09120070CITY OF CUPERTI140 BUILDING PERMIT
BUILDING ADDRESS: 10693 PINOLE CT
OWNER'S NAME: IRV & SHERI ROSENBLUTH
^W/NER'S PHONE: 4089962283
Ly' LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor
Date
-
I hereby affirm that 1 am licensed under the provisions of Chapter 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.
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.
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 Z_;?6 Date Z
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one ( f
the following two reasons:
1, as owner of the property, or my employees with wages as their sole compensatio i,
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).
I hereby affirm under penalty of perjury one of the following three
declarations:
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
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
correot. 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,
is, and expenses which may accrue against said City in consequence of the
.,nting 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 Date
CONTRACTOR: LOS GATOS ROOFING PERMIT NO: 09120070
P O BOX 1726 DATE ISSUED: 12/11/2009
LOS GATOS, CA 95031 PHONE NO: (408)298-9399
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
RE -ROOF REMOVE 2 LAYERS OF EXISTING SHAKE
SHINGLE
ROOFING. INSTALL 7/16" OSB, FELT AND PRESENDTIAL
35 SQUARES
Sq. Ft Floor Area: I Valuation: $12780
APN Number: 36934016.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by__� Date: 1Z -l1 -C
RE -ROOFS:
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:
ALL ROOF COVERINGS TO BE CLASS "A" 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. I 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 & Safety Code, Sections. 25505, 255 and 25534.
Owner or authorized agi . -2Date:
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
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
3 ITEMS OF 9
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 36934016.00
DATE ISSUED.......: 12/11/2009
RECEIPT #......... BS000009389
REFERENCE ID # 09120070
SITE ADDRESS 10693 PINOLE CT
SUBDIVISION ......
CITY CUFERTINO
IMPACT AREA ......
OWNER IR% & SHERI ROSENBLUTH
ADDRESS 10(93 PINOLE CT
CITY/STATE/ZIP ...: CUFERTINO, CA 95014
OPERATOR: SylviaM
COPY # : 1
RECEIVED FROM RAYDY BROWN
CONTRACTOR RAYDY BROWN LIC # 23481
COMPANY LOE; -GATOS ROOFING
ADDRESS P 0 BOX 1726
CITY/STATE/ZIP ...: LOQ; GATOS, CA 95031
TELEPHONE ........: (4(,8)298-9399
FEE ID UNIT
QUANTITY
INOUNT
PD -TO -DT
THIS REC
----
NEW BAL
-----------------------
1BCBSC VALUATION
----------
12,780.00
----------
1.00
----------
0.00
1.00
0.00
1BSEISMICR VALUATION
12,780.00
1.30
0.00
1.30
0.00
1REROOFRES SQ FEET
35.00
455.00.
0.00
----------
455.00
----------
0.00
----------
TOTAL PERMIT
-----------
457.30
0.00
457,30
0.00
VOICE ID DESCRIPTION
-------- ----------------------------
601 ROOF TEAR OFF
VOICE ID DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
604 ROOF IN -PROGRESS 605 FINAL REROOF
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
De -
JOB ADDRESS: PERMIT
OWNER'S N_Y PRONE
GENERAL CONI RACTOR l i F L , :—_2_
CCtj
I am not using any subcontractors:
Sit �or
ate 7
a...
Please check applicable subcontractors and complete the following i-nfnrmar-inn-
SUBCONTRACTOR
BUS! HSS NAME
I BUSINESS LICE NSE
Cabinets &Z Millwork
Cement Finishing
IElectrical
Excavation
I
Fencing
ooring: Carpeting
Linoleum / Wood
Glass / Glazing
I Heating
insulation I
Lana.sca
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plurnbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Signature
�?_b
CITY OF CUPERTINO
RI:ROOF
CUPEkTINO PERMIT EkPPLICATION
a 0I) Z OO --O
APN #
Date: J16
Building Address:
Owner's Name:
ZX11
Phone #:
2Z, 4,5
Contractor: %
Phone
9
Fax #: _Z/ �Z/�f_
I
Cupertino Business License #:
Contractor License #:
Roo V' r -
Type of hoof Covering:
Existing: Proposed:
❑ Built -Up Roof ❑ Built -Up roof
❑ Asphalt Shingles Asphalt Shingles
Wood Shakes ❑ Wood Shakes
Wood Shingles ❑ Wood Shingles
/10 Other (Specify) Other (Specify)
Number of existing coverings '❑ Provide I.C.B.O. Report #
❑ To be Removed Provide Mfgr. Installation Specs.
Job Des ription: �� O V' _Y'- ,
13y
Residential [ Commercial F-1
Green Building: Please complete relevant por :ion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the arplication or if there are any restrictions: ❑
applicable 11 include in plan set & the sheet index.
Valuation: n Q
I Have Read, Understand and Will Comply with Cupertino's Tear -Off Policy:
Revised 6/16/08
� 11
acroF
CUPEkTINO
CITY OF CT:-PERTINO
REROOF
FEE SCHEDULE
Number of
Squares
Fee ]ED
Fee Description
Fee
Group
Permit Type
1REROOFCOM '
Re -roof Commercial
B
1COlYMLROOF
1BSEISMIC0
Seismic Commercial
B
S
1REROOFRES '
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismicaesidential
B
1RER06FMRES
Re -roof Mult 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 a3ree 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 ,my roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre -inspection and/or tear off ap ?roval.
2) In -progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
5. If plywood is installed, a plywood n ail 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-in8pection 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 ?i " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be c n the job site at the time on inspection.
I understand and will comply with the abcve stated policy on re -roofing.
Homeowner's Name:
Job Site Address:
Roofing Company Name: r"1/
Applicant's Signature: z-� A f
Greg Casteel `
Building Official
Rev sed 07/30/08
Plan Review Process Work Book Page -12-Revised 3/25/08
Green Builds ng Paan 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
L-1
M-00
B. Site
9. Install H.E. Irrigation, (details/spec)*
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#S ec.)
A-3
1 point
P..
Other 1
1.
List Green Features on -Plans
A-1
1 point
�* '.
TOTAL POINT'S
40 points .
Plan Review Process Work Book Page -12-Revised 3/25/08
1. Install Er�2Fgy-Emcier j Windows
1
a. boubraaned
i Energy pt y=yes
b. tow -Emissivity (L 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
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
1
y=yes
J. Heating Ventilation and Air Conditioning
4 Energy pts
y=yes
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/Hsalth pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAO/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
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
i 10. Install 13 SEER/11 EER or higher AC with a TV
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
i 13. Retrofit Wood Burning Fireplaces
4 Energy pts
y=yes
a. Install EPA certified -wood stoveslinserts
1 IAQ/Health pt
y=yes
i 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 IAOJHealth pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQJHealth 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=yesi
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
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types, assigning a otal 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 irrpact 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.
B. Foundation
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 --yes
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
kill I
RIM
A. Site
.
.up to 10 Resource
# RcyaJoa ion Demo Vi�`zse'
3. Use Wood 1 -Joists for Floors and Ceilings
2 Resource pts
y=yes
4. Use Web Floor Trusses
2 Resource pts
y --yes
1i5 1 po a 5 ,9 , 7' p�a`n% BO = 4 pain
up to 4 Resource pts
y—yes
0
2 Resource. pts
y --yes
2. Salt' g2 Rjusabl= Bulding Mztenals
4 Resource pts
y=yes
B. Use Recycled Content Steel Studs for Interior Framing
0
y --yes
9. Use Structural Insulated Panels (SIPs)
3. Remodel for Mixed Use, Adaptive Reuse, and
a. Floors
3 Energy pts
Y --yes
b. Wall
3 Energy pts
Historic Preservation
4 Resource pts
y=yes
y=yes
0
4 Resource pts
y=yes
4. Protect Native Soil
2 Resource pts
y=yes
12. Use OSB'
0
a Setif. -1
b. SftFung
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y—yes.
1 Resource pt
0
6. Implement Construction Site Stormwater Practices
2 Resource pts
y—yes
0
7. Protect Water Quality with Landscape Design
2 Resource pts
y --yes
0
8. Design Res1.ource-Effici=nt Landscape's aril 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
D
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y=yesl
0
B. Foundation
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 --yes
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
y=ye.
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
.up to 10 Resource
pts.
3. Use Wood 1 -Joists for Floors and Ceilings
2 Resource pts
y=yes
4. Use Web Floor Trusses
2 Resource pts
y --yes
5. Design Energy Heels on Trusses 6° or more
2 Energy pts
y—yes
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource. pts
y --yes
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=yes
B. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y --yes
9. Use Structural Insulated Panels (SIPs)
a. Floors
3 Energy pts
Y --yes
b. Wall
3 Energy pts
y=yes
c. Roof
3 Energy pts
y=yes
10. Apply Advanced Framing Techniques
4 Resource pts
y=yes
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y --yes
12. Use OSB'
a Setif. -1
b. SftFung
1 Resource pt
y=yzs'
1 Resource pt
y=ye
{
0
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