07110025 ' CITY OF �UPERTINO � ,c ` '
BUILDiNG DIVISION pERMIT ����'"���� ���������� '
. � :r:: . . � . . .:.:..:.,. �. : ..:,...::. .:
BUILDING ADDRESS: PERMIT NO.
899 S TANTAU AVE ARMSTRCNG INSTALLATION 07110025 .
dER'S NAME: � �� DA �
JONATHAN ZWEIG 4575 SAN PABLO AVE � 11/06/2007
PHONE: SANITARY NO. CONTROL NO.
(510)777-1234
ARCHI7'ECT/ENGiNEER: BUILDING PERMiT INFO
BLDG ELECI' PLUMB MECH
� 0 0 �
� O p LICENSED CONTRACCOR'S DECLARATION
� 1 hcrcby �cm that I am licensed undcr provisions o! Chaptcr 9(commencing Job Description
�z� wi�hScction7U(xl)ofDivision3ofU+cBusincssandProfcssionsCodc,andmyliccnscis RE—ROOF , TR OFF EXSTNG COMP SHNGL & BLDUP RF &
�� y in full foree and e
��z LicenscC�I < 1 �ic.s s REPLC TA SPF FOAM UL #I�PAZ5OO � 2SSQ
=F,C Datc/1/•t/o� ConlracWr �
ARCHITECI'S DECLARATION
��� 1 undcrstanJ my plans shall be uud as public rcco�ds •
e.
; �. y Liccnscd Rufcssional
� y � OWNER-BUILDER DECLARATION
� <� I hcrcby alTirm tha� 1 am excmpi Crom �hc Conuactor's Liccnsc Law for �hc
y p O Collowing rcuon. (Section 7031.5, Business and Professiona CoJc: My cily or county
K° � which tcquims a permit to consuvc4 a�tcr. improvc, dcmolish, or spair any swcwic
y^ y pnor to i�s issuancc, also rcquircs �hc applicant for such pertnit to Glc a signed summcnt
�_ � that Ac is liccnscd pursuant to lhc provisions o( thc Con�ractor's Li��cnsc I:w (Chaptcr 9 Sq. Ft. Floor Area Valuation
y F- �(commcncing wi�h Scction 7000) of Division 3 of Ihc Busincss and Profcssiona Codc) or � 2 6 � � �
y �.. �hat he is exemp� the�efrom and the buis for tde sll�gcd exemption. Any violation of
SecGon 7031.5 by airy applicant (or a pemiit subjecu �he applicant to a civil penalty of Number Oeeupaney Type
not more Uun fiw hundred dollars (5500). 3 7 r J 3 8 � 9 5��
� 1. u owner o[ the property. or my emptoyces with wages u �he'v solc crompensalion,
willdotheworkendihesuucwceisnotimm�dedorofCuedtorsala(Sec.7044.Busineas Re uired Ins ections
and Pro[essions Code: The Canuactor's License Law does not apply W an ow�r of Q P
property who builds or imptoves thercon, and who does such work himaelf or tArough his
own employces, providcd that such improvements ue not in�ended or oRered for sala If,
hawever, the building or impmvement is sold within one year of completion, the owner-
builda wiR haw �he burden of proving �hal he did not build or improvc for puryose of
sakJ.
❑ I, as owner of �he property, am exclusively conuacting wi�h Iicenxd rnnvactors w
wnsuuct ihe pmject (Sec. 7044. Businas and ProCcssions Code:) 7Le Coatnctnr's Li-
ccnse Caw does not apply W an owxr of propeny wha builds or improves Ihe¢on, and ,
who conuacta (or such projects with a contractor(s) licensed pursusnt m �hc Contnctor's
License L.aw.
' 1 am exempt under Sec. , B Ac P C for Ihis rcawn
,� Date
WORKER'S COMPENSAT[ON DECLARA170N
I hereby �rm under penalry o[ perjury one o( �he following declaretions:
0 I hsve and will mainain a Certificate of Consent to xlf-insure for Worlcers Compeo-
uUon, as provided for by Secdon 3700 0[ the l�bor Code, for �he pedormance oC the
wmk for whicd this pertnit is issued.
❑ I have and will main�ain Worker's CompensaUon Insunna, as �cquired hy Scction
3700 M thc Labor Codc. Cw ihc pedormana of �he work for which �his pecmit is issued.
My Worker's Com naation U�su�ance carticr and Policy number are: 1,
� a 1,
Cartier: n �� av� Policy Na.: P U u S 11 �.'7' 1 �
CFR77FICA7'6 OF EXEMPI'ION FROM WORKERS'
COMPEA(SAT10N INSURANCE •
(ihis section need not bc completeJ if �he permit is for onc hundred dollus (S I00)
or Icss.) '
I ceniCy Iha� in thc performancc of ihc work (or which �his permil is issucd. 1 shall not
employ any pecson in any mannerso u to become subject w the Worlcers Compensado�
Laws o( Califomia Date
Applicam
N077CE TO APPC.ICANT: If, aftcr making Wis CcniGca�c of ExcmpGon, you should
bccome subjcct m �hc Worker's CompenssUon p�ovisions of iAc Labor Codc, you muu
. O forthwith comply with such pravisions or this pecmi� shall be dcemed revoked.
z ""'' CONSTRUCTION LENDING AGENCY
(-~-� ►�-. I he�chy a�rm ihat then is a consuucdon knding agency for the perfurtnance of
Gi � ihe worlc fur which ihis permi� is iuued (Sec. 3097, Civ. CJ
W� Q Lendc�s Namc ^
] z Lcnders Addtcss
V 0 I cenify �hat I have read ihis applicuion and su�c thu thc above informadun is
w�+ corten. 1 agrce w comply wi�h alt ciry md counry ontinances and sute Iaws reladng �o
0 U buildi�g consuuction, and heteby �uthorim rcpresenutivcs of ihis ci�y w cntcr upon �hc
W aAove-mcntioned propcny far inspecuon purposes
(Wc) ag�ee to save, indcmnify and kecp hannlas �he Ciry af Cupcnino against
�� lisbililiu, judgmcnu, cosu and expenscs w6ich may in any way accruc against said City
V z in consequence oC thc granting of this permi� Date
�"� APPUCANT NDERSTANDS AND W1LL OMPLY WITH ALL N N-PO1NT Issued by.
SOU RE LATtONS. � �
Re-roofs
Sign urc of ApplicanUCon tor �'� T of R oof �
HAZARDOUS MATERIALS DISCLOSURE }r�
�11 Ihe applicant or fuUUC building occupant uarc or handlc haiardous matcrial
tefi�d Dy the Cupenino Municipal Codc. Chap�cr 9.12, and thc Health and Safcty
.�. Scction 25532(a)? All roofs �hall be inspected prior to any roofing material being installed.
❑ Ycs �o
wll thc applican[ or future building occupant usc equipment or dcvices which
If a roof i s installed without first obtaining an inspection, I agree to remove
emi� harardous air coniaminants at dcfincd by the Bay Arca Air Quality Managcment all new m aterials for inspection.
Disirict?
❑ Yes 3G#fu , �
/ �C/ ' � V /�
1 havc rcad the hv�rdcws maicrials requircmcn�s undcr Chapicr 6.95 of ihc Califor- /
nia }kalN & Safcry Cadc, Seciions 25505.25533 ur125534.1 undcrsund �u if Uu building /
daes not cu nUy avc a �enm� U�at i� is my rcsponsibility w nodCy the acupsnt of ihc
rcyu�re w' musi bc met prior to iuum �a Ccnit�ca�c o�oc �p jy � - Signature of Applicant Date
� ��
Owncr or authori�.cd agcnt o„� All roof coverings to be Class ° B�� or better
CITY OF CUPERTINO
3 ITEMS OF 3 PERMI`[' RECEIPT OPERATOR: patg
COPY # : 1
5ec: Twp: Rng: Sub: Bl.c: Lot:
APN ... ...... 37'i38045.00
DATE ISSUED.......: 11 �06/2007
RECEIPT #.........: BS�)00003170
REFERENCE ID # ...: 07L10025
SITE ADDRESS .....: 89'3 S TANTAU AVE
SUBDIVISION .......
CITY .............. CU:?ERTINO
IMPACT AREA .......
OWNER ............: JO]JATHAN ZWEIG
ADDRESS ..........: 893 S TANTAU AVE
CITY/STATE/ZIP ...: CU?ERTINO CA, 95014-4648
RECEIVED FROM ....: AR]dSTRONG INSTL
CONTRACTOR .......: HO�VARD FINE LIC # 22581
COMPANY ..........: AR�ISTRONG INSTALLATION
ADDRESS ....... 4575 SAN PABLO AVE
CITY/STATE/ZIP ...: EM�RYVILLE, CA 94608
TELEPHONE ........: (5L0)777-1234
FEE ID UNIT QUANTITY .�'IOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 26,000.00 332.64 0.00 332.64 0.00
BSEISMICRE VALUATION 26,000.00 2.60 0.00 2.60 0.00
BUSLIC FLAT RATE 1.00 107.00 0.00 107.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 442.24 0.00 442.24 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 442.24 #944
---------------
TOTAL RECEIPT : 442.24
. �`7 �� �v��
CITY OF i�UPERTINO
���` �E:[200F
CUPER�Tit�lU PERMIT APPI,ICATION FORM
-�— Date:
�N# �.��. . ��. �� 1 � b�-
Building Address: g �� � ��� �
� J o.,
Owner's N me: Phone #: 1 �
� v �nt►�'�� CnV� �. VJ � `' V � �! � � �a` �
Cont actor: License #: ��
��s ����► �,� � �, e �► � S �-`� �
� nta t: Cupertino Business Licens —#
Q �('\ � � 1 C�'� �� 1�
Type of P.00f Covering:
E�sting: Proposed:
1Q Built-Up Roof ❑ Built-Up roof
� Asphalt Shingles ❑ Asphalt Shingles
�l Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles s�� �vU�
❑ Other (Specify) � Other (Specify)
Number of existing coverings 81 P vide I.C.B.O. Report # �►.
❑ To be Reinoved Provide Mfgr. Installation Specs.
I Have Read, Understand and Wi 1 Com ly With Cupertino's Tear Off Policy:
Job Description: '�'Q�_� � . , (_c�w�� S • � 1t � h � ljv. .' l -� — �'/ �
^•�� �Q � c,.��- v� � s� }, u c�,,,,, . 1. � l. � �
Residential Commercial ❑
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: U
Cost of Project: Type of C stru�tion: Occupanc�group:
6 �� � --
Qry. if
Applicable Fee ID Fee Description Fee Group
BPERIVIFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BIJILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee BUILDING
BUSLIC Business License BUILDING
� Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
Building l�epartment
Subject: Re-roofing policy for the (�ity of Cupertino
1. Prior to permit issuance, you must agrf�e to comply with 1997 UBC Standards
and manufacturers specifications on re -roofing.
2. New roof coverings shall not be applie�i without first obtaining all inspection
and written approval from the buildin�; inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to an3- roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off apprc�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 i irst obtaining an inspection,
will require the removal of all new mai erial down to the sheathing,
so a proper City inspection can be perfi�rmed.
7. NOTE: If you call for a plywood nail i�.spection 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 ` per 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.
'.� n�����, � �e. �
Homeowner's Name: —� �
Job Site Address: � �/ � � b' �� � ..� ��.
Roofing Company Name: � rn S��v ��,5 - �G, ��ti.� vh
� -
Applicant's Signature: L�� `.��h' Date: �_�� °'
Greg Casteel
Building Official
Revisf �d 11 / 2/ 04
_ Community Development
�`� �� 10300 Torre Avenue
�' ��is- -� Cupertino CA 95014
;;�.
Telephone (408) 777-3228
CITY OF Fax (408) 777-3333
CUPEt�TINO
Buildin De artment
jOB ADDRESS: �� g S PERMIT # v ��,
��h �ti� �� � �
OWNER'S NAME: '" ,,. PHONE # S 1 �-`T � �- � 3
GENERAL CONTRACTOR: ,i- s�r��► 1,,s ,,, //�.-�� FAX # s'�u �� s�. � Z
I am not using any subcontractors:
� � ' / ���
Si gnatvre Date
Please check a licable subcontractors and com �lete the followin information:
SUBCONTRACTOR BUSIr1ESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Fini.shing
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
� f �I � �-�
Owner/Contractor Signature Date
TGFU.R14353 - Roofing Systems Page 1 of 3
����
�� ONLINE CERTIFICATIaNS DIRECTORTf
TGFl�.R14353 ',,,, "'
Roofing Systems � �.yc�,D7 �G_
Page Bottom
_ .. _ _ _ _ _.._ _ _._ _ _ _ __ _.._._ _ ___ _ _ _ .
�� � S) a��av � v'e, Roofin 5 stems �
9 Y ��'����
See General Information for Roofing Systems
LAPOLLA INDUSTRIES INC R14353
SUITE 322
15402 VANTAGE PARK E
HOUSTON, TX 77032 USA
SPRAY APPLIED FOI�M AND COATING SYSTEMS
�lass A
1. Deck: NC Incline: 3
Foam: — Foam Enterprises Inc. "FE346"or "FE348", any thicknE ss.
Coating: —"TF 1000" or "TF 750" applied at 3 gal/sq.
Surfacing :— Broadcast application of No. 11 ceramic coated r�ofing granules, 30 Ib/sq.
2. Deck: NC Incline: 3
Foam: — NCFI "591", any thickness.
Coating: —"Great White", 3 gal per sq.
Surfacing (Optional): — Roofing granules, 30 Ibs/sq.
3. Deleted.
4. Deleted.
5. Deck: NC Incline: 2
Base Coat: —"TF 1001 Therm-O-Flex Elastomeric Roof Coatinc White" or "TF 1002 Therm-O-Flex Elastomeric Roof Coating Gray" or "TF 1003
Therm-O-Flex Elastomeric Roof Coating Tan" or "TF 751 Therm-O-Flex Elastomeric Roof Coating White" or "TF 75z Therm-O-Flex Elastomeric
Roof Coating Gray" or "TF 753 Therm-O-Flex Elastomeric Roof C oating Tan" acrylic roof coating applied at 1�/i-gal/sq.
Top Coat: —"TF 1001 Therm-O-Flex Elastomeric Roof Coating VUhite" or'TF 1002 Therm-O-Flex Elastomeric Roof Coating Gray" or "TF 1003
Therm-O-Flex Elastomeric Roof Coating Tan" or "TF 751 Therm-O-Flex Elastomeric Roof Coating White" or "TF 752 Therm-O-Flex Elastomeric
Roof Coating Gray" or "TF 753 Therm-O-Flex Elastomeric Roof C oating Tan" acrylic roof coating applied at 1�/z-gal/sq.
Surfacing (Optional): — Broadcast application of No. 11 cerarnic coated roofing granules, 30-ib/sq.
6. Deck: NC Incline: 2
Foam: — "LPA2500" or "LPA2800," any thickness.
Base Coat: —"TF 1501 Therm-O-Flex High Tensile Elastomeric Roof Coating White" or "TF 1502 Therm-O-Flex High Tensile Elastomeric Roof
Coating Gray" or "TF 1503 Therm-O-Flex High Tensile Elastome Roof Coating Tan" or "TF 1502 HT" or "TF 1503 HT" acrylic roof coating
applied at lY2-gal/sq.
Top Coat: —"TF 1501 Therm-O-Flex High Tensile Elastomeric Itoof Coating White" or "TF 1502 Therm-O-Flex High Tensile Elastomeric Roof
Coating Gray" or "TF 1503 Therm-O-Flex High Tensile Elastome Roof Coating Tan" acrylic roof coating applied at 1vz-gal/sq.
Surfacing (Optional): — Broadcast application of No. 11 cerainic coated roofing granules, 30-Ib/sq.
7. Deck: NC Incline: 3
Foam: — "LPA2500" or "LPA2800," any thickness.
Base Coat: —"TF 2001 Therm-O-Flex Elastomeric Roof Coatinc� Dark Gray" or "TF 2002 Therm-O-Flex Elastomeric Roof Coating Light Gray" or
"TF 2003 Therm-O-Flex Elastomeric Roof Coating Beige" or "TF 2004 Therm-O-Flex Elastomeric Roof Coating White" silicone roof coating
applied at 1�/z-gai/sq.
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T.GFU.R14353 - Roofing Systems Page 2 of 3
Top Coat: —"TF 2001 Therm-O-Flex Elastomeric Roof Coating C�ark Gray" or "TF 2002 Therm-O-Flex Elastomeric Roof Coating Light Gray" or
"TF 2003 Therm-O-Flex Elastomeric Roof Coating Beige" or "TF 2004 Therm-O-Flex Elastomeric Roof Coating White" silicone roof coating
appiied at 1�/z-gal/sq.
Surfacing (Optional): — Broadcast application of No. 11 cerarcic coated roofing granules, 30-Ib/sq.
c:lass B
1. Deck: C-15/32 Incline: 1/?
Foam: — Foam Enterprises Inc. "FE346"or "FE348", 1 in. minim�im thickness.
Coating: —"TF 1000" or "TF 750" applied at 3 gal/sq.
Surfacing :— Broadcast application of No. 11 ceramic coated re ofing granules, 30 Ib/sq.
2. Deleted.
3. Deck: C-15/32 Incline: 1/?
Foam: —"LPA2500" or "LPA2800," minimum 1-in thickness.
Base Coat: —"TF 1001 Therm-O-Flex Elastomeric Roof Coating White" or "TF 1002 Therm-O-Flex Elastomeric Roof Coating Gray" or "TF 1003
Therm-O-Flex Elastomeric Roof Coating Tan" or "TF 751 Therm-(�-Flex Elastomeric Roof Coating White" or "TF 752 Therm-O-Flex Elastomeric
Roof Coating Gray" or "TF 753 Therm-O-Flex Elastomeric Roof C��ating Tan" acrylic roof coating applied at 1�/z-gal/sq.
Top Coat: —"TF 1001 Therm-O-Flex Elastomeric Roof Coating �Jhite" or "TF 1002 Therm-O-Flex Elastomeric Roof Coating Gray" or "TF 3003
Therm-O-Flex Elastomeric Roof Coating Tan" or "TF 751 Therm-c�-Flex Elastomeric Roof Coating White" or "TF 752 Therm-O-Fiex Elastomeric
Roof Coating Gray" or "TF 753 Therm-O-Flex Elastomeric Roof C��ating Tan" acrylic roof coating applied at SYz-gal/sq.
Surfacing: — Broadcast application of No. 11 ceramic coated ro �fing granules, 30-Ib/sq.
4. Deck: C-15/32 Incline: 1/?
Foam: —"LPA2500" or "LPA2800," minimum 1-in thickness.
Base Coat: —"TF 1501 Therm-O-Flex High Tensile Elastomeric 2oof Coating White" or "TF 1502 Therm-O-F�ex High Tensite Elastomeric Roof
Coating Gray" or "TF 1503 Therm-O-Flex High Tensile Elastomer c Roof Coating Tan" acrylic roof coating applied at 1�/z-gal/sq.
Top Coat: —"TF 1501 Therm-O-Flex High Tensile Elastomeric R�of Coating White" or "TF 1502 Therm-O-Flex High Tensile Elastomeric Roof
Coating Gray" or "TF 1503 Therm-O-Flex High Tensile Elastomer c Roof Coating Tan" acrylic roof coating applied at lv�-gai/sq.
Surfacing: — Broadcast application of No. 11 ceramic coated ro>fing granules, 30-Ib/sq.
5. Deck: C-15/32 Incline: 1/2
Foam: —"LPA2500" or "LPA2800," minimum 1-in thickness.
Base Coat: —"TF 2001 Therm-O-Flex Elastomeric Roof Coating Dark Gray" or "TF 2002 Therm-O-Fiex Elastomeric Roof Coating Light Gray" or
"TF 2003 Therm-O-Flex Elastomeric Roof Coating Beige" or "TF �004 Therm-O-Flex Elastomeric Roof Coating White" silicone roof coating
applied at 1�/z-gal/sq.
Top Coat: —"TF 2001 Therm-O-Flex Elastomeric Roof Coating [�ark Gray" or "TF 2002 Therm-O-Flex Elastomeric Roof Coating Light Gray" or
"TF 2003 Therm-O-Flex Elastomeric Roof Coating Beige" or "TF � 004 Therm-O-Flex Elastomeric Roof Coating White" silicone roof coating
appiied at 1�/x-gal/sq.
Surfacing: — Broadcast application of No. li ceramic coated ro�fing granules, 30-Ib/sq.
MAINTENA VCE AND REPAIR
1:lass B
1. Deck: C-15/32 Incline: 1/2
Existing Roof System: — Class A, B or C gravei or smooth surfaced BUR (gravel may be removed).
Foam: — Foam Enterprises Inc. "FE346" or "FE348", 1 in. min tt�ickness.
Coating: —"TF 1000" or "TF 750" applied at 3 gal/sq.
Surtacing: — Broadcast application of No. 11 ceramic coated ro�fing granules appiied at "s0 Ib/sq.
Last Updated on 2007-07-20
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under UL's Foliow-Up Service. On�y those products bearing the l,L Mark should be considered to be Listed and covered under UL's Follow-Up
Service. Always look for the Mark on the product.
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T.GFU.R14353 - Roofing Systems Page 3 of 3
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A;, ,,;)t.,E>;�i:;«irit �.i�aan:�ai'ir:�, ...:rFir:y fi;�' a s:i:.. :�n .•�i(<, .nl'?�rity f:�cc:�i.�r <.n„ kro,al;rige
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