03030135 CITY OF CUPERTINO . "i:z'a y�`�y�,Pd� �r^ ��sk�•
BUILDING DIVISION PERMIT e-ol ��OkINCO�4uYl
BUILDING ADDRESS: PERMIT NO.
OWNER'S NAME: PERMIT LSS
ift
NE: SANITARY OL NO.
ARCHITECrfENGINEER: BUILDING PERMrf INFO
BLDO ELECT PLUMB MECH
am
LICENSED CONTRACTOR'S DECLARATION
I hemby aOhm llut l am licensed under prorulons or Chapu:r 9(commencins Job Description
wiASccdoa7OW0 of DlvWa3.rdWD naaan Profeasmma Code.anise Itcensein
in full force a
uammcl Com c �7� COATING' EXIST.BUILT 'UP ROOF CAP SHEET
3 Dau CoDEC ^ CONTRACTOR: DINYARI CONSTRUCTION INC.
ARCHITECT'S DEC ON r
my p1ars.1all banned n public mards
50 Licensed Pmfaalonal -
OWNER-BUILDER DECLARATION
I hereby mHkm that 1 am acrepl Imre the Contractor'.Limns,law far the
O O following motrin.(Section 70313,Bosman and ProfeWon Cade:Any city or county
$ which mqulms•permit to.sena.slur.Improve,demolish,or Actual,any slroetOe
Fly prior to its Issuance.also requires Ne appliant for such permit to file a outland snmment
gggg$q < that he is licensed pursuant the provisiong of the Contractor's Lkense Law(Chapter 9 Sq.Ft.Floor Area Valuation
6 0 (commencing with Salton 70M)Of Division 3 of the Business and Professions Cade)or
$ that he is exempt Macifeom attd the bads far rhe alleged esempMOn Any vloladon of
Sweden 7031.5 by any appllcent for a permit subjects the applicant to a civil penalty of APN Number Occu ane e
not mom Nan five ve hum dollars(1500). - P Y IYP
01,As owner of the property,or my employees with wages As MaIr now compensation, 35908019 . 00
will do the work,and the annum Is not nunded or offend mor We(Ser.7044,Business
and ProfeWona Code:The Commence.Liame Law doe,tat apply an an owner of Required Inspections
property who builds or improves theinon.and whodueaaahwmk himWfor thmugh his 305 - FRAME
own employees,provided that such improvements no,notinurued monered formic.if, 307 INSULATION
however.the Wildingor improvement[amid within arc your of impletion,the owner-
bonder .will haw the burden of proving that he did not wild or improve for purpose or 601 - ROOF TEAR OFF
ole.).
❑I,as Ower of m,property,am exclusively contacting with licensed antrnl0ram 602 — ROOF PLYWOOD NAIL
cornet the pmjcct(Sec.7044,Business and Professions Code:)The Conwacuta L[- 603 - ROOF .,BATTENS
ams law does not apply to an Owner of property who wlies or improws thereon,and, 604 - ROOF IN-PROGRESS
who contracts for such penjebu nno
with aeentr(G licensed pommnl m the Cooumoea
ummen Law.
❑1 an exempt under Sec .B&P C for this mason
1571W.f
ns Dau
W ORKBR'S COMPENSATION DECLARATION
I hereby.Rimm under penalty of perjury ea of the following circ annns:
I have and will maintain
•CenlfiauofCcoomm to acli-Wum fa Workers Compen.
an,m provided for by Salton 3700 of the labor Code,for Ne perto,reance of an
rk for which this permll is Issued.
1 haw and will maintain Workers Compaaation Iwrulce.u required by Sepia
the labor Coda,for the peRarmanaofNe wait forwhich Nice permit laimued.
LidwrCAOakforV p+rs-row PoII% �OCj_�00�`(�16 df
CERTIFICATE OF E%EMPnQN MWORKERS'
COMPENSATIONI RANCE � I
mtlaaadnn need notbo completed lf the pennitbfarone hundred dollen(fid))
I certify that In the perfarmanea of the work for which this moult u Issued,i Mell nm • V I e U-'j{rpJ1/'_yd_/t�e-/,U•71
employ any Pany manner mmtobecome subject to MO Workers'COmpenntion ,�fi. $j
4wa of California.omle.DauApplicant
n MI/y/"'UII �I�L
NOTICETOAPPLICANT:H,afar making this Certificatesi sof the
LAW C n,you should i�7
becamesubject
comp y the Worker's Compemehis Permit
of the labor Code.you mull
Oforthwith comply with such provisions or this permit shall w deemed invoked.
'Z. CONSfRUCDON LENDING AGENCY
f-m Iwmby.M.that Mort is a comtmctian kadingatleay for the per(mmaw of
I5:> the work for which this pe,mll Is Issued(Sen.3097.Civ.C.)
Q _
W Lander'.Name
7 z camera ogee t
V I certify that l haw mad this application and sate thss the.how Information Is
{Lm burin I cora Iseicomply,ead with all buy and Carey ordinances and amu law relating e
p .1nowngcmoned construction, hereby wthotlminpinsenmlvea of this chymcnurupon Nr.
W awn-(We) cd 11.enya.for Inspection knoir a
G caju grac m cove,indemnify and keep hrtmku the City or against s agatmt
W In mosequence fMejustsandof wit expenses which may In any way mems against sold City
f,^l incanquntce NDERanting of thu permit.
a7 APPLICANT UNDERSf_y4DSAND WILL COMPLY WITH ALL NON-POINT Issued by:s4taA Date
SVEREGULAyoNS
y / ntlConmaor 7-�3'ZS Re-roofs
nn ehCpplk HAZARDOUS MATERIALS DISCLOSURE nam Type of Roof
Will me applicant m future building occupant store or handle humorous material
as de0ncd by the Cupertino Municipal Cade.Chapter 9.12,and the Health and Safely
11.11'
erra.Section 15531(.)7 All roofs shall be inspected prior to any roofing material being installed.
Ya �u
WIII the appllam or Imum wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
It hamornm air conssreinanu a deMCG by the Bay Am Air Quality Management all new materials for inspection.
sulct7
❑YUNo
Ihawmadthehuardmusmatoddsmqulmmenuun&rChopur6,95of Mo Cellfor-
Hlth&SafelYCode.$cW=25305.25533and1553d.lundcmwudmlfthc wilding ��-,not"rntlyhawsthat Itbmy malomi611hytonotify Me oaupmlMmehich m3D Signa Applicant Date
wner zoo em m All roof coverings to be Class"B"or better
Community Development Department
aott
Building Division
; City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
Fax: (408)777-3333
C U P S kT I N O
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: Joe Mardesich
Job Site Address: 10041 -10061 S. DeAnza Blvd.
Roofing Company Name: Dinyari Construction, Inc.
3-24-03
A plicant's Signature: �._,.°`� Date:
Greg eel
Building Official
Revised 1/30/03
Printed on Recycled Paper
MATERIAL SAFETY DATA SHEET
$14"EETS29'CFR 1910.1200`STANDARDS HMIS`HAZARD RATINGS..
HEALTH 1 0=INSIGNIFICANT 3=HIGH
FLAMMABILITY 0 1 =SLIGHT 4=EXTREME
REACTIVITY 0 2=MODERATE
-. TRANSPORTATION INFORMATION . �
PROPER SHIPPING NAME: Not re uleted
HAZARD CLASS/DIVISION: No iaaS a>(v
IDENTIFICATION NUMBER: No a
IDENTITY (AS USED ON LABEL AND LIST) .P g §f 2
ASTEC 0 900
MANUFACTURER'S NAME EMERGENCY TELEPHONE NUMBER
Insulating Coatings Corporation CHEM • TEL (840)/255-3924
ADDRESS (NUMBER, STREET, P.O. BOX) TELEPHONE NUMOEH FOR INFORMATION
956 South Highway 41 800 1��
345 5306o1/�)r Ing nnw� vj
(CITY, STATE AND ZIP CODE) DATE PREPAREO� /SII-l'6997ILj�'U
Inverness, Florida 34450 - _lw lJ
SECTION lI HAZARDOUS /INGREDIENTS.;/IDENTITY INFO RMAT/ON:: .
HAZARDOUS COMPONENTS CAS# % ACGIH TWA ACGIH STEL SARA RO
(SPECIFIC H I I PPM s
Calcium carbonate c 1317-65.3 15
AwL Ethylene alycol (a b) 107-21-1 <5 50 C 125 C YES
Zinc oxide as zinc a 1314-13-2 <5 '1z DTOI as v
5? ,ry nF YES
�;, :rt acl0 0 NAN
(a) A 'YES' in the SARA TITLE III column Indicates a toxic chemical subject to annual reporting P6 eme coon 313 of the
Emergency Plannina and Community RI ht-To-Know Act of 1986 and of 40 CFR,d72.
(b) A'C' In the ACGIH TWA column Indicates ceiling limits,the concentration that should not be ceeded duringjariy-part' f the
working exposure. ne5 andit
is UO
(c) The exposure limits of this product,when allowed to enter the environment as dust particulate, are covered undertth6lr61es' f
29 CFR 1910.1000 Table Z-3 'All inert or nuisance dusts whether mineral inor lehic or or anic.' ...,tncin0 }Y011t
- -777777-
7777777
SEC TION /11- MY.,S/CAL / CHEMICAL CHARACTERISTICS
BOILING POINT SPECIFIC GRAVITY (WATER = 1) i1 a�1 ,pl{G°tvuu�
212' F 1.190 Halt I'Y to h9 Or.
VAPOR PRESSURE (MM HG) VOLATILE ORGANIC COMPOUNDS (V,OC'S) PrQvt 'v"
17 mm 20°C 0.1 lbs/gal I t., Law
VAPOR DENSITY (AIR = 1) EVAPORATION RATE (WATER = 1)
<1 < 1
SOLUBILITY IN WATER % VOLATILE (BY WT)
Partially soluble 29%
APPEARANCE AND ODOR
White viscous liquid, slight acrylic odor
SECTION IV . .:FIRE A/ND EXPLOSION HAZARD DATA
FLASH POINT (METHOD USED) FLAMMABLE LIMITS LEL: N/A UEL: N/A
Non-flammable
EXTINGUISHING MEDIA
CO,;water;water fog;dry chemical;chemical foam
PECIAL FIRE FIGHTING PROCEDURES
Keep drums cool with water spray to prevent drum rupture due to steam buildup;floor will become slippery if materlal Is released.
UNUSUAL FIRE AND EXPLOSION HAZARDS
None
am r..d 04,92
• MATERIAL SAFETY DATA SHEET
ENTITY (AS USED ON LABEL AND LIST) Page 2 of 2
ASTEC 0900
SECTION V- REACT.I.VITY.DATA
STABILITY CONDITIONS TO AVOID:
UNSTABLE: STABLE: XXX Extreme temperatures, keep from freezing
INCOMPATIBILITY (MATERIALS TO AVOID):
Strong oxidizers strong acids
HAZARDOUS DECOMPOSITION OR BYPRODUCTS:
Thermal decomposition may yield CO;CO
HAZARDOUS POLYMERIZATION CONDITIONS TO AVOID:
MAY OCCUR: WILL NOT OCCUR:XXX None
SECTION VI—HEALTH HAZARD DATA
ROUTES OF ENTRY—SIGNS AND SYMPTOMS OF EXPOSURE I EMERGENCY AND FIRST I
INHALATION: None expected,however certain individuals may Remove victim to fresb air,if sy ms pDrfist, see medical
be sensitized and experience minor nausea or headaches. attention. 1r= '—
SKIN: None expected, however, prolonged contact may cause Remove contaminated clopNng,wash affected area with soap and
Irritation. water; launder contamin a clothing before reuse; if irritation
persists, seek medical a ention.
EYES: This product is considered to be an eye irritant. Contact Flush eyes with clear running water for 15 minutes while holding
with the eyes will cause irritation. eyelids open;if irritation persists, seek medical attention.
z
n Fr--' nrN nn
INGESTION: May cause gastric distress,vomiting and diarrhea. Give two glasses of wati"r'foi'diI6Udn;DO NOT induce"vomiting;
,LAl 11 IVIIII1 110.1 111] �
seek medical attention;.never-give anything,by_mouthbo an unconscious
person.
EALTH HAZARDS(ACUTE AND CHRONIC): Acute effects are possible irritation and discomfort; no known chronic effects have been
established.
CARCINOGENICITY: NTP? No IARC MONOGRAPHS? No OSHA REGULATED? No
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Preexisting skin, eye,[or�ieepfret6ry,dieorders may become
aggravated through prolonged exposure. I nru TUC nny no
SECTION M-°PRECAUTIONS F.01W SAFE I-IANMlN6', V, INANC69
STEPS TO BETAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Confine and abs in e erbant; place material
into approved containers for disposal; refer to SARA Title III,Section 313,40 CFARL72 for c r ati oncerning
reporting requirements.
.In'U FD
WASTE DISPOSAL METHOD:Dispose of in accordance With Local,State,and Federal�Regul _ons.nd specifications MUST
,. ,,..,. . ,-k., L.h of ell fimae And it 1
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE: Keep container cl�Wadiwhen.,of inC .1,Y se1praotac�Fontainere.lrom abuse;
protect from extreme temperatures.
in same without written permission from
OTHER PRECAUTIONS: Keep this and other chemicals out of reach of children;mininiiz0Jbiody'oiintacf with tlils product as well es
an chemicals In general. rhe stamping of this plan and speancaUon5
SECTION Vl/l CON:TBOL:'MEA'SURES 1}n t`NOT be'h�s) a perm .or oe art
RESPIRATORY PROTECTION(SPECIFY TYPE): NIOSH approved respirator capetilebf removirig-airbdine pafticle'a'mua be worn if
TWA concentration exceeds maximum allowable limits Section 11. f anv City Ordinance or State Law,
VENTILATION LOCAL EXHAUST: Recommended SPECIAL:To maintain minimum TWA and STEL levels.
MECHANICAL(GENERAL: Yea I OTHER: Engineering and work controls as required.
PROTECTIVE GLOVES: Neoprene or rubber I EYE PROTECTION: Goggles with side shields
OTHER PROTECTIVE CLOTHING OR EQUIPMENT: Safety eyebath nearby
ORK/HYGIENIC PRACTICES: Practice sate workplace habits. Minimize body contact with this as well as all chemicals in general.
he Information contalned;herele Is believed;to be,accurate.but In not warranted to be;aor Users areLL dvlead to confirm In advance of need
i InlormaUon is curtest,applkable Sind CIA to the ckcunititdncea ofuee: Vendor assumes no raspenslDllity.for Injuryto;vendee or thjid
paraona proximately oaussd by the matarlal If FeeaanaWo asfefy'�pracedursa ata not adhered to as stipulated In tits{lata Shoal. Furtnsrmoro,
I sawmea no re erielbll for In u -caused-6 abnormal use of mis'materlal:evan'"Ifreasonab(a sato 7 ocedures'ara fella ad.
m .case/�
PREPARED BY: CDB Inc., P.O. Box 5604, Lakeland, FL 33807 (813)644-3298