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CITY OF CUPERTINO
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CONTRACTORANFORMATION
BUILDING DIVIsioN' PERMIT
BURgI�c D�f'9TEVENS CREEK BLVD
PLATINUM ROOFING INC
PERMITNO.
08070012
OWNER'S NAME:
_
PERMIT ISSUE DATE
THE MATTESON COMPANIES
1900 DOBBIN DR
07/01/2008
NE:
SANITARY NO. CONTROL NO.
(408)280-5028
ARCH=/ENGINEER:
BURRING PERMIT INFO
BLDG ELECT PLUMB METH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
lob Description
P -
1 hereby affirm Wt I am Immersed under provisions of Minor 9 (commencing
with Seem.7")afDivImm3Ofthe Business and Protons. ndmyliaw.is
%°�`
RE -RF INSTL APPLD RE-INFRCD RFLCTV COATNG SYS OVR
eff
once Liceof lassndm Lk.N 90"a
EXTNG BLT -UP CAP SHEET 96SQ CLS A
Oa¢ Contractor
,
ARCHITECTS DECLARATION
! I understand my Plans shall W used as Public roods
Licensed Pmf.uional
OWNER -BUILDER DECe
ConumON
1 kmhy Srm that 11. exempt from the fesn License Law for the,
Cade: And or county
i following moon. (Section 703 1.5, Business, and ons Cou
.
ere. dcdons
m
aper, impmw, de m repay any munum
which require a permit re cores
the Permit t WNmen1
the lretouch pafmll Lace.
al3art Canusiww
$q. Ft. FIOOC Area
Valuation
thatM isits tolthe inions the s.
licensed Pursuant to the (C Code)
I
$26660
ndPrxlaw
oDisioruaf
(comma or
of
of timBed!excandon. Any
(commencing with Secfterat and busis for
thn k V emmpt Ncrtfsurn and Ne book for the alleged! ea<mption. AnY violation of
0.,he Is
Occupancy Type
Pane Y YP
Suwon 7031.5 by a y mpllcanr for a permit subjects the aPylicmt to a civil Penalty OfNumber
nm mom down me hundred dollars (s500).
3 2 6 3 2 0 5 2.
❑ 1, as owner of On pmpmty. or my employee with wages as Neo role com's adon,
Required Inspections
will do Ne wok and On abuctum is our intended mnRertd for win (Sec. 10th. Business
and Potassium Cede: The Conlrcmr's Liarue law does, sunt 1PP1Y m as mamae of
q P
Property who builds or impmws thereon, and who does such work himsel f or through his
Own employers, provided Vas such improvements art not intended mutilated Intranet. IL
however. doe building or improvement is sold within one year of completion, that owmr-
Wildo will have, the burden of proving Nat W did ms build or impmve for purpoe of
ask.).
a
❑ I. as owror of On property, am exclusively contracting with licensed contractors In
construct the project (Sec. 7W. Busing and Prefecdmts Code:) The Com emmeS Li -
come law does am apply to an owner of proF^y who Wilds or Improves Nermn, and,
who contracts for such pmj.ms with a comacmr(s) licensed pursuant to Vs, Contractor's
License law.
❑ Iamuempimucu Ssu .BAPCI.Ois .
..
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby arum under Penalty of perjury one of the fallowing duWatione.
I ban and will mumein a CaatiOcate m Consent to seE-Insure for Wmicompere-
smon, as provided for by Section 3100 of the Labor Code. for Ne performance of Vre
work for which this Permit k issued.
❑ 1 ban vM will maimuln Wmkcfs Compensation Insutanm, u required by Scedon
3700m(the labra Code, for Ne pedoncnc.fNe work fowbi-cch the .I, is issued.
'
Worker' C m{ p petuaVmn ITE 11
� ram-
cy icy
(i{�L� �/ b ✓�
Grtiefae• im
ca l No.:
7�CE MEMPTION WORKERS'
CERTIFlC
COMPENSATION INSURANCE
PE
(Thiss,cerpas road notbecampleled ildne permitufmane hundreddeBan($100)
err les)
1 cenlly Nat in the performance of Ne work Im which this permit is issued, 1 shall not
employ any person In my mannerm as an become subject in the WmfkC(] L'm111penaaY011
Laws m Cuifomia. Dam
Applicant
NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you should
become subject to the Worker's Compensation pmvisiotu of Ne Labor Code. You mum
' fotbwith comply with such previaimna Or Nu pernil shall be deemed rewkcd.
LENDING AGENCY
CONST"them
I kmbhich tru Vow there is
isacom lending agency for the perfermame of
sued (Suunn
' the work for which Ods permit u issued (Su. 3091, Civ. C.)
Lender's Nam.
Lander's Add.
1 certify, that I have road Ws, application and sum door the men information u
'
' comes. I agree to cwrPly with W city and county an!. and arms laws relating m
Wilding commuction, and hereby suNoriae representatives of Nis city to tato upon Ne
mcoo-mentioned Properly rte inspection purposes
(We) agree town, indemnify and keep hamkv the City of Cupertino agursu
j liwbilitiesludgmcnts. tato and up'"-. whits mryin anywyamue qunstsu&City
Nis Per mit.
/'/�/A
' APPLICANT UNDERSTANDS
PPLICANT AND WILL COMPLY WITH ALL NON -POINT
ISSDed by:
SOURCE REGULATIONS.
Re -roofs
Type of Roof
J%�� A& 7-01—A
Signature of ApplicwVCmurkctO1 Data
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future Wilding occupant some or handle hauNous material
as dented by the Cupertino Municipal Code. Chapter 9.13, and the Health and Safety
Code, Section 25533(a)?
All roofs shall be inspected to any roofing material being installed.
]Ye ON.
prior
If a roof is installed without first obtaining an inspection, I agree to remove
g
coterrdevices Mich
B sew Ana
Will e; applicantorinure Wilding by
til hourdnm coir contaminants as defined by Ne Bay Arca Air Quuily Management
all new materials for inspection.
istrict?
❑Yes C] No
1 have mal Ne hamod. materials requirementsunder Chanter 6.95ofthe Califor-
niaHealthh Safely Code, Sodow255(15.25533 and 15530. l undersand doa if the Wilding
-J%„n gejA Tal-
does, Inas currently haw a Icon, thm it u my responsibility m redly Uc occupant of the
(juJC� �'C�J'� o
an III$ khm Oi i�'C(Ilf flCNpalty.
kD/
Signature ofApplicant Date
(:9,11LL94"`InlOrbIa$mallei a&F=
,`Cil
All roof coverings to be Class '%Q" or better
Owner m mthmiecd agent Dam
• 2 ITEMS OF 2
0
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 32632052.00
DATE ISSUED.......: 07/01/2008
RECEIPT #.........: BS000005317
REFERENCE ID # ...: 08070012
SITE ADDRESS .....: 20813 STEVENS CREEK BLVD
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: THE MATTESON COMPANIES
ADDRESS ..........: ONE LAGOON DR., STE 200
CITY/STATE/ZIP ...: REDWOOD CITY, CA 94065
OPERATOR: patg
COPY # : 1
RECEIVED FROM ....: PLATINUM'ROOFING IN
CONTRACTOR .......: MICHAEL T. STEPHENSON LIC # 22805
COMPANY ..........: PLATINUM ROOFING INC
ADDRESS ..........: 1900 DOBBIN DR
CITY/STATE/ZIP ...: SAN JOSE, CA 95133
TELEPHONE ........: (408)280-5028
FEE IO UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
-------------------------------------------------------------------------
1BSEISMICO VALUATION 26,660.00 5.67 0.00 5.67 0.00
1REROOFCOM SQUARES 96.00 643.00 0.00 643.00 0.00
TOTAL PERMIT : 648.67 0.00 648.67 0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
648.67
---------------
648.67
VOICE ID DESCRIPTION
-- ---------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
#21203
VOICE ID DESCRIPTION
----- -------------------.---------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
arr o
• CUPEkTINO
r
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OFD -7 0 C)1a
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
APN #
p C__> � cS v
Date:
-0/— 0 8
Building Address:
Owner's Name: •7—ye , i0.f�t�
Phone #'(6�I 90-Z-400
rJ
one Lop�oor% j,r,1va_ s.,'�re_�2oa
Vleltuool- c: eq. 9 `1063—
Contractor: plo, :niJ�� �.ate;,�q n
J
Phone #:&OS 2rd
Fax #: � 0105 29 O — S'
Cupertino Business License #: 2 2S oS -
Contractor License #:
Type of Roof Covering:
Existing: Proposed:
Built -Up Roof ❑
Built -Up roof
❑ Asphalt Shingles ❑
Asphalt Shingles
❑ Wood Shakes ❑
Wood Shakes
❑ Wood Shingles ❑
Other '
Wood Shingles pr
❑ (Specify) ❑
.Other (Specify) Crw� ag�pp1.-e_d- (ocb1
Number of existing coverings ❑
Provide I.C.B.O. Report # L/ -�-- g.S
❑ To be Removed ❑
Provide Mfg. Installation Specs.
Job Description: F nS V0,W C-1VI cgPktt 1
=e.'2 �e d �e Le�,4;,•� c�a�,
eNcss�4 r�q
n
$vi [1—V
Residential H
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: &26,6 G O
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
Signature
an-ft
CITY OF
CUPERTINO
CITY OF CUPERTINO
REROOF
FEE SCHEDULE
•
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
96 SLIS
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
/
1BSEISMICO
Seismic Commercial
B
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
71
LJ
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: Cm VAP CLn F e- C
job Site Address: 'Zog(—S Sj kMW c cx-ee& AI//
Roofing Company Name: eLq h rW „^ 1n„ p /Lg �h
Applicant's Signature: `�%roSP_ O-LeA a Date: �t_o L .O
. Greg Casteel
Building Official
Revised 11/2/04
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408) 777-3228
Fax: (408)777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next -day inspection.
• 2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry -rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7.30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear -off 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
• Greg Casteel
Building Official
Revised 8/13/04
C_
LJ
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
72points
D.
Structural
3.
Uses Wood I -Joist, (See Spec.)
S-2
5.
Use Truss with heels, (detail)
S-2
6.
B. OSB Sheathin detail
S-2
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 POINTS
40 points
LJ
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 Weste
65%=1 point; 75%= 2 points; 80%= 4 points up to 4 Resource pts
0
0
0
0
0
0
0
0
1
0
0
0
0
1
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 Disruption of Existing Plants & Trees 1 Resource pt y=yes
0
6. Implement Construction Site Stonnwater Practices 2 Resource pts y=yes
0
7. Protect Water Quality with Landscape Design 2 Resource pts y=yes
0
S. Design Resource -Efficient Landscapes and Gardens 4 Resource pts y=yes
0
9. Reuse Materials/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 Flyash in Concrete
25% Recycled Ryash = 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
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y:
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10) up to 10 Resource
3. Use Wood I -Joists for Floors and Ceilings 2 Resource pts y:
4. Use Web Floor Trusses 2 Resource pts y:
5. Design Energy Heels on Trusses 6' or more 2 Energy pts y=yes
6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=yes
7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes
8. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes
9. Use Structural Insulated Panels (SIPS)
a. Floors 3 Energy pts y=yes
b. Wall 3 Energy pts y=yes
c. Roof 3 Energy pts y=yes
10. Apply Advanced Framing Techniques 4 Resource pts y=yes
11, Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes
12. Use OSB
a. Subfloors 1 Resource pt y=yes
b. Sheathing 1 Resource pt y=yes
0
0
0
0
0
0
0
1
0
0
0
0
1
•
1. Install Energy -Efficient Windows
2 Energy pts
• a. Double -Paned
1 Energy pt
b. Low -Emissivity (Low -E)
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Enerav of
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
Y --yes
3. Vent Range Hood to the Outside
1 IAO/Health pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y --yes
8. Install Sealed Combustion Units
a. Furnaces
31AO/Health pts
y=yes
b. Water Heaters
31AQ/Health pts
y --yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
13. Retrofit Wood Burning Fireplaces
2. Install Solar Water Heating System
• a. Install EPA certified wood stoves/inserts _
1 IAQ/Health pt
b. Install/Replace Dampers
1 Energy pt
c. Install Airtight Doors
1 Energy pt
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
15. Install High Efficiency Filler
41A0/Health pts
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=
2. Install Solar Water Heating System
10 Energy pts
y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw = 12 points, 3.6 kw =18 points)
Up to 18 Energy
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=
7. Install Radiant Barrier
3 Energy pts
y=
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
•
F,
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS:
2 a S) 3 s /c„ctis ct it t3 lv
PERMIT # O E O-7 O c> f
OWNER'S NAME:-r�m dye Co M an ; CE
PHONE # /g p a
GENERAL CONTRACTOR: / n,,, 4,bo C / ✓1
FAX SO eo
I am not using any subcontractors: !bs-t o d14M-0 - /—Os -
Signature
-O$Signature Date
Please check applicable subcontractors and complete the following information
Owner/ Contractor Signature
Date
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
i/
Roofing
/ I n d
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature
Date