09060073 CITY OF CUPERTINO co
BC'ILDING DIVISION PERMIT
PERMIT NO.
lot;,.DING AbDRESS:
20302 CARTWRIGHT WA TBD - TO PERMIT ISSUE DATE
OWNER'S NAME:
S CONTROL NO.
JAIR NQ LEE
GONE:
BUILDING PERMIT INFO
ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH
°C ZLICENSED CONTRACTOR'S DECLARATION Job Description
VI hereby affirm that I am licensed under provisions of Chapter 9(commencing
0Z with Section 7000)of Division 3 of the Business and Professions Code,and my license is RE-ROOF INSTALL OSB SHEATHING 30 I LB FELT CLASS
y in full force and eff
v�Z Licen Lic'N A
t- Date Contractor
ARCHITECTS DECLARATION
< 1 understand my plans shall be used as public records
yU
'Win Licensed Professional
< OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
3 o O following reason.(Section 7031.5,Business and Professions Calc:Any city or county
m Pi which requires a permit to construct.alter•improve•demolish,or repair any structure Valuation
prior w its issuance,also requires the applicant for such permit to file a signed statement $q•Ft Floor Area
?< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9
FT- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or
3 R E that he is exempt therefrom and the basis for the alleged exemption.Any violation of APl1 Number Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars(5500). 31642007 . 00
❑1,as owner of the property,or my employees with wages as their sole compensauon,
will do the work and the structure is not intended or offered for sale(Sec.7044,Busineaa Required Inspections
and Professions Code:The Conuactoes License Law does not apply to an owner of
property who builds or improves thereon,and who dos such work himself or through his
own employees,provided that such improvements are not intended or offered for sale.If,
however,the building or improvement is sold within one year of completion,the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business and Professions Code:)The Contractor's u-
ccnse Law roves themon.and.
who contracdoes
s for such projects with a contractor(s)licensed pursuannot apply to an owner of property who builds or t to the Contractor's
License Law. B&P C for this reason
❑1 am exempt under Sec
OwnerDate
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury time of the following declarations:
❑1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen-
sation,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑I have and will maintain Workcr's Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is issued.
My Worker's Compensation Insurance carrier and Policy number arc:
Caric.l � Policy No.: g/07
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars($100)
or less.)
I certify that in the performance of the work for which this permit is issued.I shall not
employ any person in any manner so as to become subject to the Workers'Compensation
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
�Z forthwith comply with such provisions or this permit shall be deemed revoked.
Z 2 CONSTRUCTION LENDING AGENCY
[.r ham. I hereby affirm that iherc is a construction lending agency for the performance of
> the work for which this permit is issued(Sec.3097.Civ.C.)
W Q Lender's Name
=z Lender's Address
V C) I certify that I have read this application and state that the above information is
correct 1 agree to comply with all city and county ordinances and state laws relating to
Q Ubuilding construction,and hereby authorize representatives of this city to enter upon the
W above-mentioned property for inspection purposes.
a (We)agree to save,indemnify and keep harmless the City of Cupertino against
liabilities,judgments,costs and expenses which may in any way accrue against said City
V Z in consequence of the granting of this permit. Date
►� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Sc
SOURCE RE U ATIONS.
��� 1 biz�oS Re-roofs
atum of Applicant/Contractor Dare T of Roof
HAZARDOUS MATERIALS DISCLOSURE Type
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes 'Of. If a roof is ins Called without first obtaining an inspection,I agree to remove
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection.
District?
❑yes o
1 have mad the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health&safety Code,Sections 25505.25533 and 25534.1 understand that if the building 1` f(
does not currently have a tenant,that it is my responsibility to notify the occupant of the Date
requirements which must be met prior to issuance of a Certificate of Occupancy. S 1 nature of A pplicant
[.A-/,� All roof coverings to be Class%"or better
o neer or authorized agent Date
aT
CITY OF CU PERTINO
REROOF
CUPEkTINO PERMIT APPLICATION
APN # 0-7, 6U Date: � l /�g
3cp y b
Building Address:
o2030d C kf&-)e rC--'&-r wry`(
Owner's Name: -T R 6 H N CT e Phone #:
HOA: Yes No ❑ If yes. provide letter fromHOA
Contractor: L, ti�: Phone #:
Fax #: �Ibg
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles )( Asphalt Shingles
,e?' Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S, Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: 7-6q 1p
ftS or-j,��-r-
5 3 e izL--L 4 a
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:
' 6,11
Signature
Revised 02/05/09
CITY OF CUPERTINO
al __ REROOF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fei,
1 BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Resider tial B 1SFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
/ Commission Fee
1BSEISMICRE Seismic Resider.tial B
1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residential B
1BUSLIC Business Licens,. 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 applied without first obtaining all inspection
and written approval from the building in3pector. 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 ro Ming installation.
4. To receive a final sign off from the City,the following steps are
required:
1) Pre-inspection and/or tear off approva:..
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
5. ,,-If plywood is installed,a plywood nail ins-Dection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new materiei down to the sheathing,
so a proper City inspection can be perform ed.
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 "pe:-foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O.report is required to be on the.ob site at the time on inspection.
- I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: J q C +4V f`(:--7 L
Job Site Address: ,_b_j 0 oZ- L A C_rW 21
Roofing Company Name: okl._ l UI�aetli l v�ltiC'
Applicant's Signature:- Date:
VGreg Casteel
Building Official
Revised 07/30/08
INPUT Resources Energy
I.Windows
1.1nsW EmW.Effioiart ffindcxivs
a.Double-Paned 1 Ene-gy pt y=yes 0
b.Low-Emaey Pow-9 2 Ene-gy pts y=yes 0
c.Low.CoxWoMly 2 Ene•gy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Ene-gy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on AM Dudt J*is 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Ene gy 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 IAQHealth pts y=yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Ene-gy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
8.Install Sealed Combustion Units
a.Furnaces 3 IAQ'Health pts y=yes 0
b.Water Heaters 3 IAQ'Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Ene�gy pts y=yes 0
10.Install 13 SEERA 1 EER or higher AC with a TXV 3 Ene-gy 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 stoves(nserts 1 IAQ,Health pt y=yes 0
b. Install/Replace Dampers 1 Ene-gy pt y=yes 0
c.Install Airtight Doors 1 Ene-gy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Ene-gy pts y=yes 0
15.Install High Efficiency Filter 4 IAQ'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 31AQ'Health pts -ye'
0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Ene-gy pts y=yes 0
2.Install Solar Water Heating System 1D Ene•gy pts y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Ene gy pts y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) lip to 18 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Reso jrce pt y=yes 0
7.Install Radiant Barrier 3 Ene-gy pts y=yes 0
1 11
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
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 Enercly pts y=yes 0
1 1 1
M.Indoor Air Quality and Finishes INPUT Resources Energy IAD/Health
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAO/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 RE source pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61A«/Health pts y=yes p
6.Use Exterior Grade Plywood for Interior Uses 1 IAO]Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAOJHealth. pts y=yes 0
S.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IA]/Health pts y=yes 0
! 1 !
N.Flooring M -
iMIN
1.Select FSC Certified Wood Flooring 6 Res)urce pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Res)urce pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Res)urce pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAC/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Res)urce pts y--yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Res)urce pts y--yes 0
1 1 1
Total Points Available: 140 130 57
Total Points Project Received: 01 0 0
G:data/progs/greenbuiic6n 39uidelines/remodelers/greenpointsfinal212.Wrotected.xls
j June 11, 2009
�J
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-32003Y° -To: Whom so ever it my concern
Jae-Hong Lee who is the resident of the prope ty 20302 Cartwright-way, is planning to
install a new roof for his house. The new roof details are listed below:
1. Roof Material: Presidental Alphalt Fib-.r Glass shingles by Certainteed.
2. Roof Colour: weathered wood.
3. Gutters : Metal, 30%-white color.
The Home Owners Association doesn't have any objections with this new roof install. If
you have any further questions,please don't h-sitate to call us.
Sincerely,
Neena Bhatnagar
Secretary Vista Garden Home Owners Association
20303 Cartwright-way,
Cupertino, CA 95014
408-366-2772