health pt y=yes 0
b. Instali/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 Filler 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 3 IAQ/Health pts y=yes 0
1 I 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=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes p
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
•
Is. , Community Development
f 10300 Torre Avenue
If-UCupertino CA 95014
Telephone(408) 777-3228
CITY Of Fax(408)777-3333
•CUPEkTINO
Building Department
JOB ADDRESS: PERMIT # p
�02T �( rc rr
r ,-
OWNER'S NAME: >v r. PHONE # G _ („
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: GCS-O
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