09100026I CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7583 NORMANDY WAY I CONTRACTOR: LOS GATOS ROOFING PERMIT NO: 09100026
OV^ER'S NAME: WEI-TE WU
P O BOX 1726
DATE ISSUED: 10/05/2009
ER'S PHONE: 4089738815 1 LOS GATOS, CA 95031 1 PHONE NO: (408)298-9399
NLICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor Date
I hereby affirm that I am licensed u der the provisions of C apter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, 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 Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature v Date 4 '< 4
CJ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
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 Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
nify and keep harmless the City of Cupertino against liabilities, judgments,
and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Date
BUILDING PERMIT INFO: BLDG r ELECT F PLUMB f—
MECH r- RESIDENTIAL r- COMMERCIAL f—
JOB DESCRIPTION: RE -ROOF REMOVE 2 EXISTING ROOF LAYERS
OF
SHAKE/SHINGLES, INSTALL FIBERGLASS REINFORCED FELT
AND WOODCREST LIFETIME SHINGLES BY OWENS CORNINGS
Sq. Ft Floor Area: I Valuation: $9811
APN Number: 36611157.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DS FROM L T CALLED INSPECTION.
2
Issued by: Date:
/0� d
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtainin n inspection, I agree to remove all new materials for
inspection.
Signalbre of Applicant: Date:
'OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & ety Code, Sections 25505, 25533, and 25534.
Owne p h 'zed agent:
Date:��!
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name _
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
3 ITEMS OF 18
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 36611157.00
DATE ISSUED.......: 10/05/2009
RECEIPT #......... BS000008829
REFERENCE ID # ••• 09100026
SITE ADDRESS .....: 7583 NORMANDY WAY
SUBDIVISION ......
CITY CUPERTINO
IMPACT AREA ......:
OPERATOR: patg
COPY # : 1
OWNER WEI-TE WU
ADDRESS 7583 NORMANDY WAY
CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-5222
RECEIVED FROM ....: LOS GATOS ROOFING
CONTRACTOR .......: RANDY BROWN LIC # 23481
COMPANY LOS GATOS ROOFING
ADDRESS P O BOX 1726
CITY/STATE/ZIP ...: LOS GATOS, CA 95031
TELEPHONE ........: (408)298-9399
FEE ID UNIT
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
----------
NEW BAL
----------
-----------------------
1BCBSC VALUATION
----------
9,811.00
----------
1.00
----------
0.00
1.00
0.00
1BSEISMICR VALUATION
9,811.00
1.00
0.00
1.00
0.00
1REROOFRES SQ FEET
31.00
403.00
0.00
403.00
----------
0.00
----------
TOTAL PERMIT
----------
405.00
----------
0.00
405.00
0.00
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
604 ROOF IN -PROGRESS 605 FINAL REROOF
CITY OF CUPERTINOai
REROOF
CUPEkTI O PERMIT APPLICATION
APN #
�G-- l/- AS , 0 0
Date:
912 Vd
Building Address: /. 1
8
Owner's Name:
Phone #:
�)e/ -. �lk-
�M 9
Contractor:
s
Phone #:
Awvtlll_�")
Fax
Cupertino Business License #: /
Contractor License #:
Type of Roof Covering:
Existing:
Proposed:
❑ Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
><Asphalt Shingles
Wood Shakes
❑ Wood Shakes
Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Number of existing coverings *Z_
❑ Provide I.C.B.O. Report #
To be Removed
❑ ProvideMfg. Installation Specs.
Job Des ription:2
R idential
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: �y
0
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
Revised 6/16/08
NNW CITY OF CUPERTINO
REROOF
CUPEkTINO FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM '
Re -roof Commercial
B
1COMMLROOF
1BSEISMICO
Seismic Commercial
B
.2
�l 1
1REROOFRES '
Re -roof Residential
B
1SFDWLROOF
f
1BSEISMICRE
Seismic Residential
B
1REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
Revised 6/16/08
1. Install Ertergy Eifirlent Windows
a. Doubfe-Paned 1 Energy pt y=yes
b. Low -Emissivity (Low -E) 2 Energy -pts y=yes
c. Low. Conductivity Frames 2 Energy pts y=yes
2. Install Low Heat Transmission Glazing 1 Energy pt y=yes
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=yes
3. Vent Range Hood to the Outside
1 IAQ/Health pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
B. Install Sealed Combustion Units
5 IAQ/Health pts
y=yes
a. Furnaces
3 IAQ/Health pts
y=yes
b. Water Heaters
3 IAQ/Health pts
y=yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy.pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
10 Energy pts
y=yes
a. Install EPA certified wood stoves/inserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
y=yes
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=yes
2. Install Solar Water Heating System
10 Energy pts
y=yes
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=yes
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
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=yes
7. Install Radiant Barrier
3 Energy pts
y=yes
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts y=yes
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes
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 Raid 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: J� `/'//Y�'/ �►il //%//�//
Roofing Company Name:
Applicant's Signature: /1 D
3 0
Greg Casteel
Building Official
Revised 07/30/08
jOS ADDRESS:
OWNER'S el NANM-.-
GENERAL CONTT RACTOR:
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
PERMIT
PHONE
FAX r
I am not using any subcontractors: .
Signature
Please check applicable subcontractors and complete the folInwing infnrmai-inn-
4'Da"
UBCONTl3ACTOR
� MillworkementFinishinglectrical
BITSINESS NAME
I BUSINESS LICENSE;Labinets
xcavation
R
ncing
ooring: Carpeting
Linoleun / Wood
Glass / Glazing
Heating
Insulation
Landscanin o- I I
w contractor Signature , Dat