06060079 CITY OF CUPERTINO
3UI LDINC DIVISION PERMIT
BmLDINC ADDREss: FLORENTINO SERVICES INC. P°`Mn"NO 06060079
10216 AVOCADO PL
OWNER'S NAME: PERMR I StfE DAF`
GOPALANGAR, SHESHADRI 31241 FREDI ST, 06 /09/2006
SANITARY NO. CONTROL NO.
(877) 374-4897
ARCH 7fENGMEFR: BLDG BUILDING PERMfr INFO
ELECT PLIIA/B I.fEdI
OZp LICENSED CONIRACIORS DECLARATION Job Description
C 1 busby dram that w Pta
Iicvd under snd of C k u'r 9(mmmtMng
Il�� bhSc .7")dDiii.J M NC Bia0.abd Pmfasi—Co - mr&—LJ
„ nrullrmauweB TO EXISTING ROOF INSTALL DECK FLEX ROOF
No "_ cbCOVERING
TION
ARC ('PS iEDECLARA �' ���
i I btduaaW my plata aba1ibe twee a public nON
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:O� atuc
Lid Pmfiaiotui
OWNER-BUILDER,DECLARATION
)r 1 hereby alTtrm that 11. cauopt Imm tM CmttawYs Lima¢Law(Mi oa
:no folbwingW.. (iMth W!m i.5.B abs .sm R'e dLCale:Roy c%r oam,M. I�TAI�'
phien tea .pitmit b tmnvrter,aM,knr.se.dIcMbit a mpalr any nnvum .1.11�
r{mniuisstunPb t1wmaNe,pplimdf CmipumitbBle Law(uucmuu Valuatioi$800
- 0 that,M bbmmi, cmucdpmw.m munprDitiom a the CoB ash.
sh YLi PMfl (Chapu9 Sq.FI.Floor Area
4 >3abatba Dab,emith Stx(Mbat0)tbDivlvm3 Miiftu—,.P .my Code)«
�.. dw tr u aempt dvsefrtaa t IEe bW It the W tug .+..ptlat.Any rb W(bit a
s+icor�3l.seya.9',ppl�amro<aPenwrdbi�me.pPikwm.aVilpm.nrnr ppNNumber
ab comethmnKbaa dmw.($500) 36909014 . 00
❑L U owoa.f tm Proputy,m MY empbyca with wager u thah rale campeaW m,
wiBm ba wort um themumm k nm bmmkd mwrnaa(bisalt tS .loser,Btdrcv Required Inspections
ud Rorewoa code Tha CRovemrs I i Law Eu bi
at apply b an"=a 9 pe
Mpiuy wbi,bitibitittimpr.lhatmn.am!wbo does smltavk himatlfm through hit
aumabpb'a PmNded that sock Imprmemou art not Imramd m Waa dfbiale.If.
bwa .the b."M m bmpmW IS"it whhb—Wr aiMmli m,them -
bwb br w berm de bndea if proving that be dial m btib or Impmae fm poryo¢a
ala).
❑1.u aw.m a the Property,w.,.u.:vady emirvaing with 11--i mnvaums n
L3—manract the pojea(Sec 1094,Butbea and RofessiM Cade:)The Cmtrcmra
Law d.a...,ply b m owner a psopvq abo bdb.err imposes tb Mab ,am
wbo emttam fa such pro)eeu with a conhabmp)ocrosd ptayunt b the Cbim,mor.
vera uw.
❑lam ea®pt ivWerSz .BSPCfa thiawm
Own r Date
WORKERS COMPENSATION DELI RATION
1 be aby,Birm bider Pmahy a Pe.jby.a the WIM in,a.r...xmm
1baseaad wN matmaiv icuuoore of Cancer b wii.ln.bc fmwbi 'sCemPen-
tarim,at provided fm by Siubn 3700 a the 1,1—Cods,fm dte prformmm (the
wtuk fm which data permit I,ii,.d
I haws artd in maioub Y ,Cmapm .I..M rcy®ei by S,c .
3100 a the Labs Code.fa the paformaamof the wmk fm w this FM6,k Wood.
My Wakes Compatadm Insurer.¢artier arM Palky o°mba ata:
ardert --nom Po" No.:
CERT 7G OF E%EMMON mom
COMPENSATION INSURANCE
01,1,sectio teed obi bccvopkbd if the pemtd k foe.hmWrN do0an($I00)
I¢tory,that w ta�performanm a We wmk for wbicb this Pawn t.Wad.I mall rut
wpbyutypermtinanlmamar Y Je�tb the Wmten'Compmnau®
Law.of Califawa pqmata Sg/, -
NM�y A./�r1tlY1 oU0/Yf
CE Tf�APPLICA :If,a making this CsNBote Of EUMPdm.you shmb
hmmm subject n tic Wmkea Cmapcwum prmtsi.a the labor Codi,ym tmu
�z r.rthwlthcomply Witt aach prosidatu a this permft abut be d mv.bN. l
ZO CONSMUCIION LENDING AGENCY
F+"t Ibcmby a(T.that Nue iaa®ouvmm lmdingagitey far the pvfotmatuxa
p: .>-t the work fa which thio pump h hued(Sec.3M.Ch,.Q .
W A Lmdes Name
I
Z .Add.
U0 1 mdfy dot I Nae r Ibbs applicaum vtd...w that tht abo.e W.U.Is
". H conn.I' b comply with W city am]county orJiri.and nate laws N.dng b
0 U building cmu mm,and hereby authorize mpr uuva of this city,.imu upon tM
a ahovc mmuuncd popcny for irit'..n purlwca
(We)agree b .I�M nify and keep bitiMicv the City a Cupertino agaiw
H y IWiLua.iodgnutW and eapmawh Maiybmrw,y.mxagalnuaaid City L6
U z io emtcym ,,,ir of that permit.
APPLICANT STANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCP U (q
G Re-roofs
Stgnauva H m DOUS MATERIALS DMLOSURE D� Type of Roof
WIB the aWaa a fm.rc building..Pa.,at.a haM huaNma mabriil
a deMcd by the Cuperum Mttaicllal Cade,Chapin 9.12.vttl tM Hdth atW Safml
Cam.swim 1553240? All roofs shall be inspected prior to any roofing material being installed.
Cl Ya [a N.
m m whkb If a roof is installed with. t firs[obtaining an inspection,l agree to remove
von bit applicmt a mom,budding amupmt tot aywpmaot be
emit havrdoa air c.outwtnnta as m0ncd by tic Bay Ata Air Qtnlity Mam,Vmca all new materials [ins coon.
Di r?
❑Ya j2lNu
Jou mtcmmttd aciuryut�that It k my map.ttdNllty b notify th omupant ads
mquirtmema °tu4be mat Pdmtu moan¢a.cm[)..d Qcupocy. Signature Of Date
,t7" "7 All roof coverings to be Class"B"or better
Owwe Dab'
aaO
Community Development
1300 Torre
venue
Cupertino AA95014
Telephone(408) 777-3228
Fax(408) 777-3333
OUPEkTINO
Build-ing De artment
JOB ADDRESS: PERMIT #
16216 A QOCqVo c� WtA,c d
OWNER'S NAME: fa&S PHONE # a eo— du
GENERAL CONTRACTOR ,cy a FAX #
I am not using any subcontractors: 6 —9 —
i a Date
Please check applicable subcontractors and complete the followinginformation:
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
•
Owner/Contractor Signature Date
CITY OF CUPERTINO
1 of 1 PERMIT RECEIPT OPERATOR: bethe
COPY # 3
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36909014 .00
DATE ISSUED. . . . . . . : 06/09/2006 '
RECEIPT #. . . . . . . . . : 34787
REFERENCE ID # . . . : 06060079
SITE ADDRESS . . . . . : 10216 AVOCADO PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GOPALANGAR, SHESHADRI
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-3323
RECEIVED FROM . . . . : FLORENTINO SERVICES
CONTRACTOR FLORENTINO COUARRUBIAS LIC # 24291. .
COMPANY FLORENTINO SERVICES INC.
ADDRESS . . . . . . . .. . : 31241 .FREDI ST. _
CITY/STATE/ZIP .. . : UNION CITY, CA 94587' ,.
TELEPHONE (877) 374-4897 .".
OE ID UNITi�' QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE . VALUATION 1, 000.00 83.16 0.00 83.16 0.00
BSEISMICRE VALUATION 800.00 0.50 0.00 0.50 0.00
TOTAL PERMIT 83.66 0.00 83.66 0.00
METHOD OF PAYMENT AMOUNT NUMBER
CHECK 83 .66 2747
------------
TOTAL RECEIPT 83 .66
•
CITY OF CUPERTINO
REROOF
CnYO, p(�no�R
• CUPERTINO PERMIT APPLICATION FORM
APN# Date:
Building Address: (,
10 2, 16 WCA on Pt-
Owner's Name: Phone#-
�1i �A��N�a 2 0 96 701f /
Contractor: License#:
1F-
A.4c 7
Conta t: O Cupertino usmess�icense #:
Type of Roof Covering:
Existing: Proposed:
—0 Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles p ❑ Wood Shingles
❑ Other(Specify) 1 . B I-'m� ❑ Other(Specify) AGK " LC_"; 1200E- CW�
Number of existing coverings 1 ❑ Provide I.C.B.O. Report#
110 To be Removed ❑ Provide Mfg.Installation Specs. 1
• I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑
Job Description:
IJT 6 Roo L r-� 1
Residential [# Commercial ❑
Fire Zone: Yes ❑ No 2, Confirmed with Planning Dept. if
there are any restrictions: U
Cost of Project: Type of Construction: Occupancy group:
1r 6�
Qty. if
Applicable Fee ID Fee Description Fee Guru
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Ener BUILDING
l BSEISMICRE Seismic Fee Res BUILDING
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 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 applied without first obtaining all inspection
and written approval from the building 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 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) ht-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 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 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.
Homeowners Name: ShOZC,40014 F[l PALAN G A�
Job Site Address: 107-/6 AVOC Alb I9L CU126W-(/A46' C�
Roofing Company Name: �/ni(.P14 /n d 4ty Jr/V/f,
Applicant's Signature: Date: r�—0 G'
Greg Casteel
Building Official
Revised 11/2/04
�r-06/09/2006 13:32 FAX &02/003
5A-e51,4A 16' aI 1512X
(0-1b ilu `"_`o 7pf. �p� ER-5019
REP0Rr 06C)6WV q1 3CIJ -'"� Reissued November 1,2001
• ICBO Evaluation Servile, Inc. ' 5360 Workman Mill Road,Whittier, California 90601 • www.icboes.org
Filing Category:ROOF COVERING AND ROOF DECK CONSTRUCTION-Walking Decks
DECK FLEX W.M.AND DECK FLEX W.F.FIRE RETARDANT tion of the W.F.and W.M.systems.The material is available
WALKING DECK AND ROOF-COVERING SYSTEMS in one-,two.and five-gallon(3.8,7.6 and 18.9 L)palls andhas
DECK FLEX WATERPROOFING SYSTEMS a shelf Ilfe of one year.
5722 RESEARCH DRIVE,UNIT A Deck-Flex coating systems are installed by applicators ap-
HUNTINGTON BEACH,CALIFORNIA 92649 proved by the Deck-Flex Company.
1.0 SUBJECT 22 Preparation of substrates:
Deck Flex W.M.and Deck Flax W.F.Fire Retardant Walking All substrates must be tree of contaminants such as water,
Deck end Root-covering Systems. curing compounds, hardeners, bond breakers, paint, etc.
20 DESCRIPTION Substrates must be structurally sound,free of any projections
2.1 General: or depressions, and sloped for proper drainage. Plywood
must be a minimum o ra-Fnch-(15-9-mm-)-t--hrcVWgh all joints
The Deck Flex Fre Retardant Walking Deck and Roof-surfac- over framing members or blocked with minimum 2-by-4
Ing Waterproof Systems consist of the components in Sec- blocking.
Boris 2.1.1 through 2.1.8. An slider and doorthresholds,jambs,posts,scuppers and
2.1.1 Tex-Crete No,2(TC-2):A dry mixture of white cement fascia must have metal flashings in accordan ce with the code.
and silica sand No.60,which is used for the texture coat.The 2.3 Application of Deck Flex Systems:
material is available in 50-pound(22.7 kg) bags and may be
used as long as the product has not hardened. 2.3.1 Deck Flex W.M.:Deck Flex W.M.is a coating system
2.1.2 Tex-Crete No.3(TC-3):A dry mixture of Portland ce- for use over exterior-grade plywood substrates using a
21/2-pound-per-square-yard (1.36 kg/m ) galvanized metal
ment and silica sand,maximum 20 mesh,which is used for lath.The a/s-Inch-thick (15.9 mm)plywood deck is prepared
the cementitlous layer in the Deck-Flex W.M. system. The as described in Section 2.2 and the metal lath is fastened over
material is available in 50-pound(22.7 kg)bags and maybe the plywood with no overlapped joints.Fasteners are No. 16
used as long as the product has not hardened, gage staples having a 1-inch(25.4 mm)crown and 6/8-inch-
2.1.3 Tex-Crete Additive: A liquid acrylic emulsion that is long(15.9 mm) legs,and are applied at the rate of approxi-
mixed with TC-2 to make the texture coat of W.F.and W.M. mately 22 to 24 staples per square foot (236 to 258 sta-
systems,and with TC-3 in preparing the oementltiouslayerof ples/m2l.
the W.M.system.The material is available In one-,two.and Forty-five to fifty pounds(20.4 to 22.7 kg)ofTC-3 are mixed
five-gallon(3.8,7.6 and 18.9 L)pailsand has asheli Itfeof one with 1 gallon(3.7 L)of Tex-Crete additive,and the mixture Is
year from the date of manufacture. troweled into the metal lath for a maximum coverage-of 50
2.1.4 Fiberglass Mat:The fiberglass mat Is provided in rolls square feet(4.6 ri ensuring that all holes in the metal lath
50 Inches(1270 mm)wide and weighs 3/4 ounce per square are covered,resulting in a minimum thickness of 1/e inch(32
yard (25.4 g/m2). mm) over-metal laffi..The mixture is applied at an ambient
2.1.5 Deck Flex Base root(DFB):A liquid acrylicpolymer temperature from 45'Fto100'F(7.2'Cto37.7'C)with acure
latex that is used as a base coat to waterproof existing time of 24 hours. After curing, surface Irreguleri rel sI'e
con-
crete or plywood substrates.The material is available inone- removed and patching compound applied as necessary.
two-and five-gallon(3.3,7.6 and 18.9 L)pails and has a she)i The fiberglass mat is then lad and Deck Flex base coat ap-
Ihe of one year. plied using roller or brush at a rate of 60 to 75 square teat per
gallon(1.5 to 1.6 m2/L),resulting In a dry thlcknesa of 1116 Inch
2.1.6 Deck Flex Texture Coat:A mixture of TC-2,color pig- (1.6 mm).After the base coat has dried for lova to foua,
mem (when required) and Tax-Crete additive, mixed to a depending on weather, Deck Flex ie`afurs cos is spr 9.,
pasty consistency at the jobsite in a ratio of 45 to 50 pounds plied at a rate of 90 to 100 square feet per gallon(2.2 to 2.4
(20.4 to 22.7 kg)of TC-2 to one gallon(3.8 L)of Tex-Crete ad- m2/L).After one to two hours of drying,Deck Flex topcoat is
ditive. It is used as the second layer of the W.F.system and applied,using roller or brush,at a rate of 150 to 180 square
the third layer o1 the W.M. system. feet per gallon (3.7 to 4.4 m2/L).
2.1.7 Deck Flex Top Cost (DFT): A liquid acrylic polymer The Deck Flex W,M.coating system,applied as described
latex that is used to protect waterproofing layers beneath the above on a deck having a maximum slope of 114 inchto a hori-
system and to create the deslred color.It is available In one-, zontal foot (2.1%slope), has a Class A roof cassiflcation.
two-and five-gallon(3.8,7.6 and 18.9 L)pails and has a shell 23,2 peck Flex W.F.: Deck Flex W.F. Is a coatlg
n tem
lite of one year. for use,without metal lath,over exterior-grade plywood sub-
2.1.e Deck Flex Patching Compound:A mixture of base strates. The 6/s-inch-thick-plywood (15.9 mm) deck Is pre-
coat and powdered aggregates In a specific ratio.h is used pared in accordance with Section 2.2.All joints are covered
to patch cracks ardtoprovide aprepared surface for applica- with 1314-Inch-wide-by-0.16-Inch-thick(44.5mm by 4.1 mm)
RevoRrs-are not to be construed ar rep.,ming aenhetkr or any other attributer rotrpecgiica/ly addressed,nor are they to be ,
rowimed ar an t donement of the rabftrt of the report or a retommmdation for its urs.There it ro wvrronoy by ICBG Evaluation Serviu,
I".,upness or implied,ar to any funding or other matter in rhif report,or ar to any produ i covered by the report.
Copyright C 2001
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