08070065 (2) BUILDING DIVISION PERMIT Cml!TRACTOR4INI�OItMATIOIV
Pm 9�.�? _ »idvkr.::• -nLN3 rrcbvzSH �aa�_§�'
BUILDING ADDRESS: PERMIT NO.
835 ROSE BLOSSOM DR JIM KRAUSE ROOFING 08070065
OWNER'S NAME: IERMITLSSUEDATE
KATZ MELVYN 2310 DIANA AVE 07/10/2008
lipNE: (406) 779-0704 SANITARY NO. CONTROL NO.
ARCHIEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
u00 LICENSED CONTRACTOR'S DECLARATION Job Description
e I hereby M.Uw 1 am Bounded urtler pmvm isioof Chapter 9(mm onne ng
e^ withSction70MBofDivision3ofdoButirMssandPmfeuiomCada,andmylicenseu RE—RF T/0 EXTNG WDSHK 1LYR& INSTL 7/16OSB,
non rdma,na rtuttt�,,,,,� 3>
Liaenae Cl — 7 Lk.p 30LBFLT
�Fp p,¢ contractor
e 7W ARCHI ECFSDECLARATION PRES TL CMPSHGL CLS A 26SQ
U I euderstand my plans Nall he utod u public rmoda
s
a:
O Licc=d professio al
5 OWNER-BUILDER DECLARATION
r� f 1 hereby affirm that 1 am usampt from the Comrcmrs Llocnm tow for the
00 following meaon.(Section 7M 1.5,Business and Profeaiom Code:Any city or county
j3 V which require a permit to conchal ally.improve.domalW,lir mpur any s=to.
'n prior to its issuance.also reyuima f apPlian,for such permit m file a signed comment
_Z
ss< thauWisli�emadpurm.'to1Wpmvisi."oftheComrcmn.U..Law(Cluman9 Sq. Ft.Floor Area Valuation
age: (commeneingwiNS m7000)of Division3of the Businaa,nd Pmf=ions Cale)or $13�00
and he u exempt therefrom and the Buis for the alleged exemption.Any violation of
section 7031.5 by any applicant for a permit subjects Nc applicant to a civil pmralty of p,t�t Number Occupancy
ml mart Nm five hundred dollaa(SM 35903043 .'rfV' p y Type
1,u owner of Ne property,or my emplaym with wage as their sale comp rnadon,
will do the wok,and Iheswcture u ma intended or offered for sale(Sec 7044,Businea
aro Profemov Calc The Convicers Licosa Law der rot apply to an owner of Required Inspections
propeny who w ills ar improves 0amvn.and w ho dim em lm work War aclf or through his
own employer,provided than such improvements me rot intended proffered for Sale.If.
however,Ne bolding v improvement is told within amu year of completion.the owner-
builder will have Ne burden of proving than M did rot Will or improve fee purpose of
ale.).
O I,as owner of ft property and ealu,ively omtrecting with littmed con rmcmn to '
conmmt Ue pmjen(Sec.7044.Business aM Profession Cade:)The Comrcmra Li-
neve Law dm at apply to an owner of progeny who wilds dr Improwa thereon.and.
who cmuaeo for such projects with a contrumr(s)Hearted puravent ad the Commmue,
Lleemue Law.
❑I am exempt under See .B B PC for this mama
Owner Data
WORKERS COMPENSATION DECLARATION
I hereby drum under penalty of perjury one of the fallowing hGuuimms
have and will maintain a Cenifem,of Covent to elf-inmm far WorlmesCompen-
eation,u provided for by Section 3700 of the Labor Code,for Ne perfarmum of the
work for which Nia permit is issued.
1 bow ane will maintain Workers Compevadon inmrsnce.as required by Section
13700 of tac labor Cook.to,Ne perform.....!Ute work for which Utes permit is boom.
MY Worker,Compammian Inmrmce carrier and Policy number am:
Carsier:$f/}1� 'VNo Policy No.:2'C 000C)8f3
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Cutis medm need rot ba completed Bthe Permit is Forane hundreddaB.n($100)
or less)
1 certify that in Ne performance of the work for which Nia permit is Wood.l shall no,
employ aq porton in try mamerso as to become subject to de Workurs'CompewUm
Lew.of Caliramia.Due
Applicant
NOTICE TO APPLICANT:If,a0er making this Certificate of Exemption,you mould
become subject m de Waimea Compevdtion pmvWou of the labor Code,you mud
.J O raMwith comply with such provision or Nu permit dull he deemed revoked. '
z"5 CONSTRUCTION LENDING AGENCY
[-mom Ihereby afRrm Nat Nem is.mumbcfinn work for which leading eek'a far Na
C> Ne Nu fmfurmana u(
A Leaders Name permit ts iaued(sec 3(lYl,civ.CI
7 z Lander,AM.
U O 1 cvtiry Na 1 haw mad Nis application and,tate Nu the above information u
U.!` toren.l agree to comply with dl city ted county ardinamva and sum laws rebating to
O CSJ^ building conduction.and hereby ambodae nomeamuuves of Nu city to rnvs upon Nc
[t7 ,hove-mentioned property for impaction purpves
(We)agree to are,indemnify and keep harmless the City of Cupertino agaivt
h IiNilidea,judgments,caro and tumor es which may in any way accrue named cud City
ence of the
ratrating of thus
U z APPLr IC NT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
Sgnuum of APPliaHO Dem Re-roofs �-
HAZARDOUS Wilding
ame DISCLOSURE Type Of Roof
Will Ue Cupertino forum boldinga CWpdoeZ and clia1hanm.erid
u dcRred by Ue Cupertino Municipal Code.ChapNr 9.12,and Ue HCdN roti safety
Cade,section 25532ta)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yn FINo
Will the appliamt orffatae wading aceupant um equipment a advices winch If a roof is installed without first obtaining an inspection,I agree to remove
hvardnus air cdmaminmu u defined by Ue Bay Amo Air Quality Management all new materials for inspection.
wrict7
❑Yes Hu
thew mad Neha mmueriaismquimmmmunder ,Cwmper6.95oftheCalifor-
nuHcalN&Secly Codesa6an235U5,25533md2534.1uMc dthuif Um wilding —7
doesnot currently have a L u it u my reapme ibility m ndU(y Ue Waa mt of ftaaqyrra�acrw IenmN
V
owhiahratxtatprarmimmoadf.ccttiBcamalaeopmay. Signature of Applicant Date .
7YP—Dip
own,drauNarirc g , Dare' All roof coverings to be Class';W'or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35903043 . 00
DATE ISSUED. . . . . . . : 07/10/2008
RECEIPT # . . . . . . . . . : BS000005394
REFERENCE ID # . . . : 08070065
SITE ADDRESS . . . . . : 835 ROSE BLOSSOM DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KATZ MELVYN
ADDRESS . . . . . . . . . . : 835 ROSE BLOSSOM DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4263
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : KRAUSE, JIM LIC # 21415
COMPANY . . . . . . . . . . : JIM KRAUSE ROOFING
ADDRESS . . . . . . . . . . : 2310 DIANA AVE
CITY/STATE/ZIP . . . : MORGAN HILL, CA 95037
TELEPHONE . . . . . . . . : (408) 779-0704
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------- ------ ---- ------- ------- ---- - ---
1BSEISMICR VALUATION 13 , 000 . 00 1 . 30 0 . 00 1 . 30 0 . 00
1REROOFRES SQ FEET 26 . 00 338 . 00 0 . 00 338 . 00 0 . 00
---------- ---------- --- - ----------
TOTAL PERMIT 339 . 30 , 0 . 00 339 . 30 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
-------- --------- -----
CREDIT CARD 339 . 30 VISA
---------------
TOTAL RECEIPT 339 . 30
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-- ------ ---- ----- ------ ------------ -------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
0�f 6 � �s
CITY OF CUPERTINO
REROOF
• CUPERTINO PERMIT APPLICATION
APN # 2 D 3 / Date:
Building Address: R �-7� //^
a .3 s �OSe JIaSSa wl � l�cJ Pr�a.tr) 9.J-0! Y
Owner's Name: K ,[Z Phone #: �/o F_ z T�- 3 6
Contractor: �-. �C�gvse �vsr f Phone #: f/O? Z9r y2yy
Fax #: yco8- 779- ?dJ7
Cupertino Business License M Z /y/r Contractor License #:
-3-s V,3s/
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles X Asphalt Shingles
W Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
�C To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:-/�� ,�, s 4. Ea i o y@r s�<�� "ai,3 , 3 a/6
'PrP57cj<..--L.;a( TL Co u-vo 54;.S leS G' losf 4
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
Zl� REROOF
CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
2Z 1REROOFRES Re-roof Residential B 1SFDWLR00F
1BSEISMICRE 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: Mp,� k q J_L_
Job Site Address:
Roofing Company K Name: �' ryv 5 e "RJ 0-t 9 =w
Applicant's Signature: Lp.C_.UnL /�tie�„e} Date: 7—/'0 0 00
• Greg Casteel
Building Official
Revised 11/2/04
7-,,0- Z0;� -3 K f
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 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 points
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 POINTS 40 points
•
Plan Review Process Work Book Page-12-Revised 3/25/08
Green Points Rating System for Remodeling Projects r
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 ]AD/Healtb_
1.Recycle Job Site Construction.&Demolition Waste` .
65%=1 point;75%= 2 points;60%=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 pts y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwaler Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
6.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
1
EMO
B.Foundetion
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 Lum6er 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 Intedor 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 •
r
INPUT ResDurces Energy 1AGII-leafth
Windows
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 Heat Transmission Glazing 1 Energy pt y=yes 0
1 11
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct 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 IAO/Health pts y=yes 0
b.Water Heaters 31AQ/Hsalth 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 pis 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 stovesfnserts 1 IAO/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) 51AQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pis y=yes 0
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=yesD
7.Install Radiant Barrier 3 Energy pts y=yes7 p
1
L.Natural Heating and Cooling 1 1
1.Incorporate Passive Solar Heating 5 Energy pis 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 p
I 1 1
•
b, Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408) 777-3333
•CUPEKTINO
Building Department
JOB ADDRESS: 3,5- �o� -Z�asro� -Dr- PERMIT#
OWNER'S NAME: /Me K s z PHONE # Yo p 2&,s= -5 b
GENERAL CONTRACTOR: f s ooh FAX # Yo 8- 7 79— 9 90;;,
I am not using any subcontractors: C��w a.+ti�� 7-/D—wd r
Signature Date
Please check applicable subcontractors and complete the followinginformation:
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 i w Gv ��7/'` 2 /
Septic Tank .
Sheet Metal
Sheet Rock
Tile
/O' ZctJd
Owner/Contractor Signa Date