02020060 CITY OF CUPERTINO '
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
CAL—PAC202 060
OWNER'S NAME: APPLICATION SUB DATE
SHARON HUANG 2515 S EL CAMINO 02Z15/2002
PHONE: SANITARY NO. CONTROL NO.
(650) 286-0450
00 ARCHITECT/ENGINEER: BUILDING PERMIT INFO
a U BLDG ELECT PLUMB MECH
a c -I_J 1--1
i S N z LICENSED CONTRACTOR'S DECLARATION
z_0 1 hereby of firm that 1 am licensed under provisions of Chapter 9(commencing Job Description
,rt with Scaion]BBB)of Division 3 ofthc Business a d Professions Cod , dmyliceve
y Y f is m ra rc<an D �(f G p / REROOF .
Oce a Lic<nu Lic.W'r
i'U ED - Comma r
y 3 a.y ARCHITECT'S Cov,-'-` ,g [understood my plvns sM1all be used as public records
E�
id o C 4ttnuJ Professional
x o
OWNER-BUILDER DECLARATION
m_w 1 hereby affirm Thal 11. exempt form the C onion Co a Any c Law o for the
I. a following reason.(Seniors]031.5.Buslners and vet dario li Code Any city or county
which requires a permiva inns doe ober,improve,demolish,or repair any straanm $5620
i 3,< -Prim bath u ,also req doe applicant for mchpermhmicensele a Law ned
- thin he z 1 Pmd pursuS t tq thep ns of the Contractors License Law(Chnprcr 9 Sq�Ft,F1oor.Area
(cath cog, thSeno yG0(0 fD sionJofthcBustnessandPmfessbnsCode) co tet! '24'034400, �, 'n r:\r•. , Valuation
or that h e emt rhe f m e d thebasis for the vll<Eee e%unptimi Any violation k'^�`' x,3.6 9AtL�..•
. --of Sectio 10315 bynnp applicant for z permit subjects the apvh<antmadvil penuhy
•ornotmnr<menBlehanarwao11ars(s500). APN Number .T .,, Occupancy Type
I, owner of the tmy employees with wages as their sole comp<nsmlon,
305 — FRAME
do
-'will olhe'work;endnd thehe structure'is not intended or for sale-ISec:7044,-' - - - --- - -�--- - -- -
Bmin&e and Professions Cade:The Cammctor's License law does not apply to an m spections`'+ _ ^1% - --
no net of property Who builds or improve%thereon,and who does such work himself 6 01 - ROOF T
,, throughhs employee.p admt I ' pt
offered 1 If. -th Hila go per : ld o;h�intended yer of - - --- -602 - --ROOF--PLYWOOD NAI-L—
<omplr meow b lens have a rp gthth as tbaimo` 603 ROOF BATTENS ,t, o O
Pr f t rp f Ic)
❑l.as uw�er�nne - - - - 6.04... ..
ncI Ir t g th I Lensed convenors to ROOF_. IN=.PROGRESS
Comma the p jK Sac,7 B nes it s
License laxdoes not apply loan ofP peMy nCWC)The Contractor,
/f
,
Ids or improves thereon I • ;f - _C
und_ ho u n .forsuCbPmjCCc,.1idh v,torts)he d pursuant m the
C ntr t License Law � ._..._..._
❑la ptud Sc ' 1t t :B,&Pcmr,hsreasnn .... ..'.•,:sP -
ova- Data
1 WORKER 5 COMPENSATION DECLARATION
!!! - Iherehyaffimr underpenaltyofpcfjuiyonc nflhC followingdecllowmns:
' G ❑ I have end`vdl'maiofam a Certificate of Consent'm self-insure for Worker's
Compensmion, as provided for by Section-370(f) of the labor Code, for the
performance of the work for which this permit is issued;
❑Ihave and �.. req red by Secdcor
info n Worker's Compensat 1 m ce
as o f t�Po n< of tqc b is for h h th P' Y.
ed M M ce<ertlp( E Is City beram. -
riif J Q o'2siYrrcis
t ,,. )CERTIFlCATION OF E%EMPI'IONtOM W
PgORKERS L Ci. ( .5..a s.,, . ..�3), a,s, L}L1 <a.'1 f f.K J.'•t{
......'_rCOMPLNSATION INSURANCE.-`yv t•' ^ •' '
q"iTh s scaion need nm be complaed if the Permit is for one hundred dollars ry`1 " -• _ --_-_ 1 -�� --
(5100)or I cc) t
{ Icnfytht' ers perfo yma fthkf ...
wh<h th ----
perm t' . ed
ihall" t employ Y P< Y 'Here to become z bJ t t the W ik rs s^,.;, u
Com
pcmatmn laws of Cahfomia Data
Applicant
NOTICETOAPo the If ftrmak gthsCnRt (Exempt yoqutr ld -' - '—_ --- - __.._._._ ._
become i b 1 t the Wo Ae C m 1 O
J a P orth<Lan Code,you mist'
Z Q fonhw th mplywnh such p ons or th pc 't ah II be dee ed ok d. •
(CONSTRUCTION LENUINO AGENCY - 1 -- -- .. _._.._...
' 1 hereby affirm Jit there onnm t 1 d- t s'
[� 8 agency f the pert rmari e
,.. of the-d. work for ewinch this „IS '.309]'Civ.C.1 ,•„t.Q -
Under',N'm °. ._. Permit ucd,- .,... '.'
UO . . _ J.a T'` _�'..is . ._ .._._..._.. . .._
W
1 Certify that 1 base ad this
application a eo d late t a o t the boinformation is
E. ori<m I grc t < ply 11 a ty ore e ru e t 1 elating
O f) to building construction.a d h by a mmu”r<preuntatives of this city to enter upon
theabmc menbohed property for inspection purposes.
[.r6 (We) get'save.inceindifyad keep hamJsa the City ofC penino agamu
&0� liabilities.1 dgme t,Costs and expenses which OOY in any way meeg mst said
V Z C]Y in que of the gm Cog f this p n
APPLI PFPtlS'DE AND AND lgI.L COh1PLY N9TH'.iLL'fOY 1 V
s V1 EREG ho _ b Issued by: Dat
g pt r f Appl antrcont to , I - t Re-roofs
t',HAZARDOUS MA RIALS DISCLOSURE
Will th a 1 Canto f tune bu Id occu nt store m ha, harardous renal
as defined by theCollodion Municipal Code.Chom 912'rte'he H Ito rte surety .Type.of Roof ... .. .. _ .,
Cod 'Sen 255J2(a) ( / - } . i ,la - -
.._.OY 'O No. t- 11, lrl `,, a'i f� u i{'t. Fll
AA' :.1�•5 s 1 5Vd;. 1.
Al] roofs shall be inspected prior to any roofing material being installed.
X111 the applagat r t Wilding ce pa equipmentnrP devices wmcn if a roof is ihstalled'without first obtaining ah inspection;''Lagree to remove
'lemath:aril sa <o tam of definedbJth Bay Area ArQualityM 'g mem
Dist,ierl all new,materials for inspection Applicant understands and will comply with
i all non-poi "source regulations
I
hulat<d thefelY Code; mat 'alt que t nts rider Chaps 6 95 of the
C IYmaH hh&Safety Cod Sections 25505 25533 and255tJ I trid .t nil that
fin b Id gdoe not cu mlY ha eat nont that t Yrtspo bltY to tify!he
t
, tot g rt e ht h m i be t poo t t suap f o Cm Gane of -CO hat tSignat e of Applicant - Dat
r .. . . _. .._ .... . -
o All roof coverings to be Class "B” or better
i -- OFFICE- .. .. _. . .. . __ ...
,
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEkTINO
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 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 of inspection.
We understand the above policy on reroofing and will comply with this policy.
Homeowners Name: �-51/z / 0-1-i
Address: 'Y S-Y Q h 2 'l Ul'F✓�i� 5sa�`/
Reroofing Company Name: CJu�
Applicants Signature: —� Date:
Joe Antonucci
(Chief Building Official)
6/25/01
Building Division
10300 Torre Avenue
i' Cupertino,CA 95014-3255
Telephone: (408)777-3228 •
CITY OF Fax: (408)777-3333
CUPEkTINO
Building Department
RER®®F 'TEAR ®FF POLICY
revised 6/25/01
1. You must schedule an inspection for the tear off the day before the date you
wish the inspection to be made.The procedure is to call the Building Division
(777-3228)between the hours of 8:00am and 4:00 p.m. for next day inspection.
2. When the roof is torn off,the nails removed or driven in,and all of the dry- •
rotted wood has been replaced, then you must call the City Building Division.
An inspector will be there within one hour. There are special hours for this
service: between 8:00 a.m. and 11:00 a.m. and between 1:00 and 3:00 p.m.
3. If you call for the tear-off inspection and the job is not ready there will be a
re-inspection fee of$100.00 charged,which must be paid before another
inspection is made.
Joe Antonucci
(Chief Building Official)