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CITY OF CUPERTINO-
BUILDING DIVISION PERMIT
CONTRACTORINFORM TIN,
, zfian
h.
BUILDING ADDRESS:
22565 SALEM AVE
LINDY ROOFING CO INC
PERMIT NO.
08070073
OWNER'S NAME:
PERMIT ISSUE DATE
'PONY GAO
5554 HARVARD DR
07/11/2008
NE;
SANRARY NO. CONTROL NO.
ARCHI E=NGINEER:
BURRING PERiurry MO
RE—MOVE EXISTING WOOD SHAKE'BLDG ELECT PLUMB MECH
Reep D C:= O O
LICENSED CONTRACTOR'S DECLARATION
Cham
lhcmbyaffof
^^-^ ^^ ^--.lOI3..DesCflpuOn
WmlamfftR underpftfessof commencing
with Sectionrad oe�fDiv�W�on�Jyof da Bstitteaahq Pro(e�/dons Gode.aM mylicenseu
2e5 I
in full forte andforte efrf'
License Clnsn Lac.•
Den CS=C of
Iv s DECLARA ON
Ae
ebel hedea
I undnvand my pial Nall he used ss public rtoNn
Licensed Poorecdonal
OWNER -BUILDER DECLARATION
1 herehy alRsm that I not mompt from the Conumrmrn IJcense Law far the
following mason (Section 7071.5, Business and Professions Code: Any city or county
which exporter a pmou to ewlall,KL abR, borrow. demaim. w Rpair my sW=Wm
prior to its announce. also, remsims use applicant for such permit to fnk a signed stm man,
that he isR¢pored personal to the psori¢iofs of the Cawxtars Lice= Law (Chapter 9
Sq. Ft. Floor Area Valuation
(commencing with Section 7000) of Division l of the Business and Profe¢imns Cade) or
that he Is exempt therefrom and the basin for the alleged roamptiae Any violation of
Sedon 703M by any applicant for a Permit subjects the applicant to a civil Penalty of
APN Number
Occu ane —Type
rot mart Nan lave hundred dollen ($M
p y
O l,ao rofthepmpmy,ormyemploycrwi0wg mNebmkcamp=don,
will do thewodt and the ntructom It nmino:ndrA or offered forsak (Sae. 7(316, Buslt¢as
anal publication; Cade: Tub Conummrs Litux Law don net apply in an owner of
Required Inspections
hu
Mproenthuean,aM wW doesatehanded
pmpcer wMes,
paper
ownemployegproNdee m uffearNmugh
such impsowmemsartrotineodalwoefiet for ruler.
arimgovemem4mldwithinarcyearofcompktiuytheownm-
pr
however,in
b am ase
with have de Wfdm of purring that W did rot dull m impmw lw purpo¢ of
sale.).
le.).
❑ 1, as owner of to propcn, am exclusively contracting with licensed conuacton to
construct the project (Sec. 70sd, Business add Prakulans Cade:) The Contrmmr's U.
cera Law does not apply to an matter of property who Wilds or improve{ Nemun. and
who contacts for such projects with a contrectos(s) licensed puruani as the Conumetoes
Lam. Law.
Cl lameemptmde See ,BAPCfathurenmd
Owner Date
WORKERS COMPENSATION DECLARATION
1 hereby anon under penalty of perjury arc of the following &oWeaduns:
I ham end will ma fflum a CeeLOcam ofConsent to alf-imam for Wafters Compact.
atlon. as provided far by Sccuon 3700 of the Labor Cade, for the Performance of the
wofk far which this .it in issued
O I lave and will mention Wormers Compensation Insurance, u mquiad by Section
3'7Wofdtc Labw Code, far the pcfframatrceof the work for which dry permit u issued
'
My Wormers C pevsador IweapO ori and Policy n
Gfrier.-f 7 �l! Policy Na.: � � d� 1
CERTIFlGTE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu se0ae need Inst W completed if the permit is furore hunched dollar (S10t3)
or less)
1 coolly dull. in the performance of circ wort far which this Permit is issued I Nall net
employ any person in any mannerm as, a became subject rode WafterCompensation
taws or California, Date
Applicant
NOTICE TO APPLICANT: If, afar making this Ccnificate of Esereption, you should
Woman Subject to the Wohcra CrumpensNon provisions of the Isha Crate, You moo
forthwith comply with each Provisions or this permit shalt W doomed tevoted.
CONSTRUCTION LENDING AGENCY
1 hemby a(Rrm Wt der is. canstmcunn lending agency for the perflermemx of
the work for which this petit is issued (Sce 3097, Cir. C,)
Lenders Name
'
Landers Address
I ramify the I love mW Ods application and nate one the aboas informed. u
marom I agree m comply with all city and crummy tachometer ev and aux laws relating in
Wilding construction, and hemby aotWrim mptcxoutivns almost city to cner upon IM
aWw-manuoned c
(We) indemnify
far inspection purpowhich
agree to saw. and torp hasmlea the City of Cupertino gaimt
st ms
It ms, costs and espouses which may in any way menuegilnslsaid City
conectimac of
A PLIC l%lT of the gaming of this D W IL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
�)
Issued by:
EGUTATIONS. /
Date /
7
Re -roofs
sign ApplicanYCantnnw Date
e
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant ser future Wilding—Purolator, or handle hasafdo s material
Md defood by the Copmino Mon ici Code, Chapar 9AZ and the Heald and Safety
code,
MAll
Such25532(a)?
❑Ys e
roofs shall be inspected prior to any roofing material being installed.
Will the applican ser future Wilding occupant use equipment or dcvicos which
If a roof is installed without first obtaining an inspection, I agree to remove
air conummu a the
inde by Bay Ama Air Quality Management
all new materials for inspection.
.t�`asNom
0Yca u
Ihaw mWthe srMwm 25505.25533 and
Me Health &SafctyCadc, Sccdans25NA5,355J3 and ZSSl4.lundwsantl thmif the Wilding
I understood th5aftheWilding
Y"L
/
does not currently hew a knanL uses it u
,�`� _
my maponstM1 ittry a floury the oco pan f de
awns=hm��^me,prirurmssencomraeeu0cecaraa�
Si atureofApplicant Date
it 0,2
All roof coverings to be Class'4" or better
ow err mases, mac
• 2 ITEMS OF 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN .......1: 34212100.00
DATE ISSUED.......: 07/11/2008
RECEIPT #.........: BS000005407
REFERENCE ID # ...: 08070073
SITE ADDRESS .....: 22565 SALEM AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: SylviaM
COPY # : 1
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT
AMOUNT
---------------
469.50.
469.50
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
•
REFERENCE NUMBER
--------------------
3609
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
OWNER ............:
TONY GAO
ADDRESS ..........:
22565 SALEM AVE
CITY/STATE/ZIP ...:
CUPERTINO, CA 95014-5648
RECEIVED FROM ....:
LINDY ROOFING
CONTRACTOR .......:
RUMFORD, LINDY LIC # 3921
COMPANY ..........:
LINDY ROOFING CO INC
ADDRESS ..........:
5554 HARVARD DR
CITY/STATE/ZIP ...:
SAN JOSE, CA 95118
TELEPHONE ........:
(408)286-9990
•
FEE ID
-----
UNIT QUANTITY
----------
AMOUNT PD -TO -DT THIS REC
NEW BAL
1BSEISMICR
----------
VALUATION 15,000.00
------------------------------
1.50 0.00 1.50
----------
0.00
1REROOFRES
SQ FEET 36.00
468.00 0.00 468.00
0.00
TOTAL PERMIT
---------- ---------- ----------
469.50 0.00 469.50
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT
AMOUNT
---------------
469.50.
469.50
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
•
REFERENCE NUMBER
--------------------
3609
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
CITY:OE CUPERTINO..
REROOF<
PERMIT APPLICATION
DfrQ 7OD 573
APN # 3�2 2 /� • ,�,1
Date:
Building Address:
�-�-
Owner's Name:
Phone #:
Contractor: V
/ /� / Co.Phone
L1/1Gl I�OC}7�� 1
Fax#:
Cupertino Busines icense #:
-
Contractor License #:
Type
of Roof Covering:
Existing:
Proposed:
❑ Built -Up Ropf ,...,
_, ❑_ ,Built -Up roof. :. .
El Asphalt Shing14s
Wood Shakes
Asphalt Shingles
❑ Wood Shingles
❑ Wood Shakes
❑ 'Wood Shingles
'❑ Other (Specify)
Number of existing coverings
❑ Other (Specify)
❑ : Provide'I.C.B.O. Report #
To be Removed
❑ Provide Mfgr. Installation Specs.
Job Description: eMOCI/� ��(S/� /zacs S a!!¢ moa /s��7—cr iv�sa
J
CL56 .06if 36
Syuarof 0-F n¢ur Lt
19f4_C?lln, cvrv�/Oos� ri��
SG,,h GAS
Residential
Commercial
Fire Zone: Yes No
Confirmed with Planning Det. if
Valuation:
there are any restrictions: LJ
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
Vabu-m1%
CITY OF
opPERTINO
CITY OF CUPERTINO
REROOF
FEESCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1RER00FC0M
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
3
1REROOFRES
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismic Residential
B
1REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
Revised 6/16/08
0
7
a YO
CUPEkTINO
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
0
APN #
Date:
Building Address:
Owner's Name:
Phone #:
Contractor:
Phone #:
Fax #:
Cupertino Business License #:
Contractor License #:
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
o Provide Mfgr. Installation Specs.
Job Description:
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: ❑
a licable, include in plan set & the sheet index.
Valuation:
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:.
Signature
•
Community Development Department
Building Division
City of Cupertino
10300"form 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 anQor 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 Nar
Job Site Address:
Roofing Company Name: ROU FlYt<;C� CO
Applicant's
Greg Casteel
Building Official
Revised 11/2/04
Date:—?— 0170<L?
•
E
Plan Review Process Work Book Page -12-Revised 3/25/08
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
11.
Permeable Paving,Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
72polnts
D.
Structural
3.
Uses Wood I-Joist, (See Spec.)
S-2
5.
Use Truss with heels, (detail)
S-2
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, (Note/Spec.
A-3
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
40 points
•
E
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.
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 60%0 = 4 points
up to 4 Resource pts
2. Salvage Reusable Building Materials
4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
2 Resource pts
y=ye:
Historic Preservation
4 Resource pts
y --yes
4. Protect Native Soil
2 Resource pts
y --yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y=yes
6. Implement Construction Site Stormwater Practices
2 Resource pts
y=yes
7. Protect Water Quality with Landscape Design
2 Resource pts
y=yes
6. Design Resource -Efficient Landscapes and Gardens
4 Resource pts
y=yes
9. Reuse Materials/Use Recycled Content Materials
3 Energy pts
y=ye:
for Landscape Areas
2 Resource pts
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y --yes
11. Provide for On -Site Water Catchment / Retention
2 Resource ots
v=ves
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
2. Use Recycled Content Aggregate 2 Resource pts y=
3. Insulate Foundation/Slab before backfill 3 Energy pts y=
C. Structural Frame
1. Substitute Solid Sewn Lumber with Engineered Lumber 3 Resource pts y=ye:
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pts
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=ye:
4. Use Web Floor Trusses
2 Resource pts
y=ye:
5. Design Energy Heels on Trusses 6' or more
2 Energy pts
y=ye;
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=ye;
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=yer
B. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=ye;
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Energy pts
y=ye:
b. Wall
3 Energy pts
y=ye:
c. Roof
3 Energy pts
y=ye;
10. Apply Advanced Framing Techniques
4 Resource pts
y --ye!
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=ye;
12. Use OSB
a. Subfloors
1 Resource pt
y=ye:
b. Sheathing
1 Resource pt
y=ye;
•
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•
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1 Install Energy -Efficient Windows
• a. Double -Paned
b. Low -Emissivity (Low -E)
c. Low. Conductivity Frames
2. Install Low Heat Transmission Glazing
J. Heating Ventilation and Air Conditioning
1, Use Duct Mastic on All Dud Joints
2. Install Ductwork within Conditioned Space
3. Vent Range Hood to the Outside
4. Clean all Ducts Before Occupancy
5. Install Solar Attic Fan
6, Install Attic Ventilation Systems
7. Install Whole House Fan
S. Install Sealed Combustion Units
a. Furnaces
b. Water Heaters
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
10. Install 13 SEER/11 EER or higher AC with a TXV
11. Install AC with Non -HCFC Refrigerants
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
13. Retrofit Wood Burning Fireplaces
• a. Install EPA certified wood stovesfnserts
b. Install/Replace Dampers
c. Install Airtight Doors
14. Install Zoned, Hydronic Radiant Heating
15. Install High Efficiency Filter
16. Install Heat Recovery Ventilation Unit (HRV)
17. Install Separate Garage Exhaust Fan
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
2. Install Solar Water Heating System
3. Pre -Wire for Future Photovoltaic (PV) Installation
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw = 12 points, 3.6 kw =16 points)
6. Select Safe and Durable Roofing Materials
7. Install Radiant Barrier
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating
2. Install Overhangs or Awnings over South Facing Windows
3. Plant Deciduous Trees on the West and South Sides
1 Energy pt
2 Energy pts
2 Energy pts
1 Enerav of
2 Energy pts
3 Energy pts
1 IAQ/Health pt
21AO/Health pts
2 Energy pts
1 Energy pt
4 Energy pts
31AQ/Health pts
31AQ/Health pts
3 Energy pts
3 Energy pts
2 Resource pts
2 Energy pts
1 IAQ/Health pt
1 Energy pt
1 Energy pt
3 Energy pts
41AQ/Health pts
5 AQ/Health pts
31AO/Health pts
4 Energy pts
y=yes
10 Energy pts
y=yes
4 Energy pts
y=yes
Up to 16 Energy
1 Resource pt y=
3 Energy pts y=
5 Energy pts
3 Energy pts
3 Energy pts
y=yes
CITY OF
kXPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS,,,�j (p _ L J
PERMIT # n a D
7 0075ME
OWNER'S NA: % 0 tiG-a
PHONE #6-G)-Qa/0-{o-/q7
GENERAL CONTRACTOR: L_ fi1c&e Roo rrq
FAX # C/O f
V
I am not using any subcontractors: 7-
Signature Date
Please check applicable subcontractors and complete the followinLy information:
Owner/ Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
}
Excavation
Fencing.
-
Flooring: Carpeting
Linoleum / Wood
i ! A;
Glass / Glazing
Heating
Insulation
1 �
Landscaping
1
iii
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature
Date