08080167 CTTY OF NCC
BUILDING DIVISION PERMIT ,CQ��T CT;QI
BUILDING ADDRESS: PERMIT NO.
2:', 3b RANCHO DEEP CLI DR DRAEGER CONSTRUCTION INC 08080167
NER'S NAME: PERMIT ISSUE DATE
:?ANCHO DEEP CLIFF HOA 605 COMMERCIAL ST 08/22/2008
PHONE: SANITARY NO. CONTROL NO.
AR CHTTECTIENGINEER: BUILDING PERMIT INFO
ROOF OVER LAY W/ DURO LAST BLDG ELECT PLUMB MECH
Sop LICENSED CONnseed.OR'SDEsias.f ON Pby MEM
_.._tib Descri tion
1herebyaffirm Wt1am Iice.cdundopr Pro(c..f Che . 9(mmmcxmg --�"— _^^— ^••^^••^^^" p
with Senton701g1)of Divisionlo(Na Buttner atk ProfetNans CMe.aM mylicenseu
^ m in full forte and c(rt. D &/e
Z 'u...Clna 3 J Lie N
Dam W"2 :2 Canuacwr a
IWARCHITECTS DEC ATION
understand my plans shW he used ss Public records
PKU
k G� Licure d Professional
yy OWNER.BUILDER DECLARATION
i I heresy @Rrm that I am exempt from the ConuanaYs License Law for the
00 fallowing reason.(Suction 703 LS,Business and PrefeWous Code:Any city or county
$E! which acquima a permit to construct,aller,improve,demolth,or repair any structure
_'. poor in its issuance,Attu requires the applicant for such permit m It a signed summent
< Nat W is licensed pun.nt to Nc pmvisl^m.f the Camrmmrs Lice=law(Chaptn 9 Sq.Ft.Floor Area Valuation
$ (commencing with Section 7000)of Division 3 or the Business and Proressi.ns Code)or
that he is Attempt therefrom and the but for the alleged exemptlan,Any violation of
sada.7031.5 by M'applicant for a permit subjects the Appikmt to e ciAl pm.0y of APN Number Occupancy Type
Out mom Nan Ow bundrtd dollars(SSW).
❑L o ths.o L and lu inc,or my omploym wio urges u Neu cele aromPewoen,
will Pr Nework,and Ne suumum ismer Lt doroA,doesmd Wapplyi As B. of
ess
aM property
who
obu Cadc The Comnm on,Liana law d=ret apply lf rt owner of Required Inspections
pmpenY la mus,ids a tmprovea Nermn,and who does ouchmrk himself or Waugh hs
ownemployee,PmWded Natsuch improsemenuart not ouof malferM tonWe H,
however,the Wilding orimpmprovinuhat withinamRanofcompletion,theowner-
bullda velli have Ihe buem of pontos Nu he did not Mid.r immune for purpose of
sale.).
❑1,As.wnci a the Property,am exclusively caMacong with licensed contractors to
consumer the project(Sa.7009,Business aM Pmfesslom Cada:)The Contractor's U.
cam Law does not apply to in awmr of property who builds or Improves daemon,and
Wits,mmncu for such projects with a cuntsacer(s)licensed pum.m to the Contractors
License law.
IamaamptunderSee ,B&PCfor W3mAmm
ser Date
WORKERS COMPENSATION DECLARATION
1 hereby a(Brm under Peaity of Rsjury oro of dae following dWasaoo.: .
❑I have and will matnau aCer ifimm of Consent to self-Insure for Workers Compere
.it..,As pmvidrd for by Sao.37M of the Labor Code.for Ne performance of the
woh for which this Permit is Issued.
D+ftf._._d wtll mainwn Warks Compaution Insurance,As required by Section
37M of the labor Code,for the performu cc of the work for which this permit Is Issued.
My Workers CompemWon hsunuta anis and Policy number tie:
Carom 7rr1A TIwG )VAM PPolicy No.:7/1.1)Q01 7650
C RTIF1a OFEXEMP'nON FROM WORKERS'
COMPENSATION INSURANCE
(TMs sttom round embecomplemd time Permit afaranc hundred dam($I00)
.r lest)
1 ceefy that In the performance of the wart far which this Permit is Issued,1 shall not
employ any NOW in any Ammar an As to became abject to the Waders'Compensation
laws of Cattromis Data
Appilam
NOTICE TO APPLICANT,If,after making this Ceniflesto of Exemption,you should
bucomA subject to the Workers Compensation provisions of Ne labor Code,you atm
.,O forthwith comply with such provisions or annualized.
Permit shall W doomed Ind.
?` CONSTRUCTION LENDING AGENCY
(ti Iherehy.M.dear Nem u a mmuuctinn lending Agency for dm Meformamceuf
<Y .� Ne were for which this Permit Is!need(Sec.3097,Ch,C.)
W�0 Lenders Name
D Z Landers Address
U Q 1 certify that I haw mW this application and sum that the abase information is
IL ounces.l agme to comply with all city and county aeinsnam and sum lam muting to
(] building construction.and hereby influence mpmxmsdves of this city to Anter upon the
I37 above-mendrcd opmpeny,fm Inspection purposes
LL (We)as=to save,indemnify and kap humlen dae Chy of Cupertino against
rI rA Ilabilitim.jagmens,costs and expenses which may in any my scam against said City
()`z In consequence of the granting of this permit.
..
APPLICANT D NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
B U RECU S.
Y� Re-roofs
SignillificofAMlicamulCohmamue Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIB the applicant ar future building amnpant nom a MMIC have..mamoat
deSued by the Cupenim Municipal Cade,Chapter 9.12,and the Health and Safety
e,Section 2553:(.)+ All roofs shall be inspected prior to any roofing material being installed.
Dyes No
Will the applicant or future building occupant um equipment ar ties[=which If a roof is installed without first obtaining an inspection,I agree to remove
emit hoard..air cmuminanu m defined by Um Bay Area Air Quality Mmagement al eW_m_aterials for inspection.
Diaster? _
❑Ya _ ..
I hew read Ne haves.mamdatsrtquiremenu unMr Chapter 6.95 ofthe Califon ---'�'��---.
-Ica H.IN&Refry Cam.SucvonAMR35,25533 and 21534.I undersand thatifdae Wilding
d=rot Currently hew:.mount,that It k my mpumibllity m nary the occupmt of the
t� t poor to!stinum of.Cwufmste of 0.'cvpanry.
lL g 7 ����_ Signature of Applicant Date
O.nar mmilwdeadag Dam All roof coverings to be Class'1�."or better
CITY OF CUPERTINO
REROOF
•CUPEkTINO PERMIT APPLICATION
APN # Date:
5(0 02
Building Address:
c \ r
Owner's Name: Phone #: qOa . 2,T4 3LAO 8
Ch�cr��s H Ml�
Contractor: Phone #: cros• 3(3 -at 00
S Fax #:
Cupert o Business License #: Contractor License #:
r (o
Type of Roof Covering:
Existing:_ Proposed:
'Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles o Wood Shingles
b Other (Specify) –a—Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: F,corr oVea.. J u3A4 Duro-Lu-s�
Residential Xj 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:
Signature
Revised 6/16/08
CITY OF CUPERTINO
REROOF
CUPEkTINO 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 1SFDWLR00F
ao
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE 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 2007 IBC Standards
and manufacturers specifications on re-roofing.All roofs are Class "A"per Cupertino
municipal code 16.04.080.
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/ "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: R01 Aran ft Deep o I,U IV\A
Job Site Address: ! q3c;- :9W&rlu1
Roofing Comp y
Applicant's Signature:
Greg Casteel
Building Official
Revised 07/30/08
Community Development
s+ `FZ4, 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY
Fax(408) 777-3333
OCU
Building Department
JOB ADDRESS: PERMIT#
J- LF-0(61'�
OWNER'S NAME: PHONE # 92 • 313 D o0
GENERAL CONTRACTOR: FAX # S • 31
I am not using any subcon
Signa a 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
Owner/Contractor Signature Date
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
• CITY OF CUPERTINO
PERMIT INVOICE OPERATOR: SylviaM
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . 1 : 35602034 . 00
INVOICE DATE. . . . . . : 09/02/2008
REFERENCE ID # . . . : 08080167
SITE ADDRESS . . . . . : 22435 RANCHO DEEP CLI DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RANCHO DEEP CLIFF HOA
ADDRESS . . . . . . . . . . : 10913 CANYON VISTA DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
CONTRACTOR . . . . . . . : DRAEGER, JOHN EDWARD LIC # 21895
COMPANY . . . . . . . . . . : DRAEGER CONSTRUCTION INC
ADDRESS 605 COMMERCIAL ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 536-0420
FEE-DESCRIPTION --------- DUE FOR ---- -- AMOUNT DUE PAID BALANCE
-------- ------ --- ----------
SEISMIC RESIDENTIAL PRINTING PERMIT 1. 40 1 .40 0. 00
RE-ROOF: RESIDENTIAL PRINTING PERMIT 260. 00 260 . 00 0 . 00
---------- ---------- ----------
261. 40 261 .40 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
iot
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Visit Our Web Site at www.thermotestinc.com
INFRARED THERMOGRAPHIC REPORT
Prepared For:
Ertech
�7
22435 Rancho Deep Cliff Drive
Cupertino, California
Requested By: Dick Tippett Inspection Date: 7/18/2008 - 7/18/2008
Title: Owner Number Of Days: 1
Technician: Hanna, Kevin Inspection #: 4203
Administrative Off-ice: 3070 Kerner Boulevard,Suite A,San Rafacl,CA 94901 •(415)453-7200 Fax(415)453-2065
• Los Angeles(310)791-2777•Central Valley(209)632-6167•Oregon(541)488-0431 •San Diego(619)448-7256
'fall Free.(800)640-3133(USA) email: irtest@pacbell.net website:www.tiiermotestine.com
9 Spot 2 �
r VN
FullSe � y�'ce d Maintenanc Spe ialis t ��
July 21, 2008
Dick Tippett
Owner
Ertech Inc
100 Zils Road
Watsonville, California, 95076.
Re: Infrared Thermographic Inspection—July 18, 2008
Dear Mr. Tippett,
On July 18, 2008 an Infrared Thermographic Inspection was performed at 22435 Rancho Deep
Cliff Drive, Cupertino, California. No potential problems were located in the equipment that
was inspected.
If you have any questions or concerns regarding the inspection, please do not hesitate to contact
me at 415/453-7200.
Sincerely,
James Moore
Office Manager
Administrative Office: 3070 Kerner Boulevard,Suite A,San Rafael,CA 94901 •(415)453-7200 Fax(415)453-2065
Los Angeles(310)791-2777•Central Valley(209)632-6167 •San Diego(619)448-7256
Toll Free:(800)640-3133(USA) email: irtest@pacbell.net
•
DOCUMENTATION PAGES
•
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Baseline - Documentation Image
Location Path to Equipment:
Roof\ Roof profile
Equipment Details: 74.3•F
Barcode: x� � �'�? t 70
Equipment ID:
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Manufacturer:
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TRMS Amp Readings:
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Administrative Offlee: 3070 Kerner Boulevard,Suite A,San Rafael,CA 94901 -(415)453-7200 Fax(415)453-2065
Los Angeles(310)791-2777-Central Valley(209)632-6167-Oregon(541)488-0431 -San Diego(619)448-7256
Toll Free:(800)640-3133(USA) email: irtest@pacbell.net website:www.thermotestinc.com
Y
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Ertecb EquipmentTestStatus Key
TBT =To Be Tested
Problem Type Key NT/NL=Not Tested/No Load
22435 Rancho Deep Cliff Driv E =Electrical NT/ =Not Tested/ n a Constraint
NT/URUR=Not Tested/Under Repair
Inspection Date: 7/18/2008 Inspection#: 4203 M =Mechanical NT/LO=Not Tested/Looked Out
V =Visual Inspection NT/NA=Not Tested/Not Available
Inventory of Inspected Items
NT/NS=Not Selected
Specified
NSFI =Not Selected for this insp.
LOCATION /EQUIPMENT: Barcode: Test Status: Problem#:
Roof TESTED
Roof profile TESTED
Administrative Office: 3070 Kerner Boulevard,Suite A,San Rafael,CA 94901 •(415)453-7200 Fax(415)453-2065
Los Angeles(310)791-2777•Central Valley(209)632-6167•Oregon(541)488-0431 •San Diego(619)448-7256
Toll Free:(800)640-3133(USA) email: irtestCpacbell.net website:www.thermotestinc.com