02050085 "'CITY OF CUPERTINO -
iBUn.DINc DIVISION- • : ' PERMIT — . '- CONTRACTOR INFORMATION:
" LA' KNIGHT ROOFING CO PERM]7N0. " ' 0205.0085
. �2A" ET CHYLI:,. 42035 OSGOOD RD
(e-^s PHONE: y - r - SANITARY NO. CONTROL NO.
st- 5104389077
sz ARCHITECT/ENGINEER: BUILDING PERMIT INFO,.
�Od. BLDG ELECT PLUMP MECH
� -
FF ..LICENSED CONTRACTOR'S DECLARATION,
7 z I h by affirm Nal l am l ce sed oder pmvisioni of Chapter 9(commenemg, - -ROOF I ]Ob Description. -
RE R OF -
wNS t n7fg10)ofD so 3 flhe Bystn�und Profesvoes Code,-andon license ,
E ie m fulNoka ane y. - y
'z �pLEl��cnf l ddos..v - Y c M - - - .. i
a LL¢,� -,"s7°�0 ✓'. .i L'I eFR flITE S UECin A ION r .•,I -'r 7 .._ i
m'a'mY
tons hall ben d .p le records v ...
t. ,4,tai t •d OUILDER DECLARATION
r -1 h by:(Solo that
m I a me pt from the Contractor's License law for the
z.8 :follow ar aeon:(Sens 7031.5,B ess andProfessionsiie,deli Coax Any city st county - -. .- _$7 2 O O
F 'odor
t ts faro I I co.I n,:Icer.improve,demolish, rtpav any am°wrt -- _
aa.its
$ .Pdo to rs issuance.els requires she appl cant for such Permit fl LawJ haphornt. •- _.. .. _..__-_ _ _
I that t(cord is licensed pursmir thepronnomof the the Fou ml V -Iawon,Ca c) J,i y 3�2BIDHI&r A&a--, Valuation
;(e mm c g '1h5 coo oW)ofhDivision o ttheligede di (Anons Code) {-,Ytir• . I:r.T'.- t / A.^•L"n!4 ..t .h r -' -or Ihm he A exempi iheiefrum and the baize for the vlleSetl exempt imp Any violauor ,'I I
of Secl on 7031.5 by any uppimmt for a perm I sublcets the appl cmI Io v c vii penally
','of not mare than live lmadrvd dollars($500): 305APN 1?bhNME. Occupancy Type ' --'
,Ol;as owner property,or my employees wish w,igcs nslneir sole compemaioq 307 - INSULATION p
if r'will'do'the workland the structure'is not intended'.offered for a.In(See.70,14. - - TEPA &&t7 Iflspectiohs°•v.".'
*'Business and Professions Cade:The Corrector's Liarnse Law does not apply to an ❑q
r ow er of property Who builds onmprovu thereon,and who does such walk himself 602 - ROOF PLMOD''"NAI L
for through his own employees,provided that such impmvemems an not Intended or -
ofreFcd'f&sale'If,however(the building or improvement is sold widdri-one your of -603 ROOF BATTENS '
[
completion;provar the owner-builder will have the harden of proving that he did not Fuild or '
:improve for purpose o(sele.). "
604 - ROOF IN-PROGRESS - -
.Im
_ _ 1
I: I her f the p pony exclusively contracting with licensed contractorsto coaun theProject(Sac un nil P fss ars CWa:)ed Conlunor a
I License Law d not apply I an ownerof property who 6 Ids or Improves the...,
sit,wIhe0 and who contracts for satopre
)( traconsLlctal.law FIAL ® . J Ol am exemPlud B&P C holds
a _._ ..1
---'-
nq Onu D m
JUN 0 6 `
T WOkKLR S COMPENSATION DECLARATION .,r COOL '
I° t r,�vfy�+yl ' t1 t i ! ' M. .• '..ui :. a ',. I {. _,..
1�},wdgrnm qa pr Pe Jay a ono rNlo>V ng deolaouda.
BUILDING
1 -1] 1 h a d ill ma ma a Cenifi r f C enr oo self Insure for W rkcr'sr •-
'C mpens r on, as provided for by Section 3700 nLNe Labor Cade, for the
q -perfrrounce'of the work for which Nis permit is issued.,
til hav'e'und will an!brain WOAer'i Comlienmlion'Insurencc;-es iegdiretl by S&tion
i� 3700-ofitne Labor Code,for the Peifomunce of the work for which this permit is _ .. ... ...
s itamed My Workers C mpensai o,1 bounce comer and Pal y n mbe }e:'
ame J/'n cy Na OY4-99 oo�zPG
„i CBRTIFICATI OF4 EMPTON FROMWORKRR,S'y'
COMPENSATION INSURANCE
(fids aec"iion eed do,he completed If the .it is for one hundred dollars I
-151001 orfs )
,r certifylthat in the Performance f the work for which this Patin I s ismed,l .I.'
.ihall of employ any Person to any manor so as in becomeb) I r°ire Workers' '
I
Compensation Laws of Cnhf roue:Data
' "
o NOTICE TO APPLICANT,If,after making;this Certificate
F,. nvdsdnns of[he Lubar CoH --•.i
•ties me sub ea In die workers Com I of Exemption.you should +"t
,,...
1. pens pr eym
"0 rfonnwirh"comply with such provisins or Chiaspermit be deemed revoked.au "a
Z-11
,r„`V1 a ti CONSTRUCHON LENDING AGENCY
by 41, that there . lending C v.C.) f thepertolma e
w lean a wrn farame h<h 111 ns dewed(Sec J09T C'v.C)
[a LIade Name II G h - .._ .. ..._...
ez
(pSs, Led sAdd
0 -d I enrfYJhm 1 h vc read Ih s appl c I nd style ihar N bq reunion Is "-
fs/ ciirrttt 1, g to comply rh ell<it1 god unty prJ Hunt d st t 1 s relining
a b Id gc -vacuo a dh ny' th nu p <nuf es fN tyrarbel.fam
y � the nbav Igant red prapenyf rinspccuo PTo s _ 4 - l .' '- - '
EL., G. ^s" a/We) 6re4ro :se4gdemmdh dkttP harmksa the Oy ofC pen gmna ir. : _-u.= ppp
Lit) t Ilend I es 3 dg - u con end xpn,se hi<h m y in any y gain I said
U' rZ7 Cily n co q of the g t ng fN s pennn I til V
'APPLICANT - RSTAND$AND LL PLY WITH ALL NON-POUT''^
'•e 's uRCE A " ' ' Issued by: Date
d ' i6nmurc of Apl IievnUCa i 'd r';i ,- -.^ fJ a� , Re-roofs /
" 1":;HAlARDOUs MATERIALS DISCLOSURE ° " _ - -
W II the epplin I r fM b nal Co e,an l Gore of h nJle harskd6,meterxl Type of Roof.
ai defined by Ne Cupen o M Ic p I Code Ch:pt 9 12,and Ne Health it Safety -
Code S I n25All 1
`a I a ` . '(
�Y _ ` "
inspected norroroofsshalbe , any being installed.,All riofn ma[ena] _
F' WiilNeppplic, r f I bu,IEingocc p museequteviordevmeiwhich If a roof is installed without first obtainingan`ins ection'Fa ree'to remove
can't b ,!d us a cam m m az it pond by the Bay Area Air Quality Management P g
h a newmaterialsf1. or inspection. r will it
pe Applicant understands stands and ., comply w][h
" r all non-point source regulatto s
'' 1 hes rood to'blizardous materials requirements under Chapter 695 of the 1
California Health&S fety Code Sen'ns 25505 25533 and 25530 I und,damod,lam - -�
if,fieb Idingdoesnotc ally have atenant;that is my responsibility tnotify the
,accupam of rh quircmems whah must be inn prior Io issuance of Cendficele of
v ,..
r, w ?T. N 'ieaage ', --- re -.. pphcAll roof coverings to be Class "B"orbetter "
' Hain of A
2
r
.OFFICE :.. .. _.._ . . ..:. ,._ ... . . _ -- •-._,�..'. .. . ....._ . ._.
rr..
l Building Division
noTorre 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: AA✓g a✓e
Address: 7 L,57 7iv w Z- t,r,, e
Reroofing Company Name:
Applicants Signature '/G ` �✓" Date S /� r�L-
Joe Antonucci
(Chief Building Official)
6/25/01