08070072 CITY OF CUPERTINO
BUILDING DIVISION PERMIT a CON'�'RAC�TOR�TNFUItMATION
BUILDINGADDRESS: PERMIT NO.
1.0292 TERRY WAY TBD — TO BE DETERMINED 08070072
OWNER'S NAME: PERMIT ISSUE DATE
PATRICK KONG 07/11/2008
VE; SANITARY NO. CONTROL NO.
ARCH!"ECT/ENGINEER: BUILDING PERMIT INFO
RE—ROOF BUILDING 15 FELT 'BLDG ELECT PLUMB MECH
0 0 0 0
u o o LICENSED CONTRACTOR'S DECLARATION
I hereby afore ton I an licensed under provisions of Chapter 9(commencing - 0 Description
with Sccdon'IIXIB)of Division 3 ufthe Business and Professions Code,and my new is
n th a foll mree and cffec is "h6" IPIAy
z Lirene aaa.
F Dam CSDECL
A.mail use DECLARATION
I unticmand my plan Nell he tired u public rtCoNs
at; Licensed Professional .
3 OWNER-BUILDER DECLARATION
I hereby alfim that I am exempt from the Contractor's License Lew for the
O o following moon.(Section 70315,eusineo and Professions Calc:Any City or county
3$ which requima a permit m ansancL slot,impmvs,demolish,ar.pais any attract..
_Zee prior to its I...also requires the applicant farsuch permit w nlea.lgnedsummem
< drat he is licensed puraent to the provisions of the Convector's license Law(Clupmr 9 Sq.Ft.Floor Area Valuation
x�$ (commencing with Scmi 7000)of Dwishn 3 of NC Business and Prol.m.Code)or
- that he Is exempt therefrom and dm hob for the alleged exemption.Any violation of
Section 70315 by M pplicar,(.a pemlt mbjees the applicant W.a.il penalty of ane APN Number Occupancy Type
oat ream than nn hundred dollars(315Wo _ P Y YP
I,oawau of the pruperty,omy wplayen with wegesothe'vmlccompenotian,
wUl do the wart,and the smaum b notinmM d aroffmd forsele(Sm.70a4,Basi•...
and Profession Coda:The Communes License Law does act apply to an owner or Required Inspections
property who Wildaoimpmwsthemomand whodenauchwrk himulfar through his
awns employees,proided Nat such imprmemen s am not intended aro@red forale.If.
however,the building or improvement is mid within one year of completion.Ne omm,
Wilder MB haw the burden of proving shin In did net build or improve for purpose of
sale.).
❑I.u owner of the Property w exclusively conuacdng with licensed eontractan to _
Construct the ptojem(Sec.7014.Business and Prefamions Cade)11ue Conmmm's U. .
cone Law don not apply to an owner of property who builds or improves Neuron.and
who Contracts for such projects with a mntranor(s)lived pursuant to theConvector's
License Law.
❑I sonexempt under Sex. ,B St P C far this rwoa
Owner Data
WORKER'S COMPENSATION DECLSRATION
01 1 hereby affirm under penalty of perjury mo of the fallowing declarations:
ban and will maintain a CeNOcamof Consent to elf-inure for WaMfs C.Na.
nation.as pm.iaee for by Section 3700 of the Lanni code.for the pedons.of the
wok for which this permit b issued.
❑I ban and will maintain Wurkels Compensation Insurance.o required by Section
3700 of the labor Code,for the perfamana otiose work for which this permit is issued.
My Workers Compensation bssed 'ur.M Policy nu Tart:
Carrier.�/yi �Policy No.:
CER77FIC TE F ( P ION FROM WORKERS'
COMPENSATION INSURANCE
(fhb seNa need ret 4 conplemd if the permit is faaec bundraddoB.n(SI00)
urins)
I anify thou in the pmfomence of the work for which this Permit Ls issued.I shall oat
employ any persan in any manner an as to Memo subject to the Warteri Comperhalon
Laws of Califomis Dam
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should '
become subject In the Warkel.Compensadon previsions of the labor Cada you most
.J O forthwith comply with such provisions o NNat
Nie Permit i be deemed tented.
'�y CONSTRUCTION LENDING AGENCY
[-a 1 hereby affirm that Nem is.construction lending agency for that Performance of
Ne wish for which this permit b Wood(Sec.3097,Civ.C.)
0 Lender's Name
z Leader.Addlom
V 0 1 anify that 1 Mn read Lou application and sum the Linc shun infomatiun is
D.E eartee'm.I agllm to t'amPIY with cell city and emnty aNInaMYa and state laws relating m
0 Wilding convection,and hertby.mhome,reprnesstiws of Nu eny mentor upon the
show-mentioned ntapcny for inspection eaes pulpwhich ms
F y (We)agree to one.indemnify and kap hamless IM City of Cupertino against
Z li Consequence
ons quenc of
Omand Of
Permit.
APPLICANT
may in any way accrue agunstssid City
V z A PLICANT of the granUNDERSTANDS
of this D WILL
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:S 94_0� Date
SOURCEREGU
7 " Re-roofs
Signature ofA ton on rs
Az+RDouMATERIAIs DISCLOSURE Type of Roof
Will the tofuture Wilding acupwmen or o ardonsmsmri.l
o denied byythe Cupertino Municipal Code,Chapter 9.13.andcad the Health and Safety
Code.satian 23532(.)7
❑Yes XNa All roofs shall be inspected prior to any roofing material being installed.
PWill the applicant or rule.Wilding occupant um cquipmem Or dcHas which If a roof is installed without first obtaining an inspection,I agree to remove
it Wmrdous air canumincl o dcnned by the Bay Area Air Quality Management all new materials for inspection.
s .n
trict?
❑tan r�1tHu
I ban mad the humminesmacriab requirements under Chapmr6.95 arthe Califor-
niRfies"SefetyCao.Seeuau25505,25533 and 25534.1 understand nhatifdo Wilding
does not monody ban.tons,died it is my n apomihility to mdfy ser acupant of do
requiremanswhkh he t drmm.uacaof.CeniroamofoecvpOyt Signature of Applicant Date
Owner ata auNari cd a n
Dam All roof coverings to be Class'4a'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35917013 . 00
DATE ISSUED. . . . . . . : 07/11/2008
RECEIPT # . . . . . . . . . : BS000005406
REFERENCE ID # . . . : 08070072
SITE ADDRESS . . . . . : 10292 TERRY WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PATRICK KONG
ADDRESS . . . . . . . . . . : 10292 TERRY WAY
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : PATRICK KONG
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO`BE -DETERMINED
ADDRESS
CITY/STATE/ZIP . . . . ,
TELEPHONE . . . . . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------- ----------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 4, 800 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00
IREROOFRES SQ FEET 38 . 00 494 . 00 0 . 00 494 . 00 0 . 00
---------- ---------- -- -- ----------
TOTAL PERMIT 604 . 50 0 . 00 604 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 494. 50 1083
CREDIT CARD 110. 00 master card
---------------
TOTAL RECEIPT 604 . 50
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
A
•CUPECITRTINO PERMIT APPLICATION
MO- 7 0,9 122
APN # Date:
5 " 3 �v
Building Address:
Ao29x Toy N WA" pf6dlojo CA 9$01
Owner's Name:V 0 Phone #:
'Ntru{c k.a 4/59 3gTXD
Contractor: Phone #: 4-o I >-0 6710
` tAamkSlyt V LA, Fax #: 46 ) >-O6 / / 1
Cupertino Business License M Contractor License #:
y L
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
A Asphalt Shingles A 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: 1 ?r
-e a� Ott 5
r2rb4,r_y � b
{ "114�
U
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: ❑
applicable, include in plan set & the sheet index.
Valuation:
I Y0
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO
« �J REROOF
CUPERT`INO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0.M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
3� 1RER0OFMRES 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 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: f gtri& k0K 0
Job Site Address: 0L42. e✓✓ LAJR
Roofing Company Name: oda. i C0ag4,u-*o_
Applicant's Signature:_ Date: J10�
. 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 7points
11. Permeable Paving, Note L-1
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1
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
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
•
•
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.Srte INPUT Resources Energy A01Heafth
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 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 pts y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwater 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 Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pis 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 fiyash,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
0 F=
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumbef 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 pts y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
B.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 pts y=yes 0
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0 •
INPUT Resources Energy IAQIHealm
.Windows
1.Install Ehergy-Efficient Windows
• a.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) 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
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints 2 Energy pts y—yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts 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 0
8.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 31AQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
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 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 stovestinseris 1 IAQ/Health pt y=yes 0
b. Install/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 31AQ/Health pts y--yes p
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0
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=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 pts y=yes p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 I 1
•
Community Development
J10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408) 777-3333
*UPERTINO
Building De artment
JOB ADDRESS: PERMIT #
o;L.qZ w o a 45 t ojo--1 o o ? Z
OWNER'S N v,ck-Y:9�tq PHONE # tfL
GENERAL CONTRACTOR NIA FAX#
I am not using any subcontractors: 7 / 11
14
Si ature Date
Please check applicable subcontractors and complete the following information:
65 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
?~� 7111/05
Owneo<ontractor Signature Date