02090013 CI BUILDING DION ERT
PERMIT CONTRACTOR INFORMATION:
BUILDING ADMqS: PERMIT NO.
22921/22931 RIDGEWAY DR 02090013
SFW �F&IDGE OF CUPERTINO HOA APPLICV?/S T75002
f PHONE: SANITARY NO. CONTROLNO.
O O ARCHrfECt/ENGINEER; r BUILDING PERMIT INFO
to BLDG ELECT PLUMB MECH
<Z
�Ny
Z 'LICENSED CONTRACTOR'S DECLARATION
$z_ 1 hereby anion that 1 am of nsed ander provisions of Chapter v(commencing REROOF
F=C with Section]0001 of Division 3 of the Business moil Pofessions Cole,and my license
tate.fal�rnrte and _ 3 0 2002
s < Littns C ss a (— Coo OCT
x O a.U Dau r S DECetaf
F O ARCHITECT'S DECLARA ON
I understand my plans shall be used as public¢lords
E toMg LicemedProfessional BUILDING
o'e. OWNER-BUILDER DECLARATION
1 hereby affirm That I am exempt from the Contractor's License Law for the
s_z following reason.(Section 7031.5.Business and Professions Code:Any city or county $71795
I S C which requires a permit m construct,alar,improve.demolish,or repair any sun
uum
ou 3 poor to its issuance.also requires the applicant for such Pannonia file aaigt'ed statement - - -- -- - -
du'IW I ud pun enlmthep f Division
the the Bctmsand Pr law(CM1uptm9 -- - --
(r6 e B nnpuIhnefolo alra fD'visionloftheBuuncssendPrortmonsCode) f_ :; f 34 A�t0�J4oF�ea >t s if Valuation
or Mai he is exempt therefrom ahJ the basis
for the alleged exemption.Any violation .:.1.
of Section]031.5 by any applicant for a permit wbjecu the applicant to u civil penally
iofno,...thannrvehundreddoR.(55W). 305ARN AME Occupancy Type
°I,as owner orthe property.or my employees with wages as their sole compensation, 307 — INSULATION
'will do the worc:'and the swctum is not intended or offered for sale(Sec:]B+a. 601 — ROOF TEAS 9FA Inspections'
IBusiriess"d Professions Code:The Commelor's License Law does not apply to an q -
owner of propsny Who build%or improves thereon.and who does such work himself 602 - ROOF PLYWOOD NAIL
or through his own employees,Pm,i&d that such improvements art not intended or __—.- _ _
. ._alter ed for ale.IL how'ever,the budding or impmvcmentis sold within one year or -- - 603 - ROOF"BATTENS—` --------__----------'----.-..
completion,the owner W ilder will have the burden of moving that he did not build or
improveforpuRoseofsale.). 604 - ROOF IN-PROGRESS
_.__. . _ ._._...._ _. ... _.._..._. .
p r srpmject a car los la t t g with d eau to- I. - :t..
License
ei the project Tapp ]044 Barone and Professions Code)The Contractor's
License Law tact not apply wan owner of Property who builds or improves thereon,
• " ..Commences License
for Law.. prop«¢witM1.o.commamAsl.licenuJ Pursuant to the
C 1 am,e a License law._ ..
❑lam exempt under Sec: ", � '' '� :B&PCfor this .... � .. •_':!'ik"
Owner, .Dale..: ...
WORKER'S COMPENSATION DECLARATION
I`s" i hereby affirm under penalty of pnjury ne ofthefolloomgdeclamtions:-
-
° I haWmra'will inaimain x Cenificaie of Consent to self-insure for Worker's
Compensation,-as provided for by Section 3700 of the Labor Code, for the
_ performance of the work for which this Permit,is Issued.
f�have trail w i II ildrmm W to Co.R uo :las.omme, req red by 5 t to.
]00 f th LaW Cswf f the pert of the k f h h th per t
issued MyW k C pc to 1 m e d of W _
C-mor
G G
'' t 'i' CEIiTII?I COMPENSATION INS/,1NCE�JB L O � ,�'s v dv I' 4 I! 5 a�0 s f 'z I t r I y ti l
_ .__._.._.........._.—__.._.. .....-....f.J..�.Il'
un nn need not W compleieJ tf the perm t is for ono hundred dollars s
(5100)orless.l . . ,.t
... ...v. a . .. . ..e ... .� ....i ..._..iz .. .� ...�.. _. _...
,. 1 c n to th t in the n in anancc of the k for which ths Penn t s ics ev-I 1 - 11, is+"� D`
shall not employ any person in any manner.so as to become suh3ea to the Workers'
Compo . t u
Laws of Citlionrm Datil' - "
'NOTICE TO APII ICANT. fafle,rookimliffik onificamofE - prim y bouts '- •' I -_ - -
6cb t bj a the W k r C' Pr. t p of the Labor Code,you must
z 2 .. forthwith-- I -twmply ith�such rovisions or this ked.
CO-S ----LION LENDINr-.--- Yormit shall the coed revoked. -.-. ._.__.......
�,' Thereby whiimnhatshortiss issued ole Iendidgage cy for the performaiu< '^ `'t '
�.Q Lendorf the ark for which this'permit is issued(Sev.309];Civ.C.)
.Z Lender's Address 1
t mrtfy.thmlM1 read this application and state that binformationis
k"4''F� corrlct Ialt nply int all vit,and IY (name d: laws rel ting
.ice V w building consomction.and hereby audinnm rcposeomtives of this city wenerupon
ry the above-mentioned propeny for in,,c,i n paione, ,, ,
O: (W'e)ague to save:mdcmndv and keep harmless the City of Cupertino against
a`x(10 liabilities.judgments,costs and expenses which may in any way amoe against said (•y' /
. U•Z City in consequence of the pimming of this permit.(
APPLICANTUNDERST " ILL C001 'ITHALC OY r01, Issued bC Date
; &u
SOURCE REGULAITO Ef�.. . �1/ Y
Sie +tuW'llf tnc a IH ZARO rt MATERIALS
a Nb LOSURE' /�4/(�/ Re-roofs
PP u
I confined
- pp p or n al huauNuus neunol TYPe of Roof�.-• •• ' � - �� - r - '-- ' '
bye he Cupen no Municipal Code.Chapter 9,12,and he Health and Safe ry - sNa
Code Sacuon 255320 r r- 1' . . ,, .`.
,. °Yes .i
a2'M , a r;;> t I l
,; ._ , All roofsshall be inspected prior.to any_roofing.material_being installed..._... _
Will the applicant or future Wilding occupant ase equipment or devices which If a roof is installed without first obtaining an inspection;I'ag'ree to remove
emit h..Fdous air a ntaminanrs ore defined by the Bay Area Air Quality Management
District? - . . _ _ _ all new materials for inspection. Applicant understands and will comply with
°Yei4— C all non Dint source regulations. • - I _ . -
14j1 �• Ihave mad he hazardous materials rcgwmmems`under Chapter 6.950[the
Cnlifoenia Health&Safety Code.Sections 15505.25533 and 25534,b understand that
it building does not cuiraq yhaves rnnamnhat it is ml'reponsibilitym notify the'
'obdpa.of the requirement;which must h<mei prion to ivsnance of a Campeau,of -I a
Signature of AppI cant ., _._ .. _ -, _ Date
vwnet
oraum one ascot - Do I, All roof coverings to be Class,"B"or better
t
...J__. . . .. ... ... . .. ...._. .. . . .. _. . . . . . . .. .
- ; OFFICE
' Building Division
10300 Torre Avenue
4
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CI O F= (408)777-3333
CUPERTINO
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 V"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: c LYLp
Reroofing Company Name: ef-
Applicants Signature: )ate:_q o Zr
Joe Antonucci
(Chief Building Official)
6/'25101