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07100144 CITX OF CUPERTINO '' " � BUILDtNG DIV1Srr�SN PERMIT ��������A�' ����������� ' .:.. ,.. .: .. :: ,.. ;: ,. _ PERMIT NO. BUIL � r � C � c � DR ��ADYGROVE DR RESPONS BLE ROOFING INC 07100144 . PERM]T LSSUE DATE �JER'S NAME: , MEHR TARIQ 2882 SP]tING ST � 10/19/2007 SANITARY NO. CONTROL NO. P"o"E: ( 650 ) 96:�-6151 BUILDING PERMIT INFO ARCH11'ECT/ENGINEER: BLDG ELECT PLUMB MECH � � 0 0 ; o o LICENSED CONTRACfOR'S DECLARAT[ON JOb DeSCT1IJt10❑ � U� I hcrcby af[irm that I am liccnscd undcr provisions oC Chaptcr 9(commencing ;z� w ithSccdon70oo)otDivision3ofthcBusineACandProCcssiunsCadc.andmyliccnscis SWEET O-' OLD ROOF, INSTL NEW FOAM ROOF W/WHITE �< a in full Corce and effect ��z 1,�«nsc ass [.ic.x `� • COATING : CLASS A 31 SQ ; �, ❑ Dacc � y Conuac�_ � (x � ` AR ITEC['S DECLA ION � 7� a 1 undcrstanJ my plans shaU be used as public rccords )yU ' v. N I,icensed Pm(cssional ' � < OW NER-BUILDER DECLARATION '}� ! hcrcby alTrm that 1 am excmpt trum �hc Contractors Liccnsc Law (or ttic � p O (ollowing r�ason. (Scction 7U31.5, Busincss and Profc.csions Calc: My city or county �$�i which requires a pcimit to conswct, altcr, improve, dcmolith, or repair any structure °��y„ prior ui ils issuance, alsu requires �he applicant far such permi� w file a signed sutement Valuation z �hat hc is liccnscd pursuan� io thc pmvisions o[ �hc Convactur's Liccnsc Law (Chaptcr 9 � iCj. Fi. F�OOi Area $13 6 4 0 ,� F- �(commencing wi�h Scction 7000) of Division 3 0( ihc Busincss and Profeuions Cadc) or i�� that he is eacemp� theccfrom and the basis (ar the alleged exemption. Any violauon ot Section 7031.5 by arry applicant (or a pecmit subjects ihe applicant to a civil penaity of 3 7 5 4 0 0 0?� Number Oeeupaney Type not more ihan five hundccd dollars (5500). ❑ 1. as owner o[ ttie property. or my cmployces with waga u their solc rnmpensation. - will da ihe work, and the swctum is aotintendcd or ofCerod forsa� (Sec.7044. Business Required Inspeetions and Professions Cadc: The Conuactor's l.icense L.aw docs not apply w sn owner af propeny who builds or impraves thercon, and who dots such work himselCor thcough his own employccs, providcd that such improvemmts are not iniended or o(fered [or sala I[, however, the building or improvement is sold within one year of wmp�don, the ownu- builder will have �he bucden of proving Wat he did mt build ar improvc (or puryau of salc.). ❑ I, as owner of the property, am uclusively conuacting with licensed conVactars w conswct the projea (Sec. 7044. Business and Professions CodeJ The Cootractor's Li- cense Law dacs aot apply �o an owner af propeny who builds or impcoves Ihneon, and , who conuacts tar such pmjects with a convactor(s) Iicenaed pursuant to the Contncror's � icense Law. ( am exempt under See , B dc P C for this �cason „wner Date _.. _ WORKER'S COMPENSA'tTON DECLARATION I herc6y �rm undv penalty of perjury onc of �he following declaratioos: ❑ I hs+e and wilt maintain a Certificatc of Conscnt to self-insum for Workc�s Compen- satian, as provided for by Sectian 3700 of the Labor Code. for �he pedo�mance of �he work tor which this permit is issucd. ❑ I havc and will maintain Workcfs Compcnsation Insurancc, as rcquired by Scction 3700 oC �he Labor Code, for the pedormance of the work for which this permit is issued. My Warkefs Campensation Imurance carricr and Policy n�u are: Carrier. '�YC. �e LL = Poliey No.:1J�—��� CERTIF7CA'fE OF �CEMP'I'[ON FROM WORfCEl2S' COMPENSATlONINSURANCE ' (ihis section need not tu complctcd if the permit is tor anc hundred dollazs (5100) or Icss.) � I cenify thcs in ihc perforn�ancc of thc work far which ihia permit is issuc0. l shall not cmploy any person in any manncr so az to bccomc mbject �o We Workcrs' Campensatian Laws of Califomia Dam Applicant NO'fICE TO APPC.ICANT: If, aftcr making �his Ccrti�catc of Eccmp6on, you shouW bccome subjcct to thc Workcr's Compcnsatian provisions of thc La6or Codc, you must , O forthwith comply wi�h such provisions or this pecmit shall bc dccmcd mvokcd. z ""' CONSTRUCCION LENDING AGENCY (- � 1 hc�cby aCfirm U�at thcre is a consuuctinn Icnding agcncy for thc perfortnance ut R�i � ihc work for which ihis pertnit is issucd (Scc. 3097. Civ. CJ w� Q Lendcr's Namc � � z L,enders Address V � 1 certify that I havc rcad ihis application and siaic �hat �hc abovc informatiun is w � cortcct. I agrce �o comply with all city and county orelinani.�es and state laws relating to � U buildi�g conswction, and hcrcby au[horim reprcsenutivcs of ihis city to cnt6r upon thc � a abovc-mcntiuncd property for inspccuon pur�wses. (Wc) agree lo save, indcmnify and kecp harmlcss �hc Cily o( Cupertino against �� liabilitiu, judgmcn�s, cast� and expen hich may i� any way acccue agains� said City U z in consequence af Ne ting of this rmiG Date ��� ��� � APPL ANT UND ANDS W1LL OMPLY WITH ALL NON-POINT Issued by: SO RE L NS. � -�� Re-roofs �/� � Signazureo�ApplicanuCo r � ofRoof HAZA OUS MATERIALS DISCLOSURE T}�� �ll Ihe applicant or futwc building accupant storc or handle harallous material fcfi�d by the Cupenino Municipat Code. Chapicr 9.12, and the Health and Safcty _«� .Scction25532(a)? ry � All roofs �hall be inspected prior to any roofing material being installed. ❑�'� '� , wll �hc applicant or (uturc building occupant usc cyuipmcnt or ikwices which If a roof i� installed without first obtaining an inspection, I agree to remove cmii harardous air contaminan�s as dcfincd 6y the Bay Arca Air Qualiry Managcmcnt all new m aterials for inspection. Dislrict? . �Yu �Nu t havc ccaJ the ha�ardous ma�crials requirements unckr Chaptcr 6.95 o(�c CaliCor- nia Hcalih & Safcry Codc, ctions 25505, 25 33 and 25534.1 undcrstand ttiu i(ihc building docs not c ntly havc a nan4 wat it is respo ility w nodCy the occupant nf thc rcyuire which mu be me� prior uancc a c�wr,�a� oro��. Signature of Applicant Date �' Al l roof coverings to be Class "B" or better Ow or authorized agcm �� . _ �7������ CITY OF' CUPERTINO �� ��ROOF CUPE�TINO PERMIT APP LICATION FORM APN # Date: ���� � � D Oa . � � /� -1�-� � Building Addr,ess: (�o a � :S"G�� � �-� � Owner's Name: Phone #: — rr� LloFl ��� --�v �9 Contractor: ,,, License #: • 1�� ,i-✓tsi�C� �o��rvt �c,. 32 �'� zC� Contact: Cupertino Business License #: �� �� � Type of Roof Covering: Existipg: Proposed: Q( Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles ❑ Asphalt Shingles O Wood Shakes ❑ Wood Shakes ❑ Wood Shingles • ❑ Wood Shingles ❑ Other (Specify) O Other (Specify) ��� yt/� Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. I Have Read, Understand and Will Com 1 With Cu ertino's Tear Off Polic : Job Description: �- ] .S o � o �� r�, �✓�s�r [1 ,il�cti" �c�� re��r e� 1� c^�Lr� t��� 11 Residential Commercial ❑ /� �'1 Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are an restrictions: U Cos�f� ojecty Type of Co trzctionj Occupan��Cy group: �� Qty. if � . A licable Fee ID Fee Descri tion Fee Grou BPERMFEE Bld Permit Fees BUILDING BENERGY Ener BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BIIILDING ..��'� �� � l 3- � .fic� � S�� � . ' _ 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 1997 UBC Standards and manufacturers specifications on rE�-roofing. 2. New roof coverings shall not be appliE d without first obtauung all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the bi�ilding inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to an� roofing installation. 4. To receive a final sign off from the Cit;�, the following steps are required: 1) Pre-inspection and/or tear off appr�val. 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 .=irst obtainirtg an inspection, will require the removal of all new ma�:erial down to the sheathing, so a proper City inspection can be perf �rmed. 7. NOTE: If you call for a plywood nail inspection 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 ins�ection can be scheduled. IMPORTANT 1. Flat roofs must have a minimum of 1 /4 ' per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on he job site at the time on inspection. - I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: � �,�_�o, �l' I Q Job Site Address: ��� � S�j c��o1C � d`c� 1 �� ,. � G �L-� Roofing Company Name: /? - d /1 G Applicant's Signature: Date: /�� —� � Greg Casteel Building Official . Revise � 11/2/04 CITY OF CUPERTINO 2 ITEMS OF 2 PERMI'P RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: B1{: Lot: APN ......... 37�40002.00 DATE ISSUED.......: 10i19/2007 RECEIPT #.........: BS)00003034 REFERENCE ID # ...: 07L00144 SITE ADDRESS .....: 60:?1 SHADYGROVE DR SUBDIVISION ....... CITY .............. CU:?ERTINO IMPACT AREA ......: OWNER ............. ME�3R TARIQ ADDRESS ..........: 60:?1 SHADYGROVE DR CITY/STATE/ZIP ...: CU.?ERTINO, CA 95014 RECEIVED FROM ....: RE;3PONSIBLE ROOFING CONTRACTOR .......: ELIQORE, PAUL M. LIC # 105 COMPANY ..........: RE;3PONSIBLE ROOFING INC ADDRESS ..........: 28�32 SPRING ST CITY/STATE/ZIP ...: RE]�WOOD CITY, CA 94063 TELEPHONE ........: (6 '�0)969 - 6151 FEE ID UNIT QUANTITY ;�MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 13,640.00 212.76 0.00 212.76 0.00 BSEISMICRE VALUATION 13,640.00 1.40 0.00 1.40 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 214.16 0.00 214.16 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 214.16 #11875 TOTAL RECEIPT : 214.16 � - , Community Development `��� 10300 Torre Avenue �' � � � • Cupertino CA 95014 Telephone (408) ?77-3228 CITI' OF Fax (408) 777-3333 CUPEI�,TINO Buildin De artment JOB ADDRESS: PERMIT #��� / � d � � � �� ro ve r►� OWNER'S NAME: t PHONE #��O - G n GENERAL CONTRACTOR: � 5 0�5 �(�(� ,� � FAX # , � I am not using any subcontractors: � � �4 'c- � i;;nature Date Please check a licable subcontractors and com �lete the followin information: SUBCONTRACTOR BUSIrTESS NAME SUSINESS LICENSE # Cabinets & Millwork Cement Finishu�g 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 �heet Rock Tile Owner/Contractor Signature Date � � a�� s���:� �� � ,� � � � R� . , I �.. � �G o �.. _ ��BC� E��1�atior� ���v�c+e, lnc. '"°� .q suhsidf:tr}�cor�uvr�[�on nf lt�� lr���ernationa! Confercn�e af Suilding Offiei�ls � ' Aeport hlo. 4630 `�.. � E�tALUaTI�N REP�RT O� C � �� � � January, i993 (;ppyriKlu � 19931CD0 Evaivation Scrvic�, Inc- Fitin� Categary: R00� COY�RtKG AND ROOF DECK COIYSTRtiCTION—Raof Covzr�ng �202) PERMAX 108 RdOF1NG S1fSTEM� roof coyering is removed tq the sUhStrate, the foam plastic is insG111ed as RE51N TECfiilOLO�ir CaIYIF'ANY sc1 forth in paragraphs tl-B and II-C. The rooFin� systems msy bc installed 227D CASILE HARBOR 3�..AGE ovcr bvilt-up, compositlon, or asphalt-sfngle roof coverfngs recognized OMTARIO. CALtFORNUI 9Z761 Uy tne iaodo. I. Subje�t: Permax 108 f�ootinq Systems. Prlorto foaming t�e surtace rnust tre prepared tv assure adequate ad- heslqn. Alt Eoosc c�oCk, cementitiou5 caatin$s, peepnq paint, dlCt and de- l{. Aescrlpllor. A. GY��: The ResiA TBChnalogy Carporation's F'cr- bris must bE ramoved hy bronming, powe� vacuutning or wire nrushing. max 108 Root�ng Systems consisi otsp�ay-appl�ed iaam �ta�,Si<: an[I clas � 131isttrs In the existing roofing �arget ihan 6 inches i►1 d�mabor muSt be tomeric caating. The foams are classrfied as RT 2030-2.5 and RT 2030-:1 rr,movtd from the raof. Bllsters in the extsting rooting fess than 6 inches nolyurcthane lo2tms. i'ho cosdng systems a�e iabeled as F'a�rn,�x � 0� gre� � in diameler arE to be slil �nd nailed wit� 1�nch ronfin� rrtits. base coat and Permax i06 w�itotop �at. Foam ihickness densil�� c���t � Curlad asphaft shinglss must he eithoc removed nr nailed to the dtxk. in� intormatian and rUOf�avering clsssl(Icatian for the various �ysicrn : ASI prDjectionsthrulx�h the raof deCkmust bc sealed w�th roof maStiC. Par- are in T2frI�S HD5.1 and li Typicaf rooi penet�ation and tl�hir�y �ietai�s an; ti�ular Ce[8 i5 to bc exetClSed ta seal untJer a11 rno�mounted equipment in �igure plo. i. willr c�ld-proass aspha�tic produrts and to prev�nt roof depressions 8. Deck Prepuation: t�aat 5urf�ces musf be iree of grt�►:;n, ai1, diri, whart i! is not feasibl�2 to spray foam. The surface is then primed wlth � sediment and moisture. All surf�c�s, not Cavarad with tddm, must b: ch4ofinated tubbe� primer at a�te of 200 square feet pe� gallon and al- masked aff or oiT�erwlse protected from ararspray. A11 �arapets, Ci'ir.�Cet s lowed ta cure a minimum of one haur p�ior ta foar�t �pplfcation. Spray and valleys must be flashed it1 aoGOrdance wilh the cada. Where precasl applieations are subJect io the same conditions as listed in �aragraph II�. concreteplanksarcen�ou�tered ,alljointsmustbatapedwitl�inin�rnu+�� OniEatsurtaccs ,lhefpammaybebuiltuptoprov�dea5lnpet�assureade - 2-inch laofing tape i1leAlif�ed as OT 10� qu�tn dratnaqe pravided the maximum ihi�lcnasses nMed in Tablo Na. l (Vew plYwoad deCks mu�t bo primed with a neopr+�e primcr. Nc:w c�n• are nat excceded. crcte dee�s must bo allowed to curn at leasc 21 days prior en aPplicatio i F. IdenliiieaUon: All rnaterial drums and containors are identified by the ot foam, Th� Surtace is ihen primed with a C2�Wlyzed ursthaz�E: ���i�ner. manufaciurer's nartro and 3ddress, product designatian, the evaluation New rrietakdecksarep�med wi�h a tvro-COmpanent w�sh prirncr. Gap> ��eport ntimber, sho11 life, a�nci an tJnderwriiers Laboratnries Inc. I�bet • in ond or slde�aps must be sealed with an approved sealan�. noted as (�-1018� �lA�-343}. , where waod decks aro perm�tted, the deck may be covcred with a vap� r Ilt. EM{den�e 5ubmiited; Rapvrts of iests in acPArdance with U.B_C_ barrier in aceord�nce witl� manufa�:turer's speClltCations e�d w�l�� the au- Slandards Nos. T7-4 (P�rt Ilj, 32-7, 42-t and Accopld�ce Criteria 1ar proVa) ot lhe buildin9 U(ilCial. Memhranc Roof Coverinp Sysiems, dated July, 1992. , C. Foarn plasticA�pliestlnn: The toam isspray applied to ll�� Gtreparc i 199� Supplement to the tJ.B.C.: This re�o�t I� unatfecte+� by me supple- subslrate in tntnimum �12 ftlCh-thidt p�iBSes to thickneCSes nuiod in TaUI � merlt. ' No. f. Wind relocity qnnai exce�tl 12 miles per hour durin4� �ipl��IcaUor,. F ������ Application st�a11 not proceed if the ambienttemperaiu�e Istess than 4U° ; or if the substrate #emperamre is less than 50°F Ttte foam cannot be IV. Findings: Thet the �asin Tmchnolog�r Company P�rrnax tus Rool- appGed ovar wei substrates or iF rain or inclerr►e��t wieather is ii�lmi�cn:. �ng 5ys#ems descrl6ed in this �eport coqtply �rith �991 Unifarm 8t�afd- lliafoauoi�appliettiaaot►e-ta-oneratiowithequipmGntcapahlcoSnu►e ��q�pdE�snpi'�Itolhebllowiapeonditicn;: ing each component withi� plus or minus Z percent ot it�e ilr.sign rati+i. 1 p�� Sy$iem campanontsareprep�redandaRR1led bytrainedper tf the foam application f5terminatCtl b�laethe final thickness is attainecl, gppnel ap{tro�ted b fiasiq Teehonlogy Colnparry. additional Foam may bC 3pp11ed within 24 hou�s prDVided the cxisting Y toam is primed with a c�taiyZed ur�tltSne primer ar�d a minintum ��� 2, The rau!-�o+rariap sy9tem 1s apalied la accardan�t r�rith lhis re- �!�-iIICh f08111 �S applied icl a Sktigle �ss. The fQam must be !r r.e of bu mp;:, part and milpuEaetur�l's ilutrucliont. pin holes and ridgas.l�ny of thesp irrepularities mast ba eti n �inated 3. Whare maderat0 or h�attY fout Ir�iflC occurs such �s far �nai�rit D. Coitin� Appli�atian: ThB Coating is applied in two coals oi contr:iti: nance of aquipmeiri, Ihe roaf systeru mus! b� adequataly pro- � iop cafor at a r�te of 3 Qalla�u per 100 square fee1. The Cpati��g cannot t e lactsd tp pr�anl ruplure ar wsa�inq ot sud�ce. applied itrakn, fag orinclemeM weatheris imminsnt or It temperatureti b� �- �, Whera plywaod shealhiq�. lnst�llod in aCCardance wlth Sadloa 1ow freezing arE anlioipated wilhin 24 haurs of coating �pnlic;uian. 1713 ot tha cOde, or nanaombustibta eemenqNuus sub:trates E. �xi�in9 Roots: The roofinq xystem may be installed uver existirg ara provided. a thernta! harri�r is n�ot requirad. raofs, prnvtded tt�a substrate is aa requlred fdr the system. l t��: e:xistirg 5. insis�latlon= addrtssed In this repari acs limfled tu a�ea: wlth roof coverinp can remain in place but must b� inspacted as sct torth n a m�ximum ba:ic wMd spsed o1 aD rnph� Expasare �, an roais Chap�er 3z ot the Un'rform Buildinq Cvde Appendix. Wharc thu existin g not exce�dinq 40 feei above �ra�e. Rwlr�aovA ►tp�lYS ojlC:BGB►w�1�rBo+r Sar1�lc� aru isrur.�l lu px vvide urjannrrJlun loGlass Apt�mprra afICDU, �dfi2irls fh+e Co1r nprret wllldt tke rYpo►'t � is base+t RveluaRart lYpllx R7t twt lv bt t+�Y� �►/YF��enfrr�� ��asikr.ti� •n arany u+ker�tlribr�Ier 1t��y4�ress++t rttlr at aa r1edK8C+��ntnrnecui+elneR da+sa fiir ori Of t� s�rkM't! ►�nK TI�s repari ir b�rsd reFon iwdspenrieyrl+es�+or olkN techRiea! d�rf� .euAa�i�6 ad by lkr. app[icnrel. T1kr lC80 6wtluoCu+n 8emrr, Inr hckqlCQ�lb�Aar+y �S lrstnsUlfi RAd/er alNild�Uf, �t do�s na�l pas+�+� tsaf factl7fie.i r f7 7)fIJI{ G NrI C idtT/INt�Y I1I ��'��OA. TT�C� tl AO fV6Iy'aIE� bJ� IC�O TS ��hlx �Y�IPICe� lRC. � C.C/llE+'d . ur/ptyfierd, aR1a sAy "Fi�edi�" w'olhN�srirslA4! n�x►Karaa !V �,re► pra tucd curendby �IYs i'epaN-TAis Jiaclala��rineLrds3. bxr ra ao! fi�tlred w, u�t/tlt�+tte6ilily. Paqe 1 ot 3 ZO' d S00' �h! 6T : 6 S6 ��tl upi� : �� I � � , . . . • - . • �, , ' a A Repoct Mo. �63� p�ae 2 �f 3 S. AI! sysiem camponenls are prnduted at ihe Resin Tethnoiogy ' Cabaraloriet ��e. �NER�A-d�3�. CaRpanT facjlily, 2270 Casite Harbor Place ontar�o, �alifarnla T�$ report i� sub)BC! to 1'�-e�amination ia o�e year. 'i 917fi1, with qualfry canl�ol inspectlons bY lMde�writers TABL� NO.1—RT�2�00lp��MliX r�oo� C4vERiHa SY3TEM5i �– - eauN -- 4oa11� N� �nMUM fONM nuutlMUlA Ar�IkrPw� Dr� F7� oAn THIGNNEii *usaC tr�E naof aLOP� RSOF Tx cKxcss w�MIMV� � q�s TtiR�nat Alp sEN4R'f U�1) 11n.MA6C PL) CU3%f�ICA110M SR"iEM ND. IIP� Ga1.110r FL= I��I TOP SUiF:dGllili �I n�hrsl U�yI 2¢ 1'JntRn�e��ceik �{!A Z IiT-?A3Q t A 1 I'tiesmax-1QQF 3 �..5.7.() z Pcrmax-um 3 24 � N<,�� ! y11A ; Kf-2030 l A 2,5-3.i1 - , 24 KscNuic S 4 4 3€1-2030 5 K 3- f'�rmax-I(1K 3 3.0 . SrG N�,�,• i �" 2 .. 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