02040030 CITY OF.:CUPERTINO'' -
BUn.Uwc DIVISIONFERMPI CONTRNF
ACTOR IORMATION. ' _...:_ . . _.._..." .
BUILDING ADDRESS. 1..... e:e. .r. . - -. - -
PERMITNO
105'58-.DEODARA'-DR .,-- ..•. . ._' WOODS _ROOFING._ - ). .f.__.._ ..,... ..... ._. ,._.. .0204.0.030. _..__ ...
.. , - . _
_., .. ..
OWNER'S NAME:: APPLICATION SUB DATE
SHARON 'LIU '& EDWARD DENG . 1020 HICKORY CT 04/05/2002
PHONE: SANITARY NO, CONTROL NO.
(831) 637-5576
o ARCH ITECT(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
h a S I_I t CJ
u z LICENSED CONTRACTOR'S DECLARATION JOb Description
i� a I hereg aRrm,ht, isi
I am licensed under provons of Chapter 9(commereing .. P
sit f.; with Section 7000)of Division 3 of the Business unit Podswims Code.and my license REROOF.
OWU iainrmlrnrcea �a�'4 trace Z T/0 SHAKES, RESHEET 7/16" OSB
m z< License la
0 Dae '/ /G-'3 cmtmclnr
?ypQ ARGHITEC 5DECLARATION ADD CELOTEX PRESIDENTIAL. COMP . SHINGLES .
1 undersand my plana shall he used a,public recoMs -
' 3Y
J a O O
Licensed Professional •" - s
w,q,h OWNER-BUILDER DECLARATION -
hereby affirm that I am exempt from the Contractor's License Law for the
!'Za following reason.(Section 7031.5,Business and Professions Code:Any city or county
p, C whichrequires a permit m construct,alter,improve,demolish,or repair any structure
tui- .pre t,its imenmal- tee . ther m O
such Lifesignedsut t
that hcs'Laes}dy f Mc Pool mons of doCommoners License Law IChp 9- S Ft Floor Area
mot tugwth Sem 7")of Division J of theB es dPr f a ) .-: .- Q�. ' natlOn
.1 hot he is exempt t f d thebasis for the alleged e� pion.Any viola�on 3 s T',' i_e,s --'- S]_0 5 U�
of Section 703156 bean for t subjects the
by 50 1 e pp v. p<nalty - pp ter }� - ,Occupancy Type
nr not,nnt<man rvehundred e non(axon) ,. . - 316"3C��f -l)� ..
r
❑I a fthep pent. y ply 1M1 i. t ' c ape -t - .. .... ... _.... _ ...... _.-.-.. _.. ... ._ __
will do therk- d to structure: - t intended a Be d f o,a 7094"
own imfyWho ca The-Contractor's:a L a t pplyl lf 305 - FRAME Re, wred lnspecttons =''I -
r of his o y Who builds or ,idCd firm
s thereon,and who does such work himself
"woe 307
or throegM1 his own empl yee. p J d th t h- p "Cr" tintended or
offered for vile fl howc er the building oP m s IJ -ttinone--- f .-..-INSULATION
- - -' - � — --_ -
Yc ro ...__. ..__ ..__.
' compeuon,thcownerbudderwill have thebattle.ofpronngthahedid notbuddor 601 - ROOF TEAR OFF
improeforparpomofsale.). _ - -----------.602 - ROOF_ PLYWOOD NAIL
_ . . - - - ... .._...
_ .. ...
❑I asm neinhne property. w.avb g.-mleenaed«mtnct.Oo, 603 - ROOF BATTENS
onswet the project(Sec.7N4 Business d P f.i ens Cade.)The Contractor's
q c , ..,.
License taw does not appy m an owner of propny who builds or improves tercon. 604 - ROOF' IN-PROGRESS "
.und.who conuvm,lfim s.Ch,P,.jecta won a.commnor(s).licsnsed pursuant to.the-. -
Comn ince License Low. -
.. ,• .• .•. •• PC for this rcason . . 'I�,'i✓•❑ .
❑lam exempt under See, ,B& _ •
Owner" Data
WORKER'S COMPENSATION DECLARATION
IhmbY ffirmon de,Penalty fpeprY one ofIh frolkoviiiirief tions,-
J ❑ 1
pi d II i m n ce Cen f f t t s f Worker's ���
Comp<n t Provided d 6Y Section33 7W f he IoM Cod forte 200��
J s performamnof the work fo bah this pc 1 zsucd.. - '
)CZh d '11 andominiWormer Comp station Ensurend,m restored by Section
.7W of he Lab .Cm f he Petr ane 1'm k r which m' _�UILDIN�j
MY 's Co pc i Insunnc< anppG Pfu�l cY be are�pen '
Cart cm- hyNo.�Os�Od .._-- ._..
CERTIFlGGATION OF EXEMPTION FROM WORKERS
➢1 COMPENSATION INSURANCE"
'sh m sectioneed ,bc m teAft
- P p t_ for h d d Jallars t .,'. ;' '•.'.:I t\ i 'Jl. .I'u '
nfy that'dth pcf ofth kf which perot sintl1'
shill t employ any pc y a t'become bl a[?,the Work - 1. .. 1.1 i
Compen.t ed Laws of California Dmenn .
Applicant ..
NOTICETOm to the ANTr ft kmgthis Cid.m, ,h Leber
youshould
as;
Mcartesobjdctm the such ponims 0,t his pcennit nail the IvMr Code,L must
Q Q lonh N Comply h such provisions or this permit shall be doe d rtrakM.
'..
CONSTRUCTION LENDING AGENCY
' 1 herebymonk
hickffirm that th rc is a co a ci 71 C agency f the perfomm c<' _t I
s.e of ne n k rris .h this-permit is issued(S 7097,Civ.C.) - '
Q Lend Add e. .. .,., _.. .
U0 _ .
:- t Certify that I have mad ibis application and state that b information is
ks.f" correct.1 agree to comply wit all city and county ordinances and state laws mlaing i
t,.1 m building conswnion:ane hereby amhorize rc,opmootives of this city to enter upon
the above-mentioned property for inspection purposes.
Q. iWe)hmt to la indemnify and keep harmless, the City of Cdpenlnoagainst
Z) ,
. liabilities,judgments,costs and expenses which may in any way accrue again d - •'
U Z Cityconsequence oft grant g f this Permit. sen-
'APPLICANTUNMERSTANDS LCOMP \1'RHIALL NON-
SOURCE REGULATIONS Issued by: Date.
StgnaN f ApplcanUCommctor -
r e HAZARDOUS MA ERIALS DISCLOSURE Re-roofs
k 's'NAI the applicant or forum buId ng occulard store r r h5ndle h zallou. mvcnal Type Of Roof ..
hs defined by the Cupenn Municipal Code Ch pa 9.12. a b Health and Safety - - - -- _
r
code OYen z55J21,J° l5
so
AIllroofs shall,be.tnspected.prior-to-any roofing.material,being installed.
Wlltn ircontaminants
o t f t b Id' g p t cc.Ai t device,Management
If a roof is installed'',wlthout first obtaining an ins ection,-I�agree.tol�emove
carin ll c roam a t defined by t<Buy ArcaA Quality Mmeg'mcm g p
Di"rte' •, r N , - all new materials for inspection..Applicant understands and will comply with:
441,40, .1 d ore t py is
all non=point source regulations. "
1 h c d th h a d mate i Is q rcme «and Chapin 6.95,of to "
611,1`0 in Halt&Safety Code Sections Zt is a d 8574 I .tl tams thin
ta l
if the d gdcurrently notha a mount.
dead
i
hat us my m"arribililyt i(y Ih
LO.nc,
t f to cm h h man h t p t sea c f Certificate of
`� Saz
y '
� - Signature of Appl' ant Dale
r authorized a '." -
ore f . :r . dat<:• All roof coverings to be Class "B"or,better '-
t
. .... .., . .. ..... : ..: T . _... OFFICE
Building Division
r 10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
S\ CITY OF Fax: (408)777-3333
UPEkTINO
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
i 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: J�/�Gt�l/u
Address: X03 7 o L l e o - L/
Reroofing Company Name:
Applicants Signature: le Date: � S o Z
Joe Antonucci
(Chief Building Official)
6/25/01