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08060042 CITY OF CUPERTINO BUILDIMG DIVISION PERMITM7 NO. CONTRACTQR�INFORMAT,IQ1V ; BUILDIyciApDN18VEMBER DR SHADOWFAX ROOFING P�08060042 OWNER'S NAME: PERMrT ISSUE DATE •_ ECKLUND STANLEY D AND MARIAN G 1366 SANTA FE DR 06/05/2008 SANITARY NO. CONI3IOL NO. ARCHITECOENGINEER: BUILDING PERMIT INFO RE—RF RMV EXSTNG RF RPLC BLDG ELECT PLUMB MECH TO I CA IT 0 0 0 0 0 uOp LICENSED COSmIACrOR'S DECLARATION - Description rd 26 1 hereby affmsm that I am licerucd under Previsions of Chapter 9(commencing Job with Section 7001)of Division 3 i f the Business and Profassions Code and my lkenm is ^�d in full force and uredo onone C• �.• !�2 nqi i � - t„q Da¢ Co. clor e q W7 unARCHRELTS DELLA ION ?W U I denund my plans shall be tied as Public men=ds . g c G Licensed Pmkssio..I 3 OWNER-BUILDER DECLARATION i<E I hereby affirm that 1 am asempt from the Contractors License Lew for Ne i G O following mason.(Section 11131.5,Business and Pmrassions Code:Any city or county I a_V which mquima a permit to construct,aim,.impmm,dcmulish,m eepm my metum Lida prior m its issuance,also requites the applicans forsueh permit m anm filesigmal stammc < that he is limnedpursua ttotheprovWomoftheContractor'sUciomLaw(Chapter9 Sq.F[.Floor Area Valuation Y�$ (commencing with Section 7000)0(Division 3 of the Business and Pmreusions Codi)or that he ti exempt thertfmm and tie basis for the alleged exemption.Any violation of Section 70315 by any applicant for a permit subjects the applkam to a civil Penalty of APN Number Occupancy net mom than fiw hundred dollen(M). pane y Type I,a owner of tie proNny.or my employees with wages as u¢'e sok compensation, will do the work,and Me mucous knot intended or offered for sale(Sec.7016,am. and Professions Cade:The Conuactm's Licmm Law does not apply to an owmr or Required Inspections property who buildsor impro m thmeon.and whedo omelt work himselfortiuough his awe employees.pOwhilad thatsuch imprmements art not bearded tar offered forsale If. however.the building or improvement is mid within ane year of mmpkdoa,can owner, builder will have tie der tan of proving that K did ret build or improve for puryom of sali ❑1,an owner of the pro'n'am exclusively commit,with licensed centrmm s to coest-ct the project(See.7014,Business and Prfesuons Cade:)7Te Contrxmrs U. sense Law dma em apply m an owmm of property who builds or improves thereon,and, who contracts for such pmjecu with a conuactor(s)littnsed pirate mum Contractors Limns Law. ❑I sus exempt under See ,B k P C for this tenon Owner Date WORKER'S COMPENSATION DECLARATION 40 I hereby affirm under scroahy of perjury am of the following decimations: ❑1 haw nod will maintain a carufiom of consent m self-insure far Wmkers Campen- -tion.as provided fm by Section 3700 of the labor Code.for the Ndarm.of the work for which this permit is issu N. ❑I naw and will maintain Weekers Compensation Insurance.-se,uired by Section 37M or Ne labor Code,for Ne performance ofthe work for which this permit is issued. ' My Wm n-ti huts moicr and Policy number am: Cartier Policy Na: 02SA CATE F EXEMMON FROM WORKERS' COMPENSATION INSURANCE (ITU sttvim recd net bccomplemJ if the permit Is forma hundred dollars(SI(Xn or less) I Q!Xi that in Nc performama of the work fm which this permit Is ionn¢d,I mull not employ my,ecam in any manncrm as to lineman subject in the Workcmi Compensation Laws of California.Date Applicmm NOnCE TO APPLICANT:If,after making this Cerufmcam of Emotions.you should become subject to the Workers compcmetion previsions of Me labor Cade,you muss .J z forthwith comply with such Pon,nimu m Nu permit shall be dammed revoked. z O CONMUCrION L.ENDINO AGENCY t-v l hemhy altim that Vert is a comoeuon lending agency for the pedormmm of a> um Werk for which Mus Permit is issued(Sec.3197.Ci,C.) 600.Q LcOW,Nam. 0.z LamicesAdd. V 0 I certify Nn I haw mad this application end sum taw Ne show information is ty Cortese 1 gree to comply with all city and county ordinances and state laws mladog to .� Wilding comwcuon.W herby suthon."p—mauws of this city to earl upon lM H1 .leve-mentioned pmpeny for inspection purposes (Wjusigma,cost,indemnify mekeep harmless my City of Cupees,sagainst res to liabilities. Me S. 2of 4'sesmit. may in any way accrue ageimt-id City C)z incensequeace of N.granung of lmWI APPLI UNDERSTAND N WILL COMPLY WITH ALL NON- OINT Issued by: Date SO REGUUTIONS. es Re-roofs H Sig ort of Ap ian Dam x RDoLIus MMMALS DISCLOSU4 Type of Roof Willy McCiamorfmumipal ngmepmtr 912.an M eallousmamril u de.See io tie Cupertino Municipal Cade.Chapter 9.31,and dine Health and Safety cade.s.rtionlss3x(,n ❑Yea /�'7,,,ttt ��'No All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtainingan inspection,I agree to remove Will Ne applicmt or(item building aavpam um ryupm.nt m JCHms which pf= ,.it intone..air cmuminants as defncd by Me B.,ArastAir Quality M...I,...t all new materials for inspection. ❑Yes I hew mad the board.mam'als RuirtmmtsunLk chapter G95ofem Cali(m, nu &Safc,YCtc.sotm.25 5.25533 and 25531.Iumk Ma,ftho Wiling J test ince"low a mnme it is my r.spomibaity to testify Ne mxupmm of the uire nme.hich tet m rtoi maracenirm,morOcmpmcY. Signature of Applicant Date ONK.,m..th ee em rl Date All roof coverings to be Class'%¢"or better CITY OF CUPERTINO 2 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: B1k: Lot: APN . . . . . . . . : 36216007 . 00 DATE ISSUED. . . . . . . : 06/05/2008 RECEIPT # . . . . . . . . . : BS000005014 REFERENCE ID # . . . : 08060042 SITE ADDRESS . . . . . : 1039 NOVEMBER DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ECKLUND STANLEY D AND MARIAN G ADDRESS . . . . . . . . . . : 1039 NOVEMBER DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4122 RECEIVED FROM . . . . : JERRY L SHAFFER CONTRACTOR . . . . . . . : JERRY SHAFFER LIC # 27342 COMPANY . . . . . . . . . . : SHADOWFAX ROOFING ADDRESS 1366 SANTA FE DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95118 TELEPHONE . . . . . . . . : (408) 26572490 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 9, 742 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1REROOFRES SQ FEET 26 . 00 338 . 00 0 . 00 338 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 339 . 00 0 . 00 339 . 00 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO REROOF CITY OF OCUPEkTINO PERMIT APPLICATION APN # Date: J ��2 � UUP, Uv l s Building Addrr /0 3 Owner's Name: Phone #: o``ntractor: Phone #: 7Oz✓ Fax #: Cupertino Business License #:P V 73 41,� Contractor License #: �! 2 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 Description: e Residential 7 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: 17 l i • I Have ead, Understan and Will Comply with Cupertino's Tear-Off Policy: Sig re CITY OF CUPERTINO REROOF CIN OF CUPEI,TINO FEE 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 policy on re-roofing. Homeowners Name: job Site Address: Q I Roofing Company Name: Applicant's Signature: Date: • 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, i Note/Spec.) A-3 1 oint 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. A.Site p to 4 Resource pts 0 1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;60%=4 points u _ �2.Salvage Reusable Building Materials 4 Resource pts yryes 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 yryes 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 Ganiens ---� 4 Resource pts y=yes 0 9.Reuse Materials/Use Recycled Content Materials for Landscape Areas 2 Resource pts y=yes , p 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 p 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=yes[;F p C.Structural Frame I 1 1 1.Substitute Solid Sawn Lumber with Engineered Lumber J 3 Resource pts y=yes p 2.Use FSC Certified Wood for framing (For every 10%of FSC lumber used=2 points,up to 10) up to 10-Resource pts. p 3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y--yes p 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 p 6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes p 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes p B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes p 9.Use Structural Insulated Panels(SIPS) a.Floors 3 Energy pts y=yes p 3 Energy pts y=yes p c.Roof 3 Energy pts y=yes p 10.Apply Advanced Framing Techniques 4 Resource pts yryes p 11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts yryes p F12.Use OSB --- --- -- --- --'-'i a.Subfioors + 1 Resource pt y=yes p • -b.Sheathing` — — It 1 Resource pt y=yes p 1 1 1 D.Exterior Finish 1.Use Sustainable Decking Materials I a.Recycled content 3.Resource pts y--yes 0 • { b.FSC Ce of ed Wood 3 Resource pts y--yes 0 1 12,Use Treated Wood That Does Not Contain Chromiurn/Arsenic ( 1 IAQ/Health pt y=yes 0 13.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0 4.Use Fiber-Cement Siding Materials ; 1 Resource pt y--yes 0 t 1 1 E.Plumbing 1.Install Water Heater Jacket 1.Energy pt y=yes 0 2.Insulate Hof and Cold Water Pipes 2 Energy pts y=yes 0 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. 0 4.Replace Toilest with Ultra-Low Flush Toilets (1 point each,up to 3 points) v_ Up to 3 Resource pts. 0 5,Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0 6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 41AQ/Health pts. 0 6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 ! 1 r.tiecmcar 1.Install Compact Fluorescent Light Bulbs(CFLs) —1 (6 bulbs=2 points,10 bulbs 3 points,12 bulbs=4 points) J 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 StarDishwasher ' _ 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 pts y=yes 0 2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0 3'.Install Recycled-Cohte`nt,Fil eigless Insulation with No Added Formaldehyde __ ) 3 IAQ/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 pis y=yes 0 o.L;enings 4 Resource pts y=yes 0 1 1 INPUT Resources c=erg Y ]AUPHearth L WmdoWs 11.1lnstall Eriergy-Efficient Windows -t • a.Double-Paned i 1 Energy pt yeses 0 b.Low-Emissivity(Low-E) 4 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 0 ! f f J.Heating Ventilation and Air Conditioning r Use Duct Mastic on All Duct Joints711AQ/Health pts y=yes 0 2.Install Ductwork within Conditioned Space pts y=yes 0 3.Vent Range Hood to the Outside pt y=yes 0 4.Clean ail Ducts Before Occupancy 2 IAQ/Health pts y=yes 0 5.Install Solar Attic Fan 2 Energy pis 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 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 Heat Pumps 3 Energy pis y=yes 0 10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pis y=yes 0 11.Install AC with Non-HCFC Refdoerants 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/inseds 1 IAQ/Hsalth pt y=yes 0 b. Install/Replace Dampers 1 Energy pt y=yes j p c.Install Airtight Doors 1 Energy pt y=yes 0 14.Install Zoned,Hydronic Radiant Heating 3 Energy pis y=yes 0 15.Install High Efficiency Filter 41AQfHealth pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yas 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p 1 t 1 Renewable Energy and Roofing 1.Pie Plumb fo So ar_Water He 4 Eneroy pts y=yas p 2.Install Solar Water Heating System 10 Energy pis 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=1 B points) Up to 1 B Energy pts 0 O --------- — --ls — :6.Select Safe and Durable Roofng Materials _ _ _� 1 Resource pt y=yes � 0 D -- — ---- 7.Install Radiant Bar er 3 Ener oy pts y=yes 0 1 1 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pts y=yes p 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pis y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p 0 1 1 1 M.Indoor Air Quality and Flmshes .1.Uael owMaVOC Pai t - — l 1 IAQ/Health pts y=yes 0 2.Use Low VOC,VJater-Based Wood Finishes 2 IAQ/Health pts y=yes 0 13:Use LowMo VOC Adhesives_ _ _ _ 1 3 IAQ/Health pts y=yes 0 r __ __ 4.Use Salvaged Mate als for Inte for Finishes 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 IAQ/Health pts y=yes 0 Z Seal all Exposed Particleboard&N41517 4 IAQ/Health pts y=yes D B.Use FSC Ce of ed Materials for Interior Finish 4 Resource pts yryes D 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 N.Flooring 1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0 E2.Use Rapidly Renewable Flooring Mate als 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tilesv 4 Resource pts y--yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/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 i 1 1 Total Points Available: 1 1401 1301 57 Total Points Project R 1 01 01 0 • G:datalprogsrgmenbuildngguidelines4emudelerslgreenpointsfnal2.12.04prole7ed.)Ls r • x..,e., Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY Of Fax(408)777-3333 UPEkTINO Building Department JOB ADDRESS: PERMIT # 3 b �a6�crz- OWNER'S NAME: f PHONE # — q a-I-� GENERAL CONT ACTOR: FAX # -->6<--a 7 6V I I am not using any subcontractors: ignature ate 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 er on or Signature ate