09070202 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10150 CALVERT DR CONTRACTOR:LINDY ROOFING CO INC PERMIT NO:09070202
OWNER'S NAME: ALLSTAR FINANCIAL $76 W TAYLOR ST DATE ISSUED:07/29/2009
l ER'S PHONE: 4083580103 3AN JOSE,CA 95110 PHONE NO:(408)286-9990
❑ LICENSED CONTRACTOR'S DECLARATION r r
C. t^ BUILDING PERMIT INFO: BLDG ELECT PLUMB
7- @—
License Class C�� Lic.# 1 J a f`�
�y MECH f- RESIDENTIAL r COMMERCIAL F_
Contractor-LtA)n 1 A�D 0/ Date !+� 2 f O
1 hereby affirm that 1 am licensed and the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVING EXISTING FELT
(commencing with Section 7000)of Division 3 of the Business&Professions UNDERLAYMENT&
Code and that my license is in full force and effect. 3ATTS ONLY INSTALLING NEW 30#FELT&30 SQ OF 30
YR COMP SHINGLES
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 iq,Ft Floor Area: Valuation:$7000
permit is issued.
APPLICANT CERTIFICATION %PN Number:37519022.00 Occupancy Type:
1 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. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non- oint source regulations per the Cupertino Municipal Code,Section
9.18.
l
Issued b ........
Date:
Signatur �1 ' `�� Date
CI OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS:
%Il roofs shall be inspected prior to any roofing material being installed. If a roof is
the following two reasons: nstalled without first obtaining an inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, nspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044, 71 Gl
Business&Professions Code signature of Applicant: � —�^ Date: / 2 V
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
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 HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the 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 25505,25533,and 25534. I will maintain
1 have and will maintain Worker's Compensation Insurance,as provided for by -ompliance 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 iafety Code,Section 25532(x)should I store or handle hazardous material.
permit is issued. additionally,should I use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this permit is issued,I shall 'ontaminants as defined by the Bay Area Air Quality Management District I will
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 lealth&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I �7
become subject to the Worker's Compensation provisions of the Labor Code,I m t 3wn authorized agent:
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 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 or which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter .ender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
i iify and keep harmless the City of Cupertino against liabilities,judgments, ender's Address
cy /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 ARCHITECT'S DECLARATION
9.18. understand my plans shall be used as public records.
Signature Date icensed Professional
e ��r21CM�w S
C(�
CITY OF CUPERTINO
REROOF
CUPEkTiNO PERMIT APPLICATION ��()-7 0�
APN# � � � � Date: ----------- ---- --,
3
7
Building Address:
/of SZCu �v �: - /fir
Owner's Name: �� Phone #. -
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Contractor: Phone #:
Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering: — -
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ;i� Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
-9—Other(Specify)Ect V_ 6477-5Lx/ty ❑ Other(Specify) _
Number of existing coverings ( ❑ Provide I.C.B.O. Report
To be Removed ❑ Provide Mfgr. Installation Specs._
i
Job Description: ) � C' e ' 71-
} ✓ 5-
:J
Residential Commercial ❑ -
Fire Zone: Yes ❑ No --- -i
Confirmed with Planning D, ept. if
—_
Valuation: there are any restrictions: LJ
----
_ c L,j
I Have Read, Understand and Will Comply with Cupeitino's Tear-Off Policy:
�t
too
Ki 0 ifu're
CITY OF CUPERTINO
RER OOF
,UPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Cor-unercial B 1COMMLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICO Seismic Commercial B
-30 IREROOFRES Re-roof Residential B 1SFDWLR00F
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
I 1BSEISMICRE Seismic ReEidential B
1REROOFMRES Re-roof Mu.ti-Family B 1MFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residential B
1BUSLIC Business License 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 C Ay of Cupertino
1. Prior to permit issuance, you must agree to comply with 1997 UBC StanddrdS
and manufacturers specifications on re-r-)ofing.
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 buildui ig 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 ins,)ection and the job is not ready,
you will be charged a re-inspection 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 1/4 " p,?r 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: �U� G�(v,�irl�{ C/ 6 (A�s/� 5 pie,► �,-z��,�f
Job Site Address: _— 5 l��-(("p T
Roofing Company Name:
Applicant's SignatuDate: -�- `f " `✓�
Greg Casteel
Building Official
Revised 11/2/04
M. ndoor Air Quality and Finishes
1.Use LowNo-VOC Paint 1 IAO/Health pts y=yes D
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 61AQ/Health pts y=yes D
0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
7.Seal all Exposed Particleboard Dr MDF 4 IAQ/Health. pts y=yes 0
8.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 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2 tJse 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=yes D
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 D
� b E
Total Points Available: 1 1401 130 57
Total Points Project Received: 1 01 0 —�
G:data/progs/gre:nbuildingguidelines/remodelers/greenpointsfina12.12.04protected.xls
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT' RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Bl}:. Lot :
APN . . . . . . . . : 37!')19022 . 00
DATE ISSUED. . . . . . . : 07/29/2009
RECEIPT #. . . . . . . . . : BS000008312
REFERENCE ID # . . . : 09070202
SITE ADDRESS . . . . . : 10_.50 CALVERT DR
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ALI,STAR FINANCIAL
ADDRESS . . . . . . . . . . : 10:.50 CALVERT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : LINDY ROOFING CO IN
CONTRACTOR . . . . . . . : RUDIFORD, LINDY LIC # 3921
COMPANY . . . . . . . . . . : LINDY ROOFING CO INC
ADDRESS . . . . . . . . . . : 476 W TAYLOR ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95110
TELEPHONE . . . . . . . . : (408) 286-9990
FEE ID UNIT QUANTITY I�MOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- -- -------- ---------- ---------- ----------
1BCBSC VALUATION 7, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 7, 000 . 00 0 . 70 0 .00 0 . 70 0 .00
1REROOFRES SQ FEET 30 .00 390 . 00 0 .00 390 . 00 0 . 00
-- -------- ---------- ---------- ----------
TOTAL PERMIT 391 . 70 0 .00 391 . 70 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 391 .70 #4103
---------------
TOTAL RECEIPT 391 .70
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
wr Community Development
10300 Torre Avenue
' Cupertino CA 95014
Telephone(408)777-3228
CI OF Fax(408)777-3333
XPEkTINO
Building Department o o�
JOB ADDRESS: /S e� PERMIT #Lc� l V �T /��'
OWNER'S NAME: PHONE # `l /jG
GENERAL CONTRACTOR: i FAX # 'G - : - Cj f
CJA
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
7
Owner/Contractor Signature Date