02050160 CITY DIGupERONo
NNPERMIT CONTRACTOR INFORMATION:
BYI`f"� 1 RbRNING SPRING CT JNSJ ROOFING INC PERMIT NO 02050160
'TYt1"9'U' YANG 299 D BASSETT ST "651CrYiff2M2
PHONE: 4082796171 SANITARY NO. CONTROL NO,
O O ARCHITECT`ENGINEER: BUILDING PERMIT INFO
w— BLDG ELECT PLUMB MECH
Fa,Z I. O L-=3 L_I
>i LICENSED CONTRACTOR'S DECLARATION
in IhetebyeffinnthvlmaliccnscdunderprovisionsofChapmr9kommcncing REROOF W/ COMP �S Ll�tlon
t=t0 with Section 7")ufDi,i,i„n 3ofmc Business and Profegsions CWb.and my license
my: "In full rnrcc and r/R
1rc3 a L'cense CAsz 1. Lie.M ^
Oa-U Doc o
u,y AR
O
I understand my Plane shall be used as blit rcc ds
3 E 3 C Licensed Professional
OWNER-BUILDER DECLARATION
I hereby whim that 1 ant exempt train the Contractor's License Law for the $4500
C? following reason.(Section 9031.5,Business and Professions Code Any city or county
xo
which requires a permit to construct.alter,improve,demolish,or repair any suuctum
a.3,o prim ms r requires ,item Permitoicenseaw(Chapttem --- -- - --- -Val -----
t 1 issuance,also rt the applicant for such
(comthat mncingwithSeued oannnthepfovistons of ision3he the Busiommistor ness
andPelaw(nsCod )ter 9 r. a; Valuation
(commencing is exempt
nom and the basis
or t the0uginasmid Professions Code) I",;.fl p`ti„y'; ,;-,{a, k,y 1'TI**,''•f '„ ➢f ;•t '
or that he is exempt therefrom applicant
and the hosts d, the alleged exemptioas Any violation
of Section than iv any applicant fora permit subjecu the applicant Io a civil penally
of not mare Inas live hundred ammrg(sslw). APN NEWE Occupancy Type
°L as owner of me proven,,or my employees with wages as their rale compensation. 307 - INSULATION
'"will do the work and the'swctum Is no,intended 0,offered for sale(See.70H.
Business and Profeui"m Code:The Comfortof's License Law docs rim apply Io an p Ian
t through,owner of p,aperty who builds or improves hem.n.and wata dies such work himself 602 — ROOF PL V IkTA�L
or theou n his own employee:.provided that such meol are not intendedyear or - 6 03—— ROOF BATTENS
rcered�r:,r.If.nnwevee,the building improvement- is sole within one r ..... ._ -
g oburden
oyear o
improve
for the owner-builder will have the burden ufproving that he did not build or 604 - ROOF IN-PROGRESS
improve Por pnipoec of salcJ. �
_-. ._. . he_ages us licensed
OLasowner afthe p(Sec.7 4,Businivelyc Praningns Ccc:)Th Conor contractors to
_- conawct the Project nl(Sec, to a Business and Professions Codes The Contractor's t
License Law docs not apply man owner of a corny who builds or improves thereon,
.and who conics for.such projeclh with n conmanor(s)licensed pursuant to the _... - __... ... ... ...... . ..... ....sass.._.. .-_.._ __._.._.... _.._ sass_ ...
01 m exe exempt
law.
❑Iameaempl under Sec. � .B&PCfor his mason •-. . .
i. _ owner 'lime ..
,•
WORKER'S COMPENSATION DECLARATION y
I hereby affirm under penally of perjury one of the following declarations: •C I p V Ai LE13
° 1 have and will maintain a Certiorari,of Consent to self-insum for Workers
Compensation, asprovidedfor by Section 3100 of the Labor Cod, for the MAY 3 1 2002
1. Zpar of the work for which this permit is issued.
and will maintain Worker's Compensation Iniumnce,as requimd by Section
3100 T the labor Cade,for the performance of the work for which this permit is BUILDING
issued My W ker'seompensation Inger c caer and Policy number we:
q� rtal
caret 4N*rhA>-���T1'e a"S:PoI'cY No.: sec 2491 S5'617
?• I CERTIFICATION OF UEMPTION FROM WORKERS'' � ,r � � s' j,' 'R f Ss `~"•.
'_COMPENSATION INSURANCE”", sage. ,._
. _ ._.._-- ._-.- ...._.
(This sect nn'need not be complcrtd if the Permit is for one hundred dollars ' ' ' ,•t' t` I.'
1$100)or bass.) -
I cmify that ins she perfommna or the work for which this permit is issued,I - - - ---
shall not employ any Person in any manner so as to become subject Io the Workers'
Compensation laws of Cabl'omia:Dwc
PPicant
NOTAPPLICANT.If,after mnkins this Cenificm<of Exemption,you should
”
s
z 0 became subject to Ih-e Worker's Compensation provisions of the Labor Code,you nm.41
forthwith comply with such provisions or this permit shall be deeed mrevoked. 'I
1 - CONSTRUCTION LENDING AGENCY
i1 hcrebY offirinthat tore is a construction lending agency for the p rformance
Q Le der Name
= z Le J AdJ es, _ i
V'0I certify that 1 have mad rotapplication and state that the above infnimmion is
fi F correct.I agree to comply with all city and county ordinances and Stam laws relining
C)- to budding construction,and hereby noncom representatives ofthis city to enter upon
the rhose-rormi redproperty furmllcelom purpose
L (W) g< tog <indemnify and k pharmless
sail City fC pciiino against
N liabi t 3 dgments, s d genu which y rs any y c against said
U.Z Ciry se th g tag of lh 'pe I
APP Cl�fLu�DER TANDS AND WILL COHtPLY N'1`fH ALL NOY-POINT ISSUBd I7 DHIB
S CE <L�G�IILA„O y:
.. St Ap i,anaCnmrac r ,pate Re-roofs
II the up HAZARDO S'MATFRIALS DISCLOSURE
Cdde,Scll the u5R can 'b ilding cpam tore or handle'h nidous mamritd Type of Roof ages -gess .. sass _ -
as del o Municipal Cade Chapa, 9,12. d the Health and Safely
-°v ” 'rdN°<�, t t ;�< - "'" _ ,.,.,All roofs shall be Inspected.prior to any.roofing material being.installed.
wB the applicanlo f t but Id goccupant pre cq l ento devices which If a roof is installed'without first obtaining an inspection,'I agrec:tolremove
em I h bo a co tam sant. d M by theB y Atha A r Quality Management
District? all new materials for inspection. Applicant understands and will.comply with
°4 I N all non-point source regulations. ,
I
base
a c'Cad."a haaardous marginals rcymrcmens ander Chapter 6.95 of the
California Health&Safety Cale.Sections 25505.25533 and 25534.1 understand that
iffl, h es noI cuircI
ve a tenant.Incl it is my respansibiliry m notifythea sof of coth muss be now prior m issuance of'e Ceniheate of
'^ `c `" '"` e r - Signature of Applicant Date _
All roof coverings to be Class "B" or better
Owner
o auction
c l agrnf. . Dan: .. .
:r.r - OFFICE ..
Building Division
10300 Torre Avenue
til Cupertino,CA 95014-3255
W. Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEI�TINO
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/" 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 Names yi4 arR y-
Address:
Reroofing CompanyJName: �, .5)"C-
Applicants Signature: Date:
Joe Antonucc
(Chief Building Official)
6/25/01