08080166 (2) BUILDING DIVISION PERMIT C�ATRACTO$INIOIt1�IATION
BUILDING ADDRESS: PERMrr NO.
11062 CANYON VISTA DR DRAEGER CONSTRUCTION INC 08080166
NER'S NAME: PER Tr ISSUE DATE
RANCHO DEEP CLIFF HOA 605 COMMERCIAL ST 08/22/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHOMCUENGINEER: BUILDING PERNIM INFO
ROOF OVER LAY W/ DURO LAST BO D PLUMB O
Ins,
LICENSED CONTRACTOR'S DECLARATION
�� thereby affirm that l am licensed noun!pmvisions,of Chapter 9(eormenems —•�^^_ ......-.`...,.f.__ ____-lob Description
with Section?IX1U)of Division 3Ofthe Busire..and Profeaions Calc,and my license is
in full-�i fora and cffecL 11-7
0 Ilm. Class oumr
i
e pp 99WW As sloth EW a LTS DECLARATION
?W U I understand nJ my pashall used Public mconur
a
5 Licensed Professional
5 OWNER-BUILDER DECLARATION
I 1 hereby aRrm that 1 am exempt room the Conuamofs Lkcnse Law for the
no following manor.(Section 7M U.Business and Prelawmv Code:Any eity or county -
$6! which mcpuires a permit in tot,aluer.improve,demolish,or mpao any ransom
—Zy Prlar Or its issuance.also requires the applicant far such Permit to file a Signed statement(
< that he islicensed PursuanttoftProvisions ofOnConuacmriLic.Lme(Chapter 9 Sq. Ft.Floor Area Valuation
Y $ (commencing with Section?000)of Division 3 of the Business and Professions Coen)or
_ that h w exempt marefmrm and the basis for tax alleged camptiom My violation of
Section 7031.5 by any applicant far a permit abjcros the applicant to a civil penalty of APN Number Occupancy rye
not mom One five hundred donors(SSW). P y •7 Pe
0 I,v owner of the property,cary employees with"tow titeirale corpenrathm.
will do the wart and the monstum is at mended or affetod for win(Sec.Nod,Buu^-..
and Poofe.sions Cade:The Cortncmfs License law does ret apply to M owner of Required Inspections
property who builds orimproves tam con,and whodossuch work himselforthrough his
awn employees,provided Nat such improvements are not intended oraRued for We.R. _
hot the Wilding or Impmvemens is sold within ane)ear of compleuom,the owner-
Wilder win have On buNrn of proving Nat he did rot Wild or improve fa prime,of
saki.
0 I.as owner of the properly am exclusively contracting with licensed contracmn to
consmat the project(Sec.714,Business and Professions Cade:)The Contractors LL
cave Law das sot apply of an Owner of property who Wilds or improves thereon.and,
who contracts for such pmjeela with aedruesctoKs)licensed pursuant in the Conlraetafs
License Law.
40 IameerpaurdarSee .B&PCforthirreuan
xr oale
WORKER'S COMPENSATION DECLARATION
I humor affirm under perelsy,of perjury oro of the following dManuav;
❑Itivo and vont mainuina Cutifinu of Commxntmalf-insureforWohNsCompen-
ation,an Provided for by Section 370 of the labor Code.for the performance of Or
work for which this parork is WOOL
pawaau1 will maintain Waftes Compensation Insuaana,v raptured by$water
3700of tie ISWr Code.fa the performance of the were forwhich this permit is issued. '
My Workers Compensation Insurance carrier and Policy number am:
Cartier.]TrlL _J'NS UPOM(11Policy No.:7 IQI&Ida CTQ.i')I
CERTIFICATE OF EKEMPnON FROM WORKERS
COMPENSATION INSURANCE
(This section need set W completed B the permit is resume hundreddoilara($100)
or les.)
1 amif-v that in the performance of On wart far which this Permit a issued,l shall not
employ anypernon in any manners aa r become subject to the Workers'Comperadan
Laws of Caiiforia Data
Applicant
NOTICE TO APPLICANT:If.after making this Ocnifiue of Exemption.you should
m
becoe subject to the WotcCod
k
's Compensation provisions of the"am e,you muss
.J Z faMwish comply with such Provisions ser this permit shall be deemed revoked.
z O CONsTRuc ION LENDING AGENCY
(--m IhembY affirm that them is a covwetinn leamdingagency far One randormanceuf
(Yi .fir
On wart fur which this Permit a issued(Sec.3091,Civ.C.)
Q Lender's Name
0.
L
a Z curlers Address
U O 1 eadfy that I have mad this appficatior and rum that the abase imommulao is -
U, COMCL I agree to comply with all city and county Ordinances and mak laws totaling On
p Wilding construction.and hereby aothonm rprrsemativms of this city of Omer upon the
above-menuaeed property for inspection
.ttic.Purposes
y (Wer)agree to an.indemnify and kecV harmlev tie City of Cupertino against
pt li cone pow. emu learn ng.r Ousuwhich may in any way accrnc against aidCity
APFLICuavear NagraoAKDS A Permit.
APPLICANT UNOERST DS AND WILL COMPLY WITH All NON-POINT Issued by: Date
RCE REGULATIONS.
Re-roofs
Sign AppliaanuContrecmr Dale
HAZAROOUSMATFJUALSDISCLOSURE Type of Roof
Wll ice applicantnofuture Wild ingc.Chantsmmorand cHaNavmaerial
Red by the Cupertino Municipal Coder.Chapmr 9.12,and 1W Health and Safety
Section 2sslz(a)? All roofs shall be inspected nor to an roofing material beim
_ ❑re, Na P p Y g g installed.
Will the applicants or futum Wilding oatpant ata equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit lotwomer air cantsminants as defiand by the Bay Atom Air Quality Managnrems all new materials for inspection.
District? P
0yv
Ihavo mad Ne hvvdaus maxrialstoquiremcnts untkr Chaper G93 of the Califor-
ria Health&Safety Cade,tesuaL it
my
amh23334.1 uandry thaliftourn Or ng
Jas not curtentiY haw a Want dict it u my sespovibililY m mwufy de occupant of de G L
ohien x( mysmatof.CatureaeofOcmmpanry. Signature of Applicant Date
_ -Z L-�� All roof coverings to be Class'%¢"or better
Owner or ausharirsd agent t Dam' g
CITY OF CUPERTINO
SUN,& REROOF
CITY OF
CUPERTINO PERMIT APPLICATION
D�b � o�mC�
APN # Date:
:5� Z� 0,3q.00 -1 -
Building Address:
Owner's Name. Phone #: 1-10$ . X26. 3410a
Contractor: Phone #: 9Z5. 313 .0l O
Fax#: 9 3 1 Gg7-
Cupeftiho Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
uilt-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) -a--Ofher (Specify) 'j),zro - l c.c,-�
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: Rood oucx IL . wkik Doro-Le's 61 Le- P1,
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 is plan set & the sheet index.
Valuation:
°.
Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
REROOF •
CUPEI,TINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B 1SFDWLROOF
�fl s
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B IMFDWLROOF
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: Re\,kkrV rn VII J�
Job Site Address:
Roofing Company Name:
ANU
• Applicant's Signature• Date: 2-7-
Greg
-ZGreg Casteel
Building Official
Revised 07/30/08
f Community Development
10300 Torre Avenue
✓' Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�CUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
Odod�-D(lblG
OWNER'S N PHONE # q-) nje3n
GENERAL CONTRACTOR: FAX #
I am not using any subcontracisrs �
�e 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
• CITY OF CUPERTINO
2 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 35628034 . 00
DATE ISSUED. . . . . . . : 08/22/2008
RECEIPT # . . . . . . . . . : BS000005865
REFERENCE ID # . . . : 08080166
SITE ADDRESS . . . . . : 11062 CANYON VISTA DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RANCHO DEEP CLIFF HOA
ADDRESS . . . . . . . . . . : 10913 CANYON VISTA DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : DRAEGER CONSTRU
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 ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------- --------- ---------- ---------- ---------- ----------
1.I3SEISMICR VALUATION 13, 576 . 00 1 . 40 0 . 00 1 .40 0 . 00
].REROOFRES SQ FEET 20 . 00 260 . 00 0 . 00 260 . 00 0 . 00
-- ---------- ---------- ----------
TOTAL PERMIT 261 . 40 0 . 00 261 . 40 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601. ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
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Visit Our Web Site at www.thermotestinc.com
INFRARED THERMOGRAPHIC REPORT
i Prepared For:
Ertech
11062 Canyon Vista Drive#6&90/a°
Cupertino, California
Requested By: Dick Tippett Inspection Date: 7/18/2008 - 7/18/2008
Title: Owner Number Of Days: 1
Technician: Hanna, Kevin Inspection #• 4206
Administrative Office: 3070 Kemcr 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: irtestOa pacbell.net eebsile: wwe.thermotestinccom
Spot
701
Th&M, 1004
� far' T.
Fu11.Serce�� andMaintenancCTV! Speialists r
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 on the roof of the
building located at 11602 Canyon Vista 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
Z
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Baseline - Documentation Image
Location Path to Equipment:
Roof\ Roof profile
Equipment Details:
74.3°F
Barcode: � .: ,,;� j _ :.5s .. ;
70
Equipment ID:
80
Manufacturer:
50
wV
40
30
28.1°F
TRMS Amp Readings:
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• Administrative Office: 3070 Kemer 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: irlest@pacbell.net website.www.thermotestinc.com
j ' Ewe '4!rt '�` �.�� �'�'F�.? .!fl 4 e1r "'�S<` i��"s°Cfiat:•�, n.;n if t yytt " �'NI � �+0$? �N' v
aft a 1. � �1 aE3 ��^ f ���� ,Qpot 7 'd; •, + ( '�a"_
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Ertech Equipment Test Status Key
TBT =To Be Tested
Problem Type Key NT/NL=Not Tested/No Load
11062 Canyon Vista DriveNT/TC=Not Tested/Time Constraint
E =Electrical
NT/UR=Not Tested/Under Repair
Inspection Date: 7/18/2008 Inspection#: 4206 M =Mechanical NT/LO=Not Tested/Locked Out
V =Visual Inspec0on NT/NA=Not Tested/Not Available
Inventory of Inspected Items WINS=Not Telectedf Specified
NFI =Not Selected for this insp.
LOCATION/EQUIPMENT: Barcode: Test Status: Problem #:
Roof TESTED
Roof profile TESTED
•
• Administrative Office: 3070 Kemcr 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
Foll Free:(800)640-3133(USA) email: iriest@pacbell.net website: www.thermotestinc.com