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10060203 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1144 STAFFORD DR CONTRACTOR:CASTO ROOFING PERMIT NO: 10060203 OWNER'S NAME: ROSEVEARE RONALD E AND DOLORES 1937 OLD MIDDLEFIELD WAY DATE ISSUED:06/30/2010 NER'S PHONE: 4082534516 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)961-8922 19/ LICENSED CONTRACTOR'S DECLARATION �d C� �, BU LDING PERMIT INFO: BLDG ELECT f- PLUMBr License Class `� / Lic.# 3 72' 3 ,�„ t MECH F RESIDENTIAL r COMMERCIAL Contractor , F'^'`JT '`"�'�a1-e I's-AD I hereby affirm that I am licensed under the provisions of Chapter 9 JOl I DESCRIPTION: REMOVE EXISTING ROOF AND INSTALL RADIANT (commencing with Section 7000)of Division 3 of the Business&Professions BAF RIER Code and that my license is in full force and effect. W/'3#FELTINSTALL LANDMARK TL,CLASS A 30 YR 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:$11250 permit is issued. APPLICANT CERTIFICATION APr Number:36207008.00 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 ?ERMIT 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 0 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAY OM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. l Is4nature Date Issu-d by: —l Date: ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I 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: insta led 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, inspe ction. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signaure of Applicant: ( �C3 Date: 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: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I hay a read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. Calif 3rnia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by coml liance 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. conti minants as defined b the Ba Area Air y y Quality Management District I will 1 certify that in the performance of the work for which this permit is issued,I shall main tain 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 Heah h&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 Own,!r or (fzed agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date: / 10 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 w rich this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lend 3r's Name upon the above mentioned property for inspection purposes.(We)agree to save unify and keep harmless the City of Cupertino against liabilities,judgments, Lend!r's Address L ,and expenses which may accrue against said City in consequence of the granting 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 1 undt rstand my plans shall be used as public records. SignaDate f� Licensed Professional CITY OF CUFERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Iot: APN 36207008 . 00 DATE ISSUED. . . . . . . : 06/30,2010 RECEIPT #. . . . . . . . . BS000()10738 REFERENCE ID # 10060203 SITE ADDRESS 1144 ;STAFFORD DR SUBDIVISION . . . . . . . CITY CUPERCINO IMPACT AREA OWNER ROSEVEARE RONALD E AND DOLORES ADDRESS . 1144 STAFFORD DR CITY/STATE/ZIP CUPERTINO CA, 95014-4912 RECEIVED FROM . . . . : CASTO ROOFING INC CONTRACTOR . . . . . . . : CASTO, LINDSEY LIC # 21324 COMPANY . . . . . . . . . . : CASTC ROOFING ADDRESS . . . . . . . . . . : 1938 OLD MIDDLEFIELD WAY CITY/STATE/ZIP . . . : MOUNIAIN VIEW, CA 94043 TELEPHONE . . . . . . . . : (650) 961-8922 FEE ID UNIT QUANTITY AMCUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---- ------ ---------- --- 1BCBSC VALUATION 11, 250 . 00 1 .00 0 .00 1 . 00 0 .0 1BSEISMICR VALUATION 11, 250 . 00 1 .20 0 . 00 1 .20 0 . 00 1REROOFRES SQ FEET 30 . 00 390 .00 0 . 00 390 . 00 0 . 00 ---- ------ ---------- ---------- ---- TOTAL PERMIT 392 .20 0 . 00 392 .20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 392 .20 054163 --------------- TOTAL RECEIPT 392 .20 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --------- ------ ------------------- __ _ -- -- ---------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO 10(�Wos _V REROOF CUPEkTINO PERMIT APPLICATION APN # •�00q,90 p 00 Date: :� Ur z �" 1u Building Address: 14 T a r Owner's Name: Phone#: R).��_s-3 4 S_ 1)U� oyu) se o-e-a Contractor: Casto Roofing Inc. Phone #: (o SZ) % ( - 12' 1938 Old Middlefield Way , Mnilnta'n Vipw, CA )4043-9503 Fax Cupertino Business License #: - Contractor License #: -2, 1 Z�f :3 1)� Type of Roo f Covering: Existing: Proposed: ❑ Built=Up Roof ❑ Built-Up roof ❑ Asphalt Shingles 5( Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report# ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: �� tr� , /� ,��zA-�-� nC�Gf Cx .� tm/V� C; 7 % Residential Commercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist& athich it to the there are any restrictions: ❑ application or if applicable, include in plan set & the sheet index. Valuation: I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature CITY OF CITY OF CUP:ERTINO REROOF CUPERTINO 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 Fee 1BSEISMICO Seismic Commercial B 1RER00FRES Re-roof Resideny:ial B 1SFDWLR00F 1BCBSC Cal Bldg Standa-ds B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BCBSC Cal Bldg Standa-ds B ALL PERMIT TYPES Commission Fee 1BSEISMICRE Seismic Residential B 1BUSLIC Business Licens(; B INPUT ReSl)urres Energy IAWflealth I.Windows 1.Install Energy-Efficient Windows a.Double-Paned 1 Energy p y=yes 0 b.Low-Emissivity(Low-E) 2 Energy'p s y=yes 0 c.Low.Conductivity Erarnes 2 Energy p:s y=yes D 2.Install Low Heat Transmission Glazing 1 Energy p: y=yes 0 1 1 ! J.Heating Ventilation and Air Conditioning 1.Use Duct Mastic on All Du om eTM is P 2.Install Ductwork within Conditioned Space 3 Energy F is y=yes 0 3.Vent Range Hood to the Outside 1 IAQJHea th pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAQ/Hea th pts y=yes 0 5.Install Solar Attic Fan 2 Energy Its y=yes D 6.Install Attic Ventilation Systems 1 Energy pt y=yes D 7.Install Whole House Fan 4 Energy pts y=yes 0 B.Install Sealed Combustion Units a.Furnaces 3 IAQJHee Ith pts y--yess0 b.Water Heaters 3 IAQ/He,.lth pts y=yes 0 9.Replace Wall-Mounted Electric and Gas Heaters with Through-the-Wall Heat Pumps 3 Energy its Y--yes 0 10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy )ts y=yes 0 11.Install AC with Non-HCFC Refrigerants 2 Resourc.-pts y=yes 0 12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy)ts y=yes 0 13.Retrofit Wood Burning Fireplaces a.Install EPA certified wood stoves/inserts 1 IAQ/He filth pt y--yes 0 b. Install/Replace Dampers 1 Energy pt y=yes 0 c.Install Airtight Doors 1 Energy pt y=yes 0 14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0 15.Install High Efficiency Filter 41AQ/He31th pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/He31th pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0 2.Install Solar Water Heating System 10 Energ} pts y=yes 0 3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0 4.Install Photovoltaic(PV)System (1.2 kw=6 points,2.4 kw=12 points,3.6 kw=1 B points) Up o 18 Energy pts 0 S.Select Safe and Durable Roofing liaterials 1 Resourc e pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes 0 1 ! 1 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 Energy pts y=yes D ! ! ! REROOF TEAR-OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDINS OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• buildi lq a(D.cupertino.orq PROJECT ADDRESS// 7/--e) Jor ��r� Dr APN# OWNER NAME ,.� E-MAIL !>,, tat�/ P� �� STREET ADDRESS CITY, STATE,Z P FAX CONTRACT NAME LICEN LICENSCPE5 BUS.LIC.# COMPANY NAME E-MAIL FAX STREET] /qy�J� - J C ZI' W, �is/^ / gid. SISI, I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code. 2. You must schedule all needed inspections a minimum of one day before the requested inspection date. Please schedule inspections online or call (408)777-: 228 between 7:30-3:30 (Mon-Fri). 3. Tear-off roof inspection is required. Please call fcr tear-off inspection after the roof is torn off and all the nails/fasteners have been removed. Any and all dry-rotted wood shall be replaced prior to this inspection. A building inspector will be available w thin one hour. There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs); 7:30 — 10 30am and 1:00—2:30pm (Friday). 4. If plywood is installed, a plywood nailing inspection is required. 5. In-Progress roof inspection is required. Call for an in-progress roof inspection to verify building is weather tight after installation of approximately 250/) of the roofing material. 6. New roof coverings shall not be applied without firs: obtaining all inspections and written approvals from the building inspector. Any roofing which is aiplied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 7. A final inspection and approval shall be obtained frc m the building inspector when the re-roofing is complete. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have a minimum of/4"per foot of slope and must demonstrate there is no ponding. b. Listings from approved testing agencies for all >>re-manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation. 8. 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. [Bn y my signing below, I certify each of the following is tru,-: I am the property owner or authorized agent to act the property owner's behalf. I unders nd and agree to comply with the re-roof policystateedabove. gnature of Applicant /7 Date: ReroofPolicy_2010.doc revised 05/17/10 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBC'ONTRACTOR LIST JOB ADDRESS: i �-!�f u��d. PERMIT# Zo(� OWNER'S NAME: �.)e V,,V1, PHONE # z, GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: jx'3`+5 c. 1a CITY/ZIPCODE: Vt' - 1V *Our municipal code requires all businesses working in ibe city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY IN'PECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCON RACI'ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors Signal ure Date Please check applicable subcontractors and complete she following information: SUBCONTRACTOR BUSINESS '.NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting /Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date