08050080 -
BUILDING DIVISION PERMIT COIVTRAGTOR IIVFOItMATION
BUIIDj�QN FSS' w PERMIT NO.
10999 , 11009 , 11019 , 11029 FOUR SEASONS ROOFING 08050080
SQ OW FERMa ISSUE DATE
milk PML MANAGEMENT P 0 BOX 1210 05/08/2008
E:
(408) 278-0330 SANITARY NO. CONTROL NO.
ARCHrTECT/ENGINEER: BUILDING PERMIT INFO
BLDG EIF.CI' PLUMB MECH
u00 LICENSED CoN`ntAC7TORs or CON Job Description
U 1 hue 0(a d iA f 3 f ft Bre a provisions of Chapter 9(enmmencing
ZZ wituSecuon70dD)arDividon3ofuteBusfressuMProfcsconsCro�d/e aMmylkenseis RE—RF,RMV CALSHK INSTIL NEWGAF GRNDCNYN RF SYS
n<d I.fullCh and eRntC CI 72/0�
�'qi License aua 3 Co.
a W/NEW 30#FLT CLS A SOSQ. FOUR SEASONS ROOFING
' Dam -'/1s'`f` ARCHI=rso LARATION RENEWD BUS LIC 4/4/08
p V 1 undersand my Plans shall W mind an public records
g iso Licensed ProfctumW . .
OWNER-BUILDER DECLARATION
1 hcrehy affirm that 1 un mempt from to Contractors Licence Law for Eye
a o O follawi,reason.(Section 70313,Business and Pmfea tris Cum:Any city or county
5$ which mention a Permit in,construct,alter.improve,demWisb.in mpeir my swctmc
-i< prim to is issuance,also rnuhn,Ncapplicam for such Parini,he file a signed eaemcnt
dust In,is licensed pummant to Eve prevision of to comxcurs uwnre Law(Chapter 9 Sq.Ft. Floor Area Valuation
G Wromencin $`
( gwit Scedon70W)ol basisofrO theeged Business er,My vi Codi) 23000
$ Nn W u exempt th y appli and tie buy for be alleged eampUon Any it penalty
or
Section 7luenf five
arodind dent for a Permit subjects de applicant to•rival penalty of
Type—
"',mom than tiro bundmd dWhra(SSOOk 316 3 8 0 2'3P�( erg 9 Occupancy Type
Q 1,u owrcr of die prognry,a mY mnPloyw wW wages a the'vmle cmnpenation,
wad de Nework andthe heCominotmended,Law dos WEa(See.70M,B of
and erofnalobu carie:The Conmces I.iamuo law don trot apply m rd owrcs is Required Inspections
pr corphrhobuilds idedmussuvronandwW doesauchwmk hinmfired for
ugh his
t.
however.me
or
prommeisch m Is sold enuamnrotfeeMWaoBerW far ode ,
buil v rhe banns
tin,or improvementg sold within Out
year or wmple for the purpose
of
huildu romp haw tie Wrden of moving Nn W did trot build or improve for purpuw of
ak.).
1,u owrcr of IN properly,am Exclusively contracting with licensed mmrantms to
wntruct to project(Sec.7044.Business and Prof..imu Cade:)The Commutes U.
E.law doss not apply to an owner of praputY who Wilds or improves Nemon.and.
who convects for such projects wits a conmanor(s)licensed pursuant to the Convectors
Liana law.
❑ImnaemptundaseC ,BkPC for Nis reason
Owner Data
PIWORKER'S COMPENSATION DECLARATON
1 hereby all=under penalty of perjury We of tie following dcclandone
haw and will mainuin aemdOcae or Consent in elf-Inuit fee Wohcrs compery
atfm,u provided for by Section 3700 or une labor Code.for 1W performance of use
work for which this permit is issued.
❑i have and will maintain Workers Comperwuon Insurance,u imposed by sesibon
3700oftie Labor Cade,for the FrImmunceof de wort for which uses permit Is issued. '
My Werk�e,rfr Compessauon beers a-_Tri�er�tma Poliq numhm am:
CmlwdaflIA, 7 7417. lacyNo.;"*I '— S�000/111
CERTIFICATE OF EXEMPTION FROM WORKERS _
COMPENSATION INSURANCE
(Thisscetion need ant he cmnpleted if the pnmit is fmr9rc hundred dollars(SIM)
or les:)
I certify Net in the perfemumee of the worts fee which Nis permit in issued.I shall na
employ any person in any memo uWberomembject to Ne workers'Compeuauon
Laws of Caiifomia.Daeg Fi
Applicant
No=TO APPLICANI:If,after making this Cenffmcam of Exemption,yon Amid
become subject to de Wouta's Compensation provisions of de L a Wr Cade you most
.,z for1with comply with such provision or this pewit mail W deemed mwke4
z D5 CONSTRUCTION LENDING AGENCY
(-m r Ihereby af"m dem them u a construction lending agency,for the performance of
LY. > the work for which Nis permit is iumW(sec.3097,Civ,C.)
QlsmMefs Name
z IaMera Acorea
V Q 1 century unit I have rad this application aced sue the Ne'Ww inimmadm u
gy^ commct.I agree to comply wits all City and county Ordinances and some laws relating u
0 SV^
building construction.and hereby authorim repicamuivn of Nu city on enter upon IN
f17 lihose-mrnuoond unt.propertycosts
for imminent,,,purposes
t„m C (We)agree m ave,indemnify and keep harmless tie City of Cupertino agafut
cos in'Eivajamn Of 9- -9 capeinsamit. may In anYwyamue against mid City
V Z A APPLICANT
of Uft NDERSTANDS
unix permit
'-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date J l/
%V�j
��SO CE NS.
`v s /E Re-roofs
s�r°Iltorc or AppueRpotComuscmr Dam .
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will use applicant or future Wilding occupant store or handle hamint material
an defimH by tie Cupertino Municipal Code,Cbapter 9.11,and the Hcalth and Safety
erode,section 25532(a)?Yu o
'ro All roofs shall be inspected prior to any roofing material being installed.
1Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
1 ha❑raNnn air com mommts u defined by IN Say Area Air Quality Management all new materials for inspection.
DmmdcR
❑Yes IyNmm
I have mad Eve haandmssmatermin mquimmcnu under Cheper6.95 afthe Califs-
nieHal"Safety Code Smtioun5D5.25533"n534.1underand Eveifune Wilding d
does not currently haw t ft u MY responsibility m notify the occupant of de ,
royuiremcmx whkp he n t -4u - -
pct a iuvana of a Cwfium of Oc /
/1 6 Signatu ofApplic t Date
Owner a anmp p<d agent a Dae All roof coverings to be Class'1?"or better
CITY OF CUPERTINO'
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31638023 .10989-29
DATE ISSUED. . . . . . . : 05/08/2008
RECEIPT # . . . . . . . . . : BS000004710
REFERENCE ID # . . . : 08050080
SITE ADDRESS . . . . . : 10989, 10999, 11009, 11019, 11029
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PML MANAGEMENT
ADDRESS . . . . . . . . . . : 10989 NORTHSHORE SQ
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-0550
RECEIVED FROM . . . . : JAMES CALDERON
CONTRACTOR . . . . . . . : DIAZ,: ALFRED LIC # 21323
COMPANY . . . . . . . . . . : FOUR SEASONS ROOFING
ADDRESS P 0 BOX 1210
CITY/STATE/ZIP . . . : ALAMO, CA 95407
TELEPHONE . . . . . . . . : (408) 278-0330
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 23 , 000 . 00 2 . 30 0 . 00 2 . 30 0 . 00
1REROOFMRE SQ FEET 50 . 00 650 . 00 0 . 00 650 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 652 . 30 0 . 00 652 .30 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 652 .30 AMEX
---------------
TOTAL RECEIPT 652 . 30
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
REROOF
Y OF
4PUPEIkTINO PERMIT APPLICATION
APN # �� � 3� ��.3• Date:
Building Address: �/
QUABOoqg 109019 1009 l9 oi oz9 OR, 14s"c SQUAT,,;--
Owner's
wner's Name: Phone #:
e.*�74
Contractor: Phone
3 3 v
Fax #: 27c— osa7
Cupertino Business License #: Contractor License #:
02 / 3123
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles fi�\ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
a Wood Shingles ❑ Wood Shingles
A Other(Specify) Ca/'sh-4-"L ❑ Other (Specify)
Number of existing coverings o Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
6ra.^d rya n (LetsQ 4c. w ��v v.�c. 3�' 1v 4,41t
/w ( L lcr/
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:
191 3/Cz�G.--__
• I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
-ignature
CITY OF CUPERTINO
;_.. . REROOF
"TMTI�TINO
UPEFEE SCHEDULE
�
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLROOF
IBSEISMICRE Seismic Residential B
�® 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC 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:
Job Site Address: Mal IO99_ 9 11009tj 16 a111D2J 13ogT4
Roofing Company Name:
Applicant's Signature:— j' ate:
• 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 oints
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 I 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.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS ,0 40 points
NY 0" ..
-12-Revised 3/25/08
Plan Review Process Work Book Page
I
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 relafwe low cost. These measures can be used as a starting point for greening'your project.
i INPUT Resources Energy ACHealth
A.Site
1.Recycle Job Site Construction&Demolition Waste
65%=1 point 750k= 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 pis y=yes C
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwaler 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 Matedais/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 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 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 pis y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
8.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 pis y=yes 0
12.Use OSB
a.Subfioors 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt y=yes 0
1 II 1
INPUT Resources Energy IAQIHealth
I. endows
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.Cdnductivity Frames 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes7 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Dud Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pis 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 C
B.Install Sealed Combustion Units
a.Furnaces - 31AQ/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 Heal Pumps 3 Energy pts y--yes0
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 pis 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 stovestiinseds 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 Filter 4 IAQ/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 1 0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes0
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=yesE 0
1 ii
1 t 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
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
S�UPEI�TINO
Building Department
JOB ADDRESS: PERMIT # p�J` ��
ogg9 /0 99Q /1004 //0/ 9, //02 a IVO Rr7,',S e ,%CW-r - D J
OWNER'S NAME: PM,C ,,✓ GCXrOU-r PHONE # 40Z-76- 0330
GENERAL CONTRACTOR: FAX # ¢0 Z-73-- 03-30
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 to ve SF savS Roo a ivG 132 :3
Septic Tank
Sheet Metal
Sheet Rock
Til
• S/P off/
Owner/ ntractor Signature Date