02070053 CITY OF CUPERTINO - �.. .� a�—
BUILDING DIVISION PERMIT • CONTRACTOR INFORMATION:
BUILDING ADDRESS: c_�,�,4 PERM
2 13 LONG DOWN RD OUR SEASONS ROOF N� �1�670053
OWNER'S NAME:
ODEN WILLIAM A AND CAROL D 645 HORNING ST APPL6j7sgipn02
PHONE: SANITARY NO. CONTROL NO.
408) 278-0330
rARHITECT,`ENGINEEILuBUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
8 y= LICENSED CONTRACTOR'S DECLARATION
ZI hertby aEom tha"I am licen.ud under provisions of Chnpmr 9(commencing � A ]l-OScrlptlon
pins- Section 7000)of Division 3 ofhe Busincv and rofesslo,tsCade,andmylicense RER00F e�I r6r%
>e Iceull forte and<fie� o—
lC u�3,6g'O License Class LL Lic.M U
ed
..or
SDEcona
JAN 3 1, 7003
p r^ ARCHITECT'S DECLARATIO
5y ,g I unJemand my plans shall be used as public records
n.it:
O O --wed Professional [e1
1
m�+ OWNER-BUILDER DECLARATION
'P+W,
1 hereby alA"m thatI am exempt from the Contractor's License Law for the L/1
Cfollowing reason.(Section 7031.5.Business and Professions Code:Any city or county, $8000
C o which requires a permit to cnnstma,alter,improve,demolish,or repan any structure
nam „Ontario ill tssu ceal at"heappl¢ant tnrmch prnitm file it'i'mdsummem
thrhe to lral pursurt teM)vinansoftheforams,.,,Lcenu Low(Chaptarr,
( m crag tSm n70110) 'fDtnswn3OftheBusinessaadProfession,Cade]
or that hex eempt t refoom wall the basis for the aleged exemption-Any s Motion �'i ;'.�342�OeQ�ooO�Fea •,7; " � • Valuation
of Section 7031.5 by any applieant for it panels ml[-the eppliam to a civil penalty I
-(..I more than five hundred dbnarx(3500,. 3 O 5 A PFRW glgr . . . .. Occupancy Type
01,as owner of date progeny,or my employees O'h.agcsasteirsOlccompenotim. 107 - INSULATION t
'will do the work.-Ind the nm"re is Out t t d J ar Offered for sale(Sec:70 . _
Business rid Profs ns Cade The Cultural License law does no"apply m an 6 01 - ROOF TEAr�, �+ ---- -'- - - -----
Of Property Whobuild.,o repro e.the and who does such work himself ]Re tCd Ins eetions `
r through his n employees.provided thth impowemeats art not intended or _ 602 - ROOF PLYWOOD NAIL
offered for sale.IF however,the building or tmprmemem,F.mid hat.ia:.......p.,r - - -- ROOF BATTENS---
.___a_...._.....
_.
conipidion,the owner-builJer will have the harden of pro-.Ing tha he did not buil)nr 03
inprave for parposeafmle.), 604 - ROOF IN-PROGRESS
.: O 1 .ve nw mr of the property.um ea.lu IY I -
cnnoor",he Pro
(Sec ]U44,13usin<ss u ad Professions CWT)The Qo,roctor's
L cense Luw does not apply to an owner of proMny who builds nr improves tenon, t t t
.and who,contracts for.such projects.with a.comoraortsl IicensW.purauam db the
Cnnuocme,License Law. ... --
❑l am exempt under Sec. •''v •-' . .... .. ._ __ .._._........ ..__..__.. ._.
,B&PCfonhis rcwxon - „` ,
_ Owner' Dam - l
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury o,m Of the fallowing declarations:
O 1 have and will-mainain o fenificate Of Consent of self-insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for ,he
pedormwnce bf the work(or which this permit is issued. ,
yl•1 have and will maintain WorkeL{Ciimpensation Insurance,us required by Section37(M of tire Labor,bor Code,for the performance-of the work for which this permit is
is J M,yf LW r/ke�rsC p< ojor lasormana er,ondpolicy familiar
Carl". Is yNa f.JCZy9/$96z .. ......
.._, ..„.._._. .,, -..,...._�_.
' s 'CGRTIFlCATION OG EXEhB'1'ION FROM WORKERS r"• i ( ' - Fra +s_ i h��i ','�,t d i1A.I A:�•; fin- 1 1
COMPENSATION INSURANCE°' ¢ �:-v'
lThif,carom nese not be�ompincJ if to permit is for one huodmd dollars
151001 or less.)
...t .. _ __ _ __ ._ .. .. .._
I cenifY to in_the performance o(tc wors'oilk for which this permit is issued,I - -'- '
Com not employ any person in any minncr m as to _-
Compcnsbtion Laws of California Doc"
Applicant
NOfICE TOAPPLICANT,if,after makingth 'C
become n(ecimIll,N ker'sCompensation .nfcnre fh mpioshould
--.Ir Code rua
r
Z
Q limb th c reply with M1 p b "h peon t xh,II h J ncJ revakeA.
" CONSTRUCTION I LNIIING AGENCY t --
i h by ffrm Ill-"'here d construction]amain i1 t.
�'.— 'of'he work for which its it's Sngency for the perfommnce '
"Q Lender's Name' - . � issued(Sec.11M7,Civ.C.1' `
Z Lcnd-,.Add s ,_. ._
I sen fy thin I ha a read"his applicminn wnJ s"am tot to wbove in(ormmibn is
O0';- . •correct.1 agree r comply with all city and county ordinances and,rare laws rtlming
.;V :'"O building mnnmaion.and hereby authorize repreuntmimsoftis city roamer upon
�. W to ab m f ed p pony far inspectionpuryom..
Fa L (W1 grc to xa inderanifyinal Aeep banal ate City (C peninu agums.
fA City in )uJg cuts. sc d e g phis t ht h y inany. y me g.f an said
V Z City i• n q ace of as g- "ing five "ma. r
APPLICATG ERST 1V)IPILL COMPLY W'ITt ALL NO..SOUR(' E< ,ATIONS�,� q Issued by: Date
Sign t e_ IAppbcaMmr---f ' '(, '
C :HAZARDARDOUSMATERIALS DISCLOSURE Date Re-roofs
Will Y e ppl t future P Il C a pant store O handle hozOaks an Only Type of Roof.
aid.n d 'he CupertinoM i I Cod Chapt 9 and'he Health ane surety
Code.'Section 2551 ( ) - .. .. "._.._. .. __. .. __
l"1' f 'I {">,� b.',t• �Lta w :.\'� 'y,
. All roofs shall be inspected prior io-any roofing material being installed.
Walther,irc an" i building ba pa,useeyupm utility devices which If a roof is installed without first obtaining an inspection, I agree'to remove
emit hec u man s as defined by the Occupant
uw GlA r equipment
or Mikes mem
Ds" - _ all new materials for inspection. Applicant understands and well com I with
O YeS - -- i No per
d/ all non-point so cc regi ons " -
1 have d the h m tonal,req trt ,x under Chapter 695 0(the - t
Calf He It 8 Safety CWe S tons 25505 25531ifiland 2553) 1 dem J that
oe'r,. Id th Italc mntly hoe a tunas thtta yre.po,blty td titythe
Occdpom 11 th rcyuit cars hit, ukI or t P' o "name of d Certificate of
-
Occur�nc. - '
Signature of Applicant Date
Ow"
d agent Data All roof coverings to he Class "B" or better
.. .. OFFICE - ' — -- -.
IT
Building Division
�- 10300 Torn Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEPTiNO
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 YV 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:} -P-( A-,- Z./1-// Qak[ '
Address: � -2 7 13 m✓ta (�-,
Reroofing Company Name: S SG ,,:;.v A5
Applicants Signature: Date:
• Joe Antonucci
(Chief Building Official)
6/25/01