09120133 (2) CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22066 CLF.ARCREEK CT CONTRACTOR:RUFF'S ENTERPRISES PERMIT NO:09120133
OWNER'S NAME: RONALD YU 3643 EASTRIDGE DR DATE ISSUED: 12/21/2009
TNER'S PHONE: 4084464819 SAN JOSE,CA 95148 PHONE NO:(408)528-6227
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class_f-3 //Lic.# �?4 0�-� S RE-ROOF CLASS A 27 SQUARES INSTALL 1/2" PLYWOOD
Contractor� _ �KiCf fi h-IS Date 12- 2-t—C
1 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:
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. Sq.Ft Floor Area: Valuation:$10000
t 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
APN Number:32618024.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the �7
granting of this permit. Additionally,the applicant understands and will comply Issued by:/
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
Z- LI I RE-ROOFS:
Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaini pection,I agree to remove all new materials for
inspection.
OWNER-BUILDER DECLARATION
Signature of Applic t: ----Date: =Z�'�� r
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,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 HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255 , ._ 3,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent:_ _ Date:
permit is issued.
1 certify that in the performance of the work for which this permit is issued,1 shall
not employ anv 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 CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,1 mus. 1 hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that 1 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 building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
;•,'emnify and keep harmless the City of Cupertino against liabilities,judgments,
,,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
_..uting of this permit.Additionally,the applicant understands and will comply
with all non-point source tions per the Cupertino Municipal Code,Section Licensed Professional_
9.18.
Signature_ __ � Date
Community Development
:NA 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CI OF Fax(408)777-3333
-UPEI�TINO
Building Department
JOB ADDRESS: PERMIT #
(9a , 61?(2-0 l 3 3
OWNER'S NAME: PHONE # - _v 22 7
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Si;;nature Date
Please check applicable subcontractors and complete the 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
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
er/Co' actor Signature Date
CITY OF CUPERTINO
_1 a7Q, REROOF
CUPEkT1NO PERMIT APPLICATION
APN # 32,(-o ) 2� V� Date:
� b t.�`-' f
Building Address:
Owner's Name: voltA_fs
C, Phone #:
HOA: Yes-El No If yes, provide letter from HOA l 6
Contractor: Phone #:
Fax #: off S Z K 4-Z (' .�
Cupertino Business License #: ? Contractor License #:
Type of F;oof 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 ❑ Provide I.C.C.E
C.E.S.
Rep rt#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: lz� J �47
96 ,wG� (2 111' <; 1451
Residential Commercial—. S'�>
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 an i 1 C ply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09
CITY OF CUPERTINO
aTi - RER OOF
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 Fee
1BSEISMICO Seismic Commercial B
1 REROOFRES Re-roof Residential B 1 SFDWLROOF
`Z
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1 BSEISMICRE Seismic Re,,idential B
1REROOFMRES Re-roof Multi-Family . B 1MFDWLROOF
1BCBSC Cal Bldg St,mdards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residential B
I1BUSLIC Business Li.;ense 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 inspector. A final inspection and
approval shall be obtained from the b wilding inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to arty 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 fe� of$176.18. The re-inspection fee must
be paid before another inspection ca:n 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 or.the job site at the time on inspection.
I understand a1 will cpmpl with the above stated policy on re-roofing.
Homeowner's Name: FT
Job Site Address: (1
Roofing Company Name: t l
Applicant's Signature: Date:
Greg Casteel
Building Official
Revisal 07/30/08
.Indoor Air Quality and Finishes INPUT Resourres Energy 1AD!Heafth
1•Use LOWND-VOC Paird 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 6IAQ/Health pts y=yes 0
0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
7.Seal all dosed Particleboard or MDF 4 IAQ/Health 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 IAQ/Health pts y-=-yes 0
1 i 1
N.Flooring 1 0
1.Select FSC Certified Wood Flooring B Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yesl 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
Total Points Available: 1 1401 130 57
Total Points Project Received: 61 01 0
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