090500809000
LKKU=W.
Z
i�
�yU
U.
�0<
02
p0
Km�
J]�y
s� 0
Yy�
BUILDING DIVISION
PERMIT
.ecce ecce... __ ..._........._
BUILDING ADDRESS: PERMIT NO.
22396 BALUSTROL CT R.M. YO:JNG R00
PERMIT ISSUE DATE
OWNER'S NAME:
RRF AMF'ES 141 _ TTs
A 8 8 9 CONTROL NO.
. AONE:
(408) 375-1686
BUILDING PERMIT INFO
ARCHIIEC (ENGINEER:
BLDG ELECT PLUMB MECH
LICENSED CONT RAUtUMi UMcLAKAi tun
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code. and my license is
in full fore and effect. i �% Fl _T RE -ROOF , T / O 2
Licen i• s LM r
Date cortracw 77, G -Z ZZ.- SHAKE, REPLC
ARCHITECTS DECLARATION PRESIDENTIAL
1 understand my plans shall be used as public records
Licensed Professional COMP. 32 SQS.
,J O I forthwith comply with such provisions or this permit shall be deemed revoked.
zrA
w�
aQ
�z
UO
W. F,
OU
�rA
U
3560302
Issued b;
Re -roofs
Type of Roof
Job Description
ROOFS -ONE WOOD SHINGLE, ONE
WITH 1/2" O.S.H. & 50 YR
Required Inspections
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signature: of Applicant D e
All roof coverings to be Class';.`' or better
CITY OF CUPERTINO
RE'ROOF
CITY OF
CUPERTINO PERMIT Y0PLICATION bl 5
APN # 3560,3 (76
Date: S 0
Building Address:
.2 z 3q G %��G u s�rejL
Owner'sne: /
R
Phone #:
�/ til Q_ ac_�
HOA: Yes ❑ No ❑ If Yes, provide letter from HOA
�d �'' S _-2 -Y i
Contractor:
fX'
Phone #:
Fax #:
Cupertino Business License #:
(� J
Contractor License #:
-7
76 k
Type of hoof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
4 Asphalt Shingles
* Wood Shakes
❑ Wood Shakes
® Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Number of existing coverings :Z
❑ Provide I.C.C.E.S. Report #
a To be Removed
❑ Provide Mfgr. Installation Specs.
Off' C ( "CA )sG/%�'
Jo Description:Pee
q % �� ._-
��
)4" 3� &/,Z.",_ e-, � L Vi �/✓a
C'
Residential ®
3� 5
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: k/ 5 _Y6 O t J u
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
h,
Signature
Revised 02/05/09
CITY OF CUPERTINO
REF:OOF
CUPEkT1NO FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
1BCBSC
Cal Bldg Standards
Commission Fee
B
ALL PERMIT TYPES
1BSEISMICO
Seismic Ccmmercial
B
1RER00FRES
Re -roof Residential
B
1SFDWLR00F
1BCBSC
Cal Bldg S-:andards
Commission Fee
B
ALL PERMIT TYPES
1BSEISMICRE
Seismic Residential
B
1 REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BCBSC
Cal Bldg S-:andards
Commission Fee
B
ALL PERMIT TYPES
1BSEISMICRE
Seismic Residential
B
1 BUSLIC
Business L:.cense
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 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 applicd without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the blinding inspector when the re -roofing
is completed.
3. All roofs shall be inspected prior to ary 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 withoui 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 $176.18. The re -inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/ " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re -roofing.
Homeowner's Name:
Job Site
Address: 2 Z3 � �5 •� G$ r G L `
Roofin Company Name: i✓ S `x' /it,
g J /
Applicant's Signature: /�'� • G` Date:
Greg Casteel
Building Official
Rev sed 07/30/08
1. Use tr,+i WvoC Palm
1 IAQ/Health pts
y=yes
2. Use Low VOC, Water -Based Wood Finishes
2 IAQ/Health pts
y=yes
3. Use Low% VOC Adhesives
3 IAQ/Health pts
y --yes
4. Use Salvaged Materials for Interior Finishes
3 Resource pts
y=yes
5. Use Engineered Sheet Goods with no added Urea
5 IAQ/Health pts
y=yes
Formaldehyde
61AQ/Health pts
y=yes
6. Use Exterior Grade Plywood for Interior Uses
1 IAQ/Health pts
y=yes
7. Seal all Evosed.P',at bmd or MW
41AQ/Health. pts
y=yes
8. Use FSC Certified Materials for Interior Finish
4 Resource pts
y=yes
9. Use Finger -Jointed or Recycled -Content Trim
1 Resource pts
y=yes
10. Install Whole House Vacuum System
3 IAQ/Health pts
y=yes
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
y=yes
2. Use Rapidly Renewable Flooring Materials
4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
5 IAQ/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y=yes
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
y=yes
Total Points Available:
Total Points Project Received:
1401 130 57
),/,
0 15 0 0 0
7
G:data/progs/gn:enbuildngguidelines/remodelers/ 1poi�ntsfiinaI2..roteoted.xls