02070179CI OF SIIONVOPERMIT
BUILDING DIVIS
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
10444 S BLANEY AV
CALIFORNIA SECURITY ROOFING
02070179
OWNER'S NAME:
APPLICATION SUB DATE
MASARU AND TAMOE TRUST
90 UMBARGER RD
07/29/2002
jjHITA
PHON
(408)363-6400
SANITARY NO. CONTROL NO.
ZO ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
P
BLDG ELECT PLUMB MECH
i LICENSED CONTRACTOR'S DECLARATION
C I hereby aRrm that I am licensed under provisions of Chapter 9lcommemin6
Job Description
P
to ith Section 7000).lowisims 3 cylilin Business and Professions Cade. and my license
REROOF
is in full forteand cf tt
License chics,
O
Dam
CTION
ARCHITECTS ECLA
S DECLm
S I understand my plans shall be used as public records
OLicensed Professional
OWNER
e..ptBUILDER m he CoATION
ol I hctcby affirm that I am, mpt from the Contractors License law for the
B
following Teacart. (Section 703IS,cosines and Professions Code: Any city m county
D which requires a m construct shit improve. ticmolish,
8 O O O
permi'toor repair any xwmurt
pilot
m .Prior wits issuance, also rtqu'ves the aPPlicant for wch pemduofikasigrld
- he iitsualxa pursum„wthe provisions of the Conuasmrs Licenselaw (Chafger9
1�nmmalwiyewi�ns�uioh,>.Doe)IrDi.do3ofineBmin�.wetpres:i°nseme)
'a',;s�-r3.6%510 l�or�ea :�:[:^�;it',,,
Valuation
or dui rte is esempe thezermzn aro the basis for tin allegro caemptios. Any violation
jj -
-of Secdos 1031.5 by any applicant for a permit subjecba the applicant m a civil pewlry-
!oro^tro° termirsvrchadand n(sSBo).
305APN
I.oq•-,I, OecupancyType-
❑ 1 .I.vnc,.f tim Property. or my employees with wages as tine r sole compensation,
_'
-will do the work, Ind rise swan 'not Intended or offered for .In sncc TOW,"
<Suiitinsa and Profess Cods: The Contmcmr's License Law does nn, apply to an
601 - ROOF TEAW(10" Inspections
owner ofproperry WIm Wild, p e tin tl who does such work himself
°rthrough his own employees. pirsvidedNt such'improvements are notted or
ROOFPLYWOOD NAIL
offered- for stile, If, Ww,,I,,,:Im building or impmvement' s le thin ane y u of
completion,
cb pletion, the owne-build<rwll have the burden ofpmvigmt he did not wild or
,602_ .. .
---- "---..__._., _........_... _._...___
603 - ROOF BATTENS
impmva for purpose of sale..
604 - ROOF IN -PROGRESS
ProPen&am esdmivdy contracting with licensed contractors to
o- c the (Sec. ]B. Businessand Professions C°deJ no Com
; " r. t•:t., .a,
License Taw due, mm apply w an owner of property wo Wilds or mproer amand.
_ `r,
z• - - •'
Nd,PoLssuch.pmf¢s,wN co ractors)1enud.pursuant to.the
_...... ..__._..._.
". ovect hiceneLaw.
OI exempt oder Star "'� BAPCfar this can
_.. v� ll
"WORKERSCOMPENatSATION DECLARATION
1 hereby frunderpenalty f pc fury ne of Ne following declarat ons.
�❑
FI u I,}
AUG� �o o�
I h 'and will maintain 6'Ccn Bat f Consent to self -insure for Worker's
pan t on, s pro d d for by S t of the Labor Code. -for the
BUILDING
pe
performada of Ne workrfor.wM1ich this perms is is ed:
, is
❑ I have and will mainuin Worker s Compensation beimance, as required by Section
31tp'of the Labor`Cone, for the performance of the work forwhich this 'Permir'is
,v w My Workers Compensation Insum e carrier and Policy beare "' '
- Cvn Pul yN '�3%�%9�
'
sLss �_�•,,V.i l! ..y �, �..-....._ ..i .lt!t •!.. _.;; .....�.. .-.r <—
1 n ERTIFlCATION OF E%EMPr10N FROM WOR 5
"
+, ', i + ,y, • , i , S . S 1 : , .. • ,
'• - COMPENSATION INSURANCE. P r'. .. " "
•`'T(This xenon nerd not be completed if the permit is (Drone hundred dollars
,fS100)or
leu).
a----' I n fy.rh t i N perform f the walk f which tat perms. 's d 1
---
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16-11.
ntemploy nnars m"incision
com ub3ece o the Wurkecs
Date
Comon LeworCnbfmia. • 't
'
Applicant Ps
a
uNOTCETOAPPCIf aemk gtinsC n,of Es uon, hId__.-.
you
_t...I .
_.._. _._. .___- .
become s s ton pronxona of Ne labor Cwe, you moa,
- L +.'I.
� forthwith complywithinch Fission.,or this permit shall b< deemed invoked.
{ .I CONSTRUCr101 LENDINGAGENCY "
p I• "'
- 1amity affirm Nm Nc iso town on dog ii,miseyffirthicif.more
'of the-workfor which Nti .it issued TSec.3091; Civ. C.) ".
Lender, a Name'• ,•• :: _ �,• _. _. _ lu... v:.. : _ :1 i:. 1..-:.:'- ': 1[ !
ti r
Lewcr's Address .
'
I agree to t I havecomply with thiscitapplication omni anat a
county
city and coumy mdinences and scam laws
toWild 1 agree m comply, with ces d state laws relating g
hereby
uponto Wilding
enter
of this city wenmr upon
anahcrtbyamction
-
ernionedp uposenmtives
I eche W e f mea p pent' f Purposes.
s.
fs,1eg tsseca dem ft' and leephomiest the Clyofccue
,and
1 a ainsgemet
c and penis which may In any y me against said
Ctliabilities,judgments.
City ICANTconsequence R Tffi. inND tin. petmt
fA'PPLICANTO' 'RST .1)SAND WILL WIT
COMPLY HlALL \ON-
80URC�1i 'ry -:_ IbT
-I•,.:
Issued by: Date
4L
Signa iiApplCorV n r :.. ... .: ;Date'
-
Re -roofs �.
F' US MAtERIAL$ DISCLOSURE - .Wil'
...:a n b �appR f mm W hfngutt p m.tore naw! hat- I : mamn 1
.. -
-Type of Roof
Y pen Municipal Code. Ch pm 9.12 d the H aW aro Safety
CddgS t n25532W3
...._-..._. __.
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{t`, res .. 1 Iti •': 1. 1.;
t
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•.ws i1,11 .ly Y4th
All roofs shall be mspected.prior to
-- devices cameo
rc ant future building cue Bant y
c; ,. dthe, aird IiIManag Management,
r..ic,?
any.roofing,material being installed,.. _
If a roof is installed without first obtaining an'ins ectioii; liagree't6'remove
g p
NfnedbytinBy .I
°" -
all new materials for inspection. „Apphcan[ understands and will comply with
`' t'
.
all'non-poiiiCsodree regulations.,,, �
I have dthc hazard aserial q one Ch pt 6.95 the
tl..
:° ' , •.
a d
1 understand that
Cdhe pricing
Health s Safely Code, ace, a a art,25505,23533that
and responsibility
does not earnestly have a unapt. Nac it is my responsibility w ndifY the
it
if the all
of
cecupant of 'be requitemcns which must be' -met prior issuance of a C ificak
.QcupSncy ... � -. -
'
L ...._..._...
`
t � ..
i r f Applicant
PP a e
- ... -..
roof coverings to be Class "B" or better
°'°° g=^t''. Date.
CITY OF
CUPERTINO
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408)777-3228
Fax: (408) 777-3333
Building Department
Subject: Reroofing policy for the City of Cupertino.
1.
Prior to permit issuance, you must agree to comply with 1997 UBC Standards
and manufactures specifications on reroofing.
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 reroofing 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) Preinspection and/or tear off approval.
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 first obtaining an inspection, will
require the removal of all new material down to the sheathing so that the
proper City inspection can be performed.
IMPORTANT:
1. Flat roofs must have a minimum um of Vv 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 of inspection.
We understand the above policy on reroofing
Homeowners Name:
Address:
Reroofing Company Name:
Applicant's Signature:
Joe Antonucci
(Chief Building Official)
6125/01
comply with this policy.