02010061 CI nuOF PERTNO
BUILDING NG DONPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
AMIR VETRY 02010061
OWNER'S NAME: - APPLICATION SUB DATE
10310 MORETTI 01/15/2002
I�PHONE: SANITARY NO. CONTROL NO.
C zQ ARCHITECf/ENGINEER: BUILDING PERMIT INFO
0
m C BLDG ELECT PLUMB MF.CH
LICENSED CONTRACTOR'S DECLARATION
1 hereb art.that 1 am licensed under of Cha ler 9 ammmencm Job Description
Y a pow p g
wit Solation 7003)of Division 3of the Busisa ane ProdasM,un,Code admy license RE-ROOF HOT MOP
-t in full fame end a..!
0 6 Liceme Lic.p_Z
I 0 u Date Contractor
1. RCHITECT'S DECLARATION
a O 4 1 and emmind On,plans shall he used as public records
be
S i c O Liaemad Profesianel
car OWNER-BUILDER DECLARATION
='° I hereby alirm her I am exempt from the Contractor'a License Law for the
following reason.ISectina 703 1.5.Business and Poi Code:Any city or county $5900
I O which requires a permit in consumer,almr,improve,demolish,or repair any tractors,
e f' else the tum for such Permit File.signed!ammmem - --- --
pe
wa.3 m -P"mr q applicant want II
rdmbe.l dp ect,bn Chep sot the Contractors License dPmawmus Cook)
f1,,,.x,',3,�q. pFin®rl�'®a'.", Y xM'. Valuation
(comneiie tksecdi irri'mtD' asisottheligedasand Pil.Any nsCWe) ��,, MI 3 .J 11 S• .a y.,.,yl,'s�`{ ,t
or that he is 31.5 b any ap ii end the basis for the allege exemant to Any violation
of Section her v any applicant fora permit subject the applicant to a civil Penalty
,of nmdmnremammehanaredamnam(scan. 30saPN 'N� Occupancy Type
❑1,as owner of me property,or my employees with wages is their sole compensation, 07 - INSULATION
'will do the work,bad the stiumum is not intended or offered for sale(Sec.TBW,
Busmen and Professions Code:The Contractor's License Law apes not apply to an 601 - ROOF TEA]RquOREnspections
owner of progeny who builds or improves themon.and who does such work himself 602 - ROOF PLYWOOD NAIL
or ored fo his own employees.provide that such improvements vol arc not intended or ._ _ - _ .__-
-:completion,
for sale IL`however,thele have est is that within one f - - - - - - -'--- - -- — -
cur tmpm"=m wren 603 - ROOF BATTENS � •
nmpmdfor ma Swear-b ori ejr will have me Harden or proving that he aid oar ootid or
�mwtive pamnea 604 - ROOF IN-PROGRESS
- ❑Lasowner orhe Pmpeny.am exclusively Cwaensed Conor euro
onswn the presto(Seo. to a.Business and proeasy who
Code:)The Contractor's
and
codoesnmapplyt panownerof a contractors)
Wlidsor seimproves thereon,
and.who.contracts for such projects with n commnor(s)licensed pursuant to the
` Contractor's License Law. I I I
_ .._. ..
❑1 am exempt under Sec. .B&P C for this reason '
Owner Dam
WORKER'S COMPENSATION DECLARATION pL, B
I hereby aRrm under penally of perjury an=of the following declamations: e MAILED AI L
El 1 have and will mnintoin Or Ccniicnm of Consent m self-imure for Workers •• `•lm9 7st�1
Compensation, aw pmvidd for by Section 3700 of the Labor Code. for the AUG 1 3 200
performance of the work for which this permba
it is based. 2
❑1 have and will proutr n Worker's Compensation Insurance,as r=quired by Section
- . 37M of the Labor Cade,for he porfomume of the work fm which his Permit is
is My Workers
ry Compensation Insurance camerr and P number re;,• d i
Comer I :,V 4w• `i A l r'30L-DING - ...
- I � CATIO OF E%EMPTION FROM WORKERS ) y • k•
- � ,-, COMPENSATION fNSURANCE„ ;�Jv/� .. ._ .._..__
c Ink anion need not he completed if the permit is fm one hundred dollars - - _. _ '',t `•
(5I O0f or less.
( I certify that in mem fir
any mu cr, work for which his permit a issued,1 `- - -
shall en employ any peals in any manner t a m necome object m the Workers' -
Compensation Lowsof California,Dam
NOTICE TO APPLICANT:IL after making his Castrato of Labour
dyou should
becomesubjectcomply with
such
Colons or this permit shall he
Leber Cde,you must
z O forthwith comply wirti auto provisions or this permit shall W dccmd revoked.
Fs'A •- "'' 'CONSTRUCTION LENDING AGENCY
C
Lender's Name of the work for which which me pet(ormantt
his them iso
rs ne
cd(Sion Ci
lending Civ.C.)agency for - _
Y
w
5 L7 Lender's Address" - _
1 ccnify that 1 have red this application and state hat�h=above information is
IIIa0 Esc towild 1 acme to comply with all city and acountyogre ordinances and state lows relating
Q (� 0 imam-nicalimax! nxndhcrt im,sennsmpame,s.sacs of this city meter upon
me ebo(We)agree
bond property far i fy and keep
purposes..
► L es.puf ectsave,indemnify and kchihamlea me w ayacrumaginst sad
y Cnst
ity in ca,judcmcnu,foxes and expenses which may in any way accme agarose said
U.Z CRP in consequence of he granting D WI permit. I 1
PPLICANT UNDERSTANDS AND WILL CO W ALCNON. INT' Issued by: Dale /
OUN('E aEGULA'[{ONS. MPt/SRH �/ Y
�dC76�d.6h� bid 54 — s���-
Sr�,otApplmanJCommca /Date Re-roofs
Coe�Section,me upplHiZARDOUS rc buildo ocuKam store or handle 'xxardous material
Will h _ .. .. ..
e.
as define by he Cupertino Municipal Cde,Chapter 9.12.end the Health and Safety ,•` •• _
n5321m n g p .. k- AlProofRhal, . '•r t :.:?.i rat' '*; _
cybi
I be inspected prior to any roofing material being installed. .. _ .. ..
W ll dhe epplium or fmurt Wilding occupant ua equipment or devices which If a roof is installed without first obtaining an inspection; I`agre6 to remove
=mit hamdous air nonmmncial,as eefind by the Bay Area Air Quality Meni gcmend
District? . all new materials for inspection. Applicant understands and will comply with
Svcs : lQN° all non-point source regulations: ..
`1 have read the hazardous'materials requirements under Chapter 6.95 of dhe
California Heuhn&Sdfcu milyCode Senthaveat rant.p,255A yrespond 34.1lundeityto nand that
if the building does mot cumn0y hove a mnam,rove it is my responsibdidy m notify the 4 �_
occupant of the mquirtmcnu which must Na over poor to issuance of a Ceriiicam or
" ' °""0°n`y• S' azure of A_ pplicant ate _
Qw r o,a th.ra aSeat. Data All roof coverings to be Class " "or better
a :•
::. r..... .. . . - - - ._ .. .. .: OFFICE -
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.
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: /�1� ��e�✓ V
Address: IZ 0 3/4 JYQ 61-27-2
Reroofing Company Name: Ca oiri LnioIEZZ'2z' -t
Applicants Signature: Date: _
•
Ini 7–
Joe Antonucci
(Chief Building Official)
6/25/01