03030057 CITY OF CUPERTINO + �' '- �" �"" �'
BUILDING DIVISION PERMIT COIZ�C'l1OR INORM.A.'YrTOI�'
ry,tial»' *;w�:'-: -s. flPo9 .w.ger.Ca
BUILDING ADDRESS: WINTER ROOFING INC PERMIT NO.
OWNER'S NAME: 151 WYANDOTTE DR PERMIT Lis A
BRENDA
NEI 4083638052 SANITARYN 0 OL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BO ELECT PLUMB MBCH
O
30o LICENSED CONIBACIORS DECLARATION Job DeScrl tion
rd ppp I hereby affirm that 1 em limned under provisions of Cnmmen
pwr 9(mcing P
with Section 7000)of Division 3 of the Business and Pr.feW.ne CDde,and my license b
^ In full formandeffe
REROOF
,,Qm�"�7E SD CL A
REMOVE. WOOD SHAKEG7 TTtN� ,[AgLL 1/2 OSB & 30 YR. CO
I understand my plans shall W used as public income tl 1 ZS(L E
5�
Licensed Professional OWNER-BUILDER DECLARATION APR 2 9 2003
I hereby anion that I.m exempt from the Comncuses License Law rat the
O following reason.(Section 7031.5,Business and Profession Code:Any city or county
$ which requires a Permit to committees.alcor,improve,demolish,in report my ureeture
l:+ prior m its lasuanec,elan requires he applicant fonuch permit to nit aSlgned rumen
C that he 1.licensed pursuant to the pervluonsofthe CommoloriUmneLaw(Chapter 9 Sq.Ft.Floor Area DUILLANU Valuation
Y (commencing with Section 701 ofDlNdan 3 o tiro Business and ProfrsianaCede)IX ,
the basis
n.Any
L r $mlian7OJI.SEy.11y applicathat he 14 attempt therefore, nt fIX apemd�mbjau the applleYtthe alleged lm aC YlllpeNlly of
not roe than five hundred dollars M500). APN Number . .olation,of �CCUpanCy Type '
❑1,ucover"oftiw property.IX my eroployces with wagca u their able compennoon, 36943010 . 00
wlndathework.andtheauucnrel...th nowdereReredfureew(Sec.7a+.Bnlnen Required Inspections
and Profession;CMG The Committees License Law it=but apply,n m aWMr or 9 P
pmpenywhobulldamrimprovestherean.andwMdmssuchworkhimanaorthmughhi. - 305 FRAME _
oencmpleyw,provided that well improvements atenot lnrendrAoroReted for We If. 307 — INSULATION
Westover,the building.,improvement is sold within one year of e.mpledn,humorous-
Wilder will hive the burden of proving shin he did not build or improve for purpose of 601 — ROOF TEAR OFF
rel`1,a
❑L asowner ro the property,am uelWvely conNeting with;)awed connection to 602 — ROOF PLYWOOD NAIL
mnawa dm projen(See.70,114.BusBusinesslneand Ptote.sion Code:)Toe Controversies w- 603 — ROOF BATTENS -
centw
eladotenot apply toancrew of property who bunds orlmprovesthemon.and. 604 — ROOF IN-:PROGRESS
who counncn ren such pe jeers with aconuuctserd llamued punu.nt in the Committees
License Law.
❑lam.aempt under sec. .B k P C for this tenon
Owner Dow
WORKERS COMPENSATION DECLARATION ,
I hem ry afflm under Penalty of perjury one of the following daluallone ,
have and will treatment aCerificamofConsentlenlGlnmmfarWorker"COmPow-
udon,u provided fee by Solon 3700 of ther Labor Cede,for the peROm.nee of the
wI fo ch this permit is issued.
have and will mormmn Worleces Compensation INomm,M required by Section '
3700 or the LabofCMo,for the performance of we work forwhich this peonit is load.
My Werke,'.Co pen Don InfasTnsa sa IX and Policy number ase:
Grtkr.� Tc ON No.:
C FICA PEN TION I N FROM WORKER
COMPENSATION INSURANCE
(This realm mad nm btmmple ed if the permit Is form hundreddmms(Slm) .
ur less
1 sandy that in the perfomnom of the work for which this permit is bound.I shall not
employ any person in any manner an as n become object a the Worker(Compenatian .
Laws of California.Dow
Applicant
NOTICE TO APPLICANT:If,after making this Cenif cam of Exemption,you should
become subject to the Workers Compensation previsions of the labor Code,yeas mum
.,O forthwith comply with such provisions
ons or this permit shall deemed ravelled.
r~N.. CONSTRUCTION LENDINO AGENCY
[—i Iherehy Affirm that them ie.conumctiOn kndiN agency forthc perfammm of
Y. thc work for which this permit is wood(Sec.31197.Civ,C.)
{[7 0 Lender's None
C)O landefa Addmas
1 aW fy that I have read this application and ststs thin the above imonnum is
correct.l agree to comply with all city and county ominanms and ems laws relating t.
0 VC building construction.and
W almlyanodrt s ilcirymenmrumnM
alcove-mendoned property for inu.prenm oflh
(We)agrec m save,indein Ty and kap the City of Cupertino against
fan Ilabil10 Jud ments,costs andexpeasaswhcll nanywiryaccmm agalntsaid City
c.nogsa eofthegnming of this permit.
F7 APPLIC UNDERSTANDS N WI COMPLY WITH ALL NON-POINT Issued by: D v
SOUR OU A ONS. -
rVAII _p Re-roofs
t H� RD US ATERIALS DISCLOSURE Dam Type of Roof
pllcom urfuom Wilding acupantaom or handle hoodoo memo
Cupertino Munitlpat C .Chapter 9.13,and we Health and Safety '
53r(a)1 All roofs shall be inspected prior to any roofing material being installed.
pplicant or ...mbas ng.saupan'uncyulpmemer devic,which If a roof is installed without first obtai ' an inspection,I agree to remove
rcaummmu OadhytheBayArcaAirQualityManagement all new rials for inspection
No
Ih mwJthelunrdmsmuerlats memounder .Chapord.93ofthe Callfor.
rets Hca; SamyCow Sanioru25 S, 3uu25531.IuMeeuumtheadweluiWing
does weently hem a We Ili y Mirwol lllty as nod l'Y fin occupant of the
entsw c un t r uanceohGeuficamrdacupmcy. oiat ofApplicant .. ate
m.udwn, gent Dow All roof coverings to be Class"B"or better
i Community Development Department
(r� Building Division
-�' City of Cupertino
y 10300 Torre Avenue
CITY OF Telephone: (408)777-3228
C U P E k I N O 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) 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 a proper City inspection can be performed.
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: r14,L==69q=• f?yryWrj_��_� �
Job Site Address: 7 —
Roofing Company Name: H "
Yrm�OL
Applicant's Signatu Date: z /9 � '
Greg eel
Building Official
Revised 1/30/03
Printed on Recycled Paper