11050112 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10706 ROSEWOOD RD CONTRACTOR:GORMAN ROOFING PERMIT NO: 11050112
SERVICES,INC
OWNER'S NAME: ESSEX PROPERTY TRUST 2229 E UNIVERSITY DR DATE ISSUED:05/23/2011
( SR'S PHONE: 6508151622 PHOENIX,AZ 85034 PHONE NO:(602)262-2423
❑ LICENSED CONTRACTOR'S DECLARATION r
o- BUILDING PERMIT INFO: BLDG ELECT' PLUMB
License Class �� Lic.# p
� r �
Contractor r®��� 00 �.t Date JT a> ti MECH RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APT A-D RE-ROOF 27 SQ OVERLAY EXISTING ROOF WITH
(commencing with Section 7000)of Division 3 of the Business&Professions POLYURETHANE FOAM
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 Sq.Ft Floor Area: Valuation:$9450
permit is issued.
APPLICANT CERTIFICATION APN Number:31643005.10706 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. ditionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-po' o e egulations per the Cupertino Municip I Code, ection
9.18.
S d� Issued by: Date:
Signature Date
L OWNER-BUILDER DECLARATION
RE-ROOFS:
1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date: /D-)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
1 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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,255339 and 25534. I will maintain
1 have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
1 certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
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 Owner th ri d a ent: '13
forthwith comply with such provisions or this permit shall be deemed revoked. Date: ��((
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
ind-mnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
c ind expenses which may accrue against said City in consequence of the
g<—ing of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. I understand my plans shall be used as public records.
Signature Date Licensed Professional
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �'`Z
(408)777-3228• FAX(408)777-3333 • building ccDDcupertino.ong O�
CUPEf�TlNQ 10-70 (. R0 VMA A i, I
PROJECT ADDRESS APN# � 43
OWNER NAME V cPHONE] ( � �^ E-MAII
STREET ADDRESS CITY, STATE,ZIP l- FAX
E-MAILAPPLICANT N /� PHONE
0 `bt 1-74r-105-- Q'GoR#PWRoot'n�GSt J O�
STREET ADDRESS O 1 !l CITY,STA *' O Cy a q) ` ) FAX
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT G7 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSlE,TY BUS.LIC.#
O �`
COMPANY NAME E-MAIL FAX
STREET ADDRESS4D ^C ' C u�O CITY, tie ZIP O n� (� I PHONE 1` ¢�S S7
ARCHITECT/ENGI NEER NAME `� LICENSE NUMBER (r (' BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑ SFD or Duplex ulti-Family ROOF A A: VALUATION:
TRucTURE: ❑ Commercial
�Oo � ` � so , ,�
EXISTING ROOF TYPE: u' BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE ❑,YES IF NO, PLYWOOD /:" 11 _ PLYWD El OSB PITCH: ROOF
�'NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑ CDX s 12 CLASS: A
�
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF 11 ASPHALT SHINGLES El WOOD SHAKES 13 WOOD SHINGLES Bd'OTHER�DL}1A ICC-ES REPORT#
DESCRIPTION OF WORK:
I11 e
o. e ; C> i JA7 o c�_
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provid is correct. I have read the Description of Work and verify it is accurate. I agree o comply with all applicable local
ordinances and state laws relating to bulli on tru tion. I authorize representatives of Cupertino tc enter the above- entified property for inspection purposes.
Signature of Applicant/Agent: Date: (�
SUPPLEMENTAL ORMATION REQUIRED �_ ri��sT oii
_If building is associated with a Home Owner's Association,provide letter
of approval from HOA. ❑ OPER LHE cotI1 Ex ❑ BUII DIIJG PLAN REVIEW
—Provide Planning approval to verify if there any restrictions. Q VSs - �� ❑ rrANrrn�rcry�vxz;viEw
—Provide copy of Manufacturer's Installation Specifications. sANnxRn Y ❑ �IRD1 PT - T
Provide signed copy of Cupertino's Tear-Off Policy. _ ❑ oz�Ir
ReroofAp,p2011.doc revised 03/02/11
ICC EVALUATION
Atz.9 SERVICE Most Widely Accepted and Trusted
ICC-ES Evaluation Report ESR-2780
Reissued August 1, 2010
This report is subject to re-examination in two years.
www.icc-es.ora 1 (800)423-6587 1 (562) 699-0543 A Subsidiary of the Intemational Code Council6
DIVISION:07 00 00—THERMAL AND MOISTURE 3.2 Surface-burning Characteristics:
PROTECTION The insulation has a flame-spread index of 25 or less and
Section:07 21 00—Thermal Insulation a smoke-developed index of 450 or less when tested in
REPORT HOLDER: accordance with ASTM E 84 at a maximum thickness of
4 inches(102 mm).
ELASTOMERIC ROOFING SYSTEMS,INC. Thicknesses of up to 8 inches(203 mm)for wall cavities
6900 BLECK DRIVE and 12 inches(305 mm)for ceiling cavities are recognized,
ROCKFORD, MINNESOTA 55373 based on testing in accordance with NFPA 286, when
(763)565-6900 covered with a'/2 inch-thick(12.7 mm)gypsum board or an
www.ersystems.com equivalent thermal barrier complying with, and installed in
accordance with,the applicable code.
EVALUATION SUBJECT: 3.3 Thermal Resistance,R-values:
ER-FOAM 502072 SPRAY-APPLIED INSULATION The insulation has thermal resistance(R-values)at a mean
temperature of 750F(240C)as shown in Table 1.
1.0 EVALUATION SCOPE 3.4 Vapor Retarder:
Compliance with the following codes: The insulation has a vapor permeance of less than 1 perm
■ 2009 International Building Codee(IBC) [5.7 x 10.11 kg /(Pasm2)j, in accordance with ASTM E 96,
■ 2009 International Residential Code(IRC) when applied at a minimum thickness of 2 inches(51 mm),
and qualifies as a Class II vapor retarder.
■ 2009 International Energy Conservation Code®(IECC) 3.5 Air Permeability:
■ Other Codes(see Section 8.0) ER-FOAM 502072 spray-applied polyurethane foam
Properties evaluated: insulation, at a minimum thickness of 1 inch (25.4 mm), is
considered air-impermeable insulation in accordance with
■ Physical properties Section R806.4 of the IRC,based on testing in accordance
■ Surface-burning characteristics with ASTM E 283.
■ Water vapor transmission 3.6 ALDOCOAT 800 intumescent Coating:
■ Attic and crawl space installation ALDOCOAT 800 intumescent coating is manufactured by
Aldo Products Company and is a water-based latex
■ Air permeability coating supplied in both 5-gallon and 55-gallon containers
2.0 USES (18.9 and 208 L). The materials have a shelf life of six
months when stored in a factory-sealed container at
ER-FOAM 502072 spray-applied insulation is used as a temperatures between 4tPF(4.5°C)and WF(320C).
thermal insulating material in cavities of wall, floor and •
ceiling assemblies, and in attic and crawl space 3.T NoBurnPlus Intumescent Coating:
applications as described in Section 4.4. Under the IRC, NoBurn Plus intumescent coating, manufactured by
the insulation may be used as air-impermeable insulation No-Bum, Inc., is a translucent aqueous liquid supplied in
when installed in accordance with Section 3.5. 1-and 5-gallon(3.8 and 18.8 L)pails and 55-gallon(208 L)
3.0 DESCRIPTION drums. The coating has a shelf life of three years when
stored in a factory-sealed container at temperatures
3.1 General: between 40OF(4.50C)and 90OF(320C).
ER-FOAM 502072 is a two-component, closed-cell, rigid 4.0 INSTALLATION
foam plastic insulation. The insulation is produced in the 4.1 General
field by combining an isocyanate component A with a resin •
component B, resulting in a product having a nominal The insulation must be installed in accordance with the
density of 2.0 pcf(32 kg/m3). The insulation component B manufacturer's published installation instructions, the
has a shelf life of three months, and the A component has applicable code and this report. The manufacturer's
a shelf life of nine months, when stored at temperatures published installation instructions must be available on the
between 50°F(10'C)and 80°F(27°C)before installation. jobsite at all times during installation.
ICC-ES Ewil*aaon Reporaa am not to be cassnwed as represenwT atwhetnu or arty ocher aura mw specifically addressed tar are they m be cavvaed
man endwsemew of the s*biea of the report Ora rrconnaen"ioe for its twr.Their ism xmrawy by ICC Evahmdion Service,LLC,express or ixok4 as N4Z
ra an•fmdbrg or other*water m this erport,or as w arT product covered 4 the,rpm ....�
Copyright 0 2010 Page t of 3
ESR-2780 I Most Widely Accepted and Trusted Page 2 of 3
4.2 Application: to the underside of the top of the space and/or vertical
The insulation is spray-applied at the jobsite using a surfaces must not exceed values set forth in Table 2.
volumetric positive displacement pump as recommended Surfaces to be coated must be dry, clean, and free of dirt,
in the manufacturer's published installation instructions. loose debris and any other substances that could interfere
The insulation is applied in passes having a minimum with adhesion of the coating. The intumescent coating is
thickness Of 112 inch (12.7 mm) and a maximum thickness applied with a medium-size nap roller, soft brush or
of 2 inches(51 mm)per pass.The insulation passes must conventional airless spray equipment at a rate specified in
be allowed to fully expand and be cured for a minimum of Table 2. The coating must be applied when ambient and
15 minutes prior to application of an additional pass. The substrate temperatures are above of WF (100C). The
insulation must not be used in areas that have a maximum coating requires a 24-hour curing time. The insulation may
service temperature greater than 180°F (820C). The foam be installed in unvented attics as described in this section
plastic insulation must not be used in electrical outlet or in accordance with IRC Section R806.4.
junction boxes or in contact with rain, water, or soil. The 4.4.3 Use on Attic Floors: ER-FOAM 502072 insulation
substrate must be free of moisture, frost or ice, loose may be installed in accordance with this section and Table
scales, rust, oil, and grease. The insulation must be 2 at a maximum thickness of 91/4 inches (235 mm)
protected from the weather during and after application. between and over the joists in an attic floor.The insulation
4.3 Thermal Barrier: must be separated from the interior of the building by an
approved thermal barrier. The ignition barrier required in
The spray-applied insulation must be separated from the IBC Section 2603.4.1.6 and IRC Section R316.5.3 may
interior of the building by an approved thermal barrier of be omitted.
0.5-inch (12.7 mm) gypsum wallboard or an equivalent 5.0 CONDITIONS OF USE
15-minute thermal barrier complying with IBC Section
2603.4 or IRC Section R316.4, as applicable, except The Elastomeric Roofing Systems, Inc., ER-FOAM 502072
where installation is in an attic or crawl space as described spray-applied insulation described in this report complies
in Section 4.4. Thicknesses of up to 8 inches (203 mm)for with, or is a suitable alternative to what is specified in,
wall cavities and 12 inches (305 mm) for ceiling cavities those codes listed in Section 1.0 of this report, subject to
are recognized, based on testing in accordance with the following conditions:
NFPA 286. 5.1 The spray-applied insulation and the intumescent
4.4 Attics and Crawl Spaces: coatings must be installed in accordance with the
manufacturers' published installation instructions, this
4.4.1 Application with a Prescriptive Ignition Barrier: evaluation report and the applicable code. The
When the spray-applied insulation is installed within attics instructions within this report govern if there are any
or crawl spaces where entry is made only for service of conflicts between the manufacturers' published
utilities, an ignition barrier must be installed in accordance installation instructions and this report.
with IBC Section 2603.4.1.6 or IRC Sections R316.5.3 and
R316.5.4, as applicable. The ignition barrier must be 5.2 The spray-applied insulation must be separated from
consistent with the requirements for the type of the interior of the building by an approved 15-minute
construction required by the applicable code, and must be thermal barrier, as described in Section 4.3, except
installed in a manner so that the foam plastic insulation is where installation is in an attic or crawl space as
not exposed. described in Section 4.4.
4.4.2 Application without a Prescriptive Ignition 5.3 The spray-applied insulation must not exceed the
Barrier: The insulation may be installed in attics and crawl thicknesses noted in Sections 3.2,4.4.2,and 4.4.3.
spaces as described in this section without the ignition 5.4 The spray-applied insulation must be protected from
barriers described in IBC Section 2603.4.1.6 and IRC the weather during and after application.
Sections R316.5.3 and R316.5.4, subject to the following 5.5 The spray-applied insulation must be applied by
conditions: installers certified by Elastomeric Roofing Systems,
a. Entry to the attic or crawl space is to service utilities Inc, or by the Spray Polyurethane Foam Alliance
and no storage is permitted. (SPFA)for the installation of spray polyurethane foam
insulation.
b. There are no interconnected attic or crawl space areas.
5.6 The spray-applied insulation may be used in any
c. Air in the attic or crawl space is not circulated to other building under the IRC,within the parameters set forth
parts of the building. in IRC Section 316. The spray-applied insulation was
d. Attic ventilation is provided when required by IBC evaluated for use in Type V-B construction under the
Section 1203.2 or IRC Section R806, except when IBC.
air-impermeable insulation is permitted in unvented 5.7 Use of the insulation in areas where the probability of
attics in accordance with Section R806.4 of IRC. termite infestation is "very high" must be in
Under-floor (crawl space) ventilation is provided when accordance with IBC Section 2603.8 or IRC Section
required by IBC Section 1203.3 or IRC Section R408.1, R318.4,as applicable.
as applicable.
5.8 Insulation jobsite certification and labeling of the
e. Combustion air is provided in accordance with insulation must comply with IRC Sections N1101.4
International Mechanical Code(IMC)Section 701. and N1101.4.1 and IECC Sections 303.1.1 and
In attics, the insulation may be spray-applied with no 303.12,as applicable.
covering (no ignition barrier) to the underside of roof 5.9 The polyurethane foam plastic insulation components
sheathing or roof rafters, and/or vertical surfaces. In crawl are produced in Houston, Texas, and Minneapolis,
spaces, the insulation may be spray-applied with no Minnesota, under a quality control program with
covering (ignition barrier) to the underside of floors and/or inspections by Underwriters Laboratories Inc.
vertical surfaces.The thickness of the foam plastic,applied (AA-668).
ESk-2780 1 Most Widely Accepted and Trusted Page 3 of 3
6.0 EVIDENCE SUBMITTED 8.0 OTHER CODES
6.1 Data in accordance with the ICC-ES Acceptance 8.1 Evaluation Scope:
Criteria for Spray-applied Foam Plastic Insulation In addition to the codes referenced in Section 1.0, the
(AC377), dated June 2009, including reports of tests products described in this report were evaluated for
in accordance with Appendix X of AC377. compliance with the requirements of the following codes:
6.2 Reports of water vapor transmission tests in ■ 2006 International Building Codee
accordance with ASTM E 96. ■ 2006 International Residential Code°
6.3 Reports of Air leakage testing in accordance with ■ 2006 International Energy Conservation Code®
ASTM E 283.
■ 2003 International Building Code
6.4 Reports of room comer tests in accordance with ■ 2003 International Residential Codee
NFPA 286.
7.0 IDENTIFICATION ■ 2003 International Energy Conservation Code
2000 International Building Codee
Each container of components A and B of the polyurethane
foam plastic insulation bears a label with the Elastomeric ■ 2000 International Residential Code
Roofing Systems, Inc., name and address, the product ■ 2000 International Energy Conservation Code
name, the product type (A or B component), density, the
flame-spread and smoke-developed indices,the evaluation 8.2 Uses:
report number (ESR-2780), the shelf life and the date of The products comply with the above-mentioned codes as
manufacture. The containers also bear the name of the described in Sections 2.0 through 7.0 of this report, with
inspection agency(Underwriters Laboratories Inc.), the following modifications:
Aldocoat 800 intumescent coating is identified with the ■ Application with a Prescriptive Ignition Barrier: See
manufacturer's name (Aldo Products Company) and Section 4.4.1, except attics and crawl spaces must be
address,the product trade name and use instructions. vented in accordance with the applicable code.
NoBume Plus intumescent coating is identified with the ■ Application without a Prescriptive Ignition Barrier:
manufacturer's name (No-Bum, Inc.) and address, the See Section 4.4.2, except attics and crawl spaces must
product trade name,and use instructions. be vented in accordance with the applicable code.
TABLE 1-THERMAL RESISTANCE(R VALUES)
ASTM C 518 TESTED VALUES
1 6.7
4 27.6
CALCULATED R-VALUES'
2 13.4
3 20.1
3.5 24.2
5 34.5
6 41A
7 48.3
8 55.2
10 69.1
11 76
12 82.9
For SI:1 inch=25.4 mm; 1 'F.ft2.h/Btu=0.176 110'K.m2/W.
'Calculated R-values are based on tested K values at a 44mch thickness.
TABLE 2-USE OF ER-FOAM 502072 INSULATION IN ATTICS AND CRAWL SPACES
WITHOUT A PRESCRIPTIVE IGNITION BARRIER
MAXIMUM MAXIMUM
INSULATION INTUMESCENT COATING
INSULATION INSULATION APPLICATION
THICKNESS(IN) THICKNESS(in) MINIMUM THICKNESS&TYPE RATE OF THE INTUMESCENT TESTS SUBMITTED
(WALL CAVITIES& (CEILING& (APPLIED TO ALL FOAM COATING (AC377)
ATTIC FLOORS) UNDERSIDE OF SURFACES)
RAFTERS)
911. 11'/s 18 wet mils of ALDOCOAT 800 1.12 gallons per 100 ft2 Appendix X
9114 11'/. No coating required NA ApperK%x X
9'/4 11'/. 12 wet mils of NoBkxn Plus 0.75 gallon per 100 R2 Appendix X
For SI:1 inch=25.4 mm; 1 mil=0.0254 mm;1 gallon=3.38 L;1 R2=0.93 m2;NA not applicable.
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REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O.,BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO
(408)777-3228-FAX(408)777-3333•buildinq@cuDertlno.org
APN e
PROJECT ADDRESS JO-701,p R
OWNER NAME SgE X '� PHONE 4 50- 1 t 5- 6 E-MAIL _
C. may, ST .�
STREET AD i-
aM
CONTRACTOR NAME fl I11 �OD . A 14,0
LICENSE ER 4 LI CSE3 BUS.LIC p Y-
E-MAII. FAX
COMPANY NAME (� _
STREET ADD �� " ZIP "Ift-`��b-1 7 3 J"
o Sc
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request shall be scheduled the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm(Mon-Thurs) or 7:30 - 2:30pm(Friday) to schedule the next day inspection.
On the day of the inspection, a building inspector will be available within one hour for either a Tear-Off
Inspection or Nailing Inspection if you call again on that day between the hours specified.
3. The following inspections are required:
a. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this
inspection. Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners
shall be either completely knocked-down or removed prior to this inspection.
b. If plywood is installed, a plywood Nailing Inspection is required.
c. Progress Inspection is required when approximately 50% of roof covering is installed.
4. New roof coverings shall not be applied without first obtaining all inspection and written approvals from
the building inspector. Any roofing which is applied without first obtaining an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be pe.T.formed.
5. A final inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of 1/4"per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation.
6. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be
charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection
can be scheduled.
By my signing below,I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide d ors are required to be installed in accordance with Secti ns 14 and 8315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date:
ReroofPoli 2011.doc revised 02116111
t
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
[ADDRESS: d ,5 �,�,rosewood/maplewooj,UewDATE: 05/11/2011 REVIEWED BY: bobs.
PN: BP#: ..VALUATION: 1$9,450
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY Multi-Family Dwelling Building is PENTAMATION 1 R2ROOF
USE: 3 Stories Q Yes Q No PERMIT TYPE:
WORK overlay existing roof with polyurethane foam.
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFMRES 2,700
_ T_
NOTE: Thesefees are based on the prelindnary information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (1 ee Resolution 09-051 F' '-l:10) FEE QTY/FEE MISC ITEMS
r ;z,
Permit Fee: $351.00
Work Without Permit? 0 Yes 0 No $0.00
Strong Motion Fee: IBSEISMICR $0.95 Select an Administrative Item
Bldg, Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $352.95 $0.00 TOTAL FEE: $352.95
Revised: 04/29/2011