02040029 I -BUILDING DPERTON PERMIT CONTRACTOR INFORMATION:
' BUILDING ADDRESS: PERMIT NO.
10570 DEODARA DR WOODS ROOFING 02040029
OWNER'S NAME: APPLICATION SUB DATE
INCERPI HARVEY I AND ELEANOR A 1020 HICKORY CT 04/05/2002
PHONE: SANITARY NO. CONTROL NO.
(831) 637-5576
C wRCHITECI'/ENGINEER: BUILDING PERMIT INFO
so
,00 m to CJ BLDG ELECT PLUMB MECH
5 y i LICENSED CONTRACTOR'S DECLARATION ]Ob De$CTI I]On
i Z m C 1 hereby affirm that 1 am liacnud under provisions of Chap er 9(commencing P
t:al withS«fion7000)ofDivision 3ofthe Business and ProassionsCode.and mylicense REROOF.
;yea3 Tammnorceana a T/0 SHAKES, RESHEET 7/16" OSB
.z e a Litems Cls vc Lic.a 2
13 u Uac Commcmr_
,nD� ARCHITET'sDECLARATION ADD CELOTEX PRESIDENTIAL COMP SHINGLES .
I undemmnd my plans nhall be avid as public recoNs
int
3 C O Licensed Professional
a'
aio� OWNER-BUILDER DECLARATION
am
1 hereby.(Sect that 11. .Bush from the Contractor's License Law for the
h?a following mason.(Semon 71...5.BashMas and Professions Code:Any city or couory
S G which requires a permit to trax,the pilar,improve,aPermit,or Delano any structure
a. bar cot Iso retort me DDlcant(he Contractors
soil a L aluamment
thath lacsNpsi u itomepros nsoftheCeBusines as la (Chapter S Ft. Floor-Area; $107UU
(commencing Ins rtf 7fg1f1)orD Division Business aP r ns coda) t" �., s9` , f... 1. . f�tt E.$',-,t�..t, anon
or that he Is exempt theicrmin and the bass for the allailed axe opt on Any violation
of Section 7031.5 by any applicant for a permit subjects the applicator to a civil penahy-
!of nm more than rive hundrtd dollars($500). 31 6AjPulrnbgr0 '.'..1 •a. Occupancy Type
01.as owner ofthe property,or my employees with rages as their sole compensation, o.J V 1/41 V
-will do the work.-and the structure is not intended or offered for sale(Sec.70,14,
Business and`Pmfessions Code:The Contractors License Law does not apply to an 305 - FRAME Required Inspections
owner of property Who builds or improves thereon,and who does such work himself
or through his omployees pmvidcd[bat such improvementsa t intended or __- ._._.- 30.7 - INSULATION__ .._... _..._ ..._-_`-
offered for sole.If.however,the l mld ng mprooe nent is sold Isah n one ya.rof '-"'"' -- - -
completion,theowner-builder will have me burden of proving that he did not build or 601 - ROOF TEAR OFF " '-"" '
improve.mfImposaofsale.). 602 - ROOF PLYWOOD NAIL
❑I owner mjccf the Property. nBusines exclusivelycontracting 'mfc J ont=o -' 603 - ROOF BATTENSconsumer ------
the project(Sec.7043 Busies. and property
who
Code)The vcv harmr.s
.. - uanse Law does nftdrub roancts owner witrprhperytons)lldm,ed.prsionamemon 604 - ROOF IN-PROGRESS"'' .. ..
Commoner License
for-such.projects wlth.a conwnotis)IicrnuJ.pursmnt.to.tne._--..._._.._._- _._..._.___-._..._._.-_____.._..--._... ._-__...__...__._....__..__-..
Commnhls Licenx law. -- --- ---- - _
❑1 am exempt under Sec ;B'&P C for this reason t
-_ Own ,:Date" ..... rat
WORKER'S COMPENSATION DECLARATION _
Ihereby affirm under penalty of perjury Mme of the following declarations:- yip■^�Awaaae®
01 h$vc and will maintain a Certificalc of Consent to self inmrc for workers tr
t Compensation. as:provided for by Section 37W of the labor Cade, (or the
Jn Performance afthe work for,which this peconit is iNted.
APR 9 L
have and
My Compensation on1 R
I mainm Worker's Compo t I rant required by Section
. Worker's
Cud f the performance f the ark i which this perm t
' e's C a nie pd Policy y M rc U1LpING
Cam pl4G"a(✓aP I yN Ic S'f70 /��L s B. _.._ ..._
A.: 1 I. -
esu d M W k�11, RTIFICATION OF E%EMPI'IDN FROM WORKERS" . . ..1 .. I, I e .-
CE
COMPENSATION INSURANCE' -
g' d (Ths'sectwm h
n bead nm completed if the permit is for one hundred dollars -- - .v e " t -1_.. .. .____.__
of 00)or
11canify"t'loni,n the pert f the work for which thispirranitthe issued I -
+hall t employ any p any mann as to become subject to the Workers' -
Compenmhon Levis of California Date. ` -
Applicaht
NO7ICE TOAPPLICANT.If ft k gth C n'fc t fE pt should
yo
Z forth sib) no the Wok C pe t p' stonsoffh lane COG you must
z O forthwith<omply'with ch p visions or cots perm t shall bed m<d rtvoked.
"CONSTRUCTION LENDING AGEnos
a 1 herelink
firm that m 's aI...ad ct c i d'ng g racy fo the perf imnnce - t
or the k m which peemlt .sued(5 3097 C C) `
'W,.p Lends =Name .:... ..,--.... ... ....:.. . .. ....... a. ... _. _.._.. . _. ._.-.._._. � ,
;z Lendcri AJdressi
U:0 .,1 verily shot I have mad this application and smte that the above information is '
kR''Ea corral.1 agree to comply with all city and countyordinances and state laws relating
V to building construction:and hereby omhGnie repreunmtives ofibii city to enter upon
� [Ti the above-mcmioned property(or inspection purposes.,
.'0. eWgdgmetssave,indemnifyand may
the Csayacran noagainst
_Z liabilities,judgments,costs rat i fits whim may in any way ucrve against said
V Z City neo s q e rteMth grant (th sperm n
APPLICANT UNDERSTyu ILLCO LYI'ITH ALL NO I
SOURCE REGULATIONS Issued by: Date
sign t sof ADpI VC tri t :1 ` Re-roofs /
HAZwRDOUSI ATERIALS DISCLOSURE
W ll the apIpicact or fat b ild 6 ecupa t thus,or handle harraliTirst al
- Type of Roof.dyh e pen oM pal ChaCh Chapter I2 and mHIntd Safety Section 25532(.11
--
t) t td{ . t ; f'l• .
,
°vAll roofs shall.be.lnspected prior to-any roofing material being.installed__ _
Will the applicants I,wans r building ap ay An use e.Ai t.,device,whmh If a roof is installed without first obtaining an ins ection;I agree'to'remove
mit ti n sous a i cnmam a t eefined b ills B A A - g p
> y a Quality ty Management
°""' � all new materials for inspection Applicant understands and will comply with
l °Y` all
all source regulations
i
L . I h e d,the hazard u to"nls respainarranis umkr Ch pt r 6.95'6f ills f (' it
Califorma Halm&Safety Coca.Sontions 25505 25533 and 25534 1 understand that
f We building cetc J have anamm.that it yrespb bllyt t(ym
Occup
f th •met h a b et p m'.sue f Certificat f
D
Al
Signature of pplicant _ Date
OZ _... _ ._.. . .
o�n n�aeo age , J._ Data. .. All roof coverings to be Class"B"or better
OFFICE'
I
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.
I. 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 r/"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: Ail esx. 4- p�
Address: �� 5� �A �-2p rLr cz �jlrvwsv
n Q ,
Reroofing Company Name: (�y71'a 1S 90-1x =p+l[..�._..
Applicants Signature: ze� i2�— � Date: O 2
�> Joe Antonucci
(Chief Building Official)
6/25/01