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08070090 CITY OF CUPERTINO e' Rra , ��`% Y' BUILDING DIVISION PERNIIT PkCO1�ITRA-To K Nl`'Q,RMATId1V`-, . PERMIT NO. B UIL�ITWMRKSHIRE DR WOODS 'ROOFING 08070090 OWNER'S NAME: PERMITLSSUEDATE V]'NCENT JAMES H AND CAROLE L 18675 ADAMS CT 07/14/2008 lipNE: (831) 637-5576 SANITARY NO. CONTROL NO. ARCHITECTIENGINEER: BUILDING PERMIT INFO -BLDG ELECT PLUMB MECH 300 LICENSED CONTRACTORS DECLARATION Job Description F V 1 hereby aRrm that 1 w lam used uroe'Provisions of Chapter 9(commercing with Section 7001E of Division 3 of the Business and Profession Code,and my licenxu RE-RF RMV SHKRF&RE-RF W/OSB PRES SHNGLS 50YR CLS ^ n in full farce eM el n !J ^f 5 t jai Lkcnse Clans Lle.f laC A n F,p Da¢ — Comranar 6llA Oy-,3W P 7W �RCHITECTSDECLARATION 33SQ 1 understand my plans shall W used as public menaces 'W6 `y c t; Licensed Professional OW NER-BUILDER DECLARATION E 1 hereby eRim that 1 m exempt frnm the Contractors License law for the EMC following mason.(Section TW 1.5,Buriness and Pmgessiores Code:Any city or county which mquims a Nc it w comum 4 alter,impmro,demolish,or mpoir any,tectum _iy prtwwiu issuance.als�scquira dte applicant for such pcmitw Bk resigned swemcnt < (commania witpuranamwthepmWsions 3NeConuecwnlitenuLaw Professions 9 Sq.FC Floor Area Valuation s. (commencing wiNScmfm1 swish basisafrth alleged assumption. Any vi Coes)of $19698 Natio u es1.5 b themrsmn and the aper for bj allceoe esemaaon Any l penalty of Section 7031.5 m gar,hurt red dolt for a permit subjecu the applicant w a coil pertalsY of �,T�I Number Occupancy e not mart Nan tiro hundred Gallus(SSW). 3 6207018 .•l7'V' P Y�'P L u owsmr c.4 pmPerey,or my employed with w,gd pe Nee sou eompensadon, will dodlewort ands: sue Con unmes .ffud do for sale(Sec.TOas,Busircu and property wh ban Code:The Conhacwr,Luxe law acea nut apply lf an rouSh of Required Inspections own ertywW Wildaorimpmroachtrup and who doczaach act himulror Nrnugh his awn employees.Ins Ping or i Outreach int u semenu am rot iear dekad uralfemd fm ore If. builder the We de,Was. Of moving within oneyw decrepitation.the maof arear- builder will love the burden of proving Nu M die not Wild a improve Ter puryate of tale.). ❑1.u owner of the property.am exclusively contracting with licensed tmntncwn to .. consumes the pmjecl(Sec.1049.Business and Professions Code:)The Conbxsats Li. ave law dad not apply to an owner of property who Wilds or Imprints thereon.and who tomato for such ymjem with•cenuacrher(s)licensed pursuant to the Convectors Lice.law. ❑lamdemptundvsee .BBPCfor Nu mason Owner Data WORKER'S COMPENSATION DECLARATION I hereby aRim hoer penally of perjury mu of the following decimati ons: I have and will maintain a Cenifidle of Consent to self-iuurt for War vers Compen. ration.pe provided fm by Section 3 W or the Mbar Code.for the performance of are work for which this permit u issued. ❑I have and will maintain Workers Comperuaaon Insurance,as acquired by Sceuon - 3100 orthe labor Code.far the Performance of the work for which this Perna is iuuee. . My Wecompeuation atm my aid Policy ark,art: e,,p CamietZ ,9/wST�Y��+ �T_Poliry m No'y1s—SP CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (ThurNon teed Out W completed lithe permit is fords hundred dollars(5100) or less) I cattily tho,in the perfomence of ted wart for which this Permit is issued,I shall am cmpiay shy person in any muncrso as an became subject to the WorkdYCompenuc. laws of California Date Applicant NOTICE TO APPLICANT:If,after making this Cenificam of Exemption,you should became subject to the Wohels Compensation provisions or the labor code you most .J O foMwith comply with such provisions or 11 Pemll shall W deemed revoke. Z Fr CONSTRUCTION LENDING AGENCY I thereby alliin that them u,constnretinn leading agency r e .) far Nelerfhmance err �i L the wart far which this pcmit u issued(sec.3091,civ.C.) :D Q Leaden z Lcndeh AddsAdm eu U 0 1 ocnify that 1 hale read this application W sum that are above information is LL ^' comcL 1 aero w comply with all city aro county ordnarand ro iwes ta rows mw latine -0 CEJ^ Wilding conwucaon,and hereby wNarize represenusims;orNu city to truer upon the W .nave-mentioned Property for inspection PUH L (We)agree to an.indemnify and keep hafmiens the City of Cupertim against pr) Iimiliues,Judgments,casts and e,pcma which may in any w'ay.Me ftaa read City U 2 to canugnerve of Ne grassing of this Permit APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date J S UR EGUUMONS TI9-Op/ Re-roofs Signarhc of Applicam/Convuwr Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding odupant Rose or handle hazardous material u defined by the Cupertino Municipal Cade.Chapter 9.13,and du Health and Safety Code.serum 25532(,)?Yd All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding Occupant uta equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove w h harvdous air conumiunu at defend by the Ray Asa Air Quality Management all new materials for inspection. District? C]Y. ®rue 1 have read the hazardous,mouririamquirements under Chap 106.95 ofdte Califor. ria Haiti&Safety Cade,Sucvou 25505,25533 and25534.I undcmmnd Nuifthc Wilding does not currently have a IvranL that,Is u my responsibility at rndly the odu not of dte mgni nt. 'mm�nxmet�ina(�ceraEamaracupemy.y Signature of Applicant Date owsuer err aaararizee,gent D,te All roof coverings to be Class'W'or better CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: pdtg COPY # 1 SIC : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36207018 . 00 DATE ISSUED. . . . . . . : 07/14/2008 RECEIPT # . . . . . . . . . : BS000005460 REFERENCE ID # . . . : 08070090 SITE ADDRESS . . . . . : 1139 YORKSHIRE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : VINCENT JAMES H AND CAROLE L ADDRESS . . . . . . . . . . : 1139 YORKSHIRE DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4916 RECEIVED FROM . . . . : LAWRENCE E WOOD CONTRACTOR . . . . . . . : WOOD, LAWRENCE E LIC # 20810 COMPANY . . . . . . . . . . : WOODS ROOFING ADDRESS . . . . . . . . . . : 18675 ADAMS CT CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037 TELEPHONE . . . . . . . . : (831) 637-5576 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------ ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 19, 698 . 00 2 . 00 0 . 00 2 . 00 0 . 00 . 1REROOFRES SQ FEET 33 . 00 429 . OQ 0 . 00 429 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 431 . 00 0 . 00 431 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER. ----------------- --------------- -------------------- CREDIT CARD 431 . 00 AMEX --------------- TOTAL RECEIPT 431. 00 VOICE ID DESCRIPTION . VOICE ID DESCRIPTION ----- -------------------------- --- ------------------ ---------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • Oeo7 00y0 CITY OF CUPERTINO REROOF •CL)Kk INO PERMIT APPLICATION AP # 2 v G ( U Date: a 7-1 BuildinAddress: Owner's Name: Phone #: yds- ,25-3 —33G 5 Contractor: p Phone # _ p 3 �'t O D 's /�ue/� n/6 int Fax #: $ - 776 -5; 7 a o Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles a Asphalt Shingles b--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: r1'�irro✓� SfioY,� lP��r,/= {�/>�a� /tir�xY os.a — �/'��,l�c T, 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 Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature CITY OF CUPERTINO i � REROOF CUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type YPe Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B IREROOFRES Re-roof Residential B 1SFDWLR00F / IBSEISMICRE 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 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: J;/ Ir7 o S Y,/V C c9:rl Job Site Address: _ 3 YX Roofing Company Name: �C OO b ��� /v L Applicant's Signature: ///�- - 5 �� Date:ZL/�(-O . 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 72points 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 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 s. TOTAL POINTS 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 INPUT Resources Energy IAQ/Heafth 1.Recycle Job Site Construction&Demolition Weste 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 pis 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 8.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 I am B.Foundation 1.Incorporate Recycled Flyashin Concrete 25%Recycled Flyash=2 points;Add i point for every 10% • increase of fiyash,up to 5 points up to 5 Resource pis 0 2.Use Recycled Content Aggregate 2 Resource pts y=yes 0 3.Insulate Foundation/Siab before backfill 3 Energy pts y=yesF:::: 0 1 1 1 C.Structural Frame 1.Substitute Solid Sawn Lumber with Engineered Lumber 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 10Resourcepts. 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 pis 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 8.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.Subtloors 1 Resource pt y=yes 0 b.Sheathing 1 Resource pt y=yes 0 • 1 1 •tNPUT Resources Energy M0111eafth • I.Windows 11nstall Energy-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 Dud 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 7 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 3lAQ/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 stovestinserts 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 IAO/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts Y=Yesl 1 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 L.Natural Heating and Cooling 1 1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y--yes 0 3.Plant,Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 1 I 1 • - Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 g UMkTINO Building Department JOB ADDRESS: PERMIT# 139 )01� H. oeo7 ov9 OWNER'S NAME: c PHONE # 'S'�3 GENERAL CONTRACTOR: �/ s at��rwG FAX # og. 7?G- 97.20 I am not using any subcontractors: � 7-/5r-o g Signature Date Please check applicable subcontractors and complete the following information: 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