13060124CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10725 N DE ANZA BLVD
CONTRACTOR: STATEWIDE ROOFING
PERMIT NO: 13060124
INC
OWNER'S NAME: 10725 DE ANZA LLC
5542 MONTEREY RD
DATE ISSUED: 06/14/2013
OWNER'S PHONE: 4089749575
SAN JOSE, CA 95138
PHONE NO: (408)288-8680
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
License Class_ Lia #�,'!
REMOVE EXISTING BUILT UP GRAVEL ROOF AND
INSTA-13,100 SQ
Contractor Date
I hereby affirm that I am licensed under4h4rovisions 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
Sq. Ft Floor Area:
Valuation: $81000
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
APN Number: 32610065.00
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 DA FR?M 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
/ '
�'
granting of this permit. Additionally, the appli t understands and will comply
Issued by. , Date:
with all non -point sourc egulati er Cupertino Municipal Code, Section
9.18.
�� �N<
RE -ROOFS:
Signature �� Date_ 3
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I e to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date: "l— U
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, 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)
I, 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 I 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 I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal C e, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505 5 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
! l
Owner or authorized agent:
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
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I 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 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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CUPERTINO
/.5 0 (��
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.om
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS
APN # /C/ " '� t / ✓ /, I
(�
OWNERNAME
PHONE
E-MAIL
_
STREET ADDRESS ..►
CITY, STATE, ZIP
FAX
CONTACT NAME
PHONE - I
E MAIL
STREET ADDRESS
CITY, STATE, ZIP
/AR
FAX �� - 7
�
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME",
LICENSENUMBE
LICENSETYBUS.
LIC# Q
COMPANY NAME / /
E-MAIL
FAX - /f/�
Leg•
f
D
/elf
STREET ADDRESS
CITY, STATE, ZIP
PHONE
Z
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
c
EXISTING USE
PROPOSED USE CONSTR
TYPE
# STORIES
USE TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOORDEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH ARE
GARAGE AREA: DETACH
[]ATTACH
I
# DWELLING UNITS:
IS A SECOND UNIT []YES
SECOND STORY [3YES
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME? []NO
''REI~EI D p,dg;: �'
`'' �. '
TOTAL V /ALUATI77O'NN�:
By my signature below, I certify to each of the followi I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have prov' e ' c ect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relati to b ction. I authorize representatives of Cupertino to enter the a4ov -iden ified� for inspection purposes. ,
Signature of Applicant/Agent: Date: (/% - J
SUPPLEMATAL IlTORMATION REQUIRED
RE QPLANCHECIZ*,T�7�PE...
+_
Viz y� ti
�II
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
OVER=TJ�COUA'TER'm
a"
,BUILDIlIGPLAfVRE
P �v�rirvlEw
_ Commercial Bldgs: Provide a completed Hazardous Materials DisclosureyT
form if any Hazardous Materials are being used as part of this project.
_
ARDx_
rllaesl Ic; oRKSx
_ Copy of Planning Approval Letter or Meeting with Planning prior toM
MA�oR
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submittal of Building Permit application.®
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BldgApp 2011.doc revised 06/21/11
CITY OF CUPERTINO
FEF. ESTIMATOR — BUILDING DIVISION
Mech. Plan Check
rLlech. Pernrii Fee:
Other Mech. Insp.
Dtech. Insp. Fee:
Plumb. Plan Check
Plumb. Permit Fee:
Other Plumb Insp.
Plumb. htsp. Fee:
Elec. Plan Check
Flea Permit Fee:
Other Elee.Insp.
Elee, Insp. Fee:
NOTE: This estimate does not include fees due to other Departments ft e. Planning, Public worics, etre, sanitary sewer utstrtct, scnoot
District, etc). Thesefees are based on the preliminary information available and are only an estimate contact ine uept_/or aaan,l info.
FEE ITEMS (Fee Resolution 11-053 Ef[.' 711/12)
FEE
QTY/FEE
DATE:
REVIEWED BY:
IlaADDRESS:
APN:
BP#:
'VALUATION: 1$81,000
*PERMIT TYPE: Building Permit
$0.00
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
PENTAMATION
PERMIT TYPE: 1COMMLR00
WORK
Suppl. Insp. Fee -0 Reg. Q OT
F-0—.0-1hrs
SCOPE
$0.00
Mech. Plan Check
rLlech. Pernrii Fee:
Other Mech. Insp.
Dtech. Insp. Fee:
Plumb. Plan Check
Plumb. Permit Fee:
Other Plumb Insp.
Plumb. htsp. Fee:
Elec. Plan Check
Flea Permit Fee:
Other Elee.Insp.
Elee, Insp. Fee:
NOTE: This estimate does not include fees due to other Departments ft e. Planning, Public worics, etre, sanitary sewer utstrtct, scnoot
District, etc). Thesefees are based on the preliminary information available and are only an estimate contact ine uept_/or aaan,l info.
FEE ITEMS (Fee Resolution 11-053 Ef[.' 711/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
13,100 s.f. Re -roof
$1,035.00 1REROOFCOM
Suppl. PC Feer (!) Reg. ® OT
0.0 1
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. Q OT
F-0—.0-1hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Ta :
Administrative Fee:
G
Work Without Permit? ® Yes (E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential 0
Building or Structure
i
Travel Documentation Fees:
Strom Motion Fee: 1BSEISMICO
$17.01
Select an Administrative Item.
Bldg Stds Commission Fee: 1BCBSC
$4.00
,'jj�
$21.01,$1,035.00
$1,056.01
Revised: 04/29/2013
REROOF TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CE.IPERTINC? 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 -
PROJECT ADDRESS
#
beAoAPN
Frit A/Ve/.
OWNER NAME
PHONE "vJP_ 7 , t ;�757-�AIL
(
STREET ADDRESS -
J
CITY, STATE, ZIP
FAX
CONTRACTOR NAME
LICENSE NUMBER
803926
LICENSE TYPE
C39
BUS. LIC. #
23509
cOMPANYNAME Statewide Roofing,E-MAIL
Inc.
mbotill @swroof.net
FA '{408-286-7820
STREET ADDRESS 5542 Monterey Road, #201
CITY, STATE, ZIP San Jose, CA 95138
PHONE 408-286-7828
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection.
For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only after that
phase of the work is completed. The building inspector will be available within one hour. Progress
and Final Inspections will be given a two hour window.
3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked -down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied 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.
6. Progress Inspection is required when approximately 50% of roof covering is installed.
7. A Final Inspection and approval shall be obtained from the building inspector when the re -roofing is
completed. To receive a final sign -off, the following items will be verified:
a. Flat roofs shall have a minimum of I/4" per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre -manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
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.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that
smoke detectors and carbon monoxide dete r e required to be installed in accordance with Sections R314 and R315 of
the 2010 California Residenti�pd .
Sienature of ADDlicant/Aaent: "�
IYA
ReroofPolioyM1.doc revised 02/16111
FOUR (4) PLY BUILT UP ROOFING SYSTEM
INSULATED DECK o POR
GENERAL
Safety: Refer to Section Section 1.06.
DO NOT BEGIN INSTALLATION
UNTIL THIS INFORMATION IS READ,
UNDERSTOOD AND IMPLEMENTED.
MATERIALS
Material Requirements per 100 sq. ft.:
Insulation (N on -I socyanu rate)
Asphalt (per ply) ...... 25 lbs. (1.22 kg/m2)
Ply sheets........... 3 plies
Cap sheet........... 1 ply
12 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEE SPECIFICATIONS
BOTTOM SHEET
SPEC# ATTACHMENT INTERPLY INTERPLY INTERPLY SURFACING
WA -M MOP TO PERLITE OR FIB.BD PLY 4 PLY 4 PLY 4 CAP SHEET
WA -MEC MOP TO PERLITE OR FB.BD PLY 4 PLY 4 PLY 4 ENERGYCAP" CAP SHEET
20 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEE SPECIFICATIONS
BOTTOM SHEET
SPEC# ATTACHMENT INTERPLY INTERPLY INTERPLY SURFACING
1-O4-M/P6 MOP TO PERLITE OR FIB.BD FLEXPLY" 6 FLEXPLY" 6 FLEXPLY'" 6 CAP SHEET
144MECGP6 MOP TO PERLITE OR FB.BD FLEXPLY'" 6 FLEXPLY" 6 FLEXPLY" 6 ENERGYCAP" CAP SHEET
�a
Coll " z
;i'
Built -Up Roofing Systems 257
Underwriters • UL Wind Class ratings are primarily utilized for testing metal roof and deck panels.
Laboratories
Wind Ratings • UL Wind class ratings are not required by building codes.
• GAFMC tooting systems have not been evaluated by this test method.
American • A comprehensive building load standard; section 6 means to analyze wind forces
Society of actingon buildings. Requires detailed calculations to determine actual wind
CIVII Engineers pressures at different regions of the roof.
ASCE 7 Wind • Referenced by building codes.
Design
Energy Efficiency
Thermal transmission standards have been established by building codes for most buildings. Roof
insulation installed above the roof deck is apractical means of achieving the necessary energy
efficiencies. In addition, the use of white -colored reflective membranes can reduce the heat load
on air conditioning equipment, as well as providing a moderating effect on the temperature in proximity
to the building.
Thermal transmission measurements and comparisons are referenced in various ways.
The following is a description of common terminologies:
K -Value • Thermal Conductivity — the number of BTU's (energy) that pass through a 1 inch
thickness of a 1 square foot sample of homogenous material in one hour with a
temperature difference between the two surfaces of 1°F.
• Units of Thermal Conductivity are expressed as: (BTU) (inch)/(h) (sq. ft.) (F).
• Thermal Conductivity only applies to a 1 -inch thickness of a material, and
as such is a qualitative physical property not directly suitable for determining
insulation requirements. .
C -Value • Thermal Conductance —The number of BTU's (energy) that pass through
a given thickness of a 1 square foot sample of material in one hour with a
temperature difference between the two surfaces of 1°F.
• The C -Value is the reciprocal of the R -Value.
• Units of Thermal Conductance are expressed as: (BTU)/(h) (sq. ft.) (F).
Thermal Conductance applies to an actual thickness of a material, and as such
is a quantitative physical property that can be used for determining insulation
requirements, but normally is not.
U -Factor • Thermal Transmittance — The number of BTU's (energy) that pass through a
1 square foot sample of a total material assembly in one hour with a temperature
difference between the two surfaces of 1°F.
• The U -Factor is the reciprocal of the summation of all R -Values for all materials
in an assembly.
Roof Design 19
• Units of Thermal Transmittance are expressed as: (BTU)/(h) (sq, ft.) (F).
• Thermal Transmittance applies to an actual total material assembly, and as
such is a quantitative physical property that can be used to represent the overall
thermal performance of a system.
• Thermal Resistance —The number of degrees difference between two surfaces
(energy difference) that is required to obtain an energy flow of 1 BTU through a 1
square foot sample of a given material thickness in one hour.
• The R -Value is the reciprocal of the C -Value.
• Units of Thermal Resistance are expressed as: (F) (sq. ft.) (h)/(BTU).
• Thermal Resistance applies to an actual thickness of a material, and as such
is a quantitative physical property that can be used for determining insulation
requirements.
Based upon Model Energy Code guidelines, the following minimum roof
insulation R -Values are suggested for various geographic building locations
for typical building usage (refer to the Model Energy Code or local/state
energy code for additional information):
• Alaska, Souther Canada
R=25 to 40
• New England, Upper Great Plains; Great Lakes; Mountain States
R=20 to 25
• Mid -Atlantic, Great Northwest, Lower Great Plains
R=14 to 18
• West Coast, Southwest, Deep South
R=12 to 17
• Gulf Coast, South Atlantic, Hawaii, Northern Mexico
R=10 to 14
The determination of potential energy savings based upon different types and thicknesses of roof
insulation is a relatively complicated analysis that is beyond the scope of this manual. The following
is a general description of one commonly used analysis method:
NBCA Generalized Analysis
Energy Manual
Method • Calculate total R -Value of roof assembly by adding the R -Values of each
individual roof and deck component.
• Convert total R -Values (summer and winter) to U -Values,
Determine energy savings in therms, BTU's, KWH, as appropriate for fuel
type. This calculation considers U -Value; climate, roof size, and furnace/boiler/
refrigeration efficiencies.
• Multiply calculated energy savings by local energy costs to obtain financial value
of energy savings.
Roof Design 20
° GAF
Material Safety Data Sheet
MSDS # 2078
MSDS Date: February 2012
SECTION 1: PRODUCT AND COMPANY INFORMATION
PRODUCT NAME:
TRADE NAME:
CHEMICAL NAME /
SYNONYM:
CHEMICAL FAMILY:
MANUFACTURER:
ADDRESS:
24-HOUR EMERGENCY
PHONE (CHEMTREC):
INFORMATION ONLY:
PREPARED BY:
APPROVED BY:
Reactive
Special Hazards
OSHA HAZARDOUS:
GAFGLAS® EnergyCapTm BUR Mineral Surface Cap Sheet
Roll Roofing
N/A
N/A
GAF
1361 Alps Road, Wayne, NJ 07470
800 —424 —9300
800 — 766 — 3411
Corporate EHS
Corporate EHS
NFPA Hazard Rating
1
1
0
Yes
Reactive
Personal Protection
HMIS Hazard Rating
1
1
0
X
No X
Page 1 of 7
SECTION 2: COMPOSITION/INFORMATION ON INGREDIENTS
OCCUPATIONAL EXPOSURE LIMITS
CHEMICAL NAME CAS #
% (BY WT)
OSHA
ACGIH
OTHER
Oxidized Asphalt 64742-93-4
40-60
NE
0.5 mg/m3
5 mg/m3 —
(fume)
Ceiling (15
min. fumes)
Granules -
20-25
NE
NE
NE
Calcium Borate 12291-65-5
—20
NE
NE
15 mg/m3
Page 1 of 7
GAF MSDS # 2078
Silica, Crystalline 14808-60-7 3-5 10 mg/m3 / (% 0.025 mg/m3 REL: 0.05
Quartz Si02 + 2) - resp. mg/m3 -
resp.
Acrylic Polymer Mixture <5 NE NE NE
Titanium Dioxide 13463-67-7 0.1-4 15 mg/m3 total 10 mg/m3 total
NE = Not Established
As defined in the OSHA Hazard Communication Standard, 29 CFR 1910.1200, the products above are
considered articles and do not require an MSDS. All components listed for this product are bound
within the product. When handled as intended and under normal conditions of use, there is no evidence
that any of the ingredients are released in amounts that pose a significant health risk. Although these
products are not subject to the OSHA Standard, GAF would like to disclose as much health and safety
information as possible to ensure that this product is handled and used properly. This MSDS contains
valuable information critical to the safe handling and proper use of the product. This MSDS should be
retained and be made available for employees and other users of this product. In addition, the
recommendations for handling and use of these products should be included in worker training
programs.
SECTION 3: HAZA�Z�S1DElVT1FjCATION
PRIMARY ROUTE OF EXPOSURE:
SIGNS & SYMPTOMS OF EXPOSURE
Occasional nuisance dust, Inhalation
EYES:
May cause irritation to the eyes.
SKIN:
May cause irritation to the skin.
INGESTION:
This product is not intended to be ingested. If ingested, it may
cause temporary irritation to the gastrointestinal (digestive) tract.
INHALATION:
May cause irritation to the respiratory tract.
ACUTE HEALTH HAZARDS:
NIOSH has found that studies of workers exposed to asphalt
fumes have repeatedly found irritation of the serous membranes of
the conjunctivae (eye irritation) and the mucous membranes of the
upper respiratory tract (nasal and throat irritation).
CHRONIC HEALTH HAZARDS:
Studies in humans have found that exposure to respirable
crystalline silica (quartz) can cause silicosis, a fibrosis (scarring) of
the lungs. Silicosis is a serious and irreversible disease; it may be
progressive even after exposure has ceased; it can lead to
disability and death. Human studies also have found that silicosis
is a risk factor for tuberculosis, and that occupational exposure to
respirable crystalline silica is associated with chronic obstructive
pulmonary disease, including bronchitis and emphysema. Some
studies show excess numbers of cases of scleroderma, connective
Page 2 of 7
GAF MSDS # 2078
tissue disorders, lupus, rheumatoid arthritis, chronic kidney
diseases and end-stage kidney disease in workers exposed to
respirable crystalline silica.
CARCINOGENICITY: IARC has determined that occupational exposure to oxidized
asphalt and its emissions is probably carcinogenic to humans
(Group 2A). IARC concluded that available data from cancer
studies in humans points to an association between exposures to
oxidized asphalts during roofing and lung cancer and tumors in the
upper aero -digestive tract. In addition, IARC found sufficient
evidence of carcinogenicity in experimental animals for extracts
and fume condensates of oxidized asphalts.
NIOSH has concluded that the collective data from human, animal,
genotoxicity and exposure studies provide sufficient evidence that
roofing asphalt fumes are a potential occupational carcinogen.
Occupational exposure to respirable crystalline silica is classified
as a known carcinogen in humans. IARC has determined that
respirable crystalline silica is carcinogenic to humans (Group 1),
based on findings of sufficient evidence of carcinogenicity in both
humans and experimental animals. NTP has classified respirable
crystalline silica as a known human carcinogen based on sufficient
evidence of carcinogenicity from studies in humans indicating a
causal relationship between occupational exposure to respirable
crystalline silica and increased lung cancer rates. NIOSH has
determined that respirable crystalline silica is a potential
occupational carcinogen.
IARC has determined that occupational exposure to Titanium
Dioxide is possibly carcinogenic to humans (Group 213). IARC
concluded lung tumors were observed in rats following high
doseexposure by inhalation and in female rats exposed by intra-
tracheal instillation. Other studies have shown no tumors in rats
following inhalation exposure and no tumors in mice or rats
following oral exposure.
SECTION 4: FIRS IAID MERURES
FIRST AID PROCEDURES
EYES: Hold eyelids open and wash with gentle stream of water for at least 15
minutes preferably at eyewash fountain.
SKIN: If contacted by hot asphalt. Cool with ice or water. Do not attempt to
remove asphalt immediately. Consult medical personnel.
INHALATION: Remove to fresh uncontaminated air.
INGESTION: Not expected to be ingested.
NOTES TO PHYSICIANS OR Water-Jel has been shown to be an effective agent in softening and
FIRST AID PROVIDERS: removing asphalt.
Page 3 of 7
GAF MSDS # 2078
SECTION 5` FIREj"FjA G R OEDURES,
SUITABLE EXTINGUISHING MEDIA: Water spray, Alcohol foam, Carbon Dioxide, or Dry chemical.
HAZARDOUS COMBUSTION PRODUCTS: Carbon dioxide and carbon monoxide.
RECOMMENDED FIRE FIGHTING NIOSH -approved self contained breathing apparatus is
PROCEDURES: recommended for smoke protection.
UNUSUAL FIRE & EXPLOSION N/A
HAZARDS:
SECTION 6 ACCT PI'MED A"SE'1111EAS..OkES
ACCIDENTAL RELEASE MEASURES: Pick up large pieces. Avoid creating dusts during clean up.
SECTION 7 HAN,0Q(> T( RAGE
HANDLING AND STORAGE:. Hot asphalt is used to apply many of these products; appropriate
personal protective equipment should be worn handling this
material.
OTHER PRECAUTIONS: Avoid breathing the fumes from hot asphalt.
SECTION 8 EXP;,CITIOL�S/PERSL PROTECTION
ENGINEERING CONTROLS / N/A
VENTILATION:
RESPIRATORY PROTECTION: N/A under normal use conditions. In circumstances where dust or
fumes are generated and may exceed recognized allowable
exposure levels, appropriate NIOSH approved respiratory
protection is recommended.
EYE PROTECTION:
SKIN PROTECTION:
OTHER PROTECTIVE EQUIPMENT:
WORK HYGIENIC PRACTICES:
EXPOSURE GUIDELINES:
Safety glasses with side shields
Cotton or leather gloves are recommended when handling.
None
Wash exposed skin prior to eating, drinking or smoking and at the
end of each shift.
These products should be handled using methods and techniques
Page 4 of 7
GAF MSDS # 2078
that minimize or eliminate dust or fume generation.
SECTION 9 PHYS( AI. ANp GHEMI0ALPROPERTIES
APPEARANCE & ODOR:
Thin black sheet in roll form, may be surfaced with granules, talc, sand or
film. Slight asphalt odor.
FLASH POINT:
>500' F
LOWER EXPLOSIVE LIMIT:
No Data
METHOD USED:
COC
UPPER EXPLOSIVE LIMIT:
No Data
EVAPORATION RATE:
No Data
BOILING POINT:
No Data
pH (undiluted product):
No Data
MELTING POINT:
No Data
SOLUBILITY IN WATER:
No Data
SPECIFIC GRAVITY:
No Data
VAPOR DENSITY:
No Data
PERCENT VOLATILE:
No Data
VAPOR PRESSURE:
No Data
MOLECULAR WEIGHT:
No Data
VOC WITH WATER (LBS/GAL):
No Data
WITHOUT WATER (LBS/GAL):
No Data
SECTION 10 STA1�IpREACTIVITI(
THERMAL STABILITY: STABLE X UNSTABLE ❑
CONDITIONS TO AVOID (STABILITY): None known.
INCOMPATIBILITY (MATERIAL TO None known.
AVOID):
HAZARDOUS DECOMPOSITION OR BY- None known.
PRODUCTS:
HAZARDOUS POLYMERIZATION: Will Not Occur
SECTION 11: TOCIjCrLG1,CAL"INFORMATION
TOXICOLOGICAL INFORMATION: None available for the product. See section 3.
SECTION 12: ECOLO'ICAL' INI=ORMATION
Page 5 of 7
F
GAF
ECOLOGICAL INFORMATION: No information available
MSDS # 2078
SECTION 13: DISP„O�SALCON,�ID-ERAT1ONS.
WASTE DISPOSAL METHOD: This product, as supplied, is not regulated as a hazardous waste by the
U.S. Environmental Protection Agency (EPA) under Resource
Conservation and Recovery Act (RCRA) regulations. Comply with state
and local regulations for disposal.
RCRA HAZARD CLASS: None
SECTION 14. TRATISPQ fi?%�T7,"j, INFORMATION,
U.S. DOT TRANSPORTATION
PROPER SHIPPING NAME: N/A
HAZARD CLASS: N/A
ID NUMBER: N/A
PACKING GROUP: N/A
LABEL STATEMENT: N/A
OTHER: N/A
SECTION 15 RE000►T0 21reill MAT,ION'
U.S. FEDERAL REGULATIONS
TSCA: This product and its components are listed on the TSCA 8(b)
inventory.
CERCLA: None
SARA
311/312 HAZARD CATEGORIES: None
313 REPORTABLE INGREDIENTS: None
CALIFORNIA PROPOSITION 65: This product contains a chemical known to the state of California to
cause cancer and birth defects, or other reproductive harm.
Page 6 of 7
GAF MSDS # 2078
Other state regulations may apply. Check individual state requirements. The following components appear on
one or more of the following state hazardous substances lists:
Chemical Name
CAS #
CA
MA
MN
NJ
PA
RI
Oxidized Asphalt
64742-93-4
No
No
No
No
No
No
Crystalline Silica
14808-60-7
Yes
Yes
Yes
Yes
Yes
Yes
Titanium Dioxide
13463-67-7
No
Yes
Yes
Yes
Yes
Yes
Calcium Borate
12291-65-5
No
No
No
No
No
No
Acrylic Polymer
Mixture
No
No
No
No
No
No
SECTION 16: OTHO-jkj IVr"i f ION:
ADDITIONAL COMMENTS: None
DATE OF PREVIOUS MSDS: October 2009
CHANGES SINCE PREVIOUS MSDS: Added additional IARC information.
This information relates to the specific material designated and may not be valid for such material used
on combination with any other materials or in any process. Such information is to the best of our
knowledge and belief accurate and reliable as of the date compiled. However, no representation,
warranty or guarantee, expressed or implied, is made as to its accuracy, reliability, or completeness. It
is the user's responsibility to satisfy himself as to the suitability and completeness of such information
for his particular use. We do not accept liability for any loss or damage that may occur from the use of
this information. Nothing herein shall be construed as a recommendation for uses which infringe valid
patents or as extending a license of valid patents.
Page 7 of 7