03010161 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOMFORMATION .s
BUILDINGADDRISS: DAN ELLIOTT' S ROOFING CO PERMIT NO.
20063 MERRITT DR 03010161
OWNER'S NAME: 2669 COIT DR APPLICATION SUB DATE
POKALA RAO P AND SUCHARITA 01/28/2003
IONH: (408) 559-7327 327 SANITARY NO. CONTROL NO.
ANCtII'niCT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MOCif
wOp
LICENSED CONTBACn&, rosoon,of ION JobDescri tion
I hemhy ))of that 1 amflicensed,Bu under provisions of Code, 9(commencing Description
with Section]IXNp of Division Jof the Buairtna and l4nfessinru Cath.and my is
<< amumree° r REROOF
� I.icenm Clas. t I i� Lic.N
FN-p Date s- 1•t ennlraelnr REMOVE SHAKES, INSTALL 1/211CDX, 2 #30 SELT.
uj ARCHITECTS DE LLA TI 11YALE®
�I � lymdersmndayplans ARCHE EC`CSDte used cLpubA9A OErds LTWT TILES
xp�G
m3u. Licensed Prnlcssinnral Q
W OWNER-BUILDER DECLARATION FEB 2 O
0 I hereby reaso.(bene that 1. exempt from the CnnionsCo License Law for the ZOOS
to—p 0 following g air.. (Section]OJL9.Bi,.1w, andimprove,
ve,do boli Code:Any city or roomy
x m which requires a Permit m consuuck eller.improve,demolish.ror repair any ebucmm
'm—'^ that
he is
sl iensedpursuant to to thovisiosof for Compactosm,lipendr's icense aw(Camment
conandsliccnmdpursuanuothepmvisimnsmftheCnntrocvtr'sLiccnsefaw(Chapmr9 Sq. F[. Floor Al Valuation
E�p (commencing with Scninn]1Xp)nf DivisinnJu(the DusinusanJ Professions Codc)nr
Cy $ that he is exempt therefrom and the basis(or the alleged exemption.Any violation of
Section 7031.5 by arty applicant for a permit subjccu the applicant o a civil penalty of APN Number T
not mom than five hundred dollars(S500). C Y Type
0 I,as owner of the property,or my employees with wages u their sole compensation,
will do the work,and the structure is not intended tar offered for We(Sec.]06ru
4,Bushs
.rad Proressubw Code:The Comsscmrves s License Law donut apply on an owner of Required Inspections
property who Wilds or improves thereon,artd whodacs such work himself mrdtrough his
own employees,provided that such improvements am not intended oroffered fursile.If. 30.5 — FRAME
however,flue building or improvement is sold within one year of completion,the owner,
builder will have the burden of proving that be did not build or improve for purpose of 307 - INSULATION
stair) 601 - ROOF TEAR OFF
0 1,as owner of the property,am exclusively contracting with licensed contncmrs to 602 - ROOF PLYWOOD NAIL
cnnsWet the project(Sec.]1/46,Business and Professions Code:)The C.B.I.e.Li
-
seLawdoesnotapplytoanownerofpropeny who builds or improves thereon,and. 603 - ROOF BATTENS
who convacss for such projects with a con ractor(s)lieensed pursuant to the Contractor's
Liter Law. 604 - ROOF IN-PROGRESS
0 1 am exempt under Sec. .B A,P C for this reason
IL371��"(X)of
wner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a Certificate of Consent a self insure for Wurker9 ComKn
ion,as provided fnr by Section J]1X)of the[.bar Code,(nr the performance of the
rk for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as required by Section
the LM1r Code,fnr doe perfrmance of the work fnr which this permit is issuedy Workers tm nation Insurance ewer and Policy number ate: Artic Policy Na.: .tlyl'1�
CERT ICA OFEXEMPIONFROMWORKERS'
COMPENSATION INSURANCE
(nimsections need nut bee.undeted if the permit is formic hundred dollars(SIM)
or less.)
1 certify that in the performance of the work for which this remail is issued,I shall not
employ any person in any manner so as in become subject In the Workers'Compensation
Laws of California.Dam
Applicant
NOTICE 10 APPLICANT:If,after making this Cenifieste of Exemption,you should
become subject to the Worker's Com pensotion provisions of the"Ne Code,you must
OO forthwith comply with such provisions or this perm t shall be deemed mvnkcd.
z C7CONSTRUCTIONLENDING AGENCY
[-+ Iherchy.1firm that there is a construction lending agency liv the performance of
the work[(it which this permit is issued(Set.3I197,Civ.C.)
W�Q Lcndcr's Nomc
.7 z I<nder's Address
U,p 1 ernify that I have mad this application and stem that the above information is
IL Fcomcct.l agree to comply with ail city and county ordinances and slate laws relating to
Q U building construction,and hereby auNnrire represenmtives of this city to enter upon the
[6t above mentioned progeny Far inspection purposes.
(We)agree bs save.indemnify and keep harmless the City of Catania.against
rV) liabilities,judgments,costs and expenses which may in any way acerae against said City
U;A,IPI.
7in consequence of the granting of this permit.
ANT UNDERSTANDS AND WILL COMP WILD ALL NON-POINT Issued by: Date
CRIiGU�AI'IONS.
U Re-roofs
eofAppbcaHAZARDOUSMATERIAISDISCLOSURE DateType of Roof
Will the applicant or future building rsccupant store or hanJlc harudousmaterial
defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
rW°'OY`s 255J21a)? No All roofs shall be inspected prior to any roofing material being installed.
Will the applicant orpattmebuildingoccupant use,cquipmemordeviceswhich If a roof is installed without first obtaining an inspection, I agree to remove
mil hamrdnus air tante inudcrtned by the Bay Area Air Quality Management all new materials for inspection.
istrict?
0Ycs No
I haw read the havanl materials alaircments under Ch.ow,695ofthe Califnr- O /s=
mat noth,amodyave.Statin 25505,2my and 25534.Iuntrally'ld thmiHuse ption at the v`
Jas not currently have a tenant,that i is 55 3 and 25534. a cryou the acupent l the �-
c men hie st metrrie issuance nfacenirl"t,oOccup.q.. Signature of Applicant Date
% -2n 3
Owauth
ncror mriad agent Dam G'l All roof coverings to be Class "B" or better
Y1.
1'1
l
,S
UPON• i
ux•m fi
ICB,QEvaluation Service, Inc.
rWDMY r'
g 5360 WORKMAN MILL ROAD • WHITTIER, CALIFORNIA 90601-2299
1 ` ubs aiaiy corporation of rhe International Conference of Building Officials
ER-2093
EVALUATION REPORT Reissued January
Copyright,? 1999 ICBo Evaluation Service,Inc. _
Filing Category: ROOF COVERING AND ROOF DECK CONSTRUCTION—Roof Covering (202) _
EXTRUDED CONCRETE INTERLOCKING ROOF TILES tile on the previous course, resulting in a 33L4-inch (95 mm)
MONIER LIFETILE LLC hoadlap.Tile coursing may be adjusted to maintain a mini-
1 PARK PLAZA, SUITE 900 mum 3-inch (76 mm)headlap.
IRVINE,CALIFORNIA 92614 2.1.3 Cedarlite: Cedarlite tiles are manufactured in the
1.0 SUBJECT same manner as rogular-weight tiles, except they are come
prised of portland cement,lightweight aggregate and propri-
Extruded Concrete Interlocking Roof Tiles: Roma, Classic etary ingredients, and have a wood-shake appearance and
'"'100, Homestead, Mission TMS, Split Shake, Split Shingle, flat backside.
Slate Flat,Villa,Galaxy Split Shake,Galaxy Stale,Cedarlite, tT
Espana,Espana'f'ejas,Capri, Sentry Classic, Shake, Rustic 2.2 Installatio C s o
Shake,Super Shake,Country Shake,Country Slate,Colonial 2,2,1 General: It lallation shat rrJance with
Slate. Chateau and Decklite. Tables 15-D-1 15-D-2 of the code,exce :noted in this
2.0 DESCRIPTION
report.Care raft 'e t npr� ur��p�II h ntal and ver-
2,0 t"FG en l'fre ca
tical alignment the oo . re f,le: st bo cleanod
2.1 Materials: from all interlo king area ,to ensure car -f I and prevent
ght Tiles: water dammin acke o broken ti must r of be Installed
2.1.1 Regular-weight and Light 3_1
or alloweemal
The extruded concrete roof tiles are interlocking elements
d to r
having the dimensions-and configurations shown in the ac- 2.2.2 Sheathing: S e must be structurally adequate
companying fable and figures.Accessory tile units are avail- to support the loads v ed.At a minimum,spaced sheath
able for ridge, hip and gable areas. The regular-weight tiles ing boards shall be o inal 1-by-6 lumber spanning a inaxl-
are composed of portland cement and selected sand aggre- mum of 24 inches o mm). Solid and spaced sheathing
• gatos.The mix proportions are accurately maintained to en- shall be nailed in accordance with the rode.
sure file production in accordance with the approved specifi- 2.2,3 Underlayment: Tiles installed on roofs will, slopes
cations. Anchor lugs, located on the underside of all tiles less than 2'/2:12(21%slope)are considered decorative only,
except Cedarlite and Decklite,overlap wood battens,purlins and must be applied over an approved roof covering,subject
or spaced sheathing for anchorage in the plane of the roof. to local building official approval.
Holes are provided in each the for fastening where required On roofs with slopes of 2'/2:12 (21% slope) to toss than
by the installation.Interlocking ribs are provided on the longi- 3:12(25%slope).an approved built-up real applied in accord- -
ludinal edges of the tiles to restrict lateral movement and pro- ansa with Table 15-D-1 of the code or an approved single-ply
vide a water stop.In addition,transverse bars are provided on roof membrane assembly must be installed prior w inc;rdla-
the underside to serve as weather checks. Mineral coloring tion of the tiles.
oxides are eitherapplied lathe exposed surface in a cementi- on solidly sheathed roofs with slopes of 3:1 2 (25 94 slop°)
Bods material or mixed integrally with the Tile mix to produce to less than 4:12 (33%slope), underlayment clay be as ile-
a through-colored product. The tiles are cured to reach re- scribed In this section for roof slopes of 21/2:12(21!slope)
quiredstrengthbeforeshipment.SeeTable1forproducldos- to less' or maybe a single layerof'rype
Ignations,dimensions and installed weights.See Figure 1 for 9Q granular-surfaced, asphalt roll roofing, of two layers of
file profiles. Type 30 felt Installed shingle Cashion, or other approved
Premium Duvalite and Trullte tiles are manufactured In the single-ply systems installed in accordance with the rode or[u1
same manner and size,and with the same profiles,as regu- ICBO ES evalua'
lar-weight tiles, but the tiles are comprised of portland ce- r solid s eathnlg on roots wi)h slopes o1 4 12 3ti
ment,lightweight aggregate and proprietary ingredients.See slope or.more,un ,e aymeI S .one ayer o m ndnum
Type,3 eco plying wllh ASTM D 226 or recognized in an
Table 1 for product dimensions and Installed weights. p
ICBO:ES evaluation report"aiid shall,pompletely rope';Iha
2.1.2 Decklite: Decklite tiles are manufactured in the same 9 _ c +; �.
manner as regular-weight tiles, except they are comprised deWhen installed over spaced sheatMng, the underlaymrm
of Po cement, lightweight aygregate and proprielary
ingredients,and They are produced only m a tial profile. Sur- /lust cornply will,the ICBO ES Acceptance Cntena for Cnn
Lace texture and appearance-is similar to Trullte,but the un crate Tile Underlayment on Spaced SheathingAi Ot3�.-1lrlh
derside is designed with evenly spaced support lugs,to pro- tinder
must be draped over Cho rakers,
102 mm) headlap and a 6-inch(152 runt) sicielap.
vide even distribution of weight directly to the roof deck. '—
Positioning of support pillars allows each the to engage with
. r nrl
nnsrnrnrinearpresurIt nrtrUtrare orairy other'alfrihute, a spe,ifleall,y aAAreued nor as nn ertAnc�emenl nr rrnnranrm
tivnlna(ion rnpnrfs n,17I;110Iirnlnafinn,Qrryirp,I ne.,nen i1'.caed solely hi provide infi+raralinn(n CIlse A rnrmhvrc n(iCRO,utilizing the tnAr upon e'hir r file r p
I
., is hosed.livnfuaflon report.,arena(to her fenhnirat stafthav review""ll,e
!t dation J'arrecr of rhe.raljerf reperl. ,,..
ICR/l 1,valuafion Ser vice,Ile.,e ,j/jo li
'1'hty report is hosed span inrtependent testa nr nlher lechniral Anfnsuhnri((ell try lhn npplicmrl,Thr lCltO live/unfinn.G'rvicr,/ne., mnr'rh+n"famFili(1'.--
ns(reculLv nnd/ar ollmr data,hul Anee no/po.rern'sfrslJacilifies to allkean independent verifiraflen,Tlrereis err e'nnanly by —�
nirnpl/ed,nndlaro eclat i,boldo//ruemnnarin flee reporrnrnslnnnyprodurfeovrrr.,/nynbereprn'L'/7rix r/iaclnirnrriachdr•a',hnris'nnllirnirnArn, Pagotlrl
I
" - Building Division
.11 10300 Torre Avenue
Cupertino,CA 950143255
Telephone: (408)777-3228
= CIT QF Pax: (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 ds
and manufactures specifications on reroofing.
2. ;New roof coverings shall not be applied without first obt " all inspection
and written approval from the building inspector.A final ' ctit
approval shall be obtained from the building inspector wh Ae r ofn its
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 quired.
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 V4"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:
Address: :2:4* 200103 �M-e t'%lV `i�c /
Reroofing Company Name: \J QM �� cwt S 00�-lA
c
Applicants Signature: Date:
Joe Antonucci
(Chief Building Official)
6n5/01 1