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CITY OF CUPERTINO-
- 'BUILDINGVivISIONPERMIT
CONTRALTO ISP, I MAT;ION
BUILpIq(7JspgR1AANFORD DR
11
XTERIA INC
PERMITNO.
08060238
OWNLER'S2NNASM.SE:
PERMIT ISSUE DATE
PRABHAKHAR MANNE
PO BOX 5460
06/27/2008
ONE:
SANITARY NO. CONTROL NO.
ARCHITEC tEf1GINEER:
BUILDING PERMIT INFO
REMOVE EXISTING ROOF AND BLDG ELECT PLUMB MECH
REPEA-13 WITH ea O O D O
LICENSED CONTRACTOR'S DECLARATION
^^ _ _ _ _ _ _._,.. _ .., .. ,. .. p
_, Job Description
1 busby affirm Ng i Am licensed ¢ghee provisions of Clupmr 9 (cemmueing
with Section 7") of Divid.n 7 ofMc Business and Profecsimu Code, and my license is
in full fomc an"I tjIOO�L
License Class L �—
Dam G Contractor) I—
ARCHrIEcrS DECLARATION
I understand my plana shall Inc used as public oncord
Licensed Professional
OWNER -BUILDER DECLARATION
li
I hereby aRam Na I am cacmpt from Nc Conlracte. Liceoe law far the
following mason. (Station 7071.5. Business and Professions Codc: Any city or county
which materns a permit m construct. alto. improve. dmol4h, or ¢pair any structure
'
pnmwiL 4c =,a requiRr ipplicmiforswhpm itwrileaalgnW&a w enl
thahe 4licensed Ne of the Conbacmr'a llcenm taw (Chapmr9
Sq. Ft. Floor Area
Valuation
pmwwtlo provivons
(commngwith Section7000)of Division3of Ne Busineawditfusam C.de)or
I
that he in Attempt therefrom and the barb for the alleged exampdan. Any v(oladan of
Secdm 70713 by any applicant for a permit subjects Ne applicaouo a civil penalty of
APN Number
Occupancy Type
P Y YP
notmom mat five hundred dll.(g5W).
❑ L Ne pmperty, m my with moa ear so compensates,
1 intended
o e wmrlaf
dfisaa
Newark, and Ne swcwm a not amended ¢.weld for safe (Sec. TOM, Business
will .
Required Inspections
and Pr Code: The Cesdher on. License dove dons net apply m rd owner of
an,wh bu bimulfedor Uuough his
employ build ¢improve Nemprow who
not
awnemployees,provided AM unwound
own AM not fendedmoaned for soler.
Nnashimissold
however. Ne building or(mprovemmt 4sold within one year of completion, the owner.
ingori within
builder will have Ute dudes of poling that he did an, dtild or imp.ve for puryoa of
'
sok.).
1. As owner of tie property, Am exclusively cmmwung with accounts cmnusmn m
construct Ne project (Sec TMC. Business and Professions code:) The Comrwmrs U.
.
cense law does sol apply Ms. .. of property who Wilds or improves Merton. and
who contacts for such projects with aeonuscmr(s) licensed punwnl to the Contractor's
Lkense law.
❑ 1 am exempt under Sea . B & P C for Nis recon
Own" Dale
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penally of perjury nee of the following dedars0ons:
Iha.es llmainWna Ce rid wo(Conuntwwlf-immfmWmkefsCompn-
wion. As pmvidd for by Section 7700 of the labor Code. fm the perfoms. of the
work fm which N4 permit is iaued
Q 1 have and will maims n Workefs Compensation Inmrwce, As mquimd by Scnkn
7700 of Ne labor Conn. for the performance.(Ute wort forwhich N4 permit is Wood.
e
My Workers Com auded Insurancpe c "sots Polity n her art:
Caller. _ IT/C �/�'-1 PoIIryNo.: % DD -2b0
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Th4 sectile need not he completed uthe permit 4 foram hundred dollars ($IM)
or 1.)
1 ¢nth that in Ne performarce of Ne work for which this permit 4 Wood. I shall not
employ any person in any manger an As In become subject to lie Workers' Compwauen
Laws of California. Dam
Applianl
NOTICE TO APPLICANT. If, &net making N4 Cenificam of Exemption, you should
b"oure subject to the workers Compensation provisions of Ne Labra Code, you mug
forthwith comply with such provisions or this permit shall h deemW invoked.
I
CONSTRUCTION LENDING AGENCY
I hereby arm Nat Nem is a comwcton lending agency for On perfurmenc: of
!
the work fur which N4 permit 4 issued (Sec. 7091, Civ. C.)
Lenders Name
Lemdees Add.
1 cagily Nat 1 have read Md. application and mg, Ng Use shove information 4
coameL 1 agree m comply with all city ants county androgens and ata¢ lam relating on
Wilding construction, and hereby wMarim npresenmdws of this city m enter upon the
ah.Ve-menY.Md properly for inape"ka pgfpafei
(Wa) acre m save. indemnify and keep hamkss the City of Cupertino against
liabilities, judgments. costs and e.pe+tscs which may in any way atm against said City
in consequence of Ne granung of Nis permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
SOURC
6
Re -roofs _
T
Type of Roof /y
Signa of AP 'can tar Dam
DAM
Oe MATERIALS DISCLOSURE
Will applicant m durum building handle havadoua mammal
y l r 9.1.
dfigec the Cupertiro Municipal Cad. CTapmr 9.12 ants the HW N ants Safety
e. Chapter
C
cmk, Section z5572(a)T
Ye Na
All roofs shall be inspected prior to any roofing material being installed.
10 Will Ne appiicwl or futum ilding.ccupant use equipmmt or devil which
If a roof is installed without first obtaining an inspection, I agree to remove
eemum«aanm
mo air cmmirunas u defined by the Bay Area Air Quality Management
all new materials for inspection.
❑Y" Nu
Iha
Ihavcmad the hvaued ma505. requirements under Ce.mand.95afthe Calif
Lh
rial25577 h2PMr
_ /
ria Flea Safety Cod,Secdons wdissJC.lm Na if Wirths
g
does net caroms H
"
F ��`�
C/._!
as mNllhy m notify the oce,upmt of Ne
mquimments don Riawmee .ewapek^,f.Q7
F� G
Signa P ca Date
/
All roof coverings to be Class'%¢" or better
Owner or wNoritt Data
• 2 ITEMS OF 2
E
•
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 32630073.00
DATE ISSUED.......: 06/27/2008
RECEIPT #.........: BS000005280
REFERENCE ID # ...: 08060238
SITE ADDRESS .....: 20833 HANFORD DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: SylviaM
COPY # : 1
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
364.70
---------------
364.70
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
2211
VOICE ID DESCRIPTION
------ ----------------------------
602 ROOF PLYWOOD NAIL
"-' 605 FINAL REROOF
OWNER ............:
PRABHAKHAR MANNE
ADDRESS ..........:
20833 HANFORD
DR
CITY/STATE/ZIP ...:
CUPERTINO, CA
95014
RECEIVED FROM ....:
XTERIA INC
CONTRACTOR .......:
PHILLIP'ULLIO
- LIC #
22346
COMPANY ..........:.XTERIA
INC
ADDRESS ..........:
PO BOX 5460
CITY/STATE/ZIP ...:
SAN JOSE, CA
95150
TELEPHONE ........:
(408)289-5353
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT PD -TO -DT
THIS REC
NEW BAL
1BSEISMICR
VALUATION 6,800.00
--------------------
0.70
0.00
----------
0.70
----------
0.00
1REROOFRES
SQ FEET 28.00
364.00
0.00
364.00
0.00
TOTAL PERMIT
---------- ----------
364.70
0.00
----------
364.70
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
364.70
---------------
364.70
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
2211
VOICE ID DESCRIPTION
------ ----------------------------
602 ROOF PLYWOOD NAIL
"-' 605 FINAL REROOF
x
F
CITY OF
SCUPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS:
olvg33
}T�NSTo ro� �('
PERMIT #
O�D'L��
OWNER'S NAME: 'Pr/4,6s t4
ker /YI.4N a 2
PHONE # 777 - 5'/j;,5 -
GENERAL CONTRACTOR:
>C T , -4
FAX #
I am not using any subcontractors: 6h7)02
i e Date
Please check applicable subcontractors and complete the following information:
Wp`
antractor Signature
Date
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
Wp`
antractor Signature
Date
j�; CITY OF CUPERTINO
REROOF
• CUPERTINO PERMIT APPLICATION
jF0& 023
APN #
Date:
�-�' 7 -
Building Address:
X0933 #f}•)F0rCL.Dr c,.j(e�T►j0
Owner's Name:
Phone #:
-277-9/6
Contractor:
Phone #: 7�2 3 - 76 6`3
x er- i)q- �i-1 L.
Fax #: 23 - 766
Cupertino Business License #:
Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built -Up Roof ❑ Built -Up roof
Asphalt Shingles X., Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles o Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings 0— , ❑ Provide I.C.B.O. Report #
To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
eAx>j 2 e_ -W, _s T;q Roo F a n Re-phff c--_) -Li . 17-4-
TliCer7-4,a
62r 7-4, leeck 44.d .Fryr . sk;,s%S
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application orC there are any restrictions: ❑
applicable, include in plan set & the sheet index. �—
Valuation: r/ g� 4
•I Have Read Un erstand and Will Comply with Cupertino's Tear -Off Policy:
c
Sam -
CITY OF CUPERTINO REROOF
CITY OF
CUPERTINO FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1RER00FCOM
Re -roof Commercial
B
1COMMLROOF
IBSEISMICO
Seismic Commercial
B
Z�
IREROOFRES
Re -roof Residential
B
1SFDWLR00F
IBSEISMICRE
Seismic Residential
B
1REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
Revised 6/16/08
10
0
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: ��ftOSi9 !(C� ( //,Qr�//J '-D
Job Site Address:
Roofing Company Name_ x A? L A
Applicant's
• Greg Casteel
Building Official
Revised 11/2/04
Date: __�67*
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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
11.
Permeable Paving,Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
72points
D.
Structural
3.
Uses Wood I-Joist, (See Spec.)
S-2
5.
Use Truss with heels, (detail)
S-2
6.
B. OSB Sheathing,detail
S-2
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-31
oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
n40
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.
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points
up to 4 Resource pts
2. Salvage Reusable Building Materials
4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
Historic Preservation
4 Resource pts
y=yes
4. Protect Native Soil
2 Resource pts
y --yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y=yes
6. Implement Construction Site Stormwaler Practices
2 Resource pts
y=yas
7. Protect Water Quality with Landscape Design
2 Resource pts
y=yes
8. Design Resource -Efficient Landscapes and Gardens
4 Resource pts
y=yes
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
2 Resource pts
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y --yes
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y=yes
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
C. Structural Frame
1. Substitute Solid Sawn tumber with Engineered Lumber 3 Resource pts y=yes
2. Use FSC Certifed Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10) up to 10 Resource pts.
3. Use Wood I -Joists for Floors and Ceilings 2 Resource pts y --yes
4. Use Web Floor Trusses 2 Resource pts y=yes
5. Design Energy Heels on Trusses 6' or more 2 Energy pts y=yes
6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=yes
7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes
8. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes
9. Use Structural Insulated Panels (Sips)
a. Floors 3 Energy pts y=yes
b. Wall 3 Energy pts y=yes
c. Roof 3 Energy pts y=yes
10. Apply Advanced Framing Techniques 4 Resource pts y --yes
11, Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes
12. Use OSB
a. Subfloors 1 Resource pt y=yes
b. Sheathing 1 Resource pt y=yes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
S
1. Install Energy -Efficient Windows
2 Energy pts
a. Double -Paned
1 Energy pt
b. Low -Emissivity (Low -E)
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Energy pt
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=yes
3. Vent Range Hood to the Outside
1 IAQ/Health pt
y --yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pis
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
8. Install Sealed Combustion Units
5 IAD/Health pts
y --yes
a. Furnaces
3 IAQ/Health pts
y --yes
b. Water Heaters
3 IAQ/Health pts
y=yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
• 13. Retrofit Wood Burning Fireplaces
a. Install EPA certified wood stoves4nserts
10 Energy pts
'
3. Pre -Wire for Future Photovoltaic (PV) Installation
1 IAQ/Health pt
y --yes
b. Install/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
41AQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAD/Health pts
y --yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=yes
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 =18 points)
Up to 18 Energy
pts
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=yes
7. Install Radiant Barrier
3 Energy pts
y=yes
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
11