13060230 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1297 ASTER LN CONTRACTOR:NUSHAKE ROOFING PERMIT NO: 13060230
INC.
OWNER'S NAME: DRINKWATER JOSEPH L AND BARBAR 708 D INDUSTRIAL PARK DR DATE ISSUED:06/28/2013
OWNER'S PHONE: 4085646373 MANTECA,CA 95337 PHONE NO:(209)239-8616
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL❑
License Class <� -3 q Lie.# "Y-5- RE-ROOF 25 SQ-TEAR OFF ROOF,SOLID SHEET&
/ REROOF
Contractor /�V ' c�r1 f t�C1 Date �P —L& CLASS A
I hereby affirm that I 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:
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. Sq.Ft Floor Area: Valuation:$12500
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:36611088.00 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 DAY FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, D ?
costs,and expenses which may accrue against said City in consequence of the �Q,ZO~!/•
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulati er a Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date All roofs shall be inspected prior to any roofinragere
al being installed:If a roof is
installed without first obtaining an inspectio , o remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION & ��_
Signature of Applicant: Date: L�3
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL OF 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. 1 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 Quali anagement District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Mon' ' al de,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code Sections 553 and 34.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dater
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
`tk1"-4D�`e � Sa''��akt:3s bs $•. � _ ..
...CITY.OF CUPERTINO
REROOF
CUPEt�TINO PERMIT APPLICATION FORM3b� I In 7?
APN# Date:
Building Address:
014a Lant
Owner's Name: Phone#:
Contractor: n ,,s- License#:
have � C . 2
Contact: Cupertino Business License#:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles X Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O.Report#
P< To be Removed ❑ Provide Mfgr.Installation Specs.
I Have Read,Understand and Will Comply With Cu ertino's Tear Off Policy:
Job Description:
Residential Commercial ❑
Fire Zone: Yes ❑ No ❑ Confirmed with Planning Dept. if
there are any restrictions: LJ
Cost of Project: Type of Constction: Occupancy group:
Qty. if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
Prescriptive Certificate of.Compliance: Residential Reroof CF-1R-ALT-ReRoof
Project Address: I Climate Zone Permit#
IA17 194e, Lame 6j�pe 1iM 14
ROOFING PRODUCTS(COOL ROOFS)§151(t)12
When the area of exterior roof surface to be replaced exceeds 50%of the existing roof area,or i,000fe,whichever is less,the new
roofing area must meet the roofing product"Cool Roof"requirements of§152(b)1Hi, 152(b)1Hii,or 152(b)MM.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof requirements::
JCool roofs not required in Climates Zones 1-12, 14,and 16 with a low sloped roof pitch(less or 2:12 pitch).
Cool roofs not required in"Climates Zones 1-9,and 16 with a steep-sloped roofs(greater pitch than 2:12)and product weight less than 5/1b/fly.
imatives to§152(b)lHi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 haft-*F/Btu or at least a 3/4 inch air-space is added to the roof deck over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§151(f)10;or
❑ In climate zones 10, 12 and 13,with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§1 52(b)l Hill,Low-slope roof{pitch<_2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area is covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria.
NOTE:if any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emiftance requirements for roofing
products in§118(1)are not applicable. Do not fill table below.
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number <- 2:12 >2:12 < 51b/ft2 516/ft2 T pee Reflectance3'4 Emittance SRI
13 ❑ ❑ ❑ ❑4
I J ❑ 0 I3 ❑4
Note:If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1.The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.omlproducts/search.php
2.Indicate the type of product is being used for the roof top,i.e.single-ply roof,asphalt roof,metal roof,etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2+0.7(pi„;ual-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using the SRI-Worksheet at http://www.energy.ca.govAitle241 and enter the resulting value in the SRI Column above and attach
acopy of the SRI-Worksheet to the CF-1R.
To apply Liquid Field Applied'Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§118(i)4. Select the applicable coating:
Aluminum-Pigmented Asphalt Roof Coating [3 Cement-Based Roof Coating ❑ Other
NOTE: When a Cool Roof is required,the installing contractor shall complete and submit the CF-6R-ENV-01 for final inspection.
Declaration Statement
• I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is accurate and complete.
• I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24,Parts
1 and 6 of the California Code of Regulations.
Name: . Signatur
Company: n Date:
K
Address: In s . P ue. License: (4'A fun a
City/State/Zip: � � Phone: - a G� r
For assistance or uestions egarding the Energy Standards, contact the Energy Hotline at. 1-800-J772-3300.
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR,P.E.,C.B.O.,BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(<Dcupertino.org
PROJECT ADDRES ^L7 h6jer, APN#
OWNERNAME LN PHONE E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
CONTRACTOR N�\/vilj't C`� i ` LICENSE NUMBER LICENSE TYPE BUS.LIC.#
COMPANY NAME V6 JJ{ E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
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 one business day before the requested inspection date.
Please call (408) 777=3228 from 7:30-3:30pm(Mon-Thurs) or 7:30-2:30pm (Friday)to schedule
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.
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. 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/"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.
7. 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. 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 re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detecto req uir to b 'nstalled in accordance with Sections R314 and R315 of
the 2010 California Residential
Signature of Applicant/Agent: Date: <2:7
ReroofPo1icy_2012.doc revised 10/7/12