01090005 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS; PERMIT NO.
10281 BONNY DR WINTER ROOFING INC 01090005
OWNER'S NAME: APPLICATION SUB DATE
CRISTINE HSU 151 WYANDOTTE DR 09/04/2001
PHONE: SANITARY NO. CONTROL NO,
4083638052
G Z ARCHITECT/ENGINEER: BUILDING PERMIT INFO
O O LD ELECT PLUMB MECH
w-
5 y Z LICENSED CONTRACTOR'S DECLARATION .Job Descrl ion
Z_o hereby.Tenn thin l am licensee under provisions of Chnpmr 9(commencing
Eitai s<cean]oomor0rviaionaonneeu.inessandprofc�alonacoen,ondmyunenre REROOF.
in r
he..
oll r.rce and err
� a e<ns<cla.a _ ur.w T/O WOOD SHAKES &
°3`� a" ARCHITecr'soec�naa 5 INSTALL 1/2 OSB & 40 YR. SHINGLES .
�¢y I undersmnd my plans shall he used as public records
" f
se p p� Licensed Pmfeasional
OWNER-BUILDER DECLARATION
a 1 hereby affirm o nl I 1 empt from the Convunors License Law for Inc
C'z< following reason.(Section 70315. incss and Professions hoer:Any hay or coups
❑ which requ rex a earmi to consmuct,elm - pr d s I'h or repair any strunure
dapre ,he I I 4 a ppl tl hpe a fle g m
e t troc . .
3— mat ed pwmuTl;m lVaerimiscons oftleCombectori License La (Chapter 9 S C Hoor'Arei , anon
(commenting i,hSe(o 9000) fD 3 f,h B dP f Code) d cis' M +9� v ,,{;,t,?, t... $576*
or that he,s exeriN drimfrom and the bass for me xllegcde emp,ion.Any v,alathm -
-of Section 7051.5 by any applicant for a permit subjects the applicant to it civil penalty
Iofnot more than eve hundred dollars(s500). 3 5 A%16EJnft , Occupancy Type
01,as owner of the progeny,to my employees with wages as their sale campemmion,
will-do me'workfond Inc s,rubmhe is noxi tor', dbr',,Law was act apply]04Y,
ow e e r echo The Contractor',I ee .e L a« (apply t 305 - FRAME Required Inspections r
ow r p pc ry Who builds r'arapavre, it be.,,, J an. - h k h If
r Ih ph h' p1 y es provided ded m t suchimprovements re t intended 307. --.._ INSULATION
fr< e . I if,h e me bu ld' g or improvement is vola within one yof
- nlacIlhIh I fg, thdid .(Hiao pl, n the owner. 601 ROOF TEAR OFF
improve f rpapa e '
602 _ _ ROOF PLYWOOD NAIL
al.in,owner f,hc rp Iraa radn'rs,ly contracting 'with lc :a tractorto _603 ROOF BATTENS _. ....._
------
construct he project(S c 7044Br,fimbs,and Pr f -o:CWc:)The C +r ,
1. License Law due,butapply t xaa ne rpapry,who n la,or improve,them.n. 604 ROOF IN PROGRESS
and.who.cormacts for stach,projecot.with a contaminants)licensed,tirstaintta the .__ .- . . ... ......_... . .. _. J. _. ... _ _ .._
t l
Contractors License Law.,
/
ClamesnaparriderS _ "' r'' B P C far this.,.a 1Jt1 s s . .J I
Owe
'r WORKER'S COMPENSATION DECLARAT16N
1 hereby tuffirm andc.,,.I,y ufcJmym,acftlhe following accordions -'
Cl l force ad will rommunco C n rc t f C Beni io self nsore far Wo ker's
Co po aeon, as'
-provided for by Section 3700 of the Labor Code. to ,he
'performance of me work for which this penin(,s issued.P
�If1 ham, 'd 'll maintain'W k 's Comp t ltuumnc eq fired by Section
SSI f the L bur Cod fmF die performance of the work far hah this permit is
isdMyW k r` Cm enau on lmlrdmuccamrildPl y IN . . _
I RTI A 1 OF EXEMPTION FROM WORKERS',
COMPENSATION INSURANCE .. '.!_..,._,„.. . .. ._.._ ._._.__.... .
(Th s
con need nm be uo nple,<d If the perms is for one hundred dallors
IS 100).1,lust
„ .lits _ .. _.____.•.... _.,..,. _._...._.... .,, .. _...., .,_:.. . .
t 1candyyany thepert mance [,h -k Fluor ur su p ssu� 1
.Cam kre_mplo Lim,
pc any ate r o as i.behold bl m to 16e'Workers - `
Capp ” t Lows ofC lr .a:Date
Applicant
i`NOTICE TOAPPLICANT:eWorkef o nsgm Criss f6 pt y' h Ids ,� - 't ,C-',. ,
object to ywit such provisions
pens, p niofm na Cd you
0 C forth th comply ,h hp ns ooh permit
holt b e d ked.
Scenario
t 1.
„ _ � _ _
-"
14 : e CONSTRUCTIONLENDINGAGLCt tsr0
I hereby rffrm bat there .t , reading g y for thpenhumeamc, i
'of the k f r h ch th a pe , "sued fS 309] Ci C)
Q, Leader',Name-
Le defsAda e.s ., - - ...._ .... ._....... _._,_. _.....
1 agree thin 1 have read al s city
a at on my comm Ihm me d tti,laws r l on g
tobuildWIcl.Logree to comply wild herebyall au end mums omipanceofthi scity laws reaming
:V thbamove-mentioned property
roperyforipeifiiippsenmtives ofMitcityla enter upon
,the bo i nee pp rt1 for pea purposes.
.. .- - /
L (W g tows"naem 'fya dkepl ryatheC,y rC pMnb against
rp liab Il es udgmens.Coss d p uses h ay.,'n any ay « gains(said
V Ci( 'n sequence bf Meg I g o t
END ANDS I COD Y WITH ALL NONjPOTNT'n` n �/
c t Ns Issued by: Date
goal r Ap C HAA r g P ret s,o a i,i h then do s m Re-roofs
wEmapplicantorrm n ldt! « m 1 .Type of Roof:. - . .., ... ,.- __ ..
DI
t t HAZARDOUS MATERIALSI DISCLOSURE
as rn d by(h Cupertino Mun ipal Code Chapter9 12 d the Health d Safety
,� -'-
d Sect o 25532(x) I "5 t. y r xt t i - t t
;,;
Ill
❑N v 2p ..-...All-roofs shall-be,inspected,prior_to any roofng.material being installed._ _
r n W II the apIdicant or future building e p t use equipment or devices hieh ", e
emit hazardous direanammxnla'ataen;rebym<BayAreoA,rEnal,yMandgam I If a roof is installed without first obt fining an'inspeotion 'I agreetto remove
District? _ all_new materials for,inspection._ - plicant understands.and,wil] comply with,
L•� - UYea ` EJ No' ' ). . , al] n-poi t source regula[ons.
I have read the hezamous material mentsiLndcr Chap,r.695.of the
s Cal f mid Heal @Safety Cnae.Seu nn 25 . 25533 and 25554 1 undersand thin _
"note ,ly he ,1. (h t u I p bd,yt -Certificate
the - - ¢
if lheb Ido
dm p t o quirct ¢wli- .-r t pr I ifs ce of i,Cemecat 'e
. ... ..gna e o _.PPlieant- - - — - Da[
opr
73w
agent J :,DateAll roof coverings to be'Class,"B" or.better :
OFFICE .. ....._... - . _. ....... .. .._ ... .. _. _ ....,. .
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
m. Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
•CUPERTINO
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 of Y4"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 and will comply with this policy.
Homeowners Name: �1rL /' -5 a
Address:
Reroofing Company Na f/1 C
Applicants Signatur . Date: '����
Joe Anton c '
(Chief Building Official)
6/25/01