08030055 (2) CITYOFCUPERTINO g�^�#�'r++�zq�va�'.<a�w�C*�s RT ���'�`�2`'+�'�'"`� .
' eu�co�nc orv�s�on PERMIT � C(�1�iTRACT.QRINX'`f}TZMATIaN•
�< �t����-ma-t: .��. �' :��.�aa,..�-t.�,�
BUIu2 IriG D�RFSS: PERMITNO.
7U� NEW HAVEN CT TBD – TO BE DETERMINED 08030055 .
�' WNER'SNAME: PERIA7'LSU0DA7H
DENTINGER FREDIC AND PATRICIA 03/11/2008
ON@ SANffARYNO. CONI%OLNO.
ARCHRER/FNGINEFR: BUIIDING PERMRINFO
REROOF SHNGLS FAILED UNDR �ewa e�cr ri.ume MEcx
0 0 0 0
�oa LICENSEDCONIRACTOR'SUECLVtATION _,Jpb,peSCiiF7IlOI1
�� 1 M�cbY��W�1 w 14ciueE unJcr pmriva'u of Chypicr 9(mmmcncin� ^�^ ^ ''"^ "^" ^'^ " '
qz�� wiNSauan]IXMpofDivldanlofNoButineum Aofeecimu mdmyliccmci�
�y in full fa�ce tnd at � �L�0�
��Z Lkevo 1 Lr.N '
Dem�Conuacwr / (� �
ARCHITECI' RATION
�� 1 uMenlnnJ my plmuhtll M1c wed u p .
C�U
y�� LicCnmJ RufCSAomI �Q—
OWNOR-BUIlA2R�ECLA0.ATION
��� � i n�mey.m��Aal 1 em excmpl fmm ihc Conlrecmh Lken¢law far Ne
p O followinC muon.(SrNan'!fq IA.Bwlrcu�nE Rofessiom Calc:Any ci�Y or roumy
S$� which rtquieu��raml�w cnn Wuc4�I�er.hnpmw.MmnIW.m mpoir eny wunu�c -
_ti I�^ormiuiuuuux.YwrequirtaNe�PPlicm�larwchpermitmfiluei6nNN�emem �
x< inukura�ar��N<<a�m�^yo�uoru�co�uxwr�ua��.ccT.�m.s Sq.F[.FloorArea Valua[ion
�Fs (cmnmendn�wiNSrNon10W)nf�ivisionJofNeBud�vss�nEProfusio�uCoEe)or
�r3— Nu k It vemP�Nwfmm md Ne Ouh(m Ne JledrA evmp0on.�nr Wo1Won o(
ScNrn 7011.5 by ury�ppllum fw�pumi�abjecu Ne�ppliam w a dvll pen�liy o( ppN Number - Oewpancy Type .
m�mort�un Ilw Evid�ed dolluf(51001. '
❑I,uarrcrofNepmpvty,amraoP�N'�T�viiLwpuNe'vroleevmpewJon,
Mn m u��n..�a uk w�.,��ro�m�ww a oa�a rm w�cs�.�raa.a�–..
�nd Ralwlov Code:Tn ContrcioY�Llev�x l�a Eoe mt�pply b�n aric of Required Inspec[ions '
W^P�^Y vM Eu11Na imp�aw J�m4 W wMCrcs�uc�whEim+elfmNmui�hu '
own pnPlaym,pmHGA Nai acE impm�emrnu ue no�inteMW maQuW(mule I(. �
Eawever.Na dtiWin�mMVm�ement ia mld�riiAin arc�+r o(mmP�um.Ne mmer-
builEn wlll Nw W buNen o(qvHng Uul le Eitl mt EWIC a impmw(w puryoa a(
ule.l.
❑I.u wrcr M Ne A^V��Y.�m vclurivelY mnuu'�inL�iih li¢nfed conu¢mn a
� cwuuuct Ne pmjett(See.lOaA.Busina��oE Pro(wiam Code:I7Le Covleciurf Li- .
mw!ew Ca�nol yplY�^�n awnc of pmpenY'�'h^builCe or impm�e+Nnean.�nC
wM cantncu(or smb P�k�MN a mnueewe(illieemeE P�W nt m We Conu�emh� � .
' Licemelaw. '
❑ItmeaemplunCa9ee .B&PCforN4won
Kr D��e
WORK2R'S COMPE!lSATION DECLARATION
1 hemby�111nv uMer peiWq of pe�jury orc o(Ne(ollowini�IUWm�c
❑Iluwmdwillmdnuin�CeNflumofCavembalF6uurtfaWorteY�Compen- . ' . .
n�on,u provided fm by Sectlon J700 0(ihc I�bor CaEe,(ar Ne pufo'muix of Ne
woek for vMe�Ni�permit h iuued.
�I Nw uW will mtlnuin Workef�CampnuNon Imurm¢,u aquirt0 bY�+on �
771po(Ihcl�botCoEc.fwNepcRwmmaofNewh(mwhlcliNupe'mituWue6 ' .
MrWorteY�CompewtionNa�c�rtiermEPoli ve: � ' �
C�mv 51'XT13 �j�PoliryNo����Jr' e��. '
CER1lFlGlE OF FJ(F14PIlON FltOM WOR10EIt5
COMPFNSAIION INSURANCE .
(ITL�mim neeC m�M canpletW If iEe pefmi��faane huMrtC OONn(51001 . .
m lu�)
1 cnifY Wt in Ne perfa�mucv af ihe rmk fm wNcb Ni�pamit u iaued.I AWI iwt
emplq�nypenonin�nymmrcrwumbttomewbjeclioNeWortafCompewYon ' . -
I�ws of Glifoml�Da�e
ADP�can�
NQfICB i0 APPI�CANT:If,aMr m�tln6�hu Ceni�am M Eacmp6on,you�houlJ
hsome mEJen b Ne WortaS Campew�lon pmvi�imu a(Ue I�hor Catle,yau muu ' . - �
�O faMwil6complYwiNrvchproWvamwNupermil�hallMd¢mrAmrokcA. ' '
ti CONSfRUCf10NLENDINGAGENCY
[-�� Iherehy�flifmNnNcnh�wim�ucOnnlcnEin���eizyfariAeperfwmuueuf
(Si � Ne wuh fw which ilJi pemili le IuueE(Sx.J09'I,Civ.C.) ' �
Wh Q lendefe Nwe ,
]z Lendet�Addw
V Q 1 eeNfY��11 h�w tud Nb�pDllntian and mm ilW IM Wove infofm�llun i� '
�y^ ro�rtn I�{ta m mmP1Y wi�h tll ciry vW eaunty oNiiunm�ntl eule Im rtWinl m
�v WIIOinicomwction,mE�e2bYwNarlmrtP�nuO.rsofNiecitYa�^�upnnNc
W �hove-menuoneG pmpeny fm i�upeNan pmpmes
y (NMI qae lo nve.LWcmnilY Nd trsP�Iw Ne CtY af Cupcnino�6um1
y IhbiliOu.JoE�menu.comuWe�peiuurhichmerin�nywy�ecrveytlmuiaCl�y
V z ineo�qu�nee un�of�M1upermi�
^ APPLICANT UNDE A 5 AND WILL COMPLY WI A NON�POINf Issued by: Date � �—��'�
0.EGUUn N5. � ��
Re-roofs
r� `N �^ srn��u,�sorsaosune �� TypeofRoof
11 pllont u Wlldinpasupui�poeewMnNehaallomm�¢ritl '
u AeOrcE by Ne Cupeni�ro icip�l Code.CT�pier 9.1;tnE�he FInIN xd SaR�r
I °°`•5"°°"""Z�'�' All roofs shall be inspected prior to any roofing material being installed.
❑Y� �
WIII Ne epplicm�or futwe Wildin{occup�m uc equipmenl ar JeHcea W�ic� If a roof is installed without first obtaining an inspection,I agree to remove
emil he'ruEnu��ir mniamin�n�u JcMN by Ne B�y Ama Air QuWity Man�gcment all new materials for inspection.
otw��n
❑m �
I hew 2W�he hvarMvf molcrlebmqulremcnuunAcrChepus6.93 af Nc Glifw� .
nuHcolNkSefc�yCaEc.Seeuau2S705.25377enJ]5534.IundcnundJWlfNcbuilJin� .
�OC��Ol CURC�IIY�����L wl II If II�Y�WNI�i111Y b�Olil Nc upent of Ne
myulmmenuwhichmu mel 'orwiu anxol�Cmifca¢of N .
Y 3 �$ SignatureofApplicant Date
ow . o� e � o��. All roof coverings ro be Class'J¢"or better
• CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: 'i'wp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35611051 . 00 '
DATE ISSUED. . . . . . . : 03/11/2008
RECEIPT # . . . . . . . . . : BS000004131
REFERFNCE ID # . . . : 08030055 '
SITE ADDRESS . . . . . : 906 NEW HAVETI CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
� IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DENTINGER FREDIC AND PATRICIA
ADDRESS . . . . . . . . . . : 906 NEW HAVEN CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4023
� RECEIVED FROM . . . . : PENROCO, INC
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, 049 . 00 0 .50 0. 00 0 .50 0. 00
1BUSLIC FLAT RATE 1. 00 110 . 00 0. 00 110. 00 0. 00
1REROOFRES SQ FEET 26. 00 338 . 00 0. 00 338 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT : 448.50 0. 00 448.50 0 . 00
METHOD OF PAYMENT . AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 448 .50 #21040
---------------
TOTAL RECEIPT : 448. 50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS
605 FINAL REROOF �
• .
� p�'U3 005�
CITY OF CUPERTINO
. � ��4�' REROOF �
•CUPEI�TINO PERMIT APPLICATION
APN # �� I l � � ' �� Date:���`�a .
Buildin Address:
�0(o �ll�w v Eu Cou
Owner's Name: Phone #:
R� �i- Ct � T hl 6 LI � � Z� � (� U�
, Contractor: Phone #: 209 B3$ • '//7�/
iNNAciB oor^•�ru� �p . Fax#: �9 835- 5oS�
Cupertino Business License #: Contractor"�License #:
(o.ZoyoS
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
�Asphalt Shingles d Asphalt Shingles
I ❑ Wood Shakes ❑ Wood Shakes •
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify) �
Number of exisring coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Lp I foUc.S LA� ITW �W SHI CoUSS
Job Descriprion: ,
' �NI�IJ(,L� S FAllc� UNOE/L WAI�i/� I1� i IZEMovi� oGD � �4VE
t�x�s-r �z,T, CI) LAyEK �,�w "30 �s�-r � cay �v�w .sHr�vG�s,
Residential Commercial
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are an restrictions: ❑
Valuatior�:
+ vo
I Have Read, derstand and Will Comply with Cupertino's Tear-Off Policy:
•
Signatu
� CITY OF CUPERTINO
� ��' `" REROOF
�CUPE�irvo FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
. 1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
� 1REROOFRES Re-roof Residential B 1SFDWLROOF
� 1BSEISMICRE Seismic Residential B
1REROOFMRE5 Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
�
' ` 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 obtauung all inspection
and written approval from the building inspector. A final inspection and
appioval 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 anester installation.
• 5. If plycvood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtauling 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-inspeciion fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/a" 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'sName: �AT121GA �t ��ro�« ��NriN6fIL
Job Site Address: I C� /Ve k) �`�I'�U eN �,�-.
RoofingCompanyName: `INAJAc�uE "�uoPlN6 �,
Applicant's Signature: Date: 3 �� ��
� Greg Casteel '
Building Official
Revised 11/2/04 �
F�1 Communiry Devdopmrn[
10300 Torre Avenue
i ;�i Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408) 777-3333
', �UPEI�,TINO
Buildin De artment
, JOB ADDRESS: PERMIT #
�bCo Ni�W d►�ve� C� . 0�03d6S_'�
OWNER'SNAME: �r�caA �F FR.�vRic ,N6�R PHONE # ' -�3�'- "7
GENERAL CONTRACTOR: ,U�tJqctf� (Zpo � Co C�o, FAX #
I am not using any subcontracto • - ! �
Si ture Date
Please check a licable subconiractors and com te the followin information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
� Linolevm/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
I Masonry
Ornamental Sheet Metal�
Painting/ Wallpaper
Paving
' Plastering
Plumbing
Roofing iNA/AcC� F� G Co.
� Septic Tank
Sheet Metal
Sheet Rock
II � Til
� k �'
er/Con ctor Signature � Date