08070009 (2) CITY OF CUPERTINO `'�
BUILDING NVISION._ PERMIT + CO'1�ITRA QR IN ORMt1.T.IO.N,"
PERMR NO.
BUILTf�OdDD, 'NANNA DR TBD - TO BE DETERMINED 08070009
OWNER'SNAME; 1 - PERMIT ISSUE DAIS
SUE LIOU 07/01/2008
NE: SANRARY NO. CONTROL NO.
ARCHTIECT/EiGINEER:
BUILDING PERMIT INFO
BLDO ELECT PLUMB MECH
(� C= l�
X00 LICENSED CDNTRACT R'S DECLARATION Job Description
4 1 hereby anion that l am licensed under pmvisimu of Chapter 9(commencing p
.i with Section7")ofDivision 3of the Business andProfessions Code.and myli--u RE-RF CLS A 22SQ INSTL 2"PLY ISO T/0 TAR&GRVL
< in full forte and effectIl 'J C
is Oxen.Clazs-�Lk.g J RPLC
H Dao:��=G O Conuanor GARG
SIJ ARCHTIECrSDECLA non ALL DRY ROT FBRBRD PNLS &DETCH
gqI undersand my plans shall be mad a public remNs
JyU
g o G Licensed Professional
3 OWNER-BUILDER DECLARATION
< g I Wmby anion Nat I am exempt from the,Contractor's license Law for the
❑O following mason.(Sada.7031.5,Business and Frofte inns Code:Any city or county
which require a permit n consoma,slater.improve.demaluh,or mpolr mY summers
_lo' prior to its issuance.also require the applicant for such permit W file a signed statement
matWulk=owed aursuant to de,movisionsa the Camranars Lee.law(Chap.9 Sq.Ft.Floor Area Valuation
E~g (commencing with Section 7(00)of Division 3ofthe Bminetsad P mxxiuu Code)", 14000
— that he is exempt therefrom and the basis for the alleged exemption Any violation of
Section 7031.5 by any applicant fora permit mbj.0 the applicant to a civil penalty of Number Occupancy Type
not mart than five hundred dollars(55001 3 7 5 2 9 011 . P Y YP
1,as owner of the prop sty,n my employes with wages u their vele compensation,
will do thework.and thesuunum isms,imendednraRemA iterate(Sec.7 .Busincw Required Inspections
and Profession Cadc The Committers License naw does coe nst apply m an ow xee of q p
property who builds or im prove,de4eoM1 and who does sued work hinurlf en through hu
own mnploye s.provided tharsuch improvements are notintended or offered forssle ff,
however,the building or aprowmem is mid within arc year of conpleuon,the.
buildor will have me burden of proving that bo did no,build or improve for purpose of
"it.).
1,as owner of the property,am exclusively contracting with liceved con each rs In
emu rout the projat(Sec.7014.Business and ProRsdom Code:)The Conuacmrs U.
cove law does not apply in an caner of property who Wilds or improves thereon,and.
who commets for such projects with a emu amer(s)licensed purmant to the Contractors
Lice.Law.
(]I am exempt under See .B B P C for this paten
Ownv Dau
WORKERS COMPENSATION DECLARATION
1 hereby anirm under penalty of perjury one of the following declarations:
Ihawahawimaintain•Cedrimmof Cons=niaself-ivurtfor Ws &Compen-
sation,as provided for by Section 3700 of de Labor Code.for me peAormance of the
work for which this pmmft is issued.
❑1 have and will maintain Worker,Compensation I...as required by Savor
37(10 of the labor Cade.for the per tmosom often work for which this permit is issued.
My Worker's mCompensation Wuranee tamer and policy number area': / -
Caer.CEL' 4-fv`Tu Polity No.:y -0632169.0".
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu mcum need our W compkmd if the peonit isforanc hundred dollars(SIW)
m less)
1 certify that in the performance of the work for which this parrot is,Wooed,1 stall not
cmpmy any'permn in any ro.,an az to become mbjct to the Worktn'Compenvtim
Laws of California.Doc
Applicant
NOME TO APPLICANT:If.after making this Cer iEcae of Exemption.you should
become subject b tis Worker's Cerepermdon provisions of the Labor Cade,you must
.J O forthwith comply with such provisions or this permit shall he damcd mwkcd.
Zy CONSTRUCTION LENDING AGENCY
'res 1 hereby Nim thatmere isa.omuuctim km1m,agency for the perfamn eof
C
the work for which this permit is issmd(Sec.3097,Civ,C.)
Q Undoes Name .
z Urulces Address
U Q I curtly that 1 haw mad this seeieadon and sum tis de above information is
IL F corms I agree or comply with all city and county ordinances and suis taws relauog ut
.O U Wilding construction,and hereby authorise rtprexnuuves of this city to enter upon the
above-mentioned property for Inspection.wugwxs
Er„W (We)agree to saw,indemnify+fid tap haoml.the City or Cupertino against
f/) in'somi judgmentse trading
i ng expevos mit. may in my way urnc agavt said City
U? m upnce of time 6,mun6 of mu permit
PP UNDERSTAN AN WILL COMPLY WITH ALL NON-POINT Issued by: Date
SO EGU
ienatne arnppfiandCam r 2 - n� Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the appliom or future Wilding casement amort or handle handouts materia
az dtflned by the Cupertino Municipal Code.Chapter 9.12,ad the Heath and Safety
Code,section 15532(,)7 '
41 ❑Ya U(Na All roofs shall be inspected prior to any roofing material being installed.
Will the,applicant fur futum building mcr ant am a roof L installed without first obtainingan inspection,I agree to remove
pp g p m Air Qu or devices which p
emit hvardoos air mnumimnu u defined by the Bay Arta Air Quality Management all new mat rials for inspection.
Dismie'7
C]Y. Nu
ve mad lhehvsodws materials recuhemenu under Cleaner 6.95 of the Cnifor.
ni al &Safety Cod=.Sccuov2M5.25533and75534.1undc,standmuiflWWilding
e tY have cot that' my mobility he nobly de oecuPant of me v
mqui mem hie me issu is C,
Slg ureofApplicant Date
-01
g ���w All roof coverings to be Class'."or better
weer o,authonssda em Dam'
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37529011 . 00
DATE ISSUED. . . . . . . : 07/01/2008
RECEIPT # . . . . . . . . . : BS000005314
REFERENCE ID # . . . : 08070009
SITE ADDRESS . . . . . : 18731 HANNA DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SUE LIOU
ADDRESS . . . . . . . . . . : 18731 HANNA DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : JOHN FONT
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 14, 000 . 00 1 . 40 0 . 00 1 .40 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110. 00 0 . 00
1REROOFRES SQ FEET 22 . 00 572 . 00 0 . 00 572 . 00 0 . 00
------ ---------- ---------- ----------
TOTAL PERMIT 683 . 40 0 . 00 683 . 40 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 683 .40 AMEX
---------------
TOTAL RECEIPT 683 . 40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
De D-7 000'7
CITY OF CUPERTINO
aouv REROOF
OF
IWUPEkTINO PERMIT APPLICATION
APN # Date:
Building Address:
1 i 7 31 0-041
Owner's Name: Phone #:
5�.e. L- 0 u
Contractor: Tb1_ m Pam�_fFAb) /�CPO )?60Fjnl �SMy
Phone O 668
'716 T 50-n Afr1n rZ) Kc! PALo Acro 9Y363 Fax #: 660 �y3�O(o 83
Cupertino Business License #: Contractoricense #:
5JY 16 L
Type of Roof Coverin 50 U -�-
pETd cH � ,
EX, t, 0 �IIM /
g: Pr PAP,{16G.
>�BUilt-Up Roof �l Built-Up roof 7RZA-VMoCriF/EDgi Ih£i�
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes /�
❑ Wood Shingles Li Wood Shingles 0-6 Root, COM)
❑ Other (Specify) ❑ Other (Specify) TIS PVC,Sl al L PI
Number of existing coverings I a Provide I.C.B.O.Report# /
V To be Removed , Provide Mfgr. Installation Specs.61j 5iTE
�) k 7EA R. a FF r 170.6 SQ• { HAW-9,0cts�
s 1 "YotY Ts0 -Fo Ilowe�6 ` " SB secttir� � r%'�c � 1
Job Description: 'T EARQFFEXlS G1AP tiq
fZepkce. aJI dry ro4ecd Fberboxrd P n.e-Is 1`1ea . '2ooPDeo
Rep lae� all
az
/O �1 PPleo iso (;mea rff�wife Pr,�nta �v r 12�DQY Ror F�C1
l" NDE --EB $0 M11 VC SIAlle, L S _4gr l qCA csl
Residential X 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, i dude in plan set & the sheet index.
Valuation:
' I Have R*, do:tand and Will Co ply with upertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO .
REROOF
CUPERTINO FEE SCHEDULE 41
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMIC0 Seismic Commercial B
2Z 1RER00FRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE Seismic Residential B
1700 g6Wf: 1REROOFMRES Re-roofMulti-FamilyB 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
M
I
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: p-7 1 p
Job Site Address: L O l3 ) 1a4 n a-
D
Roofing Company Na Di C."
Applicant's Signature: Date: t�
• 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 7polnts
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 A2-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 [AWHealikiiiii
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 Mater aIs 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 Qualityvnth Landscape Design 2 Resource pts y=yes 0
8.Design Resource-Efficient Landscapes and Ganiens 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
EMO
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 pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab 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 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 ResDurces Energy IAQ�iealth
• .Wmdows
. 1.Install 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 Heal 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=yes0
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 31AO/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 slovesfinsens 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 IAO/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 3 IAQ/Health pts y=yes 0
1 I 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 p
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 1 1
£ Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
SC
UPERTINO
Building De artment
JOB ADDRESS: /973/ M a),n n 0. r-` PERMIT #
O
OWNER'S NAME: S u PHONE 3
GENERAL CONTRACTOR: A FAX #
I am not using any subcontractors:
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
ile _
Owner/Contra for Signature Date