02060082 CITY OF CUPERTINO
ruu.DING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10405 MELISSA CT WINTER ROOFING INC 02060082
OWNER'S NAME: APPLICATION SUB DATE
RITTIMAN FRANK L AND JOAN M 151 WYANDOTTE DR 06/13/2002
+ PHONE: SANITARY NO. - CONTROL NO.
4083638052
u`Oi00 ARCHITECTIF.NGINEER: BUILDING PERMIT INFO
8 W- BLDG ELECT PLUMB SUCH
¢2 LJ CI _LJ LJ
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S y Z LICENSED CONTRACTOR'S DECLARATION Job Description
Z= I hereby affirm that I am licensed under provisions of Chapter 9(commencing
H[_w wmh Scsmor700P.f Dmhlon3afdbe Ba sine.,ane Pmfeasimn.cone,and my Wen.e REROOF
x f is in full forte one cH5u
:zrc¢ Liem.eelaxs_L� ilex O T/O WOOD SHAKES, INSTALL 1/2 CDX PLYWOOD
c. are
G"""°C1O1—////JJ!' ' N1 & 50 YR. SHINGLES
3 3 o to �' ARCHITECT'S DECLARA I N
g 1 understand my plans shall he used as public mcoNs
Y
1 i O O Licensed Professional
OWNER-BUILDER DECLARATION
X F-',n 1 hereby affirm that 1 am exempt from the Contractor's License Law for the
r Z a following reason.(Section 7031.5.Business and Professions Code.Any city or coumy
Y E C which require.a permit to ensnuct,alter,improve,demolish,or repair any sWcture
ou prior to its issuance.also requires the applicant for such permit to the a signed statement -- - -- - ---- - - -- - ---- -- -
a 3- that her,licensed pursuant to the provisions of Ne Conuacme,License Law(Chapter 9
(<nmmekintnsectian�ap of Do, ;'i• 'S Ft: Floor•Area rT ation
gw't )o ( E.,ti\ , a..'Sq. Ft; � .vz't.:I�.�?S.ea(IN $60
or that he is exempt therefrom and the basis for the alleged cieanptmh Any violation
of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollar.(s500), 3 4 APM"grtb5r0 ... Occupancy Type
❑I.as owner of the propeny,or my employees with wages ax their sole compensation. .
will do he work.and the svucmre is not intended,,'opened for sale(Sec.7014,
Business and Professions Cade:The Contractor's License Law dose,not apply to an 3 05 - FRAME Required Inspections`
owner of property Who builds or improves thereon,and who does such wad himself
throughl- wnemployer,.Provided that...himprovements tended or 307 - INSULATION_
-oRcred fsale.- IL how th Wilding or improvemem is s Idwithin one Year of -- - -
601 — ROOF TEAR OFF
'completion,the owner-builder will have the hurden of proving that he did not Wild or
imrv...clo purposeofsme). 602 - ROOF PLYWOOD NAIL
- - -BATTENS —
11 _. — .. ..
iesowncrofthe pmpeny,tart exclusively contracting with licenmd convenors to 603 — ROOF - �•• '
con.tnict the project(Sec.7044,Business and Profexmous Coude:)The Contract°`` 604 - ROOF I N-PROGRESS , - .
License Law does not apply to an owner of property who builds or improves thereon,
`. : .and who contracts mr.amb projects with..Carmichael licensed Pursuant ro the �.
Convectors Liccn.e Law.
❑I am exempt under Sec. .B&PCfor this crown 'r, �•� 'JJL'
Owner Dam
WORREWS COMPENSATION DECLARATION y ��
I hereby affirm under penalty of perjury one of the following declamoo2c
f] I have and will maintain a Certificate of Consent to self-insure for W'orker's ■` ,Sp0e1
Compensotlon, us provided for by Section 37W of the Labor Code, for the
performance of the work for which this permit is issued. 1U 4
❑I have and will maintain Worker's Compensation Inscram' required by Sccuon a7
3700 of me InWr Code for Ila,performance of the work for which his pert t re
forced;My W ke's Com/�'4��iI�Insurance canter and Policy numberarc
Cam lL�!( F LAI ON UP
No Ci UOtO .'� • )Sr -.: } t f.t ic.. i .� s�: '•t .
C: IF CAT10N OFSAHON I S FROM WORK RS',
' COMPENSA'TION INSURANCE"" -
(This sedtior aced not he completed if the permit is for one hundred dollars y n x \ • ' )
t
1$100)on less.) .
l ecrify that in the performance of the work for which This permit is issued,1 C y {,!;',' :I •1" Ctt"'1:1 '
shall not imploy any person in.ny manner so as to become subject to the Workers
Compensation Laws of California Dam
..Applicant ' '--
NOTICE TOAPPLICANT.If.after making this Ccnitcam of Exemption,you should
become subject m the Worker's Compensation provisions of the Labor Code,you must
0 O forthwith mold,with such prwivom,or this permit shall be deemed revoked.
Z .. _ . . .. .-. . __.- .. _ ... _... _. .. i.-. .. .- __..._
t.
m , d '� '' 'CONSTRUCTION LENDING AGENCY
F' ^" "' 1 hereby affirm that there is a contraction lending agency for the Iierformance i
�'-� of the work for which this permit is issued(Sec.3097,Civ.C.)
QLender's Name 0 -. ..-_ . __ ..... I. ...
Lender's Address '
C.1 I certify that 1 have read this application and state that the above information is
la, H agree, m IpPe comply with all city and county ordinances and stat¢laws o1ming
Q U to Wilding construction.and hereby autnod.e representatives of this city to corer upon
111 the above-mentioned property for inspection purposes.
es,i Tee io rove,inhand cs ymm
.' men
!.the way i CupeN rimst said
Ili) liabilities,jtjdgmema,costs and expenses nick may in any way acem<ageinsi said zV
U Z City in cot e,ram of the granting ofv n permit. J
.^ APPLIC ST.UNDERSTA 'D. N ILL COMPLY WITH ALCNON-POINT" IssuedDate
50 . REO m 4TI0' '-' .� .-.fl y'
St t pelican onr.eror Dare Re-roofs
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle wardoas.,coal .-Type of Roof
is
fed by the Cupertino Municipal Cod Chapter912 and the health and Safety
ade,Season 25532P) ,.t
Dyes ;: pritiTf
m '; -"_!. !;.' • All roofs shalhbe inspected.prior_[o.any,roofing materia] being installed._
we.the applicant future building pat use equipment or deuces which If a roof is installed without first obtaining an inspection,'I agree'to remove
emit hazard- .air countarm t defined b3 the Boy Area Air Quality Management
Dinner 4all
w materials f r inspection.. Applicant understands and will comply with _
.0 ve. _ ora - n-point sour regulations,
Ss..l ' 1 ha a to d the h rumbas mater cels r q 'rem is d Chapter'fi 95 f the '7
Cal fo H alN&Safety Cod 5 s 25505 25533 and 25534 1 d t d that _ /` �OL
ifrhe d' g,l es not currently tenant.that t'. my espon'b'I'tyt if -
occu out of the require a ost be met prior to asmance of a Cenlficate of
they' J, t e o Applicant Date
C , mo ed D>a� All roof coverings to be Class "B" or,better
..:.-.
� OFFICE .. ,
Building Division
\\ 10300 Torre Avenue
1' Cupertino,CA 95014-3255
ar, 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.
e 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: ��,c })� 0 2" 4)U4 yl
Address: 2d d10 S— !f_/JS SG C.7
Reroofing Company Name: ljon -yV ZL�t)v M
Applicants Signatur Date: l
• Joe Antonucci
(Chief Building Official)
6/25/01