08080165 (2) CITY OF CUPERTINO - + f' 41 .70.
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BUILDING DIVISION PFRNUT CONTRAC"TCIR� QRMATIQN >
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BUILDING ADDRESS: PERMIT NO.
: 0960 KESTER DR DRAEGER CONSTRUCTION INC 08080165
NER'S NAME: PERMIT ISSUE DATE
!'U!':DA DE LEON HECTOR C AND REI 605 COMMERCIAL ST 08/22/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
ROOF OVER LAY W/ DURO LAST O lO PMB MScH
0 5
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LICENSED CONTRACTOR'S DECLARATION „Job Description
OT
u I Wren,afRrm that I am liamcd under provisions of Chapter 9(commencing ^-^^-^--^ ----^^- ^^^- P
with Section 7000)of Division 3 of dm Butinest and Professions Code.arta my licesse is
in full fora and ef(eeL Q
j�Z Licrnsu Clazs Lk.L '
n F q Dau Of- 2 O Comrxror
7W ARCHITECI-SDECLARA
TION
Nn
U 1 understand my plinastill be,,.a u public racoma
•
3.
L a Licensed Professional
OWNER-BUILDER DECLARATION
iI I hereby sRrm that I am uempt from the Contractor's License Law for me
ZOO following mason.(Section 7031.5,Business and ProfesGum Cade:My city or aunty
$ which on,int a permit to cnnswct,slur,improve,demolish.Or rtpoir any$.On.
prior to is issuance.also req,ores tW applicant fursuch Permit to file a signed summent
Ethat he is licensed pontoons to the provislum of the Commeu's License Law(ehapbr 9 Sq.Ft. Floor Area Valuation
Yea (commendng with Section 70DO)c(Divition 3 of the Bue.and Profestiom Cade)or
that be is exempt therefrom and the basis for the allege eamption.My violation of
Section 7031.5 by any applicant for a permit bbicce,the applicant to a civil penalty of APN Number Occupancy T e
not mare than five hundred dollars(ISM. P Y YP
❑L ot he wo althe the
structure
a mY moPloyces with wages u Je4 role70".Bu amen,
will dodeem.ande: swcturt isnosinundedo awdofarsok(Sec.7014,wne,of
and Profession coda:Th.Contracbr's Llama Law dam outapplyf rt rm uh of Required Inspections
—a
property who builds ve id Our ssth trapn and whodaao,i mwok himedfodwugh his
—a employees.Wilding
Jot wen impmvemuaartnotiear fl mocere fmukrit.
however,the Wilding eimprovementutaro within one year of completion.the purpose
of
Wilder will haw the Wrsten of proving Nn be did rot Wild or improve for pumose of
ak.).
❑1.u Darter of the property am escletively ccousning with immued contractors an
construct the project(Sec.7044.Business and Proleasiom Cede:)The Consomme,U.
cense law does not apply in an owner of property who Wilds or improv theresn,and.
who conlmca for such projeea with a emtrwbds)licensed pursuant an the Conuuloh
L mem law.
lamcacmplunder See ,B&PCfmthis.
net Dam
WORKER'S COMPENSATION DECLARATION
1 hereby arms under Penalty of perjury erre of the following declasubms:
I have and will malneain•Cesufium of Comenuo self-Imurt for Worker's Compere
cation,as,pmvidcd for by Section 37M of the Labor Code,for the performance of the
work for which this permit is issued
- than and will maintain Worker's compensation Insrana.u ox meed by Section
00 of the taW,Code.to,the pedoorcu ce of the work for which this permit is Issued.
My Workefa Compensation hoot.artier and Policy number are:
Conic.SrGl.. zs.5tt 4fala rP Policy No.:71440 17I 700<0(
CERTIFlGTE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
O'lossccdon teed not W conpkmtl lithe permit is foronc hundred do0tra(S10G)
or less)'
I certify thm in the performance sf tic work for which this permit is issue.I thell not
--ploy any Person in any manrursu u to become subject to the Workers'Compenstrion
Laws of Califomia.Data
Applicant
NOTICE TO APPLICANT.If.after making this Cenifrum of Esemption,you should
become subject to the Worker's Compcnsadoo provisions of the Labor Code you most
.J O fothwith comply with such provisions,m this pewnit shall be damctl mocked.
z '-" CONSTRUCTION LENDING AGENCY
.�.
[-a Ihereby iflm Jut Nes is.rned1'..3W.leading agemy trot the Performance of
a Jan work for which this pemuit m issue(Sec.J09'L Civ.C.1
1 0 lender's Nam=
7 z 4ndeYS Mdreu
U 0 I certify that I have rte this application and seats that the above infomu lm.u
u, coved.l agree b comply with all city trust aunty onlinanas W sate laws relating to
.0 Wilding conatsction,W hereby wtheris mpsxnutiwsof thadly b cnw upon Jan
above-mentioned property for inspection puroses
p
F 4 (We)agree to taw,
,indemnify and Iump harmless the city of Cupertino against
ry h liabilitiu.jndgmena.case and expemcs which maY in any way rtcmc agalnstsald City
U z c�����su-gqaxeof the grantinL of Nu permlL
mPPCiC,INf'tl E NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date "
SO CE REGUL N .
—Q7 Re-roofs
Signature o pp u n prem U`'
HAZARDOUS MATERIALS DISCLOSURE - Type OE ROOF
WIII Ns applicant o fMuni ipalCoo occupant note or land]- Health
-aerial
Sued by the Cupeniw Municipal Cade.Chapur 9.13.and ale HnsIN sod Safety
.section zss324)7
EYu P�Ko_
All roofs shall be inspected prior to any roofing material being installed.
W01 mea cant or future Wilding eau If a roof is installed without first obtainingan inspection,I agree to remove
poll.( g pant taw c.Air Qui or deviaa which P g
e�cl aNnm air conumimnu u defined by me Bay Area Air Quality Manag;mem all new materials for inspection.
❑YinNu
Ihave malthe k Sec matedals553requirements5334.1 Chapter Q95ofJe Calibr.
nuHulthdr Safcty Code.4that iti 2myr uW25S3/.l Machan to OcUp Wilding \ h _O
dos not currently Mve a unsnl mu it u my responsibility a uctify the occupwt of the I L
mrnu whkIt W 'or to issuance ofa CeNf Ocapancy. Sig tore of Appleant Date
fr�2-0
Owner onmharvcd agent 1kne ' All roof coverings to be Class'%t{."or better
CITY OF CUPERTINO
;01 ang�
REROOF
CUPEkTINO PERMIT APPLICATION
Ok6/tom
APN # Date:
-1 -
Building Address:
Owner's Name: Phone #: 3ND
— 2u{da de Leo"-
Contractor: Phone #: 9,15-. 3 13 .0 100
Fax #: Sla 5. 313 ,
Cuperh o Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
,a--Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) _a—Other(Specify) tot-0
Number of existing coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed o Provide Mfgr. Installation Specs.
Job Description: jco�_ ooe.A_ boy uw0tk \juro -Lw 5kk e- � wem-oom,,ae-
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
Revised 6/16/08
CITY OF CUPERTINO
REROOF
ITPOF
CUPEkTINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLR00F
p
5cl
IBSEISMICRE Seismic Residential B
IREROOFMRES 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: MA(1,� Q k,"
Job Site Address: Inq(ot)
Roofing Company Name:
. Applicant's Sign re: �Date �5 '
Greg Casteel
Building Official
Revised 07/30/08
Community Development
g'
10300
CupertinoitTorre
CA 95014
Telephone(408) 777-3228
PE(,TINO Fax(408)777-3333
OCU
Building Department
JOB ADDRESS: PERMIT #
0 �16
-
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR: � FAX #
I am not using any subcontractorc�
��Signa 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
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
• CITY OF CUPERTINO
PERMIT INVOICE OPERATOR: SylviaM
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35628014 . 00
INVOICE DATE. . . . . . : 09/02/2008
REFERENCE ID # . . . : 08080165
SITE ADDRESS . . . . . : 10960 KESTER DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RUEDA DE LEON HECTOR C AND REI
ADDRESS 10960 KESTER DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3916
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 DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE
-------------------------- ---------------- ---------- ---------- ----------
SEISMIC RESIDENTIAL PRINTING PERMIT 1 . 30 1. 30 0 . 00
RE-ROOF: RESIDENTIAL , PRINTING PERMIT 260. 00 260. 00 0 . 00
---------- ---------- ----------
261. 30 261 . 30 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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cel t �a d"ejainteSPei j s ,
Visit Our Web Site at www.thermotestinc.com p 0�
01
INFRARED THERMOGRAPHIC REPORT
Prepared For: '�
Ertech
g 22 v k
10960 Kester Drive. OgOgo/(q.)
Cupertino, California
Requested By: Dick Tippett Inspection Date: 7/18/2008 - 7/18/2008
Title: Owner Number Of Days: 1
Technician: Hanna, Kevin Inspection #: 4204
Administrative Office: 3070 Kcrncr Boulevard,Suite A,San Rafael,CA 94901 •(415)453-7200 Pax(415)453-2065
. Los Angeles(310)791-2777•Central valley(209)632-6167•Oregon(541)488-0431 •San Diego(619)448-7256
'1all free:(8111)640-3133(t/SA) email: irtest(a'.pacLell.net +velrsite:xwn.t6a'molrstinc.com
Spot2
• ! (��yNCO 70 i }
t 14 P �
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Fu11�Se�ee Tst' � a�°'d 1V�ainten�n�� Specialists
July 21, 2008
Dick Tippett
Owner
Grtech 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 performed on the roof of the
building located at 10960 Kester 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 Kcmer Boulevard,Sniic 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
'full Free: (81111)640-3133(USA) email: irlestG?;pacbcll.uol
•
DOCUMENTATION PAGES
•
• test, Inc
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t. >pot 2
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� � cep stg�ardainte ,��Specia►�st §-'�'� , � r'�j.
Baseline - Documentation Image
Location Path to Equipment:
Roof\ Area #1
Equipment Details: ve * 'p , ` ; 74.3T
Barcode: pis, 70
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Equipment ID: 60
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Manufacturer:
. Y• F l a
'- 50
40
30y
TRMS Amp Readings:
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V.
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Fr{�♦
• Administrative Office: 3070 Kerner Boulevard,Spite 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(ii;pacbell.net svebsi le:1+ivsr,l hermntesline.cn ni
6 '� .xv� ., i Asc`n �f � GpoS2 y r•e. i
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• ^ LN �^ s re7r 4;1 a� '3p TO? "* .t i• s xa V`i,+'
Baseline - Documentation Image
Location Path to Equipment:
Roof 1 Roof profile
Equipment Details: * 74.3-F
,.
Barcode: ) .i !. 70
.-<
Equipment ID: _
60
Manufacturer.
50
40
30
TRMS Amp Readings:
• Administrative Office: 3070 Kenner Boulevard,Sui1c A,San Rafael,CIA 94901 -(415)453-7200 Fax(41.5)453-2065
Los Angeles(310)791-2777-Cenlral Valley(209)632-6167-Oregon(541)4s8-0431 -San Diego(619)448-7256
Toll Free: (N00)640-3133 111SA) email: irhst(ii:pacbell•ua•1 svebsile: 5ns n.dlernun eslincann
a• W- YfJ 7 ;
ce' stng"ancf_ ainteY iSPeceati
Erteeh Equipment Test Status Key
TBT =To Be Tested
Problem Type Key NT/NL=Not Tested/No Load
10960 Kesler Drive E Electrical NT/TC=Not Tesed/ n a Constraint
=
NT/UR=Not Tested/Under Repair
Inspection Date: 7/18/2008 Inspection #: 4204 M =Mechanical NT/LO=Not Tested/Locked Out
V =Visual Inspection NT/NA=Not Tested/Not Available
NT/NS=Not Tested/Not Specified
Inventory of Inspected Items NSFI =Not Selected for this insp.
LOCATION / EQUIPMENT: Barcode: Test Status: Problem #:
Roof TESTED
Area#1 TESTED
Roof profile TESTED
Administrative OOice: 3070 KernerBoulevard,Suite A,San Rafael,CA 94901 •(415)453-7200 Fax(415)453-2(165
Los Angeles(310)791-2777•Central Valley(209)632-6167•Oregon(541)488-0431 •San Diego(619)448-7256
'roll Free: (81)(1)640-3133(USA) email: irtestrii/paebell.nel w%ebsile: 1vtcic.tbrrnurlecline.eom