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08040152 ='o- •e CITY OF CUPERTINO 1 � * BUILDING DIVISION PERNHT CONTRACwTtQR TNFURNLA.TI(QN: .- 9a x o-'0O S1-, UILDINYDDRESS: PERMIT NO. 80g3 KIM ST WESTERN ROOFING SYSTEMS 08040152 OWNER'S NAME: PERMITISSUEDATE PURCELL TERRANCE J AND 1328 WHITE OAKS RD 04/22/2008 ORE!`n r coni SANITARY NO. CONTROL NO. (831) 278-1837 ARCHITECT/ENGINEER: - BUILDING PERMIT INFO HO EO PLUMB 0 O p LICENSED CONTRACTOR'S DECLARATION Job Description F1 hereby affirm the,1 am Renamed under provisions of Chapter 9(commencing P L withSeetron)000)ofDiridm3oftheBusinessandRofeadomCode,aMmylicens,is RE—RF,T/O &INSTL 40LB FLT, BTTN SYS CLS A 29SQ <n in full form and ellen SCa Lie.• 7 L)� Llc.Clua C� METAL TILE ROOFING SYS Dau""'�..Z.Zws�— Conuammr 3 a' ARCHIT CTSDEC 1 1 understand my plans NN m used u public memda tpea Leznucd Professional OWNER-BUILDER m DECLARATION COS 1 heathy a(Rm that I L uusin from sero Contractor',o License Law for the COO O which re roesoa.permit t 70 LS,Business and Pofesaimu Code:AnY city or suture $ which requires a pemi,re cnnwue,,dura m force h per W,fi mpdr any ommum Z�^ prior s,sliWomen.ed puralso rtqulthe Jthe annis ioana far amhperlUe mftleadgmdwummt Nat hmencing it puman,mthe proviaom m the etnummfaUcease Law(chapter Code) Sq.Ft.Floor Area Valuation �8 than is exgwiNSaAmsandt7000)h Division far of Na Budnwrpton.MY and vlCade)or $17500 — Nu Section r 31.5 b am applicant and du aper far the dinged resorption.Any it peNm of Out mom data Run hundred lunars(operon abjecu Ne applicantm acivllpenalry of Number Occupancy Type m,mom Nan five hundred da1Wa(iSoo). 3 5 9 2 0 0 0 1 .'V U ❑I.nowmrmdr property,omyemploymk with magmas thebanleemnpensation, w PPrefesa�c�The Commutes thL�Law son mW`�ly e]a.�or Required Inspections propertywle builds or improves wenn.and whtdm.ueh wart himselfmthmugh his awn emplaym,provided that such improvements are amt ina:ndW ma@reG fossa.If. hawever.the building or Improvement is sold within aro year of completion,the human. builder will hawthe handcar of proving Ne ha did rot build m Impmva(ar purpose of - eale.). ... ❑1,a mater of the propemY•am acludvely contracting with Iicemed contractors to construct the project(Sm.1014,Business sm Pwfemions Cada:)rise Contractor's U- came taw does not apply m an owner of property who Wilds or improves Neater.and who mmracu(ossuch Proem withaeanumnr(.)licensed pumunt to the Coamum Y. License Law. ❑Iamuemptunder See .BhPCrmddamanon Owner Dau WORKER'S COMPENSATION DECLARATION I hereby affirm under Family of perjury,am of the following decimations: t]Iham antl will Section of Conserv to sel(-Inswe the erform.ceofth- waste,r Providediti for by SUdon dT00 of aM labor Code,(m Ne performance of the wart far which Nr punch is issued. ' C)I have and will maintain Wartefs Compensation Immanm.as acquired!by Sermon 3700 orthe labor Coda,for Ne performance of Ne work for which this pennit is issued ' My Wmrke/ess cmipmmWm Wuru(Lss�,,�carrier and Policy numbu pee: Cartier. A't4!116lA.�t<'A<•ww'a\ Policy Na.: 6-5 13/r _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (fhrsemlm ueetl not becamplevA If the pewit Is foram handmaiden.(SIDE) m lets) I mnifv,Inst in the perfoors.of the wart fm which this Permit is issued,)shall am employ any pecan in any manners,as to became subject to the Workcai Compensadm Laws of Cu f.rma.Dam Applicant NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you Amid become subject in No Worker's commnuson provi.ima of dm Labor Code,yam must .J O forthwith comply with such providmm m Nr PUmil Nall M debased mvokad. Z C7 CONSTRUCTION LENDING AOENCY (ti I hereby affirm Ne Nem r a mmuociRm leading agency for the perfmmamx of rl i the were,fm which aids perml,is issued(Sec.5097,Cl,.C) 4 Q Undoes Name , Z)z Lamdar.Address U Q I sonify Na,l have read this application and sum Nu the above infamasun is ly E mamm I agree to comply with W city and county oNimmu and supe law miring to 0 building consuuct(an.and hemby auhoom mpmxmatives of Nis city an motor own dm chow-mendma d property far inspection purposes y (We)agree to ave,indcmaify and keep harmless the City of Cupertino agEns, UVI IRamlidpe,judgments.costs and minaman which may In any way aceme asaid City Z in cansequence of the granting Of this pUmIL �+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date s0U REG 710 S. 'ZZ Re-roofs S' n li VCun err Dam HAZARDOUS M DISCLOSURE Type of ROOF Will Ne applicant m(uuum bu' ng oro ,vert m mandle haardousmauod u deflated by the Cupertino Mumci -penis 9.12.and the Firth and Safc,y cmle,semi. 55x/')] ❑sohaAll roofs shall be inspected prior to any roofing material being Installed. Will Ne mpplicam or future Wilding mcupant use equipment or dolma which If a roof is installed without first obtaining an inspection,I agree to remove mit humorous air conuminams a defined by the Bay ArtaAlr Quality Management all new materials for inspection. DiWcaT ❑Y. ONO I ban mW One baud surds mgubcments under Chapter 6.95 of Na C.lifor. erIcaILh& myCOde, ons 25505.25533 and 25534.I nadvmM dam ifdR building does rot cumnsl have a mean,Ne i,is my mpamihility to msfy the occubma of the mguue which most art me poor ban a acerlikamafampancy. ignature of Applicant Date 0 a Date' II of coverings to be Classor better Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 OUPERTINO Building De artment JOB ADDRESS: PERMIT # i�lz 0(1�OIS 'Z OWNER'S NAME: e PHONE # O L GENERAL CONTRACTOR: s $ FAX # i I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 60 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 Ow o ctor Signature Date 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 n. 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. Enerqv Star Refrigerator. (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 40 points 00 APA 2 21008 Plan Review Process Work Book Page-12-Revised 3/25/08 1 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 RUSDUICES Energy IAO/Health de �O 3 pGiM t 1- [2. Recycle Job Site Construction&Demolition Waste 5%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0 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 S.Minimize Disruption of Existing Plants 6 Trees 1 Resource pt y=yes 0 6.Implement Construction Site Slormwaler 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 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 I 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 D 3.Insulate Foundation/Slab before backfill 3 Ener y_y Energy pts - es[E 0 1 I 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 10Resourcepts. 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 �l a.Subfloors I 1 Resource pt y=yes 0 L. 0 b.Sheathing 1 Resource pl y=yes 1 1 1 r 114PUT Resources Energy [A01ficalth . zter or n s ' 1.Use Sustainable Decking Materials a,Recycled content 3 Resource pts y--yes 0 e 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 IAO/Health pt y=yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt Y--yes E 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 it 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--yes 0 6.Convert Gas to Tankless Water Heater 4 Energy pts y--yesE 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAO/Health pts. 0 B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 1 0 r.eiecmcar 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 3.Install 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.Walls 2 Energy pts y--yes 0 b.Ceilings 2 Energy pls 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.t;eilings 4 Resource pts y=yes 0 INPUT Resources Energy A011-lealth n ows 1.Install Energy-Efficient Windows---------7 T — "} • 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 I 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 8,Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 3 IAQ/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 stovesfnserts 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 41AQ/Health pts, y=yes 0 16.Install Heal Recovery Ventilation Unit(HRV) 51AQ/Heallh pts y=yes 0 17.Install Separate Garage Exhaust Fan 31AQ/Health pts y=yes 0 1 1 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 Materials1 Resource t es 0 7,Install Radiant Barrier V '� 3 Et y—y Energy pts y=yes D 1 1 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pts y,==yes 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 r 114PUT Resources Energy AQ111eilth . n oor r ua ty en n s es . ' 1.Use LowMo-VOC Paint 1 IAO/Health pts y--yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y--yes 0 S 3,Use LowMo VOC Adhesives 3 IAO/Health pis y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61A0/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses i IAO/Health pts y=yes 0 7.Seal all Exposed Particleboard or MDF 4 IAO/Health pts y--yes 0 6.Use FSC Certified Materials for Interior Finish 4 Resource pis 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 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 6 Resource pis y=yes 0 2.Use Rapidly Renewable Flooring Materials 4 Resource pis 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 Carpel with Low VOCs 4 Resource pts y=yes 0 1 1 1 Total Points vat a e: 1 1401 1301 57 Total Points Project Received: 0 O= G:dalalp s/greenbuild uidelineslremodelersrgr 'msfnaYL12.04prolecled.ds e • CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT REC2IPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 35920001.00 DATE ISSUED. . . . . . . : 04/22/2008 RECEIPT # . . . . . . . . . : BS000004543 REFERENCE ID # . . . : 08040152 SITE ADDRESS . . . . . : 803 KIM ST SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : PURCELL TERRANCE J AND CARLEEN ADDRESS . . . . . . . . . . : 803 KIM ST CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4322 RECEIVED FROM . . . . : MICHAEL D LUNNEBORG CONTRACTOR . . . . . . . : MICHAEL LUNNEBORG LIC # 25896 COMPANY . . . . . . . . . . : -WESTERN ROOFING SYSTEMS ADDRESS . . . . . . . . . . : 1328 WHITE OAKS RD CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (831)278-1837 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- --------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 17, 500. 00 1 . 80 0. 00 1 . 80 1RER00FRES SQ FEET 29 . 00 377 . 00 0. 00 377 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 378 . 80 0. 00 378 .80 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 378 . 80 VISA --------------- TOTAL RECEIPT 378. 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS -604 ROOF IN-PROGRESS 605 FINAL REROOF . CITY OF CUPERTINO •Cd.� REROOF O CUPEF TiNO . .PERMIT APPLICATION APN # Date: QUU/ DO _Z2-og Building Address: Owner's Name: ^� Phone #: 72(C% 11 b b 32-3 Contractor: Phone #: -i 6q i �r w erkr.j R-4 o`�w S S7 rkft,s I Fax #: 57'4 S Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles s- Wood Shakes ❑ Wood Shakes zrWood Shingles ❑ Wood Shingles ❑ Other (Specify) ,a— Other (Specify) l J-1 Number of existing coverings ❑ Provide I.C.B.O. Report # Sja,SziV ❑ To be Removed a Provide Mfgr. Installation Specs. Job Description: iL ,,It bpa6le�S s —Tear O7 woJi 0-*A n 1 �Ncl�+ �Jlbs �e 11l 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: t7 S� iI Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: i Signature i CITY OF CUPERTINO "ta REROOF OF • CUPEiiiTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2q 1REROOFRES Re-roof Residential B ISFDWLROOF / 1BSEISMICRE Seismic Residential B 1RER0OFMRES Re-roof Multi-Family B 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 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: T2ft 4 �Mwc-e f Job Site Address: 96t `1k_sm Sit / Roofing Company Name: LJ-2�l r�N l�+�c1y`NY 5 r C44� S Applicant's Signature: Date: Zz-tg Greg Casteel Building Official Revised 11/2/04