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08070105 CITY OF CUPERTINO �, .�=•�xa�!g 'vtxi,ic„;,e" �'- �,s{*` �Nyli BUILDINGDIVISIONPERMIT COYU, G-TO p�yI BUILDING ADDRESS: PERMrr NO. 1.0'71.3 LARRY WAY ALL SEASONS ROOFING 08070105 OWNER'S NAME: SERVICESFERMrr ISSUE DAIS f31ENETTI NATHALIE J TRUSTEE 1720 SMITH AVE 07/31/2008 E: (408) 971-4455 SANITARY NO. CONTROL NO. ARCHf1ECffFNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0, LICENSED CONTRACTORS DECLARATION O O O O 48 I bmcby affirm that I am limned under provisions of Chapter 9(commencing Job Description with Section 7")of Division 3 of to Bummer aM Professions Code,ad my litters,u TO RE-OPEN #0711003 WHICH EXPIRED 5/7/8 . CUST in full force and onect ,L1:5 License Class Lic.N MUST QApr DreDatecmintabor ARCHrISCrSDECLARATION PAY 1/2 PERMIT FEES, $188 . 50, TO RE-OPEN ORIG keV IunderunJ smyPWsshalldameedaspurecords pERMIT AND ALL INSPCTS WILL BE UNDER ORIG PERMIT. k G t; Licensed Pmfcummil 5 OWNER-BUILDER DECLARATION a� f I berehy affirm that 1 em eamept from the ConOamor,License Law for Ills >.O O following meson.(Section 5131.5.Business and Pmfe6Guns Code:My oily ar county $ which moires a permit W eowruer.alter.hnpmve,demolish,or mpnlr any suucture x y prior to its issuance.also mqumes the applicant forsuch permit to rile a signed statement p < that be is licensed Pursuant to din imAsonsoftheCcomecto"sLkens,Law(Cltaptm9 Sq.Ft. Floor Area Valuation y�s (commencing with Section 7000)of Division 3 of the Buuncss and Professions Code)or $17500 `< donea is exempt therefrom and the basis for the alleged eumption.Any violation of Section 7031.5 by airy,applicant fora Permit subjmv;de,applicant tc•civil penally ofNumber nm more than Rvo andmd dcllan(SIM 316 02 0 07 q(j Occupancy P Y Type ❑1,as contest of the Property,or my employes with wages as dick sok cu n,misdon, will do the work,and rhe mumure is fall intended mortared for sale(See.70 W.Bmircss and Professions Code:The Creno mrs Limine Law dans not apply be sn owner of Required Inspections property wW builds or improv thereon.and who des Such wank himself m rhmugh his awn employms,provided that such improsemenu w nm intended oronered ran sale.IL however,Ne building miespmvemmt is sold within oro yeti of wmPloner.the come, builder will have the burdee of proving that W did MI ddb or improve for purpose of sale.). ❑1.as comer of the Propert,and rulusively contracting with licensed mnvcmrs m corstmct tie projmr(Sec.7064.Business and Prefecuons Code:)The Contravenes Li. ccnu law dans not apply in an owner of property who builds or impmm Merton,and who contracts for such projects with a conintcros(s)limshsed prnuam to the,Contractor& L Law. ❑ e rie,usi,r`e v,0&PCrar this o owner ,te 3 esti WORKERS COMPENSATION DECLARATION 1 hereby aRfm under penalty of perjury one of the following deedrat errs a.e eM will maintain a Cutifiare of Cemsam m self-insure fm Worker.Compen- audio,u provided for by SeNan 370(1 of rhe Leben Code,fm the pmforromed of the work for which this permit is issued. ❑1 have and will maintain Workers Compensation Ilsmranm,as required by Section 3700 of to labor Code.for the peformaom of Ne wank for which this perms is issued. My Workers CompemWon Insurasc anis and Policy number are: Carrier.Policy No.: CERTIFICATE OF EXEMPnON FROM WORKERS COMPENSATION INSURANCE fr usxcllm need aortic cempli ed if the permit is carate hundred deBus DI W) or leu) 1 conifer than in{{lks�6 p reference of the work for which this permit u issued.I shedI nm empi 3gyperynin Yma crmasbbbjeet tical r 'Compenation Laws rash{ v Applici n NOnCEIOA LCA :If.,(ler mreking Cisift mor Exemption,you should become subject to the Workcri Compensation provisions of the Lahr Code You moa .JO forthwith comply with mach provisions m Nis permit mall tic doemnd merited. zr Vl CONSTRUCTION LENDING AGENCY l hereby affirms this dere u a consusctinn lending agency,for the Performance,of G' Ne,work for which Ihis permit Is isseed(Sec.3097,Civ.C.) Q Landers Name .7 z Lavdeh Addru. V C) i cutiry,that I have mad this.,Plication W tam this the above insf.dwm u I commit.1 agree m comply with JI city and county anlinafwe,and stat laws misting to .� building conswcion,and hereby authoum representatives of this city to enter open la property impo shove-meouanednts.mo fm inspection which ms V VCN y (We,)agree to ave.indemnify and keep harmless Uc City of Cupertino against IA inunnews,es.udgme the gnoth'd ex penseawhtch may in my way accrue against aid City V z in cosvequcnce of rant gmnung of Nu permit r UCANT NDE STANDS WILL COMP Y WITH ALL NON- OINT Issued by: Date �� �T s0 RE NS. wk� Re-roofs Signuu of Appl mn✓Cpnnaolmr as, HAZARDOUS MATERIALS DISCLOSURE Type of Roof J/ Will rhe applicant or forum building mcupentsmre m andle&areaes mreerial as defined by tie CUPerthe Municipal Code.Chapter 9.12,and the Health and Safety CCC conn,Scanlan 25532(a)? \! All roofs shall be inspected prior to any roofing material being installed. ❑Tem ]fl No Will the,applicator or future Wilding occu ant uso ui If a roof is installed without first obtaining an inspection,I agree to remove nP e p ea pmcnt rat Marta whim g P I ha>aNnua reit contaminants as defined by Um Bay Area Air Quality Management all new materials for inspection. isldcR s� ❑yns IA I'IU I ave mmol de hvvdw&mre¢rialsrequvomenu under Oupter6.95ofth,Califor. nu Health&SafuyCede,Secloss 255(15.25533 wor 25534.1 understood latifthe Wilding OIC tY avcaenat.Ihu itis mY midlilYmaoufy do amupal of the menu is deer ora of Oe, icy. Signature of Applicant Date U n armthodxed.mrl ,e All roof coverings to be Class'W'or better CITY OF CUPERTINO • ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: pdtg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 31602007 . 00 DATE ISSUED. . . . . . . : 07/31/2008 RECEIPT # . . . . . . . . . : BS000005651 REFERENCE ID # . . . : 08070105 SITE ADDRESS . . . . . : 10713 LARRY WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : • OWNER . . . . . . . . . . . . : BENETTI NATHALIE J TRUSTEE ADDRESS . . . . . . . . . . : 10713 LARRY WY CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2056 RECEIVED FROM . . . . : NATHALIE J BENETTI CONTRACTOR . . . . . . . : GORSHTEIN, VLADISLAV LIC # 21035 COMPANY . . . . . . . . . . : ALL SEASONS ROOFING SERVICES ADDRESS . . . . . . . . . . : 1720 SMITH AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 971-4455 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1REROOFRES SQ FEET 29 . 00 188 . 50 0 . 00 188 . 50 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 188 . 50 0 . 00 188 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 188 . 50 #3057 --------------- TOTAL RECEIPT 188 . 50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • 06P07 CITY OF CUPERTINO REROOF •CUPERTINO PERMIT APPLICATION APN # Date: &16Ooaoo7 . 00 7 i5- 8 Building Address: i -�/ 5 Owner's Name: Phone #: i/6 71& Contractor: Phone #: A'L( Sv�:S �OG/ ✓�s Fax #: ei�i.(-r Cupertino Business License #: Contractor License #: �? 103,5 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ 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 Descriptio : ,/ 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: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: L Signature Revised 6/16/08 -� CITY OF CUPERTINO REROOF CUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1RER00FC0M Re-roof Commercial B 1COMMLROOF IBSEISMICO Seismic Commercial B 1RER00FRES Re-roof Residential B 1SFDWLR00F IBSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF IBSEISMICRE 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: Cbl I ` Job Site Address: D W Roofing Company me: G2 Applicant's Signature: 6kADate: • Greg Casteel 1 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, Nate L-1 2 oints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood IJoist, (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.) AJ 2 points 4. B. Fiber Cement Siding, (Note/Spec. A-4 2 oints 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.) AJ 1 point 3. Eneray Star Refrigerator, (No te/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. .Site INPUT ReqOLMES Energy 1ACIHealth 1.Recycle Job Site Construction 8 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 Disniption of Existing Plants 8 Trees 1 Resource pt y=yes 0 S.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 Matarials/Use Recycled Content Materials for Landscape Areas 2 Resource pts y=yes 0 10.Install High-Efficiency litigation Systems 2 Resource pts y=yes 0 11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0 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--yesl;;F 0 I 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-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 r------- --------- --- ,12.Use OSB '}{ a.Subfloors f 1 Resource pt y=yes 0 • b.Sheathing f 1 Resource t es -------- — ----- — — _ P Y=Y 0 1 1 1 INPUT Resoutres Energy IAO[Health D.Exterior Fims j:1.Use Sustainable Decking Materials l a.Recycled content i 3 Resource pts y=yes 0 • 1 b.FSC Certified Wood 3 Resource pts y--yes 0 I2.Use Treated Wood That Does Not Contain Chromium/Arsenic I 1 IAQlHeaith pt y--yes 0 3.Install House Wrap under Siding ` 1 IAQIHealth pt y--yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 — E.Plumbing 1.Install Water Heater Jacket 1 Energy pt y=yes D 2.Insulate Hot and Cold Water Pipes^ 2 Energy pts y--yes D 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. D 4.Replace Toilest with Uftra-Low Flush Toilets (1 point each,up to 3 points) Up to 3 Resource pis. D 5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y--yes 0 6.Convert Gas to Tankless Water Heater 4 Enercy pts y=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAQ/Nealth pts. 0 6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 . 1 1 1 r.trecurcar _ 1.Install Compact Fluorescent Light Bulbs(CFCs) (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 I 1 G.Appliances I1.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.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0 [4.Install Built-In Recycling Center 3 Resource pts y=yes 0 1 1 1 H.Insulation 1.Upgrade Insulation to Exceed Title 24 Requirements a.Walls 2 Energy pts Y_–Yes 0 b.Ceilings 2 Energy pts y--yes 0 2.Install Floor Insulation over Crawd Space 4 Energy pts y=yes 0 3 Install Recycled-Content,Fiberglass Insulation with No Added Formaldehyde 3 IAQMealth 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 n.t;emngs 4 Resource pts y=yes D 1 1 I.Windows • 1.Install Energy-Efficient Windows a.Double-Paned 1 Eneray pt y=yes D b.Low-Emissivity(Low-E) + 2 Energy pts Y--yes0 c.Low.Conductivity Frames 2 Energy pts Y--yes0 2.Install Low Heat Transmission Glazing 1 Energy pt Y--yes D 1 i 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 IAQMealih pts y=yes 7D 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 31AQ/Health pts y--yes 0 b.Water Heaters 3 IAQ/Haalth pts y=yes 0 9.Replace Wall-Mounted Electric and Gas Heaters with Through-the-Wall Heat Pumps 3 Energy pts y=yes D 10.Install 13 SEERA 1 EER or higher AC with a TXV 3 Energy pts y=yes 0 11.Install AC with Non-HCFC Refrigerants 2 Rzsource pts y=yes 0 12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pis Y--yes 0 • 13.Retrofit Wood Burning Fireplaces a.Install EPA certified wood stovesfinserts 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,Hydropic Radiant Heating 3 Energy pts Y--yes 0 15,Install High Efficiency Filter 41AQ/Health pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 51AQ/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0 1 1 I 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=16 points) _ _ Up to 16 Energy pts p 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 p 2.Install Overhanos or Awninas over South Facing Windows 3 Energy pts . y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p • 1 1 1 M.Indoor Air Quality and Finishes fil.'Use Lo4Mo-V0C Paint __ 1 IAQ/Health pts y--yes 0 • 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.-11se LowMo VOC Adhesives `_ , 3 IAQMealth pts y=yes D 4.Use Salvaged Materials for Interior Fnishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAOMealth pts y=yes 0 7.Seal all Exposed Pa ficleboard or MDF v y 41AQ/Health pts y=yes D S.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 IAQ/Health pts y--yes 0 1 1 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 51AO/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 Total Points Available: 1 1401 1301 57 • Total Points Pro'ect Received: 01 0 0 G:daWprogslgreenbuildngguidelineslremodelersrgmenpoimsnnal?12.Wprotecled.ds • ,: File Edit Action"s' Details Links Help I Entity Information Sounds Like Name" BENETTI NATHALIE J TRUSTEE J Entity Type" C-Constituent 1� ' Status' FA Active 1-11 Title I, Prefix i Salutation Default Information Default Contact �Personallnformation Enht Usa e 1 _ _ _ 1.- .__ , - 1�. Default Mailing AddressrDefault Phone Number Address Type H -Home _ �� Phone Number Type 0 -Other_ T_V Status A-Active - Formal US format_ - Attention Number, (40B)253-7905 Address Line 1 10713 LARRY WY j Extension Address Line 2 _ _ i Status Actroe ICity CUPERTINO C4 State 1 i Zip 195014-2056 t�•— ---- --a---� 4 I' Idant lfcat ronDetails. wountry ^ I ,Identification Type; Mail Cade 0-In City I� 'Identification Number Delivery Point Issuing Agency Default Email Address. _.��_.__ Issue Date Email Address Type eJ - .Expiration Date EmailAddress Status F,filo Cnurro r'PR .I nrafinn and Pnririno , ffy I nratinn nwnm , [Enter the entity name.: • File Edit Attioris' Details Links Favorites H6IP - �-Permit InformationLocation Information-- mit Number" 071.10D34 , - l Address" 10713 LARRY WAY —- Status" �!� City/Stete2ip, CUPERTINO — r Master Number !4 Notes 011, APN 131602007.00 i Project Unit Apply Date". 11/07/2007 p�_ Operator Eatg--�— .Emit. nfor :. ._....,...._._.._,._.. _._..._ . _-- --_..._ . :...,._� �� 1 � Owner Entity Information — PermillssueDate 11/07/2007 Dperator, . patg _,,,—, ••��llOwnefault Name" B�NETTINATHALIEllTRUSTEE Certificate Issued r Operator UseD�— Certificate Type - AddressHome LARRY RRY W1j. Certificate Number _ _ City/Stafe/Zip CUPERTINO CA �� r95014.2! - _ -------------- Permit _ _Permit" Property* ro ert I ZoninA I acil nl + Contractor" Defined Fields - Permit Details _-___- - _ ___. _ __ _' Purpose/SpecialConditions_. Permit Type" SFDWL-ROOF �Q ' _ RNV 2 LYRS HXSTNG ROOF SYS s INSTL 28 SINGLE FAMILY DWELLING RE-ROOF f! LIFa TINE cone ROOF Usage ClassN/A — 0,] m 1 IND NAPPLICAB LE Applied Value -- �- _-. 17500 . SQUARE FT. _ T - 29 71 01 Calculated Value -_----.•._.__ J U5 C-404 Type 1434 LQ - ALT: RESIDENTIAL Permit Form JAUTOPERM PERMIT i. Ownership 1 -Private (: ' Project Size i IPermit issued 11/07/2007 - - ;Enter permit status__ _ .I • b Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 4f.UPEkTINO Building Department JOB ADDRESS: PERMIT # l ? /3 oho?olof OWNER'S NAME: GENERAL CONTRACTOR:/-!t( FAX # I am not using any subcontractors: 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 ' 3) an o Owner/Contractor Signature Date